Positional asymmetries in consonant production and intelligibility in dysarthric speech.

Consonant production errors are common in dysarthric speech, but not all consonants are affected to the same extent. Currently, only limited knowledge exists regarding whether different positional allophones are affected to varying degrees in dysarthric speech. The aim of this study was to investigate the effect of consonants' position-in-words on consonant production accuracy and their relevance to speech intelligibility. To this end, the percentage of correctly articulated consonants was analyzed with respect to position-in-words, manner of articulation, and speakers' overall intelligibility in dysarthric speech secondary to cerebral palsy. Results revealed that consonants were generally more accurate in initial positions than other positions, and when they were singletons rather than clusters. However, fricatives, a category commonly noted for frequent misarticulations, exhibited no significant positional effects, indicating that fricatives were affected to a similar degree across all word positions. In addition, positional asymmetry manifested to a greater degree as intelligibility decreased. Finally, the strength of the relationship between consonant production accuracy and intelligibility varied depending on positions-in-words, with strong correlations in the medial and final cluster positions but no significant correlation for fricatives in the initial and final singleton positions. The correlation was markedly low for the initial consonants, possibly due to the resistance of initial consonants to production errors. The positional asymmetry found in this study necessitates more research on non-initial consonants and clusters for their potential in improving consonant production and speech intelligibility as a part of dysarthria management.