Auditory Perception and Ultrasound Biofeedback Treatment Outcomes for Children With Residual /ɹ/ Distortions: A Randomized Controlled Trial
Publication: Journal of Speech, Language, and Hearing Research
Volume 63, Number 2
Pages 444-455
Abstract
Purpose
This study evaluated whether outcomes from treatment, which includes ultrasound visual feedback (UVF), would be more or less effective when combined with auditory perception training for children with residual /ɹ/ errors.
Method
Children ages 8–16 years with /ɹ/ distortions participated in speech therapy that included real-time UVF of the tongue. Thirty-eight participants were randomized to speech therapy conditions that included a primary focus on articulation using UVF or a condition that included auditory perceptual training plus UVF (incorporating category goodness judgments and self-monitoring). Generalization of /ɹ/ production accuracy to untrained words was assessed before and after 14 hr of therapy. Additionally, the role of auditory perceptual acuity was explored using a synthetic /ɹ/–/w/ continuum.
Results
There was no difference between the treatment groups in rate of improvement of /ɹ/ accuracy (increase of 34% for each group; p = .95, ηp2 = .00). However, pretreatment auditory acuity was associated with treatment progress in both groups, with finer perceptual acuity corresponding to greater progress (p = .015, ηp2 = .182).
Conclusion
Similar gains in speech sound accuracy can be made with treatment that includes UVF with or without auditory perceptual training. Fine-grained perceptual acuity may be a prognostic indicator with treatment.
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Information & Authors
Information
Published In
Journal of Speech, Language, and Hearing Research
Volume 63 • Number 2 • 26 February 2020
Pages: 444-455
PubMed: 32097058
Copyright
Copyright © 2020 American Speech-Language-Hearing Association.
History
- Received: Jul 9, 2019
- Revised: Sep 8, 2019
- Accepted: Nov 15, 2019
- Published online: Feb 26, 2020
- Published in issue: Feb 26, 2020
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