Treatment Of Speech Disorders Research Articles

Research Trends in the Evaluation and Treatment of Speech Disorders Using Automatic Speech Recognition (ASR)

Purpose: The purpose of this study is to examine recent research trends regarding automatic speech recognition (ASR), which is used in the evaluation and intervention of speech disorders.Methods: Through a search engine, articles published in domestic journals were searched. A total of 27 papers were selected from the searched documents and analyzed according to the year, research subject, speech task, and ASR system.Results: The years with the most research was done in 2019~2021. The subjects who most frequently underwent speech evaluation and treatment using ASR system were those with dysarthria. The speech production tasks used to utilize ASR were at the word and sentence level, and commercialized and non-commercialized ASR systems were used similarly.Conclusion: These results might be used for the fundamental data to establish the most suitable evaluation methods and intervention plans for patients with speech disorders in clinical and research fields.

Neuro-Nanotechnology Applications for The Diagnosis and Treatment of Speech Disorders

Neuro-Nanotechnology Applications for The Diagnosis and Treatment of Speech Disorders

Ecosystemic Clinical Assessment of Linguistic Diversity: Greek-Dominant Speech

Purpose: Diversity considerations are of paramount significance in the clinical assessment and treatment of speech disorders in bilingual children and adults who speak a less common language (and/or its dialects). While comprehensive assessment is essential for culturally and linguistically diverse (CLD) populations, this is clinically challenging due to the indeterminacy entailed in the process and incumbrances in access to resources. This clinical tutorial outlines key considerations necessary for holistic, ecological, and dynamic assessments of speech disorders internationally, focusing on Greek. Method: Pertinent literature is reviewed to provide the relevant theoretical backdrop for the ecosystemic protocol, both conceptually and schematically. Greek is utilized as an example language, aiming to underscore knowledge, tools, and other resources on clinically relevant aspects of dialectal, interlanguage (adult second language [L2]), and child multilingual (L2/third language) variation in Greek-dominant speakers. Results: The tutorial highlights facets of Greek speech and scripts a primary assessment model for clinical use mostly targeting clinicians that are not speakers or cognizant of the language, also viewing speech in linguistic diversity as a sociolinguistic construct. Recommendations for clinical practices are outlined proposing a specific action plan, exemplified by a case scenario. Conclusions: The demonstrated ecosystemic paradigm in holistic, ecological protocols for clinical assessment of speech disorder in CLD speakers addresses the need for nonlinear, multilevel assessment of variable language exposure and use; being sensitive to individual speaker specificities; the sociolinguistic environment; and employing people-first, culturally sensitive, and dynamic strategies in clinical assessment. The stance also simplifies disambiguation tasks regarding the difference disorder dichotomy, enhancing existing clinical procedures.

Automatic Detection System for Velopharyngeal Insufficiency Based on Acoustic Signals from Nasal and Oral Channels.

Velopharyngeal insufficiency (VPI) is a type of pharyngeal function dysfunction that causes speech impairment and swallowing disorder. Speech therapists play a key role on the diagnosis and treatment of speech disorders. However, there is a worldwide shortage of experienced speech therapists. Artificial intelligence-based computer-aided diagnosing technology could be a solution for this. This paper proposes an automatic system for VPI detection at the subject level. It is a non-invasive and convenient approach for VPI diagnosis. Based on the principle of impaired articulation of VPI patients, nasal- and oral-channel acoustic signals are collected as raw data. The system integrates the symptom discriminant results at the phoneme level. For consonants, relative prominent frequency description and relative frequency distribution features are proposed to discriminate nasal air emission caused by VPI. For hypernasality-sensitive vowels, a cross-attention residual Siamese network (CARS-Net) is proposed to perform automatic VPI/non-VPI classification at the phoneme level. CARS-Net embeds a cross-attention module between the two branches to improve the VPI/non-VPI classification model for vowels. We validate the proposed system on a self-built dataset, and the accuracy reaches 98.52%. This provides possibilities for implementing automatic VPI diagnosis.

Application of Digital Games for Speech Therapy in Children: A Systematic Review of Features and Challenges.

Introduction Treatment of speech disorders during childhood is essential. Many technologies can help speech and language pathologists (SLPs) to practice speech skills, one of which is digital games. This study aimed to systematically investigate the games developed to treat speech disorders and their challenges in children. Methods A comprehensive search was conducted in four databases, including Medline (through PubMed), Scopus, Web of Science, and IEEE Xplore, to retrieve English articles published by July 14, 2021. The articles in which a digital game was developed to treat speech disorders in children were included in the study. Then, the features of the designed games and their challenges were extracted from the studies. Results After reviewing the full texts of 69 articles and assessing them in terms of inclusion and exclusion criteria, 27 articles were included in the systematic review. In these articles, 59.25% of the games had been developed in English language and children with hearing impairments had received much attention from researchers compared to other patients. Also, the Mel-Frequency Cepstral Coefficients (MFCC) algorithm and the PocketSphinx speech recognition engine had been used more than any other speech recognition algorithm and tool. In terms of the games, 48.15% had been designed in a way that children could practice with the help of their parents. The evaluation of games showed a positive effect on children's satisfaction, motivation, and attention during speech therapy exercises. The biggest barriers and challenges mentioned in the studies included sense of frustration, low self-esteem after several failures in playing games, environmental noise, contradiction between games levels and the target group's needs, and problems related to speech recognition. Conclusion The results of this study showed that the games positively affect children's motivation to continue speech therapy, and they can also be used as the SLPs' aids. Before designing these tools, the obstacles and challenges should be considered, and also, the solutions should be suggested.

Speech disorders in preschool children in Republic of North Macedonia – cross sectional study

Abstract Background Speech communication is a complex process based on the function of the central nervous system, and also on speech mechanisms conditioned and controlled by auditory perception, verbal memory, intellectual activity and peripheral speech apparatus. The aim of this study was to determine the prevalence of the most common phonological articulation disorders in preschool children, from 4-6 years old. Methods A cross-sectional study was conducted during 2018 year on a representative sample of 550 preschool children aged 4 - 6 years, who attend preschool institutions-kindergartens in the city of Skopje. The study used standardized articulation tests: the Global Articulation Test (GAT) and the Triple Test (vocals, plasia, africative, fricative, nasal, and lateral), and a questionnaire filled out by a social worker at the kindergarten for socioeconomic status and the child's health condition. Results Using GAT, we found that 260 (47.3%) children didn't have a phonological articulation disorders, and 290 (52.7%) had disorders. The analysis of gender-based data showed a higher percentage of speech disorders in 57% of boys and 46.9% of girls. The highest percentage of speech disorder is sigmatism with 24.5% in boys and 20.4% in girls, rhotachism was found in 17.8% in boys and 16.5% in girls. Lambdacism with 8.3% was found in boys and 4.2% in girls. A mixed form (sigmatism, rotacism, and lambdacism) was also found in 2.4% of boys and 3.5% of girls. Conclusions The prevalence of phonological articulation disorders in preschool children is 52.7%, 57.9% in boys and 46.9% in girls, or every second child in kindergarden at age 4-6 years has speech disorder. These findings indicate that the treatment of speech disorders should be started in appropriate services as soon as possible, because early detection and treatment of speech disorders enable to child normal intellectual development. Key messages Speech disorders are important public health issue because these children will require in some cases emotional and behavioral support, not only speech-related intervention. The treatment of speech disorders should be started in appropriate services because early detection and treatment of speech disorders gives the child more confidence to build his intellect.

Design and Evaluation of Korean Electropalatography (K-EPG).

Recently, the development of medical rehabilitation technology has resulted in an increased interest in speech therapy equipment. In particular, research on articulation therapy for communication disorders is being actively conducted. The existing methods for the diagnosis and treatment of speech disorders, such as traditional tactile perception tests and methods based on the empirical judgment of speech therapists, have many limitations. Moreover, the position and contact force of the tongue are key factors in speech disorders with regards to articulation. This is a very important factor in the distinction of Korean characters such as lax, tense and aspirated consonants. In this study, we proposed a Korean-electropalatography (EPG) system to easily measure and monitor the position and contact force of the tongue during articulation treatment and diagnosis. In our proposed K-EPG system, a sensor was fabricated using an AgCl electrode and biocompatible silicon. Furthermore, the measured signal was analyzed by implementing a bio-signal processing module and monitoring program. In particular, the bio-signal was measured by inserting the device into the palate of an experimental healthy test group (four subjects). Through these experiments, we confirmed that our K-EPG system could be applied to clinical treatment in speech therapy.

Speech Outcomes Comparison Between Adult Velopharyngeal Insufficiency and Patients With Unrepaired Cleft Palate.

This study compared the speech outcomes of adult velopharyngeal insufficiency patients and adult cleft palate (ACP) patients, and explored whether there was any difference in the phonological level of these 2 types of patients. Perceptual evaluation was used to assess speech intelligibility, hypernasality and compensatory articulation in 89 adult patients with velopharyngeal insufficiency and 35 adult patients with unrepaired cleft palate. Each group was divided into complete cleft palate and incomplete cleft palate (including submucous cleft palate). The phonological differences were compared between the 2 groups of patients and 2 types of cleft palate. The mean speech intelligibility was 43.04% in velopharyngeal insufficiency group and 32.87% in ACP group. There was a significant difference in speech intelligibility between the 2 groups by T test, t = 2.916 (P < 0.01), speech intelligibility between 2 types of cleft palate was no significant difference. Also, there was a significant difference between the 2 groups in the constitution of hypernasality degree by Chi-Square test, x2 = 31.650 (P < 0.01), compensatory articulation were present in 74.3% ACP patients (26/35) and 47.2% velopharyngeal insufficiency patients (42/89), x2 = 7.446 (P < 0.01), there was a significant difference in incidence of compensatory articulation between the 2 groups. Adult patients with unpaired cleft palate present an even worse speech intelligibility and hypernasality degree than velopharyngeal insufficiency patients after cleft palate repair, regardless of the cleft type. Additionally, patients in ACP group have a higher incidence of compensatory articulation than that in incomplete cleft palate group. In sequenced treatments of cleft lip and palate, evaluation and treatment of speech disorders cannot be ignored.

Diagnosis and treatment of speech disorders in children with Moebius syndrome

BackgroundMoebius syndrome (MS) is characterized by congenital bilateral paralysis of the facial and abducens nerves. Clinical features include feeding problems, dysarthria, dysphagia, sialorrhea, strabismus, and lack of facial expression. Patients with MS frequently present with dysphagia during infancy. Further on during childhood a severe speech disorder is a common feature. However, articulation deficits in patients with MS are scarcely reported in the related scientific literature. ObjectiveThe aim of this study is to describe speech deviations, intelligibility and sialorrhea in patients with MS. Material and methodsEighty-seven patients with MS were prospectively studied. Age ranged from 4 to 18 years. A complete Speech and Language Pathology (SLP) evaluation was performed in all cases. The evaluation focused on articulation placement, sialorrhea and intelligibility of speech. ResultsSialorrhea was detected in 23% of the patients. Abnormal articulation placement of bilabial phonemes was observed in 68% of the patients. Another 50% of the patients presented with articulation placement errors in other phonemes. Intelligibility was classified as adequate in 18% of the cases. Mildly affected intelligibility was found in 51% of the patients. Speech was considered moderately unintelligible in 20% of the cases. Unintelligible speech was found in 11% of the patients. ConclusionsFrom the results of this prospective study it can be concluded that a high percentage of patients with MS are at high risk of presenting with moderate to severe speech disorders. Thus, an early SLP intervention should be provided for this population in order to enhance speech development and reducing the risk of severe oral communication impairments.

Language Development: Early Detection of Speaking Disorders and The Process of Treating

The old paradigm which states that speech disorders in children are normal so that when they become a disorder, it will have an impact on the process of language development of children to adulthood. The number of cases of speech disorders found in children caused by the delay in early detection by parents. This is due to the lack of information regarding children's speech disorders. The purpose of writing this article is 1) to find out the stages of children's language development, (2) to find out the causes of speech and language disorders in children and (3) to find out the symptoms and the process of handling speech and language disorders in children. The article writing methodology uses a systematic literature review approach to 39 articles. The results of the writing obtained four stages of children's language development, namely the babbling stage (the babbling stage), the holophrastic stage (the one-word one-phrase stage), the two-word one-phrase stage (telegraphic) and the differentiation stage. Every child has a different range of stages. Factors that cause children's speech disorders that can be caused by medical factors, physiological factors and environmental factors. Children's speech disorders can be in the form of delays in language development, aphasia, speech organ disorders, hearing problems, autism, emotional and behavioral disorders. Treatment of speech disorders can be done with speech therapy, oral motor therapy and melodic intonation therapy. The implications of writing this article can be used as a reference by parents and health practitioners to carry out early detection and the process of handling speech disorders.

The Automatic Detection of Speech Disorders in Children: Challenges, Opportunities, and Preliminary Results

Given the limited accessibility to Speech and Language Pathologists (SLPs) children in need often have, pediatric Computer-Aided Speech Therapy (CAST) tools can play an important role in the early diagnosis and treatment of speech disorders. However, various challenges impede the implementation of accurate automated analysis of speech disorders in children. In this article, we first discuss three key challenges in processing child disordered speech: 1) the unreliability of low-level annotation and scarcity of speech corpora, 2) speaker diarization of therapy sessions and 3) inaccurate children's acoustic models. We next explore opportunities to overcome some of these challenges. First, we investigate the effectiveness of high-level paralinguistic features in disordered speech detection to reduce the dependency on annotated data. A binary classifier trained using paralinguistic features extracted from both typically developing children and those suffering from Speech Sound Disorders (SSD) achieved 87% subject-level classification accuracy. Second, we tackle the speech disorder detection problem as an anomaly detection problem where models are trained merely on typically developing speech, reducing the need for disordered training data. A phoneme-level F 1 score of 0.77 was obtained from an anomaly detection-based system trained on speech attribute features to classify between typical and atypical phoneme pronunciations of children with speech disorder. Finally, we test the efficiency of an x-vector based speaker diarization technique in pediatric therapy sessions. The method successfully distinguished between therapist and child speech with a Diarization Error Rate (DER) of 10%.

Use of electropalatography in the treatment of speech disorders in children with Down syndrome: a randomized controlled trial.

Electropalatography (EPG) records details of the location and timing of tongue contacts with the hard palate during speech. It has been effective in treating articulation disorders that have failed to respond to conventional therapy approaches but, until now, its use with children and adolescents with intellectual/learning disabilities and speech disorders has been limited. To evaluate the usefulness of EPG in the treatment of speech production difficulties in children and adolescents with Down syndrome (DS) aged 8-18 years. A total of 27 children with DS were assessed on a range of cognitive and speech and language measures and underwent additional EPG assessment. Participants were randomly allocated to one of three age-matched groups receiving either EPG therapy, EPG-informed conventional therapy or 'treatment as usual' over a 12-week period. The speech of all children was assessed before therapy using the Diagnostic Evaluation of Articulation and Phonology (DEAP) and reassessed immediately post- and 3 and 6 months post-intervention to measure percentage consonants correct (PCC). EPG recordings were made of the DEAP assessment items at all time points. Per cent intelligibility was also calculated using the Children's Speech Intelligibility Measure (CSIM). Gains in accuracy of production immediately post-therapy, as measured by PCC, were seen for all groups. Reassessment at 3 and 6 months post-therapy revealed that those who had received therapy based directly on EPG visual feedback were more likely to maintain and improve on these gains compared with the other groups. Statistical testing showed significant differences between groups in DEAP scores across time points, although the majority did not survive post-hoc evaluation. Intelligibility across time points, as measured by CSIM, was also highly variable within and between the three groups, but despite significant correlations between DEAP and CSIM at all time points, no statistically significant group differences emerged. EPG was an effective intervention tool for improving speech production in many participants. This may be because it capitalizes on the relative strength of visual over auditory processing in this client group. The findings would seem to warrant an increased focus on addressing speech production difficulties in current therapy.

Interventions, Collaborative Relationships and Burnout: Special Educators, Speech and Occupational Therapists Perspectives of Speech Disorders

This research aims to investigate special educators’ and therapists’ perceptions for Speech Disorders. Coping with speech disorders, cooperative relationships and burnout is posed at the focal point of the research. The sample consisted of five speech therapists, five special educators, five occupational therapists and an interdisciplinary group. Qualitative analysis showed no significant diversification which poses at common treatment for Speech Disorders among specialists and highlights the significance of collaboration. Also, high levels of Professional Well-Being were recorded. The main drawback was related to failure of implementing frequent meetings due to lack of time. Finally, results are discussed in terms of organization and improvement of Special Education structures.

Treatment of speech disorders in preschool children

To study the efficacy of neyroferon in developmental speech disorders (SDD). Thirty preschool children were stratified into 3 groups: 4-5 years (n=8), 5-6 years (n=10) and 6-7 years (n=12). The children were treated with neyroferon in dose 1 tablet three times a day during 2 month. A multifaceted study of speech disorders using several methods was conducted. General mental state, emotional and behavioral characteristics of the children were assessed as well. A therapeutic effect of neyroferon (the improvement of auditory-speech memory, expressive speech, phonemic perception, articulatory movements, vocabulary activity, connected speech etc) as well as the decrease in anxiety, hyperactivity and attention deficit was found in children with SDD. The safety of the drug was confirmed. The results should be treated as preliminary ones.

Speech disorders in children: early diagnosis and treatment

The author considers causes, clinical variants and diagnostic principles of speech development in children. A role of neurobiological factors in the genesis of speech disorders and developmental dysphasia including early organic CNS lesions due to perinatal pathology and hereditary predisposition is described. Outcomes of dysphasia in children reached school-age are discussed. A screening method of the identification of speech delay in early childhood is presented. Early diagnosis and treatment of speech disorders in children are of great importance. Timely treatment with nootropics facilitates the correction of speech disorders.

The Information Needs of School-based Speech–Language Pathologist Assistants: A Case Study

&lt;p&gt;&lt;span&gt;Speech–language pathologists (SLPs) are professionals who specialize in diagnosing and treating communication disorders. They are sometimes supported by a speech–language pathologist assistant (SLPA), who engages in treatment procedures under the guidance of the supervising SLP. Both the qualifications needed to practice as well as the scope of responsibilities vary for SLPAs depending on jurisdiction. Notably, these assistants can play a central role in the treatment of speech disorders. Research regarding the information needs of SLPAs, however, is limited. This paper seeks to explore the information resources and services available to a particular SLPA community and to examine the obstacles to meeting its information needs. An interview with a practicing school-based SLPA is used to discuss current practices and suggest improvements to information services available to SLPA communities. This interview highlights some of the challenges that may be faced by school-based SLPAs when seeking information, and it provides an opportunity to consider context-specific solutions to these issues.&lt;/span&gt;&lt;/p&gt;

Effectiveness of Osteopathy Combined with Rehabilitation for Treatment of Speech Disorders in Preschool Children

The article presents the results of the examination and inpatient treatment of 45 children with speech disorders. During the study neurological and osteopathic statuses of these patients were characterized. The study showed the effectiveness of osteopathic methods combined with inpatient treatment and rehabilitation course.

Electropalatography in the description and treatment of speech disorders in five children with cerebral palsy

Some children with cerebral palsy have articulation disorders that are resistant to conventional speech therapy. The aim of this study was to investigate whether the visual feedback method of electropalatography (EPG) could be an effective tool for treating five children (mean age of 9.4 years) with dysarthria and cerebral palsy and to explore whether training improved the posteriorly placed articulation of the Swedish dental/alveolar target consonants /t/, /d/, /n/ and /s/ produced in different positions. An EPG analysis was conducted and some of the data were combined with a perceptual analysis. A more anterior placement was seen after treatment for the target sounds. Features of diagnostic importance revealed were unusual tongue–palate contacts, such as double articulation and abnormally retracted articulation. A possible change in stop closure duration was indicated. The results suggest that EPG could be of potential benefit for diagnosing, treating and describing articulation errors associated with cerebral palsy.

Neural correlates of efficacy of voice therapy in Parkinson's disease identified by performance–correlation analysis

LSVT LOUD (Lee Silverman Voice Treatment) is efficacious in the treatment of speech disorders in idiopathic Parkinson's disease (IPD), particularly hypophonia. Functional imaging in patients with IPD has shown abnormalities in several speech regions and changes in these areas immediately following treatment. This study serves to extend the analysis by correlating changes of regional neural activity with the main behavioral change following treatment, namely, increased vocal intensity. Ten IPD participants with hypophonia were studied before and after LSVT LOUD. Cerebral blood flow during rest and reading conditions were measured by H(2)(15)O-positron emission tomography. Z-score images were generated by contrasting reading with rest conditions for pre- and post-LSVT LOUD sessions. Neuronal activity during reading in the pre- versus post-LSVT LOUD contrast was correlated with corresponding change in vocal intensity to generate correlation images. Behaviorally, vocal intensity for speech tasks increased significantly after LSVT LOUD. The contrast and correlation analyses indicate a treatment-dependent shift to the right hemisphere with modification in the speech motor regions as well as in prefrontal and temporal areas. We interpret the modification of activity in these regions to be a top-down effect of LSVT LOUD. The absence of an effect of LSVT LOUD on the basal ganglion supports this argument. Our findings indicate that the therapeutic effect of LSVT LOUD in IPD hypophonia results from a shift in cortical activity to the right hemisphere. These findings demonstrate that the short-term changes in the speech motor and multimodal integration areas can occur in a top-down manner.

Task Specificity in Early Oral Motor Development

This article addresses a long-standing clinical and theoretical debate regarding the potential relationship between speech and nonspeech behaviors in the developing system. The review is motivated by the high popularity of nonspeech oral motor exercises (NSOMEs), including alimentary behaviors such as chewing, in the treatment of speech disorders in young children. The similarities and differences in the behavioral characteristics, sensory requirements, and task goals for speech and nonspeech oromotor behaviors are compared. Integrated theoretical paradigms and empirical data on the development of early oromotor behaviors are discussed. Although the efficacy of NSOMEs remains empirically untested at this time, studies of typical developmental speech physiology fail to support a theoretical framework promoting the use of NSOMEs. Well-designed empirical studies are necessary, however, to establish the efficacy of NSOMEs for specific clinical population and treatment targets.