Do Participants Report Any Undesired Effects in Ultrasound Speech Therapy?

Preston, Jonathan L.; Holliman-Lopez, Gabriela; Leece, Megan C.

doi:10.1044/2017_ajslp-17-0121

Cited by 8 publications

(4 citation statements)

References 25 publications

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“…We consider it especially important to consider the acceptability of novel instrumental interventions such as UVBF which are uncommon in speech and language therapy. In the case of ultrasound this is particularly important as to our knowledge the only published study on parent perspectives of using ultrasound with child participants asked only about the undesired effects, finding that the ultrasound gel was "cold or sticky" and the probe could be "uncomfortable or annoying" (Preston et al, 2018). It is therefore unclear if positive aspects of the technique can mitigate these limitations.…”

Section: Discussionmentioning

confidence: 99%

“…There are also few studies that have investigated the experiences of patients and SLTs with UVBF. In 62 children without CP+/-L, Preston et al (2018) used a simple two-part questionnaire to ask about the negative aspects of UVBF and children reported minor inconveniences such as the ultrasound gel being cold or sticky, and the ultrasound probe being annoying. They did not ask the participants what the positive aspects (if any) of the intervention were or use any theoretical framework to look at the acceptability of the technique.…”

Section: Ultrasound Visual Biofeedbackmentioning

confidence: 99%

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A Mixed-Methods Pilot Randomised Control Trial of Ultrasound Visual Biofeedback versus Standard Intervention for Children with Cleft Palate +/- Cleft Lip: Parents’ and Children’s Perspectives.

Cleland,

McCluskey,

Dokovova

et al. 2024

Preprint

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Background: Ultrasound visual biofeedback has the potential to be useful for the treatment of compensatory errors in speakers with Cleft Palate +/- Lip, but there is little research on its effectiveness, nor on how acceptable families find the technique. This study reports on parents’ and children’s perspectives on taking part in a pilot randomised control trial of ultrasound visual biofeedback compared to articulation intervention. Aims: To determine the acceptability of randomisation, ultrasound visual biofeedback, and articulation intervention to families. We set feasibility criteria of at least 75% of responses rated as acceptable or positive in order to determine progression from a pilot to full randomised control trial. Methods & Procedures: 19 families who received ultrasound visual biofeedback therapy (11 families) and articulation intervention (8 families) were invited to participate. Mixed methods were employed: two questionnaires to determine the acceptability of ultrasound visual biofeedback and articulation intervention respectively; and semi-structured focus groups/interviews. Questionnaires were analysed for frequency of positive versus negative acceptability, and the focus groups/interviews were analysed using thematic analysis and coded using the theoretical framework of acceptability.Outcomes & Results: More than 75% of families rated randomisation as acceptable and more than 75% of families rated both interventions as acceptable, with the caveat that half of participants did not wish to continue articulation intervention after the study. Six families (3 in each intervention) volunteered to take part in the focus groups/interviews. Results showed more positive than negative themes regarding acceptability, particularly affective attitude where high levels of enjoyment were expressed, although some participants found the articulation intervention “boring”. In both groups there was a considerable burden involved in travelling to the hospital location. Conclusions & Implications: Randomisation in a clinical trial is acceptable to families; ultrasound visual biofeedback and articulation intervention are acceptable and indeed enjoyable. The burden of the additional outcome measures required for a clinical trial are manageable, although there is a travel burden for participants. Future studies should seek to mitigate travel burden by considering additional locations for intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Ultrasound Visual Biofeedbackmentioning

confidence: 99%

A Mixed-Methods Pilot Randomised Control Trial of Ultrasound Visual Biofeedback versus Standard Intervention for Children with Cleft Palate +/- Cleft Lip: Parents’ and Children’s Perspectives.

Cleland,

McCluskey,

Dokovova

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Ultrasound imaging is a very interesting technique to observe tongue movements during speech production in real time, as it is harmless and minimally invasive for speakers (e.g. Epstein (2005) and recently Jonathan L. Preston, Holliman-Lopez et al (2018)). The reader is referred to Stone (2005) for a complete description of the use of ultrasound imaging in phonetic research, experimental setup, analysis techniques, etc.…”

Section: Articulatory Visual Illustration and Feedbackmentioning

confidence: 99%

Rehabilitation of speech disorders following glossectomy, based on ultrasound visual illustration and feedback

Girod-Roux

Hueber

Fabre

et al. 2020

Clinical Linguistics & Phonetics

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Inaccurate positioning or modified shape of speech articulators due to intraoral surgery can induce persistent speech disorders. The literature emphasises the importance of the link between speech perception and production, and in particular of auditory and proprioceptive feedback, both for language acquisition and maintenance. Some theories postulate the existence of speech internal modelsor representationscoding the relations between the articulatory movements, their proprioception and their acoustic outcome. Therefore, we hypothesise that part of articulatory disorders may be ascribed to some degradation of the efficiency of the sensory channels, especially the proprioceptive ones, or an erroneous speaker's internal representation. Since many studies have revealed that subjects are somehow able of articulatory awareness and of tongue reading, using the vision of articulators can be assumed to enhance sensory feedback channels and constitute a promising perspective for the remediation of articulation disorders. In the article, we describe a clinical study on the efficiency of speech therapy based on the visualization of tongue movements captured by ultrasound imaging for the rehabilitation of patients who underwent intraoral surgery subsequent to tongue cancer. We explored two rehabilitation paradigms: visual illustration, which consists in providing the patient with prerecorded ultrasound image sequences showing the target tongue movement, and visual feedback, that is the visualization in real-time by the patient of his/her own tongue. Based on a cohort of 10 patients, we demonstrate the benefit of complementing the illustration paradigm with visual feedback.

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“…The vi sual images provide information about articulation properties of various phonemes from two different views, sagittal and coronal (see figures 1 and 2) [23". Preston, Holliman-Lopez and Leece [24] noted that ul trasound was used for a plethora of disorders and was associated with positive patient satisfaction, regardless of the population. Multiple types of feedback and analyses provide the client with the best information about how their articulators work.…”

Section: Roles Of Ultrasound Visual Biofeedback In Speech-language Pathologymentioning

confidence: 99%

Ultrasound Visual Biofeedback and Accent Modification:Effects on Consonant and Vowel Accuracy for Mandarin English Language Learners

Armstrong¹,

Rusiewicz²,

Micco³

et al. 2020

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To examine the effect of ultrasound visual biofeedback as a primary tool in accent modi fication services for American English consonant and vowel targets produced by native Mandarin speakers. Meth ods: The biofeedback was measured by perceptual and visual analyses. A single-subject ABAB withdrawal design was employed with two adults who spoke Mandarin as their first language. Ultrasound visual biofeedback, verbal cues, and perceptual training were implemented to improve production of /r/, /I/, and /! in words. Results: Per ceptual ratings by naive listeners indicated that phoneme production improved as a function of ultrasound visual biofeedback training. The participants also improved their ability to perceive phonetic differences as evidenced by quantitative analyses. Conclusion: Analyses showed that ultrasound visual biofeedback intervention improved pro duction accuracy for American English /r/, /I/, and /!/ produced by two native Mandarin speakers. Additionally, there was evidence of generalization to untrained targets and more challenging contexts.

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Do Participants Report Any Undesired Effects in Ultrasound Speech Therapy?

Cited by 8 publications

References 25 publications

A Mixed-Methods Pilot Randomised Control Trial of Ultrasound Visual Biofeedback versus Standard Intervention for Children with Cleft Palate +/- Cleft Lip: Parents’ and Children’s Perspectives.

A Mixed-Methods Pilot Randomised Control Trial of Ultrasound Visual Biofeedback versus Standard Intervention for Children with Cleft Palate +/- Cleft Lip: Parents’ and Children’s Perspectives.

Rehabilitation of speech disorders following glossectomy, based on ultrasound visual illustration and feedback

Ultrasound Visual Biofeedback and Accent Modification:Effects on Consonant and Vowel Accuracy for Mandarin English Language Learners

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