Medicine and Health Sciences Commons^™

Acoustic-Perceptual Relations Between Fundamental Frequency And Expressiveness In Speakers With Hypokinetic Dysarthria, Alena Portnova

All Graduate Theses and Dissertations, Fall 2023 to Present

Hypokinetic dysarthria is a motor speech disorder that occurs in patients with Parkinson’s disease (PD) and affects not only their speech intelligibility but also how their attitudes and emotions are perceived by listeners. People with PD have been judged as less happy, involved, friendly, and interested based only on their speech samples. A lack of speech expressiveness is one of the characteristics that is likely to be related to these negative listener judgments. Specifically, it has been suggested that a lack of fundamental frequency (F0) variation reduces speakers’ ability to express various emotions. To investigate whether speech expressiveness is related …

Speech Intelligibility Assessment: Predicting “Noncompliant” Listener Behavior, Briggs Kroff

Undergraduate Honors Capstone Projects

Purpose: When researching speech intelligibility among people with dysarthria, convenience sampling has typically been used to recruit listeners. A new online crowdsourcing method, Mechanical Turk (MTurk), results in ecologically valid results, but outlier results are often removed from the analysis and considered "noncompliant". This study aims to examine whether there is a relationship between age, gender, speech/language/hearing impairment, and whether someone is "noncompliant".

Methods: 16 speakers, both with and without dysarthria, were recorded while they read prewritten sentences. Research participants found through MTurk then listened to the sentences and transcribed them. They also were asked questions including their …

The Effect Of Two Rate Change Approaches On Speech Movement Patterns, Noelle Marie Lewis

Theses and Dissertations

The current study examined the effect of different rate change approaches on speech movement patterns, including increasing and decreasing speaking rate volitionally, as well as with delayed auditory feedback (DAF). There were 10 participants, five male and five female, with a mean age of 25 years. All were typical speakers. Participants spoke the sentence “Don’t fight or pout over a toy car” under slow, fast and DAF speaking conditions. A total of 5 sensors were glued to each participant’s tongue, teeth, and lips. NDI Wave electromagnetic articulography recorded the articulatory movements from these sensors as the participants spoke. Metrics for …

Effects Of Speech Cues In French-Speaking Children With Dysarthria, Erika S. Levy, Gemma Moya-Galé, Younghwa Michelle Chang, Luca Campanelli, Andrea A. N. Macleod, Sergio Escorial, Christelle Maillart

Publications and Research

Background: Articulatory excursion and vocal intensity are reduced in many children with dysarthria due to cerebral palsy (CP), contributing to the children’s intelligibility deficits and negatively affecting their social participation. However, the effects of speech-treatment strategies for improving intelligibility in this population are understudied, especially for children who speak languages other than English. In a cueing study on English-speaking children with dysarthria, acoustic variables and intelligibility improved when the children were provided with cues aimed to increase articulatory excursion and vocal intensity. While French is among the top 20 most spoken languages in the world, dysarthria and its management in …

Student Learning Of Perceptual Skills Related To Differentiating Motor Speech Disorders, Johanna Boult, Jessica Brownell

Teaching and Learning in Communication Sciences & Disorders

Purpose: This study aimed to determine if Speech-Language Pathology (SLP) graduate students’ perceptual skills improved after taking an MSD course by comparing pre- and posttest performance. The potential relationship between posttest perceptual-skills performance and academic performance was also investigated.Method: Before beginning instruction in MSD course content, students in a Master’s program in SLP were given a pretest (The Baseline & Post Learning Assessment of Listening & Diagnostics Skills (BPLALDS; Duffy, n.d.a)). Throughout the semester, students were exposed to didactic learning in the classroom supplemented by audio and video modules. At the end of the course, the BPLALDS was used …

The Efficacy Of Telepractice In The Assessment And Treatment Of Speech Disorders: A Systematic Review, Elizabeth Cooley, Jillian Thompson, Emily Glover

Communication Sciences and Disorders: Systematic Review Publications

Purpose: Children and adults with speech disorders face numerous barriers in accessing traditional face-to-face services with a speech-language pathologist. Telepractice may be a feasible solution. The aim of this systematic review was to investigate the efficacy of telepractice in the assessment and treatment of speech disorders in children and adults.

Methods: Research articles were ascertained from Ovid MEDLINE, PsychInfo, and CINAHL using an established and consistent search strategy that utilized both medical subject headings and subject terms related to telepractice. The predetermined inclusion criteria included diagnosis of a speech disorder, participants across the lifespan, direct comparison of both delivery methods …

Relationship Between Intelligibility And Response Accuracy Of The Amazon Echo In Individuals With Amyotrophic Lateral Sclerosis Exhibiting Mild-Moderate Dysarthria, Caroline A. Layden

USF Tampa Graduate Theses and Dissertations

There is an ever-growing and increasing amount of technology options that use speech recognition software. Currently, the market includes smartphones, computers, and individual smart home personal assistants that allow for hands-free access to this technology. Research studies have explored the utility of these assistive devices for the completion of activities of daily living; however, there is limited research looking at the accuracy of voice recognition software within smart home personal assistants in populations with disordered speech. In persons with amyotrophic lateral sclerosis (ALS), symptoms include changes to motor functions, speech in particular, and it is unknown how some of these …

Understanding Dysrhythmic Speech: When Rhythm Does Not Matter And Learning Does Not Happen, Stephanie A. Borrie, Kaitlin L. Lansford, Tyson S. Barrett

Communicative Disorders and Deaf Education Faculty Publications

A positive relationship between rhythm perception and improved understanding of a naturally dysrhythmic speech signal, ataxic dysarthria, has been previously reported [Borrie, Lansford, and Barrett. (2017). J. Speech Lang. Hear. Res. 60, 3110–3117]. The current follow-on investigation suggests that this relationship depends on the nature of the dysrhythmia. When the corrupted rhythm cues are relatively predictable, affording some learnable acoustic regularity, the relationship is replicated. However, this relationship is nonexistent, along with any intelligibility improvements, when the corrupted rhythm cues are unpredictable. Findings highlight a key role for rhythm perception and distributional regularities in adaptation to dysrhythmic speech.

Jaw Rotation In Dysarthria Measured With A Single Electromagnetic Articulography Sensor, Jeffrey Berry, Andrew Kolb, James Schroeder, Michael T. Johnson

Speech Pathology and Audiology Faculty Research and Publications

Purpose This study evaluated a novel method for characterizing jaw rotation using orientation data from a single electromagnetic articulography sensor. This method was optimized for clinical application, and a preliminary examination of clinical feasibility and value was undertaken.

Method The computational adequacy of the single-sensor orientation method was evaluated through comparisons of jaw-rotation histories calculated from dual-sensor positional data for 16 typical talkers. The clinical feasibility and potential value of single-sensor jaw rotation were assessed through comparisons of 7 talkers with dysarthria and 19 typical talkers in connected speech.

Results The single-sensor orientation method allowed faster and safer participant preparation, …

The Consequences Of Oromandibular Dystonia On Communicative Participation: A Qualitative Study Of The Insider's Experiences, Lauren Siegel

Electronic Thesis and Dissertation Repository

The purpose of this study was to explore the consequences of oromandibular dystonia (OMD) on communicative participation from the insider’s perspective. Qualitative research methods were used to obtain a self-reported account of the experience of living with OMD. Eight individuals with OMD and dysarthria participated in face-to-face phenomenological interviews. Interviews were transcribed from audio recordings and coded using coding software. The codes were then grouped into larger thematic categories based on salience. Results showed that communicative participation is affected by multiple physical, social, and emotional factors caused by OMD. Furthermore, OMD can have significant effects on an individual’s job, family, …

Reliability Of Auditory-Perceptual Ratings Of Dysarthric Speech: Hypokinetic Dysarthria Secondary To Parkinson's Disease, Jessica Lynn Miller

LSU Master's Theses

Perceptual judgment has been the gold standard in clinical practice, especially regarding differential diagnosis and treatment of dysarthria. Thus, it is critical to establish the reliability of perceptual ratings of the speech characteristics associated with different types of dysarthria. Despite its importance, the reliability and sensitivity of perceptual ratings of speech disturbance have been somewhat questioned. The purpose of this study was to examine the interrater reliability of ratings of perceptual characteristics and the saliency of these characteristics as related to hypokinetic dysarthria. Due to the feasibility issue, the scope of the study was limited to hypokinetic dysarthria associated with …

Dysarthria: A Study Of Effects On Communication, Casey Johnsen

Senior Honors Projects

Dysarthria is an impairment characterized by slow, weak, and imprecise muscle movements that affect one’s speech and communication. The specific characteristics of dysarthria vary depending on the site and extent of the lesion. Some general examples include articulatory-resonatory incompetence, imprecise consonants, distorted vowels, hypernasality, low pitch, harshness, strained-strangled voice and prosodic disturbances including slow rate. Dysarthria can be found in both children and adults, and is caused by neurologic disorders such as stroke, Down syndrome, cerebral palsy, Parkinson’s disease, or muscular dystrophy. Dysarthria can negatively impact one’s social participation. The extra effort it takes to speak and the frustration of …

Acoustic Realization Of Contrastive Stress In Individuals With Parkinson's Disease, Ana Maria Gaviria

LSU Master's Theses

This study investigated the acoustic correlates of contrastive stress produced by individuals with Parkinson’s disease (PD) to learn more about their ability to modulate acoustic cues to mark contrastive stress. Speech materials from 10 individuals with PD and 10 gender- and age-matched neurologically healthy controls (HC) were recorded and analyzed. The four acoustic measures (peak intensity, peak F0, vowel duration, and acoustic vowel space area) of stressed and unstressed syllables were compared to determine which acoustic parameters are preferentially employed by each group to mark contrastive stress. The results indicated that individuals with PD exhibited significant changes in vowel duration …

The Effect Of Botulinum Toxin Type A On Speech Intelligibility In Oromandibular Dystonia, Beatriz Ysabel Domingo

Electronic Thesis and Dissertation Repository

Speech intelligibility of 10 individuals with OMD was measured before and after receiving BoNT-A injections. Intelligibility was assessed using the PIT (single-word intelligibility), SIT (sentence intelligibility), and a conversational speech task. Five listeners rated the speech intelligibility of these three intelligibility tasks via orthographic transcription and visual analogue scaling (VAS) techniques. BoNT-A was not associated with significant differences in speech intelligibility. Further analysis revealed a significant difference on the PIT VAS intelligibility ratings based on order of presentation, suggesting that listeners rated the first half of words on the PIT (words 1-29) as more intelligible than the second half of …

Sensorimotor Adaptation Of Speech Using Real-Time Articulatory Resynthesis, Jeffrey J. Berry, Cassandra North, Michael T. Johnson

Speech Pathology and Audiology Faculty Research and Publications

Sensorimotor adaptation is an important focus in the study of motor learning for non-disordered speech, but has yet to be studied substantially for speech rehabilitation. Speech adaptation is typically elicited experimentally using LPC resynthesis to modify the sounds that a speaker hears himself producing. This method requires that the participant be able to produce a robust speech-acoustic signal and is therefore not well-suited for talkers with dysarthria. We have developed a novel technique using electromagnetic articulography (EMA) to drive an articulatory synthesizer. The acoustic output of the articulatory synthesizer can be perturbed experimentally to study auditory feedback effects on sensorimotor …

Speech And Swallowing Rehabilitation In The Home: A Comparison Of Two Service Delivery Models For Stroke Survivors, Katy J. E. Stewart

Theses: Doctorates and Masters

Background and Aims

Speech and swallowing difficulties are common sequelae for people who have suffered a stroke. Recently, there has been an increase in early discharge, community rehabilitation and the use of therapy assistants to support health professionals in stroke rehabilitation. However, the impact of these factors on communication and swallowing outcomes remains under researched. This research explored Rehabilitation in the Home (RITH) Speech Pathology (SP) services for stroke survivors with dysarthria and dysphagia. More specifically, this research investigated whether traditional speech pathology interventions, supplemented with a home practice program are effective, as well as compare usual treatment to that …

The Effect Of Rate Change On The Relative Timing Of Speakers With Multiple Sclerosis, Brandlynn N. Reister

USF Tampa Graduate Theses and Dissertations

Relative timing ratios are a useful measure for determining the temporal regularities of speech. The timing intervals that make up these ratios are thought to be important when creating the motor plan for an utterance (Weismer & Fennell, 1985). In fact, these ratios have been shown to be remarkably stable, even when speakers deliberately increase their rate (Tuller & Kelso, 1984; Weismer & Fennell, 1985). The constancy of these ratios also has been demonstrated in speakers with known speech timing disturbances, like the dysarthrias associated with Parkinson's and Huntington's disease (Goberman & McMillan; Ludlow, Connor, & Bassich, 1987; Weismer & …

Effect Of Rate Reduction On Speech Intelligibility In Individuals With Dysarthria, Zachary Hall

LSU Master's Theses

This study examined how speech rate reduction affects speech intelligibility in speakers with dysarthria associated with diverse neurological conditions. Three speakers with dysarthria were recorded reading a paragraph using conversational and reduced speech rates. The samples of both the conversational and slow rates were digitally edited to include silent pauses at the speakers’ natural breaks. The samples were then segmented into breath group utterances. Five samples with the greatest rate reductions from each speaker were used as stimuli, each presented in four rate conditions: conversational, slow, synthesized conversational, and synthesized slow. The listeners rated the intelligibility of 60 samples using …

The Effect Of An Artificially Flattened Fundamental Frequency Contour On Intelligibility In Speakers With Dysarthria, Emily E. Redd

Theses and Dissertations

Prosody plays an important role in speech communication. Many individuals with motor speech disorders have decreased prosodic control and thus lower overall intelligibility. Few studies have examined the effect of a flattened prosodic contour on the intelligibility of dysarthric speech, and little is known about the role that listener gender plays in understanding disordered speech. The purpose of this study was to quantify the impact of artificial prosodic manipulation on the intelligibility of dysarthric speech as a function of the extent of fundamental frequency (F0) contour flattening. A further goal was to examine the influence of listener gender on intelligibility. …

Spatiotemporal Coupling Of The Tongue In Amyotrophic Lateral Sclerosis, Mili S. Kuruvilla, Jordan R. Green, Yana Yunusova, Kathy Hanford

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: The primary aim of the investigation was to identify deficits in spatiotemporal coupling between tongue regions in amyotrophic lateral sclerosis (ALS). The relations between disease-related changes in tongue movement patterns and speech intelligibility were also determined.

Methods: The authors recorded word productions from 11 individuals with ALS with mild, moderate, and severe dysarthria using an x-ray microbeam during word productions. A coupling index based on sliding window covariance was used to determine disease-related changes in the coupling between the tongue regions across each word.

Results: The results indicated decreased spatiotemporal coupling of mid-posterior tongue regions and reduced tongue speed …

Spectral Analysis Of Stop Consonants In Individuals With Dysarthria Secondary To Stroke, Trescha S. Kay

LSU Master's Theses

Dysarthria refers to a group of neurogenic speech disorders which result in abnormal strength, speed, range, steadiness, tone, or accuracy of movements required for speech production. Although speech deficits of dysarthria are heterogeneous according to lesion sites and/or etiologies such as stroke, traumatic brain injury, cerebral palsy, Parkinson’s disease (PD), “imprecise consonants” has been known as one of the most prominent and frequently occurring features of dysarthria, which subsequently contributes to decreased speech intelligibility. The present study points out the paucity of acoustic data on consonants produced by speakers with dysarthria, especially by spectral analysis, and reports four spectral moment …

Everyday Speech Production Assessment Measure (E-Spam): Reliability And Validity, Tracy N. Watts

University of Kentucky Master's Theses

Purpose: The Everyday Speech Production Assessment Measure (E-SPAM) is a novel test for assessing changes in clients‟ speech production skills after intervention. This study provides information on reliability and validity for the test and overviews its clinical application.

Method & Procedures: E-SPAM, oral reading, and sequential motion rate tasks were administered to 15 participants with motor speech disorders (MSDs). E-SPAM responses were scored using a 5-point system by four graduate students to assess inter-scorer and temporal reliability and to determine validity for E-SPAM.

Results: Findings of this study indicate that the E-SPAM can be scored with sufficient …

The Effect Of Fatigue On Acoustic Measures Of Diphthongs In Individuals With Multiple Sclerosis, Kristi Lee Hollis

Theses and Dissertations

Although recent literature suggests that fatigue influences the communication of people with multiple sclerosis (MS), its relationship to acoustic measures of speech, specifically formant transitions during diphthongs, has not been explored. In the present study, 11 participants diagnosed with MS, two of whom were perceptually dysarthric, and 12 control subjects were recorded as they performed selected speech tasks in both the morning and the afternoon. Before each recording session, participants rated their fatigue level. The participants with MS gave significantly higher ratings of fatigue than the control group. The speakers with MS had longer diphthong durations in a non-fatigued state, …

Examining The Effects Of Non-Intensive Therapy On Word Retrieval, Speech Intelligibility And Quality Of Life Following Intensive Therapy, Hillary Leigh Goodwin

LSU Master's Theses

The purpose of this study was to determine if involvement in intensive treatment would help a patient with aphasia, secondary to a cerebral vascular accident, accompanied by dysarthria, maintain skill levels during non-intensive treatment. A literature review uncovered numerous studies on intensive treatment. These studies discussed the improvements the subjects were able to make across various areas during the time of intensive treatment; however, very little research was available to indicate these subjects’ success when re-entering non-intensive treatment. This study proposed two specific questions: was the subject able to maintain word retrieval, speech intelligibility, and quality of life levels from …