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Motor speech treatment protocol for developmental motor speech disorders.
Aravind Namasivayam1, Margit Pukonen2, Jennifer Hard1
1a Department of Speech-Language Pathology , University of Toronto , Toronto , Ontario , Canada .
Developmental Neurorehabilitation
|October 4, 2013
Summary
The Motor Speech Treatment Protocol (MSTP) shows promise for improving speech accuracy in children with severe speech sound disorders. This multi-sensory approach led to positive changes in speech production and generalization to untrained words.
Area of Science:
- Speech-Language Pathology
- Pediatric Audiology
- Developmental Pediatrics
Background:
- Severe speech sound disorders (SSD) with motor speech difficulties present significant challenges in childhood communication.
- Effective treatment approaches are crucial for improving speech accuracy and intelligibility in affected children.
Purpose of the Study:
- To evaluate the efficacy of the Motor Speech Treatment Protocol (MSTP), a multi-sensory hybrid approach.
- To assess the impact of MSTP on speech accuracy in children with severe to profound SSD and motor speech difficulties.
Main Methods:
- A multiple probe design was employed, replicated across five pediatric participants.
- Listener judgments (auditory and visual) of speech accuracy were used to evaluate treatment effects.
Main Results:
- Four out of five participants showed significant improvements in speech accuracy from baseline to maintenance.
- Generalization of treatment effects was observed, with positive changes noted in both trained and untrained words.
- One participant's limited progress may be linked to co-occurring psychosocial, regulation, or attention issues.
Conclusions:
- The Motor Speech Treatment Protocol (MSTP) provides preliminary evidence of positive effects on speech sound production.
- MSTP's integration of multi-sensory information and hierarchical goal selection may enhance speech motor control.
- This approach holds potential for improving communication outcomes in children with complex speech sound disorders.
