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Permanent link (DOI): https://doi.org/10.7939/R3PK0791B

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Voice and Speech Outcomes Following Intensive Voice and Motor Speech Treatment Delivered Sequentially to Children with Motor Speech Disorders Secondary to Cerebral Palsy Open Access

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Other title
Subject/Keyword
Intelligibility
Speech and Voice Treatment
Cerebral Palsy
Childhood Apraxia of Speech
Dysarthria
Speech Acoustics
Type of item
Thesis
Degree grantor
University of Alberta
Author or creator
Eason, Nancy S
Supervisor and department
Boliek, Carol (Communication Sciences and Disorders)
Examining committee member and department
Tessier, Anne-Michelle (Linguistics)
Jana Rieger (Communication Sciences and Disorders)
Paslawski, Teresa (Communication Sciences and Disorders)
Volden, Joanne (Communication Sciences and Disorders)
Department
Department of Communication Sciences and Disorders
Specialization
Speech-Language Pathology
Date accepted
2015-11-06T14:55:26Z
Graduation date
2016-06
Degree
Master of Science
Degree level
Master's
Abstract
Purpose: The purpose of this retrospective study was to examine the treatment outcomes in children with a mixed diagnoses of dysarthria and childhood apraxia of speech (CAS), secondary to Cerebral Palsy (CP) after the completion of LSVT®LOUD followed by a six-week motor speech treatment. Method: A single case research design was used to examine the speech outcomes in four children (12 to 16 years of age; 3 females) who completed LSVT LOUD, consisting of 16 hours of individual 1-hour treatment sessions within a 4-week time period. After a 12-week maintenance program, these same children underwent intensive motor speech treatment for an additional six-week period, consisting of 18 hours of therapy comprised of 30-minute individual sessions followed by 1-hour group sessions, twice per week. Perceptual, intelligibility, and speech acoustic variables were collected and assessed at four different time points: pre- and post-treatment for both therapy types. In addition, nasalance scores were collected at pre- and post- motor speech treatment. Results: Three of four participants displayed increased dB SPL at post-LSVT LOUD and 12-weeks follow-up compared to pre-treatment measures. A visual trend illustrated increased percent intelligibility post-LSVT LOUD for all four participants with significantly higher ratings at 12-weeks follow-up. Additional gains in dB SPL, intelligibility, diadokokinetic performance, and vowel space were observed following motor speech treatment. Conclusion: Results indicated positive therapeutic outcomes following both treatment approaches and provides some initial information on the use of sequential treatment approaches in children with motor speech disorders secondary to CP.
Language
English
DOI
doi:10.7939/R3PK0791B
Rights
This thesis is made available by the University of Alberta Libraries with permission of the copyright owner solely for the purpose of private, scholarly or scientific research. This thesis, or any portion thereof, may not otherwise be copied or reproduced without the written consent of the copyright owner, except to the extent permitted by Canadian copyright law.
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