The Effect of Practice and Visual Feedback on Oral-Diadochokinetic Rates for Younger and Older Adults

Ben‐David, Boaz M.; Icht, Michal

doi:10.1177/0023830917708808

Cited by 24 publications

(27 citation statements)

References 76 publications

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“…First, it is time and cost-efficient, non-invasive, and simple to administer. Second, because the task requires only the repetition of short syllables, it can be administered to individuals within a wide age range (2–6), linguistic backgrounds, speech severities (7), and cognitive and linguistic impairments (8, 9). Third, widely-published normative data for AMR tasks across the life-span provide a rich empirical basis for identifying impaired oromotor function (10).…”

Section: Introductionmentioning

confidence: 99%

“…To maximize the diagnostic efficacy of the assessment, research is needed to understand and subsequently minimize sources of variability related to test administration procedures and participant factors. Although not well-understood, performance on an AMR task can be influenced by a number of factors including familiarity, pre-test practice, instructions, motivation, feedback, age, and sex (2, 3, 10, 21). Perhaps equally concerning is the questionable validity of the task as a maximum performance test.…”

Section: Introductionmentioning

confidence: 99%

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Assessing Oromotor Capacity in ALS: The Effect of a Fixed-Target Task on Lip Biomechanics

et al. 2019

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Alternating motion rate (AMR) is a standard measure often included in neurological examinations to assess orofacial neuromuscular integrity. AMR is typically derived from recordings of patients producing repetitions of a single syllable as fast and clear as possible on one breath. Because the task places high demands on oromotor performance, particularly articulatory speed, AMRs are widely considered to be tests of maximum performance and, therefore, likely to reveal underlying neurologic deficits. Despite decades of widespread use, biomechanical studies have shown that speakers often circumvent the presumed speed challenge of the standard AMR task. Specifically, speakers are likely to manipulate their displacements (movement amplitude) instead of speed because this strategy requires less motor effort. The current study examined the effectiveness of a novel fixed-target paradigm for minimizing the truncation of articulatory excursions and maximizing motor effort. We compared the standard AMR task to that of a fixed-target AMR task and focused specifically on the tasks' potential to detect decrements in lip motor performance in persons with dysarthria due to amyotrophic lateral sclerosis (ALS). Our participants were 14 healthy controls and 17 individuals with ALS. For the standard AMR task, participants were instructed to produce the syllable /bα/ as quickly and accurately as possible on one breath. For the fixed-target AMR task, participants were given the same instructions, but were also required to strike a physical target placed under the jaw during the opening phase of each syllable. Lip kinematic data were obtained using 3D electromagnetic articulography. 16 kinematic features were extracted using an algorithmic approach. Findings revealed that compared to the standard task, the fixed-target AMR task placed increased motor demands on the oromotor system by eliciting larger excursions, faster speeds, and greater spatiotemporal variability. In addition, participants with ALS exhibited limited ability to adapt to the higher articulatory demands of the fixed-target task. Between the two AMR tasks, the maximum speed during the fixed-target task showed a moderate association with the ALSFRS-R bulbar subscore. Employment of both standard and fixed-target AMR tasks is, however, needed for comprehensive assessment of oromotor function and for elucidating profiles of task adaptation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessing Oromotor Capacity in ALS: The Effect of a Fixed-Target Task on Lip Biomechanics

et al. 2019

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“…1, May 2021 https://doi.org/10.37341/jkf.v0i0.263 mouth posture (Hale et al, 1992). Oral motor ability balance is the key to fluent speech production (Ben-David & Icht, 2018;Lowit et al, 2018;Pratomo & Siswanto, 2020;Redstone & KowalskI, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…This ability is divided into Sequencing Motion Rate and Alternating Motion Rate (AMR). This ability indicates speaking planning and programming process (Ben-David & Icht, 2018;Duffy, 2013;Lowit et al, 2018;Padovani et al, 2009). The failure in doing DDK task informs the putative speaking problems.…”

Section: Introductionmentioning

confidence: 99%

Diadochokinetic Rate Quantification in 5 to 14 Year Old Children

Pratomo

2021

j.keterapian.fis.

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ABSTRACT Background: Diadochokinetic Rate (DDK) is an ability of repeating a series of sounds quickly and repeatedly. This ability is one of variables to measure speaking ability. The need for normative data is important to provide prediction appropriately in order to establish speaking disorder diagnosis. This research aims to find quantitative data (DDK) in 5 to 14 year old children. Methods: The research employed observational approach. Data was collection was conducted through face-to-face examination with students as enumerator. Each of enumerators has been trained on how to examine and to document data, as indicated with audiovisual recording. Data was collected on January 2020. A total of 100 respondents were included into analysis criteria. Respondents were 5-14 year old normal children. Data analysis was conducted using descriptive analysis. Results: The research found data of Diadochokinetic Rate quantification at syllable and word levels. Quantification data shows the difference between nonsense syllable words and words. There was a difference of quantitative data in each of age groups. Analysis on examination result was carried out using mean and standard deviation scores. Conclusion: The finding of research showed recent data of DDK in 5 to 14 year old year children. Data can be used as the material of speech therapy examination analysis. Further researchers are required to see DDK ability broadly in each of age groups.

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“…As age increased, the individuals showed significant changes in several biomechanical features of the stomatognathic system (for a detailed review, please see Avivi-Arber and Sessle, 2018). In general, these changes included a decrease in the maximal bite force (Ikebe et al, 2005), the maximum tongue pressure (Utanohara et al, 2008), and the rate of oral diadochokinesis (Ben-David and Icht, 2018). Similar to the age-related changes in the brain, the changes in oral functions are also coupled with structural alterations.…”

Section: Age-related Changes In the Stomatognathic System: A View Fromentioning

confidence: 99%

Functional Adaptation of Oromotor Functions and Aging: A Focused Review of the Evidence From Brain Neuroimaging Research

Lin

2020

Front. Aging Neurosci.

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Practice makes perfect" is a principle widely applied when one is acquiring a new sensorimotor skill to cope with challenges from a new environment. In terms of oral healthcare, the traditional view holds that restoring decayed structures is one of the primary aims of treatment. This assumes that the patient's oromotor functions would be recovered back to normal levels after the restoration. However, in older patients, such a structural-functional coupling after dental treatment shows a great degree of individual variations. For example, after prosthodontic treatment, some patients would adapt themselves quickly to the new dentures, while others would not. In this Focused Review, I argue that the functional aspects of adaptation-which would be predominantly associated with the brain mechanisms of cognitive processing and motor learning-play a critical role in the individual differences in the adaptive behaviors of oromotor functions. This thesis is critical to geriatric oral healthcare since the variation in the capacity of cognitive processing and motor learning is critically associated with aging. In this review, (a) the association between aging and the brain-stomatognathic axis will be introduced; (b) the brain mechanisms underlying the association between aging, compensatory behavior, and motor learning will be briefly summarized; (c) the neuroimaging evidence that suggests the role of cognitive processing and motor learning in oromotor functions will be summarized, and critically, the brain mechanisms underlying mastication and swallowing in older people will be discussed; and (d) based on the current knowledge, an experimental framework for investigating the association between aging and the functional adaptation of oromotor functions will be proposed. Finally, I will comment on the practical implications of this framework and postulate questions open for future research.

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The Effect of Practice and Visual Feedback on Oral-Diadochokinetic Rates for Younger and Older Adults

Cited by 24 publications

References 76 publications

Assessing Oromotor Capacity in ALS: The Effect of a Fixed-Target Task on Lip Biomechanics

Assessing Oromotor Capacity in ALS: The Effect of a Fixed-Target Task on Lip Biomechanics

Diadochokinetic Rate Quantification in 5 to 14 Year Old Children

Functional Adaptation of Oromotor Functions and Aging: A Focused Review of the Evidence From Brain Neuroimaging Research

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