Cited by 18Voice and Speech DisordersPhonetics and Phonology ResearchLanguage Development and Disorders

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Preparing an E-learning-based Speech Therapy (EST) efficacy study: Identifying suitable outcome measures to detect within-subject changes of speech intelligibility in dysarthric speakers

Beijer, L. J., Rietveld, A. C. M., Ruiter, M. B., Geurts, A. C. H.·2014·Clinical Linguistics & Phonetics

Abstract

We explored the suitability of perceptual and acoustic outcome measures to prepare E-learning based Speech Therapy (EST) efficacy tests regarding speech intelligibility in dysarthric speakers. Eight speakers with stroke (n=3), Parkinson's disease (n=4) and traumatic brain injury (n=1) participated in a 4 weeks EST trial. A repeated measures design was employed. Perceptual measures were (a) scale ratings for "ease of intelligibility" and "pleasantness" in continuous speech and (b) orthographic transcription scores of semantically unpredictable sentences. Acoustic measures were (c) "intensity during closure" (ΔIDC) in the occlusion phase of voiceless plosives, (d) changes in the vowel space of /a/, /e/ and /o/ and (e) the F0 variability in semantically unpredictable sentences. The only consistent finding concerned an increased (instead of the expected decreased) ΔIDC after EST, possibly caused by increased speech intensity without articulatory adjustments. The importance of suitable perceptual and acoustic measures for efficacy research is discussed.

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Metadata

Authors
Beijer, L. J., Rietveld, A. C. M., Ruiter, M. B., & Geurts, A. C. H.
Affiliations
  • Sint Maartenskliniek (NL)
  • Radboud University Nijmegen (NL)
  • Radboud University Medical Center (NL)
Corresponding author
Beijer, L. J.
Venue
Clinical Linguistics & Phonetics
Published
2014-07-15
Volume
28
Issue
12
Pages
927-950
ISSN
  • 0269-9206 (ISSN-L)
  • 1464-5076
OpenAlex
W2127678189
Cited by
18
References
2
Citations by year
2026: 1 · 2024: 1 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 2 · 2016: 4 · 2015: 3
FWCI
1.55
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Linguistics & Phonetics (publishedVersion)
  • PubMed (publishedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Voice and Speech Disorders
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Phonetics and Phonology Research
  • Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
Keywords
dysarthria, speech intelligibility, outcome measures, stroke, Parkinson's disease, traumatic brain injury, perceptual ratings, acoustic analysis, voiceless plosives, vowel space, fundamental frequency variability, orthographic transcription
MeSH terms
Adult, Aged, Brain Injuries, Dysarthria, Humans, Male, Middle Aged, Parkinson Disease, Phonetics, Semantics, Speech Acoustics, Speech Intelligibility, Speech Production Measurement, Speech Therapy, Therapy, Computer-Assisted, Stroke

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