Speech Mechanism Screening Test for Children: An Evaluation of Performance in 3- to 12-Year-Old Normal Developing Children

Kim, Jaeock; Shin, Moonja; Song, Yohan

doi:10.12963/csd.17451

Cited by 4 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The ability to maintain vocalization is associated with the expiratory pressure in the respiratory organs. The MPT is a task of speech-motor evaluation that can predict the level of coordination among the muscles related to respiration, vocalization, articulation, and resonance [ 24 ]. Thus, the MPT results in this study indicated an increased ability of coordination in breathing and vocalization mechanisms by breathing and vocalization training through functional games.…”

Section: Discussionmentioning

confidence: 99%

Effect of Voice and Articulation Parameters of a Home-Based Serious Game for Speech Therapy in Children With Articulation Disorder: Prospective Single-Arm Clinical Trial

Kim,

Song,

et al. 2023

JMIR Serious Games

View full text Add to dashboard Cite

Background Articulation disorder decreases the clarity of language and causes a decrease in children’s learning and social ability. The demand for non–face-to-face treatment is increasing owing to the limited number of therapists and geographical or economic constraints. Non–face-to-face speech therapy programs using serious games have been proposed as an alternative. Objective The aim of this study is to investigate the efficacy of home therapy on logopedic and phoniatric abilities in children with articulation disorder using the Smart Speech game interface. Methods This study is a prospective single-arm clinical trial. Children with articulation disorders, whose Urimal Test of Articulation and Phonology (U-TAP) was –2 SDs or less and the Receptive and Expressive Vocabulary Test score was –1 SD or more, were enrolled. A preliminary evaluation (E0) was conducted to check whether the children had articulation disorders, and for the next 4 weeks, they lived their usual lifestyle without other treatments. Prior to the beginning of the training, a pre-evaluation (E1) was performed, and the children trained at home for ≥30 minutes per day, ≥5 times a week, over 4 weeks (a total of 20 sessions). The Smart Speech program comprised oral exercise training, breathing training, and speech training; the difficulty and type of the training were configured differently according to the participants’ articulation error, exercise, and vocal ability. After the training, postevaluation (E2) was performed using the same method. Finally, 8 weeks later, postevaluation (E3) was performed as a follow-up. A voice evaluation included parameters such as maximum phonation time (MPT), fundamental frequency (F0), jitter, peak air pressure (relative average perturbation), pitch, intensity, and voice onset time. Articulation parameters included a percentage of correct consonants (PCC; U-TAP word-unit PCC, U-TAP sentence-unit PCC, and three-position articulation test) and alternate motion evaluation (diadochokinesis, DDK). Data obtained during each evaluation (E1-E2-E3) were compared. Results A total of 13 children with articulation disorders aged 4-10 years were enrolled in the study. In voice parameters, MPT, jitter, and pitch showed significant changes in repeated-measures ANOVA. However, only MPT showed significant changes during E1-E2 (P=.007) and E1-E3 (P=.004) in post hoc tests. Other voice parameters did not show significant changes. In articulation parameters, U-TAP, three-position articulation test (TA), and DDK showed significant changes in repeated-measures ANOVA. In post hoc tests, U-TAP (word, sentence) and TA showed significant changes during E1-E2 (P=.003, .04, and .01) and E1-E3 (P=.001, .03, and .003), and DDK showed significant changes during E1-E2 only (P=.03). Conclusions Home-based serious games can be considered an alternative treatment method to improve language function. Trial Registration Clinical Research Information Service KCT0006448; https://cris.nih.go.kr/cris/search/detailSearch.do/20119

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of Voice and Articulation Parameters of a Home-Based Serious Game for Speech Therapy in Children With Articulation Disorder: Prospective Single-Arm Clinical Trial

Kim,

Song,

et al. 2023

JMIR Serious Games

View full text Add to dashboard Cite

show abstract

“…. 즉 원인을 모르는 순수 말 소리장애를 평가할 때에는 음운 능력을 포함한 언어적 측면뿐 아 니라 말산출에 관여하는 하부체계의 구조나 감각-운동적 측면, 그 리고 하부체계들 간의 협응 능력을 살펴볼 필요가 있다 (Shriberg, Gruber, & Kwiatkowski, 1994 (Kim, Shin, & Song, 2018 용은 없었고, 집단에 따른 차이(F = 4.386, p =.043)와 일음절에 따 른 유의한 차이가 나타났다(F = 9.986, p< .001). 이에 실시한 일음절 간 주효과 분석 결과, /퍼/-/겅/(p =.005), /터/-/겅/(p < .001), /커/-/겅/ (p =.030), /러/-/겅/(p =.005), /터/-/커/(p =.001) 간에 유의한 차이 가 있었고, 다른 일음절들 간에는 통계적으로 유의한 차이가 없었 다.…”

unclassified

Discriminating the Validity of Speech Mechanism Screening Test for Children for Children with Speech Sound Disorders: A ROC Curve Analysis

Kim¹

2019

Commun Sci Disord

Self Cite

View full text Add to dashboard Cite

Objectives: The purpose of the study was to examine whether the Speech Mechanism Screening Test for Children (SMST-C) can discriminate between children with speech sound disorders (SSD) and children with typical development (TD). Methods: Twenty-four children with SSD and 20 with TD from 3 to 6 years of age participated. Each group included 13 boys and 7 girls (mean age, 4.75 years). They were assessed using the SMST-C, which consists of a total score derived from structure/function, phonation/voice/articulation, and diadochokinesis (DDK) scores and DDK rates. DDK rates are alternative motion rates (AMRs) of /p h ʌ/, /t h ʌ/, /k h ʌ/, /lʌ/, and /kʌŋ/ and sequential motion rates (SMR) of /p h ʌt h ʌk h ʌ/. These variables were compared between the two groups. The cutoff value of each variable to discriminate between two groups was determined by receiver operating characteristic (ROC) analyses. Results: The SMST-C scores of the SSD group were significantly lower in total, articulation, and DDK when compared with children with the TD. DDK rates of /p h ʌ/, /k h ʌ/, /kʌŋ/, and /p h ʌt h ʌk h ʌ/ were significantly slower in the SSD group. However, no differences were found in structure/function and voice scores. ROC analyses showed DDK score (area under curve [AUC]= .879), phonation/voice/articulation score (AUC= .864), and total score (AUC = .846) had higher discrimination accuracy for classifying SSD with high sensitivity and specificity. Conclusion: This study provided quantified data regarding the validity of the SMST-C in children with SSD. The SMST-C is helpful to screen the speech mechanisms of children with SSD. Therefore, the SMST-C can be used in clinics to screen children with pathological speech mechanisms.

show abstract

Characteristics of Diadochokinesis in Typically Developing Children and Adults

Jang

Choe

2021

Audiol Speech Res

View full text Add to dashboard Cite

Purpose: The purpose of this study was to examine the characteristics of the rate and perceptual judgment of diadochokinesis (DDK) in typically developing children and adults.Methods: Participants were typically developing children aged 2;6 to 9;11 and normal adults. For DDK tasks, they were asked to repeat [p*a], [t*a], [k*a], [p*at*a], and [p*at*ak*a] accurately and quickly with one breath. The number of repetitions per second was measured as DDK rate for each stimuli. The perceptual judgment of DDK were also performed in terms of regularity, rate, and accuracy using a three-point scale.Results: Children showed increases in the number of repetitions per second for all the DDK tasks with age. However, all the children groups between ages 2;6 and 9:11 exhibited significantly slower DDK rates than adults. In the perceptual judgment of DDK tasks, accuracy, rate, and consistency of sequential motion rates using [p*at*a] and [p*at*ak*a] showed statistically significant differences across age groups. Children demonstrated similar accuracy of SMR tasks with adults after age 6;0.Conclusion: This study showed developmental patterns of speech motor skills based on rate, accuracy, and consistency of DDK tasks. This study provides references for assessing speech motor skills related to children with speech difficulties.

show abstract

Speech Mechanism Screening Test for Children: An Evaluation of Performance in 3- to 12-Year-Old Normal Developing Children

Cited by 4 publications

References 5 publications

Effect of Voice and Articulation Parameters of a Home-Based Serious Game for Speech Therapy in Children With Articulation Disorder: Prospective Single-Arm Clinical Trial

Effect of Voice and Articulation Parameters of a Home-Based Serious Game for Speech Therapy in Children With Articulation Disorder: Prospective Single-Arm Clinical Trial

Discriminating the Validity of Speech Mechanism Screening Test for Children for Children with Speech Sound Disorders: A ROC Curve Analysis

Characteristics of Diadochokinesis in Typically Developing Children and Adults

Contact Info

Product

Resources

About