关键词: Rhotics residual speech sound disorders telepractice visual-acoustic biofeedback

来  源:   DOI:10.1044/2023_persp-23-00120   PDF(Pubmed)

Abstract:
UNASSIGNED: This study aimed to examine the feasibility of telepractice delivery of a treatment package including visual-acoustic biofeedback and motor-based treatment for residual speech sound disorder affecting /ɹ/ in school-age children. The overall study used a single-case randomization design; however, this preliminary report will simply quantify changes in accuracy before and after completion of the treatment package. The present analysis did not differentiate between the relative contributions of biofeedback and motor-based treatments.
UNASSIGNED: Seven children aged 9-14 received speech therapy for /ɹ/ distortions via telepractice. The study design consisted of three phases: baseline (four sessions), treatment (20 sessions), and post-treatment (three sessions). Treatment included two sessions weekly for a duration of 10 weeks. The participants received one motor-based/non-biofeedback session and one visual-acoustic biofeedback session per week. The order of treatment within each week was randomly determined prior to the start of therapy. Overall progress was assessed using untrained listeners\' ratings of word probes administered in the baseline and posttreatment phases.
UNASSIGNED: Findings revealed that six of the seven participants showed a clinically significant response to the overall treatment package, although the magnitude of individual responses varied across speech contexts (consonantal and vocalic) and participants.
UNASSIGNED: The present results suggest that a treatment combining visual-acoustic biofeedback and motor-based treatment for residual /ɹ/ errors treatment can be effectively delivered via telepractice. Considerations for technology setup and treatment protocols are provided.
摘要:
这项研究旨在研究远程练习提供治疗包的可行性,该治疗包包括视觉-声学生物反馈和基于运动的治疗,以治疗影响学龄儿童的残余语音障碍//。整个研究采用单病例随机化设计;然而,这份初步报告将简单地量化治疗方案完成前后的准确性变化。本分析没有区分生物反馈和基于运动的治疗的相对贡献。
七个9-14岁的儿童通过远程练习接受了//扭曲的言语治疗。研究设计包括三个阶段:基线(四个疗程),治疗(20个疗程),和治疗后(三个疗程)。治疗包括每周两次,持续10周。参与者每周接受一次基于运动/非生物反馈会话和一次视觉-声学生物反馈会话。在开始治疗之前随机确定每周内的治疗顺序。使用未经训练的听众对基线和治疗后阶段使用的单词探针进行评级来评估总体进展。
研究结果表明,7名参与者中有6人对整体治疗方案表现出临床上显著的反应,尽管个体反应的程度因言语语境(辅音和语音)和参与者而异。
目前的结果表明,可以通过远程练习有效地提供结合视觉-声学生物反馈和基于运动的残留//错误治疗的治疗。提供了技术设置和治疗方案的注意事项。
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