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Assessment of Childhood Apraxia of Speech: A Review/Tutorial of Objective Measurement Techniques
Journal article   Peer reviewed

Assessment of Childhood Apraxia of Speech: A Review/Tutorial of Objective Measurement Techniques

Hayo Terband, Aravind Namasivayam, Edwin Maas, Frits van Brenk, Marja-Liisa Mailend, Sanne Diepeveen, Pascal van Lieshout and Ben Maassen
Journal of speech, language, and hearing research, Vol.62(8), pp.2999-3032
08/01/2019
DOI: 10.1044/2019_JSLHR-S-CSMC7-19-0214
PMID: 31465704
url
https://pure.rug.nl/ws/files/101540002/2019_JSLHR_S_CSMC7_19_0214.pdfView
Open Access

Abstract

Background: With respect to the clinical criteria for diagnosing childhood apraxia of speech (commonly defined as a disorder of speech motor planning and/or programming), research has made important progress in recent years. Three segmental and suprasegmental speech characteristics-error inconsistency, lengthened and disrupted coarticulation, and inappropriate prosody-have gained wide acceptance in the literature for purposes of participant selection. However, little research has sought to empirically test the diagnostic validity of these features. One major obstacle to such empirical study is the fact that none of these features is stated in operationalized terms. Purpose: This tutorial provides a structured overview of perceptual, acoustic, and articulatory measurement procedures that have been used or could be used to operationalize and assess these 3 core characteristics. Methodological details are reviewed for each procedure, along with a short overview of research results reported in the literature. Conclusion: The 3 types of measurement procedures should be seen as complementary. Some characteristics are better suited to be described at the perceptual level (especially phonemic errors and prosody), others at the acoustic level (especially phonetic distortions, coarticulation, and prosody), and still others at the kinematic level (especially coarticulation, stability, and gestural coordination). The type of data collected determines, to a large extent, the interpretation that can be given regarding the underlying deficit. Comprehensive studies are needed that include more than 1 diagnostic feature and more than 1 type of measurement procedure.
Audiology & Speech-Language Pathology Life Sciences & Biomedicine Linguistics Rehabilitation Science & Technology Social Sciences

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