Nonspeech Oral Motor Treatment Issues Related to Children With Developmental Speech Sound Disorders

Abstract

There is no substantive evidence to support NSOMTs as interventions for children with developmental speech sound disorders.

Indirect Estimates of Jaw Muscle Tension in Children With Suspected Hypertonia, Children With Suspected Hypotonia, and Matched Controls

“…The development of effective measures to quantify muscle tension in individuals with motor impairment is critical to a comprehensive understanding of both the nature and treatment of neuro-motor disorders. Understanding the role of muscle tone in functional movement such as speech production is necessary given that muscle-tone abnormalities are often cited as contributing to motor speech disorders, and the normalization of these abnormalities may be considered a treatment target (Clark, 2003; Ruscello, 2008). If evidence does support this treatment approach, valid and reliable measures of muscle tone have the potential to inform assessment and provide measures of progress of treatment.…”

“…Patients are categorized, treatment is planned, and progress is measured according to ratings of muscle tone (Pomeroy et al, 2000). Even more to the point, clinical treatments of motor speech disorders may focus on the normalization of muscle tone (see Clark, 2003; Ruscello, 2008), despite the fact that the nature and degree of muscle-tone abnormalities are indeterminate (Abbs, Hunker, & Barlow, 1983) and the impact of abnormal muscle tone of the oral articulators on speech production is unclear.…”

National survey of speech and language therapy provision for people with Parkinson's disease in the United Kingdom: therapists’ practices

“…Over‐reliance on oral motor assessments that examine predominantly non‐verbal and non‐speech movements of the articulators, which have poor correspondence to speech performance, and rely on rating scales with proven low reliability goes against the body of evidence that indicates that there is at best equivocal support for their use in this and similar populations (Clark 2003, Ruscello 2008). This may derive from poor knowledge of speech motor tests and testing.…”

Relationship between the Maximal Tongue and Lip Strength and Percentage of Correct Consonants and Speech Intelligibility in Dysarthric Adults with Cerebral Palsy

“…그러나 기능 저 하를 보이는 구체적인 구강 구조 부위나 기능 저하의 정도에 대해서는 계속해서 후속 연구가 이루어지고 있다. 또한 이러 한 구강 운동 기능과 말 산출과의 관련성에 대해서는 선행 연 구마다 서로 다른 결과들을 보이고 있다 [22], [27]. [18], [21], [23].…”