Maas Edwin, Mailend Marja-Liisa
Department of Communication Sciences and Disorders, Temple University, Philadelphia, PA.
Am J Speech Lang Pathol. 2017 Jun 22;26(2S):649-663. doi: 10.1044/2017_AJSLP-16-0110.
The purpose of this study was, first, to expand our understanding of typical speech development regarding segmental contrast and anticipatory coarticulation, and second, to explore the potential diagnostic utility of acoustic measures of fricative contrast and anticipatory coarticulation in children with speech sound disorders (SSD).
In a cross-sectional design, 10 adults, 17 typically developing children, and 11 children with SSD repeated carrier phrases with novel words with fricatives (/s/, /ʃ/). Dependent measures were 2 ratios derived from spectral mean, obtained from perceptually accurate tokens. Group analyses compared adults and typically developing children; individual children with SSD were compared to their respective typically developing peers.
Typically developing children demonstrated smaller fricative acoustic contrast than adults but similar coarticulatory patterns. Three children with SSD showed smaller fricative acoustic contrast than their typically developing peers, and 2 children showed abnormal coarticulation. The 2 children with abnormal coarticulation both had a clinical diagnosis of childhood apraxia of speech; no clear pattern was evident regarding SSD subtype for smaller fricative contrast.
Children have not reached adult-like speech motor control for fricative production by age 10 even when fricatives are perceptually accurate. Present findings also suggest that abnormal coarticulation but not reduced fricative contrast is SSD-subtype-specific.
S1: https://doi.org/10.23641/asha.5103070. S2 and S3: https://doi.org/10.23641/asha.5106508.
本研究的目的,其一,是拓展我们对典型语音发展中关于音段对比和预期协同发音的理解;其二,是探索摩擦音对比和预期协同发音的声学测量指标在语音障碍(SSD)儿童中的潜在诊断效用。
采用横断面设计,10名成年人、17名发育正常的儿童和11名患有SSD的儿童重复带有摩擦音(/s/,/ʃ/)的新词的载体短语。因变量测量指标是从感知准确的样本中获得的基于频谱均值得出的2个比率。组间分析比较了成年人与发育正常的儿童;将患有SSD的个体儿童与其各自发育正常的同龄人进行比较。
发育正常的儿童表现出比成年人更小的摩擦音声学对比,但协同发音模式相似。3名患有SSD的儿童表现出比其发育正常的同龄人更小的摩擦音声学对比,2名儿童表现出异常的协同发音。这2名协同发音异常的儿童均被临床诊断为儿童言语失用症;关于较小摩擦音对比的SSD亚型,没有明显的模式。
即使摩擦音在感知上是准确的,10岁儿童在摩擦音发音方面仍未达到类似成人的言语运动控制水平。目前的研究结果还表明,异常的协同发音而非降低的摩擦音对比是SSD亚型特异性的。
S1:https://doi.org/10.23641/asha.5103070。S2和S3:https://doi.org/10.23641/asha.5106508。