Effect of boost articulation therapy (BArT) on intelligibility in adults with dysarthria
Background The articulatory accuracy of patients with dysarthria is one of the most affected speech dimensions with a high impact on speech intelligibility. Behavioural treatments of articulation can either involve direct or indirect approaches. The latter have been thoroughly investigated and are g...
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| Veröffentlicht in: | International journal of language & communication disorders 2021-03, Vol.56 (2), p.271-282 |
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| creator | Mendoza Ramos, Viviana Paulyn, Charlotte Van den Steen, Leen Hernandez‐Diaz Huici, Maria E. De Bodt, Marc Van Nuffelen, Gwen |
| description | Background
The articulatory accuracy of patients with dysarthria is one of the most affected speech dimensions with a high impact on speech intelligibility. Behavioural treatments of articulation can either involve direct or indirect approaches. The latter have been thoroughly investigated and are generally appreciated for their almost immediate effects on articulation and intelligibility. The number of studies on (short‐term) direct articulation therapy is limited.
Aims
To investigate the effects of short‐term, boost articulation therapy (BArT) on speech intelligibility in patients with chronic or progressive dysarthria and the effect of severity of dysarthria on the outcome.
Methods & Procedures
The study consists of a two‐group pre‐/post‐test design to assess speech intelligibility at phoneme and sentence level and during spontaneous speech, automatic speech and reading a phonetically balanced text. A total of 17 subjects with mild to severe dysarthria participated in the study and were randomly assigned to either a patient‐tailored, intensive articulatory drill programme or an intensive minimal pair training. Both training programmes were based on the principles of motor learning. Each training programme consisted of five sessions of 45 min completed within one week.
Outcomes & Results
Following treatment, a statistically significant increase of mean group intelligibility was shown at phoneme and sentence level, and in automatic sequences. This was supported by an acoustic analysis that revealed a reduction in formant centralization ratio. Within specific groups of severity, large and moderate positive effect sizes with Cohen's d were demonstrated.
Conclusions & Implications
BArT successfully improves speech intelligibility in patients with chronic or progressive dysarthria at different levels of the impairment.
What this paper adds
What is already known on the subject
Behavioural treatment of articulation in patients with dysarthria mainly involves indirect strategies, which have shown positive effects on speech intelligibility. However, there is limited evidence on the short‐term effects of direct articulation therapy at the segmental level of speech. This study investigates the effectiveness of BArT on speech intelligibility in patients with chronic or progressive dysarthria at all severity levels.
What this paper adds to existing knowledge
The intensive and direct articulatory therapy programmes developed and applied in this study intend to reduce |
| doi_str_mv | 10.1111/1460-6984.12595 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8048921</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ericid>EJ1290526</ericid><sourcerecordid>2509258398</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4905-5fd6f70b7a4eb2fe9a76e63d8b7da40437e90e88b5a6fe9e26b905148d4060fa3</originalsourceid><addsrcrecordid>eNqFkc9PHCEUx4mp8Vc9e2pD4sUeRoEBBi4mdrvVmk16sUlvhJkBFzM7rMDUzH8v29GN9lIuwPt-3ns8vgCcYHSO87rAlKOCS0HPMWGS7YCDbeRDPpdcFEQQsg8OY3xACBHM8B7YL0sqKJLsAPyeW2uaBL2FtfcxQR2Sa4ZOJ-d7mJYm6PUIz75ehbsvMEdcn0zXuXtXu86lMd-hbocuRfjk0hK2Y8wFlsHpj2DX6i6a45f9CPz6Pr-b3RSLn9c_ZleLoqESsYLZltsK1ZWmpibWSF1xw8tW1FWrKaJlZSQyQtRM86wawuuchqloKeLI6vIIXE5110O9Mm1j-hR0p9bBrXQYlddOvVd6t1T3_o8SiApJcC5w9lIg-MfBxKRWLjZ5SN0bP0RFaCY5ImiDnv6DPvgh9Hk8RRiShIlSikxdTFQTfIzB2O1jMFIb19TGI7XxSP11LWd8fjvDln-1KQOfJsAE12zl-S0m-TMIzzqf9CfXmfF__dTtYvZt6vwMgRKsAA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2509258398</pqid></control><display><type>article</type><title>Effect of boost articulation therapy (BArT) on intelligibility in adults with dysarthria</title><source>Access via Wiley Online Library</source><creator>Mendoza Ramos, Viviana ; Paulyn, Charlotte ; Van den Steen, Leen ; Hernandez‐Diaz Huici, Maria E. ; De Bodt, Marc ; Van Nuffelen, Gwen</creator><creatorcontrib>Mendoza Ramos, Viviana ; Paulyn, Charlotte ; Van den Steen, Leen ; Hernandez‐Diaz Huici, Maria E. ; De Bodt, Marc ; Van Nuffelen, Gwen</creatorcontrib><description>Background
The articulatory accuracy of patients with dysarthria is one of the most affected speech dimensions with a high impact on speech intelligibility. Behavioural treatments of articulation can either involve direct or indirect approaches. The latter have been thoroughly investigated and are generally appreciated for their almost immediate effects on articulation and intelligibility. The number of studies on (short‐term) direct articulation therapy is limited.
Aims
To investigate the effects of short‐term, boost articulation therapy (BArT) on speech intelligibility in patients with chronic or progressive dysarthria and the effect of severity of dysarthria on the outcome.
Methods & Procedures
The study consists of a two‐group pre‐/post‐test design to assess speech intelligibility at phoneme and sentence level and during spontaneous speech, automatic speech and reading a phonetically balanced text. A total of 17 subjects with mild to severe dysarthria participated in the study and were randomly assigned to either a patient‐tailored, intensive articulatory drill programme or an intensive minimal pair training. Both training programmes were based on the principles of motor learning. Each training programme consisted of five sessions of 45 min completed within one week.
Outcomes & Results
Following treatment, a statistically significant increase of mean group intelligibility was shown at phoneme and sentence level, and in automatic sequences. This was supported by an acoustic analysis that revealed a reduction in formant centralization ratio. Within specific groups of severity, large and moderate positive effect sizes with Cohen's d were demonstrated.
Conclusions & Implications
BArT successfully improves speech intelligibility in patients with chronic or progressive dysarthria at different levels of the impairment.
What this paper adds
What is already known on the subject
Behavioural treatment of articulation in patients with dysarthria mainly involves indirect strategies, which have shown positive effects on speech intelligibility. However, there is limited evidence on the short‐term effects of direct articulation therapy at the segmental level of speech. This study investigates the effectiveness of BArT on speech intelligibility in patients with chronic or progressive dysarthria at all severity levels.
What this paper adds to existing knowledge
The intensive and direct articulatory therapy programmes developed and applied in this study intend to reduce the impairment instead of compensating it. This approach results in a significant improvement of speech intelligibility at different dysarthria severity levels in a short period of time while contributing to exploit and develop all available residual motor skills in persons with dysarthria.
What are the potential or actual clinical implications of this work?
The improvements in intelligibility demonstrate the effectiveness of a BArT at the segmental level of speech. This makes it to be considered a suitable approach in the treatment of patients with chronic or progressive dysarthria.</description><identifier>ISSN: 1368-2822</identifier><identifier>EISSN: 1460-6984</identifier><identifier>DOI: 10.1111/1460-6984.12595</identifier><identifier>PMID: 33484095</identifier><language>eng</language><publisher>United States: Wiley</publisher><subject>Acoustics ; Adults ; Articulation ; Articulation Impairments ; Clinical outcomes ; Dysarthria ; Effect Size ; Intelligibility ; Learning ; Neurological Impairments ; Outcomes of Treatment ; Patients ; Phonemes ; Psychomotor Skills ; Research Report ; Research Reports ; segmental articulation therapy ; Sentences ; Severity (of Disability) ; Speech ; Speech Therapy ; Spontaneous speech ; Therapy</subject><ispartof>International journal of language & communication disorders, 2021-03, Vol.56 (2), p.271-282</ispartof><rights>2021 The Authors. published by John Wiley & Sons Ltd on behalf of Royal College of Speech and Language Therapists</rights><rights>2021 The Authors. International Journal of Language & Communication Disorders published by John Wiley & Sons Ltd on behalf of Royal College of Speech and Language Therapists.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4905-5fd6f70b7a4eb2fe9a76e63d8b7da40437e90e88b5a6fe9e26b905148d4060fa3</citedby><cites>FETCH-LOGICAL-c4905-5fd6f70b7a4eb2fe9a76e63d8b7da40437e90e88b5a6fe9e26b905148d4060fa3</cites><orcidid>0000-0002-0533-091X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1460-6984.12595$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1460-6984.12595$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1290526$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33484095$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mendoza Ramos, Viviana</creatorcontrib><creatorcontrib>Paulyn, Charlotte</creatorcontrib><creatorcontrib>Van den Steen, Leen</creatorcontrib><creatorcontrib>Hernandez‐Diaz Huici, Maria E.</creatorcontrib><creatorcontrib>De Bodt, Marc</creatorcontrib><creatorcontrib>Van Nuffelen, Gwen</creatorcontrib><title>Effect of boost articulation therapy (BArT) on intelligibility in adults with dysarthria</title><title>International journal of language & communication disorders</title><addtitle>Int J Lang Commun Disord</addtitle><description>Background
The articulatory accuracy of patients with dysarthria is one of the most affected speech dimensions with a high impact on speech intelligibility. Behavioural treatments of articulation can either involve direct or indirect approaches. The latter have been thoroughly investigated and are generally appreciated for their almost immediate effects on articulation and intelligibility. The number of studies on (short‐term) direct articulation therapy is limited.
Aims
To investigate the effects of short‐term, boost articulation therapy (BArT) on speech intelligibility in patients with chronic or progressive dysarthria and the effect of severity of dysarthria on the outcome.
Methods & Procedures
The study consists of a two‐group pre‐/post‐test design to assess speech intelligibility at phoneme and sentence level and during spontaneous speech, automatic speech and reading a phonetically balanced text. A total of 17 subjects with mild to severe dysarthria participated in the study and were randomly assigned to either a patient‐tailored, intensive articulatory drill programme or an intensive minimal pair training. Both training programmes were based on the principles of motor learning. Each training programme consisted of five sessions of 45 min completed within one week.
Outcomes & Results
Following treatment, a statistically significant increase of mean group intelligibility was shown at phoneme and sentence level, and in automatic sequences. This was supported by an acoustic analysis that revealed a reduction in formant centralization ratio. Within specific groups of severity, large and moderate positive effect sizes with Cohen's d were demonstrated.
Conclusions & Implications
BArT successfully improves speech intelligibility in patients with chronic or progressive dysarthria at different levels of the impairment.
What this paper adds
What is already known on the subject
Behavioural treatment of articulation in patients with dysarthria mainly involves indirect strategies, which have shown positive effects on speech intelligibility. However, there is limited evidence on the short‐term effects of direct articulation therapy at the segmental level of speech. This study investigates the effectiveness of BArT on speech intelligibility in patients with chronic or progressive dysarthria at all severity levels.
What this paper adds to existing knowledge
The intensive and direct articulatory therapy programmes developed and applied in this study intend to reduce the impairment instead of compensating it. This approach results in a significant improvement of speech intelligibility at different dysarthria severity levels in a short period of time while contributing to exploit and develop all available residual motor skills in persons with dysarthria.
What are the potential or actual clinical implications of this work?
The improvements in intelligibility demonstrate the effectiveness of a BArT at the segmental level of speech. This makes it to be considered a suitable approach in the treatment of patients with chronic or progressive dysarthria.</description><subject>Acoustics</subject><subject>Adults</subject><subject>Articulation</subject><subject>Articulation Impairments</subject><subject>Clinical outcomes</subject><subject>Dysarthria</subject><subject>Effect Size</subject><subject>Intelligibility</subject><subject>Learning</subject><subject>Neurological Impairments</subject><subject>Outcomes of Treatment</subject><subject>Patients</subject><subject>Phonemes</subject><subject>Psychomotor Skills</subject><subject>Research Report</subject><subject>Research Reports</subject><subject>segmental articulation therapy</subject><subject>Sentences</subject><subject>Severity (of Disability)</subject><subject>Speech</subject><subject>Speech Therapy</subject><subject>Spontaneous speech</subject><subject>Therapy</subject><issn>1368-2822</issn><issn>1460-6984</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><recordid>eNqFkc9PHCEUx4mp8Vc9e2pD4sUeRoEBBi4mdrvVmk16sUlvhJkBFzM7rMDUzH8v29GN9lIuwPt-3ns8vgCcYHSO87rAlKOCS0HPMWGS7YCDbeRDPpdcFEQQsg8OY3xACBHM8B7YL0sqKJLsAPyeW2uaBL2FtfcxQR2Sa4ZOJ-d7mJYm6PUIz75ehbsvMEdcn0zXuXtXu86lMd-hbocuRfjk0hK2Y8wFlsHpj2DX6i6a45f9CPz6Pr-b3RSLn9c_ZleLoqESsYLZltsK1ZWmpibWSF1xw8tW1FWrKaJlZSQyQtRM86wawuuchqloKeLI6vIIXE5110O9Mm1j-hR0p9bBrXQYlddOvVd6t1T3_o8SiApJcC5w9lIg-MfBxKRWLjZ5SN0bP0RFaCY5ImiDnv6DPvgh9Hk8RRiShIlSikxdTFQTfIzB2O1jMFIb19TGI7XxSP11LWd8fjvDln-1KQOfJsAE12zl-S0m-TMIzzqf9CfXmfF__dTtYvZt6vwMgRKsAA</recordid><startdate>202103</startdate><enddate>202103</enddate><creator>Mendoza Ramos, Viviana</creator><creator>Paulyn, Charlotte</creator><creator>Van den Steen, Leen</creator><creator>Hernandez‐Diaz Huici, Maria E.</creator><creator>De Bodt, Marc</creator><creator>Van Nuffelen, Gwen</creator><general>Wiley</general><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T9</scope><scope>8BM</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0533-091X</orcidid></search><sort><creationdate>202103</creationdate><title>Effect of boost articulation therapy (BArT) on intelligibility in adults with dysarthria</title><author>Mendoza Ramos, Viviana ; Paulyn, Charlotte ; Van den Steen, Leen ; Hernandez‐Diaz Huici, Maria E. ; De Bodt, Marc ; Van Nuffelen, Gwen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4905-5fd6f70b7a4eb2fe9a76e63d8b7da40437e90e88b5a6fe9e26b905148d4060fa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acoustics</topic><topic>Adults</topic><topic>Articulation</topic><topic>Articulation Impairments</topic><topic>Clinical outcomes</topic><topic>Dysarthria</topic><topic>Effect Size</topic><topic>Intelligibility</topic><topic>Learning</topic><topic>Neurological Impairments</topic><topic>Outcomes of Treatment</topic><topic>Patients</topic><topic>Phonemes</topic><topic>Psychomotor Skills</topic><topic>Research Report</topic><topic>Research Reports</topic><topic>segmental articulation therapy</topic><topic>Sentences</topic><topic>Severity (of Disability)</topic><topic>Speech</topic><topic>Speech Therapy</topic><topic>Spontaneous speech</topic><topic>Therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mendoza Ramos, Viviana</creatorcontrib><creatorcontrib>Paulyn, Charlotte</creatorcontrib><creatorcontrib>Van den Steen, Leen</creatorcontrib><creatorcontrib>Hernandez‐Diaz Huici, Maria E.</creatorcontrib><creatorcontrib>De Bodt, Marc</creatorcontrib><creatorcontrib>Van Nuffelen, Gwen</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Linguistics and Language Behavior Abstracts (LLBA)</collection><collection>ComDisDome</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of language & communication disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mendoza Ramos, Viviana</au><au>Paulyn, Charlotte</au><au>Van den Steen, Leen</au><au>Hernandez‐Diaz Huici, Maria E.</au><au>De Bodt, Marc</au><au>Van Nuffelen, Gwen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1290526</ericid><atitle>Effect of boost articulation therapy (BArT) on intelligibility in adults with dysarthria</atitle><jtitle>International journal of language & communication disorders</jtitle><addtitle>Int J Lang Commun Disord</addtitle><date>2021-03</date><risdate>2021</risdate><volume>56</volume><issue>2</issue><spage>271</spage><epage>282</epage><pages>271-282</pages><issn>1368-2822</issn><eissn>1460-6984</eissn><abstract>Background
The articulatory accuracy of patients with dysarthria is one of the most affected speech dimensions with a high impact on speech intelligibility. Behavioural treatments of articulation can either involve direct or indirect approaches. The latter have been thoroughly investigated and are generally appreciated for their almost immediate effects on articulation and intelligibility. The number of studies on (short‐term) direct articulation therapy is limited.
Aims
To investigate the effects of short‐term, boost articulation therapy (BArT) on speech intelligibility in patients with chronic or progressive dysarthria and the effect of severity of dysarthria on the outcome.
Methods & Procedures
The study consists of a two‐group pre‐/post‐test design to assess speech intelligibility at phoneme and sentence level and during spontaneous speech, automatic speech and reading a phonetically balanced text. A total of 17 subjects with mild to severe dysarthria participated in the study and were randomly assigned to either a patient‐tailored, intensive articulatory drill programme or an intensive minimal pair training. Both training programmes were based on the principles of motor learning. Each training programme consisted of five sessions of 45 min completed within one week.
Outcomes & Results
Following treatment, a statistically significant increase of mean group intelligibility was shown at phoneme and sentence level, and in automatic sequences. This was supported by an acoustic analysis that revealed a reduction in formant centralization ratio. Within specific groups of severity, large and moderate positive effect sizes with Cohen's d were demonstrated.
Conclusions & Implications
BArT successfully improves speech intelligibility in patients with chronic or progressive dysarthria at different levels of the impairment.
What this paper adds
What is already known on the subject
Behavioural treatment of articulation in patients with dysarthria mainly involves indirect strategies, which have shown positive effects on speech intelligibility. However, there is limited evidence on the short‐term effects of direct articulation therapy at the segmental level of speech. This study investigates the effectiveness of BArT on speech intelligibility in patients with chronic or progressive dysarthria at all severity levels.
What this paper adds to existing knowledge
The intensive and direct articulatory therapy programmes developed and applied in this study intend to reduce the impairment instead of compensating it. This approach results in a significant improvement of speech intelligibility at different dysarthria severity levels in a short period of time while contributing to exploit and develop all available residual motor skills in persons with dysarthria.
What are the potential or actual clinical implications of this work?
The improvements in intelligibility demonstrate the effectiveness of a BArT at the segmental level of speech. This makes it to be considered a suitable approach in the treatment of patients with chronic or progressive dysarthria.</abstract><cop>United States</cop><pub>Wiley</pub><pmid>33484095</pmid><doi>10.1111/1460-6984.12595</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-0533-091X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | International journal of language & communication disorders, 2021-03, Vol.56 (2), p.271-282 |
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| language | eng |
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| subjects | Acoustics Adults Articulation Articulation Impairments Clinical outcomes Dysarthria Effect Size Intelligibility Learning Neurological Impairments Outcomes of Treatment Patients Phonemes Psychomotor Skills Research Report Research Reports segmental articulation therapy Sentences Severity (of Disability) Speech Speech Therapy Spontaneous speech Therapy |
| title | Effect of boost articulation therapy (BArT) on intelligibility in adults with dysarthria |
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