Developmental Neurorehabilitation ( IF 1.3 ) Pub Date : 2021-07-09 , DOI: 10.1080/17518423.2021.1916113 Hilary E Miller 1 , Kirrie J Ballard 2 , Jenna Campbell 1 , Madison Smith 1 , Amy S Plante 1 , Semra A Aytur 1 , Donald A Robin 1
ABSTRACT
Purpose: This study investigated the efficacy of Treatment for Establishing Motor Program Organization (TEMPOSM) in childhood apraxia of speech (CAS).
Method: A mixed between- and within-participant design with multiple baselines across participants and behaviors was used to examine acquisition, generalization, and maintenance of skills. TEMPOSM was administered in four one-hour sessions a week over a four-week period for eleven participants (ages 5 to 8), allocated to either an immediate treatment group or a wait-list control group. Acoustic and perceptual variables were measured at baseline, immediate post-treatment, and one-month post-treatment.
Results: Children demonstrated significant improvements in specific acoustic measures of segmentation and lexical stress, as well as perceptual measures of fluency, lexical stress, and speech-sound accuracy. Treatment and generalization effects were maintained one-month post-treatment with generalization to untreated stimuli.
Conclusion: TEMPOSM was efficacious in improving segmental and suprasegmental impairments in the speech of children with CAS.
中文翻译:
失用症儿童言语的改善:建立运动程序组织 (TEMPOSM) 的治疗效果
摘要
目的:本研究调查了建立运动程序组织(TEMPO SM)在儿童言语失用症(CAS)中的疗效。
方法:使用具有跨参与者和行为的多个基线的参与者之间和参与者内部的混合设计来检查技能的获取、概括和维护。在为期 4 周的时间里,TEMPO SM每周进行 4 次 1 小时的治疗,有 11 名参与者(5 至 8 岁)被分配到立即治疗组或候补名单对照组。在基线、治疗后即刻和治疗后 1 个月时测量声学和感知变量。
结果:儿童在分段和词汇重音的特定声学测量以及流畅度、词汇重音和语音准确性的感知测量方面表现出显着改善。治疗和泛化效果在治疗后 1 个月保持不变,泛化到未经处理的刺激。
结论: TEMPO SM可有效改善CAS患儿的节段性和超节段性言语障碍。