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Speech Delay

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61. Combined Conventional Speech Therapy and Functional Electrical Stimulation in Dysphagia Following Stroke

Combined Conventional Speech Therapy and Functional Electrical Stimulation in Dysphagia Following Stroke Combined Conventional Speech Therapy and Functional Electrical Stimulation in Dysphagia Following Stroke - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100 (...) ). Please remove one or more studies before adding more. Combined Conventional Speech Therapy and Functional Electrical Stimulation in Dysphagia Following Stroke The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03649295

2018 Clinical Trials

62. Recovernow: A Multicentre Of Tablet-Based Speech Therapy For Post-Stroke Aphasia

in 2014 in an attempt to address the delays to access stroke rehabilitation from acute care centres. Our concept was to use mobile tablets to "bring rehab to the patient", and leverage the significant downtime experienced by stroke survivors in acute care. A pilot feasibility study using iPads to deliver speech therapy in the acute setting was started. In this study, our speech language pathologist (SLP) personalized the iPads by selecting commercially available speech therapy applications (...) Recovernow: A Multicentre Of Tablet-Based Speech Therapy For Post-Stroke Aphasia Recovernow: Tablet-Based Speech Therapy For Post-Stroke Aphasia - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Recovernow

2018 Clinical Trials

63. Intervention for bilingual speech sound disorders: A case study of an isiXhosa–English-speaking child (PubMed)

Intervention for bilingual speech sound disorders: A case study of an isiXhosa–English-speaking child  Bilingualism is common in South Africa, with many children acquiring isiXhosa as a home language and learning English from a young age in nursery or crèche. IsiXhosa is a local language, part of the Bantu language family, widely spoken in the country. Aims: To describe changes in a bilingual child's speech following intervention based on a theoretically motivated and tailored intervention (...) plan. Methods and procedures: This study describes a female isiXhosa-English bilingual child, named Gcobisa (pseudonym) (chronological age 4 years and 2 months) with a speech sound disorder. Gcobisa's speech was assessed and her difficulties categorised according to Dodd's (2005) diagnostic framework. From this, intervention was planned and the language of intervention was selected. Following intervention, Gcobisa's speech was reassessed. Outcomes and results: Gcobisa's speech was categorised

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2018 The South African Journal of Communication Disorders

64. Validation of Dodd's Model for Differential Diagnosis of childhood speech sound disorders: a longitudinal community cohort study. (PubMed)

children.Data revealed proportions of children across Dodd's diagnostic subgroups as follows: suspected atypical speech motor control (10%); inconsistent phonological disorder (15%); consistent atypical phonological disorder (20%); phonological delay (55%); and articulation disorder alone (0%). The findings are in line with known prevalence of these subgroups in clinical populations.Our findings provide additional support for speech-language pathologists to use this system in clinical practice (...) Validation of Dodd's Model for Differential Diagnosis of childhood speech sound disorders: a longitudinal community cohort study. Dodd's Model for Differential Diagnosis is one of the available clinical diagnostic classification systems of childhood speech sound disorders. Yet we do not understand the validity of this system beyond clinical samples, precluding its application in epidemiological or population-based research. This study aimed to determine the prevalence of subgroups of speech

2018 Developmental Medicine and Child Neurology

65. Identification of Mild Cognitive Impairment From Speech in Swedish Using Deep Sequential Neural Networks (PubMed)

delay the progression of MCI; thus, the development of valid tools for identifying early cognitive changes is of great importance. In this study, we provide an automated machine learning method, using Deep Neural Network Architectures, that aims to identify MCI. Speech materials were obtained using a reading task during evaluation sessions, as part of the Gothenburg MCI research study. Measures of vowel duration, vowel formants (F1 to F5), and fundamental frequency were calculated from speech (...) Identification of Mild Cognitive Impairment From Speech in Swedish Using Deep Sequential Neural Networks While people with mild cognitive impairment (MCI) portray noticeably incipient memory difficulty in remembering events and situations along with problems in decision making, planning, and finding their way in familiar environments, detailed neuropsychological assessments also indicate deficits in language performance. To this day, there is no cure for dementia but early-stage treatment can

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2018 Frontiers in neurology

66. Timing of Transcranial Direct Current Stimulation (tDCS) Combined With Speech and Language Therapy (SLT)

in the USA. Aphasia impacts language production and comprehension as well as reading and writing. The ramifications of aphasia extend beyond language impairment to negatively impacting a person's social, vocational, and recreational activities. Currently, the most effective way to treat aphasia is with speech-language therapy (SLT). However, even if SLT is intensive, persons with aphasia are left with residual language delays. Recent research suggests that pairing SLT with transcranial direct current (...) Timing of Transcranial Direct Current Stimulation (tDCS) Combined With Speech and Language Therapy (SLT) Timing of Transcranial Direct Current Stimulation (tDCS) Combined With Speech and Language Therapy (SLT) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100

2018 Clinical Trials

67. Feasibility of event-related potential (ERP) biomarker use to study effects of mother's voice exposure on speech sound differentiation of preterm infants. (PubMed)

Feasibility of event-related potential (ERP) biomarker use to study effects of mother's voice exposure on speech sound differentiation of preterm infants. Atypical maturation of auditory neural processing contributes to preterm-born infants' language delays. Event-related potential (ERP) measurement of speech-sound differentiation might fill a gap in treatment-response biomarkers to auditory interventions. We evaluated whether these markers could measure treatment effects in a quasi-randomized (...) prospective study. Hospitalized preterm infants in passive or active, suck-contingent mother's voice exposure groups were not different at baseline. Post-intervention, the active group had greater increases in/du/-/gu/differentiation in left frontal and temporal regions. Infants with brain injury had lower baseline/ba/-/ga/and/du/-/gu/differentiation than those without. ERP provides valid discriminative, responsive, and predictive biomarkers of infant speech-sound differentiation.

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2018 Developmental neuropsychology Controlled trial quality: uncertain

68. Familiarization Effects on Consonant Intelligibility in Dysarthric Speech. (PubMed)

Familiarization Effects on Consonant Intelligibility in Dysarthric Speech. This study investigates the effects of familiarization on naïve listeners' ability to identify consonants in dysarthric speech.A total of 120 listeners (30 listeners/speaker) participated in experiments over a 6-week period. Listeners were randomly assigned to one of the three familiarization conditions: a passive condition in which listeners heard audio recordings of words, an active condition in which listeners heard (...) audio recordings of words while viewing the written material of words, and a control condition in which listeners had no exposure to the audio signal prior to identification tasks.Familiarization improved naïve listeners' ability to identify consonants produced by a speaker with dysarthria. The active familiarization method exhibited an advantage over the other conditions, in terms of the magnitude and rapidness of improvement. One-month delayed test scores were higher than pre-familiarization

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2018 Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) Controlled trial quality: uncertain

69. 17q23.2q23.3 de novo duplication in association with speech and language disorder, learning difficulties, incoordination, motor skill impairment, and behavioral disturbances: a case report. (PubMed)

17q23.2q23.3 de novo duplication in association with speech and language disorder, learning difficulties, incoordination, motor skill impairment, and behavioral disturbances: a case report. Chromosomal rearrangements involving 17q23 have been described rarely. Deletions at 17q23.1q23.2 have been reported in individuals with developmental delay and growth retardation, whereas duplications at 17q23.1q23.2 appear to segregate with clubfoot. Dosage alterations in the TBX2 and TBX4 genes, located (...) in 17q23.2, have been proposed to be responsible for the phenotypes observed in individuals with 17q23.1q23.2 deletions and duplications. In this report, we present the clinical phenotype of a child with a previously unreported de novo duplication at 17q23.2q23.3 located distal to the TBX2 and TBX4 region.We report a 7.5-year-old boy with speech and language disorder, learning difficulties, incoordination, fine motor skill impairment, infrequent seizures with abnormal EEG, and behavior disturbances (mild

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2017 BMC Medical Genetics

70. Early speech development in Koolen de Vries syndrome limited by oral praxis and hypotonia. (PubMed)

, speech, language, literacy, and social functioning. Early history included hypotonia and feeding difficulties. Speech and language development was delayed and atypical from onset of first words (2; 5-3; 5 years of age on average). Speech was characterised by apraxia (100%) and dysarthria (93%), with stuttering in some (17%). Speech therapy and multi-modal communication (e.g., sign-language) was critical in preschool. Receptive and expressive language abilities were typically commensurate (79%), both (...) being severely affected relative to peers. Children were sociable with a desire to communicate, although some (36%) had pragmatic impairments in domains, where higher-level language was required. A common phenotype was identified, including an overriding 'double hit' of oral hypotonia and apraxia in infancy and preschool, associated with severely delayed speech development. Remarkably however, speech prognosis was positive; apraxia resolved, and although dysarthria persisted, children were

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2017 European Journal of Human Genetics

71. The Effect of Signal to Noise Ratio on Cortical Auditory-Evoked Potentials Elicited to Speech Stimuli in Infants and Adults With Normal Hearing. (PubMed)

CAEPs to /m/ were greatly reduced in amplitude and delayed in latency. Responses were more frequently absent for SNRs of 20 dB or less. Adult P1-N1-P2 responses were present for all SNRs for /t/ and most SNRs for /m/ (two adults had no responses to /m/ for SNR 10); significant effects of SNR were found for P1, N1, and P2 amplitude and latencies.The findings of the present study support that SNR effects on CAEP amplitudes and latencies in infants cannot be generalized across different types of speech (...) The Effect of Signal to Noise Ratio on Cortical Auditory-Evoked Potentials Elicited to Speech Stimuli in Infants and Adults With Normal Hearing. Identification and discrimination of speech sounds in noisy environments is challenging for adults and even more so for infants and children. Behavioral studies consistently report maturational differences in the influence that signal to noise ratio (SNR) and masker type have on speech processing; however, few studies have investigated the neural

2017 Ear and hearing

72. The Pathogenesis, Assessment and Treatment of Speech Fluency Disorders. (PubMed)

for stuttering modification (Cohen's d = 0.56-0.65); and weak evidence for combined speech restructuring and stuttering modification. The evidence does not support the efficacy of pharmacotherapy, rhythmic speaking, or breathing regulation as the sole or main form of treatment, or that of hypnosis or eclectic, unspecified stuttering therapies.Stuttering is often treated in Germany with therapies for which there is inadequate evidence, and the initiation of treatment is often unnecessarily delayed (...) The Pathogenesis, Assessment and Treatment of Speech Fluency Disorders. Approximately 1% of children and adolescents, 0.2% of women, and 0.8% of men suffer from stuttering, and lesser numbers from cluttering. Persistent speech fluency disorders often cause lifelong problems in communication and social participation.In an interdisciplinary, evidence and consensus based clinical practice guideline, the current understanding of the nature, identification, diagnosis, and treatment of stuttering

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2017 Deutsches Arzteblatt international

73. Nonsyndromic Craniosynostosis and Associated Abnormal Speech and Language Development. (PubMed)

. Patients with an identified syndrome were excluded. Specific data elements included age, gender, velopharyngeal adequacy by means of the Pittsburgh Weighted Speech Scale, evaluation for anatomical motor delay, language acquisition delay/disorder, articulation or speech sound production delays/disorders, and whether speech therapy was recommended. Diagnosis of a submucous cleft palate was noted.One hundred one patients met inclusion criteria, of which 57.4 percent were male. Average age at the time (...) of the most recent speech evaluation was 6.1 years (range, 2.31 to 17.95 years); 43.6 percent had normal speech/language metrics and 56.4 percent had one or more abnormalities, including anatomical motor delay/disorder (29.7 percent), language acquisition delay/disorder (21.8 percent), articulation or speech production delay/disorder (4.0 percent), hypernasality (15.8 percent), and velopharyngeal insufficiency or borderline competency (23.8 percent). Average Pittsburgh Weighted Speech Scale score was 1.3

2017 Plastic and reconstructive surgery

74. Speech-in-noise perception in musicians: a review. (PubMed)

that musical training might be used to improve or delay the decline of speech-in-noise (SIN) function. However, enhancements have not been universally reported, nor have the relative contributions of different bottom-up versus top-down processes, and their relation to preexisting factors been disentangled. This information that would be helpful to establish whether there is a real effect of experience, what exactly is its nature, and how future training-based interventions might target the most relevant (...) Speech-in-noise perception in musicians: a review. The ability to understand speech in the presence of competing sound sources is an important neuroscience question in terms of how the nervous system solves this computational problem. It is also a critical clinical problem that disproportionally affects the elderly, children with language-related learning disorders, and those with hearing loss. Recent evidence that musicians have an advantage on this multifaceted skill has led to the suggestion

2017 Hearing Research

75. Who to Refer for Speech Therapy at 4 Years of Age Versus Who to "Watch and Wait"? (PubMed)

outcome, including family history, sex, socioeconomic status, nonverbal intelligence, and speech error type (delay vs disorder).At age 7 years, persistent errors were seen in over 40% of children who had errors at age 4 years. Speech symptomatology was the only significant predictor of outcome (P?=?.02). Children with disordered errors at age 4 years were twice as likely to have poor speech outcomes at age 7 years compared with those with delayed errors.Children with speech delay at age 4 years seem (...) Who to Refer for Speech Therapy at 4 Years of Age Versus Who to "Watch and Wait"? To examine predictors of speech disorder resolution versus persistence at age 7 years in children with speech errors at age 4 years.Participants were drawn from a longitudinal, community cohort. Assessment at age 4 years (N?=?1494) identified children with speech errors. Reassessment at age 7 years allowed categorization into resolved or persistent categories. Logistic regression examined predictors of speech

2017 Journal of Pediatrics

76. Indexing cortical entrainment to natural speech at the phonemic level: Methodological considerations for applied research. (PubMed)

Indexing cortical entrainment to natural speech at the phonemic level: Methodological considerations for applied research. Speech is central to human life. As such, any delay or impairment in receptive speech processing can have a profoundly negative impact on the social and professional life of a person. Thus, being able to assess the integrity of speech processing in different populations is an important goal. Current standardized assessment is mostly based on psychometric measures that do (...) not capture the full extent of a person's speech processing abilities and that are difficult to administer in some subjects groups. A potential alternative to these tests would be to derive "direct", objective measures of speech processing from cortical activity. One such approach was recently introduced and showed that it is possible to use electroencephalography (EEG) to index cortical processing at the level of phonemes from responses to continuous natural speech. However, a large amount of data

2017 Hearing Research

77. A Computational Analysis of Neural Mechanisms Underlying the Maturation of Multisensory Speech Integration in Neurotypical Children and Those on the Autism Spectrum (PubMed)

of acquisition of this ability is not well understood. Here, we developed a computational model informed by neurophysiology to analyze possible mechanisms underlying MSI maturation, and its delayed development in ASD. The model posits that strengthening of feedforward and cross-sensory connections, responsible for the alignment of auditory and visual speech sound representations in posterior superior temporal gyrus/sulcus, can explain behavioral data on the acquisition of MSI. This was simulated (...) A Computational Analysis of Neural Mechanisms Underlying the Maturation of Multisensory Speech Integration in Neurotypical Children and Those on the Autism Spectrum Failure to appropriately develop multisensory integration (MSI) of audiovisual speech may affect a child's ability to attain optimal communication. Studies have shown protracted development of MSI into late-childhood and identified deficits in MSI in children with an autism spectrum disorder (ASD). Currently, the neural basis

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2017 Frontiers in human neuroscience

78. Speech and Linguistic Features of Children With Articulation Disorder (PubMed)

Speech and Linguistic Features of Children With Articulation Disorder To analyze speech and linguistic features in children with articulation disorder characterized by consonant and vowel phonological errors.Between February 2007 and June 2015, 117 children who showed articulation disorder were selected for the study. Based on comprehensive speech and language assessments, the subjects were classified into articulation dysfunction (AD), or AD overlapping with language delay. Detailed (...) information of articulation, including percentage of consonants correct (PCC) and normal percentage of variable consonants derived from the Assessment of Phonology and Articulation for Children test, were compared between the two groups.Totally, 55 children were diagnosed as AD and 62 as AD with language delay. Mean PCC was not significantly different between the two groups. In both groups, the acquisition order of consonants followed the universal developmental sequence. However, differences were

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2017 Annals of rehabilitation medicine

79. Evidence for causal top-down frontal contributions to predictive processes in speech perception (PubMed)

Evidence for causal top-down frontal contributions to predictive processes in speech perception Perception relies on the integration of sensory information and prior expectations. Here we show that selective neurodegeneration of human frontal speech regions results in delayed reconciliation of predictions in temporal cortex. These temporal regions were not atrophic, displayed normal evoked magnetic and electrical power, and preserved neural sensitivity to manipulations of sensory detail (...) , including agrammatism and subjective difficulties with speech perception. This work demonstrates that higher-level frontal mechanisms for cognitive and behavioural flexibility make a causal functional contribution to the hierarchical generative models underlying speech perception.

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2017 Nature communications

80. Infant Feeding, Non-nutritive Sucking and Speech Development

Infant Feeding, Non-nutritive Sucking and Speech Development Infant Feeding, Non-nutritive Sucking and Speech Development - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Infant Feeding, Non-nutritive (...) Sucking and Speech Development The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03315416 Recruitment Status : Recruiting First Posted : October 20, 2017 Last Update Posted : April 24, 2018 See Sponsor: Samanth Burr

2017 Clinical Trials

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