Speech habilitation of hard of hearing adolescents using electropalatography and ultrasound as evaluated by trained listeners.
Four adolescents with moderate to severe sensorineural hearing losses and moderately unintelligible speech participated in a 14-week speech therapy study using two dynamic visual feedback technologies, electropalatography and ultrasound imaging. Electropalatography provides information about tongue-hard palate contact points. Ultrasound displays images of tongue shape and movement in two dimensions from the tip to the root. Treatment targets for all participants included a sibilant place contrast (/s/ versus /[symbol: see text]/), liquids /l/ and /[symbol: see text]/, and the tense-lax vowel contrast with the high vowels. Trained listener evaluations of pre- and post-treatment transcripts are reported in this paper. Significant improvements in speech production were noted across students and targets. Treatment targets improved significantly more than non-treatment test targets overall. Students showed greatest gains on consonants that were absent or marginal in their speech pre-treatment. No particular advantage of one technology over the other was evident in this sample.
Bernhardt
Barbara
B
School of Audiology and Speech Sciences, University of British Columbia, Canada. bb@audiospeech.ubc.ca
Gick
Bryan
B
Bacsfalvi
Penelope
P
Ashdown
Julie
J
D000293:Adolescent; D004558:Electric Stimulation; D005260:Female; D034381:Hearing Loss / Q000150:complications* / Q000534:rehabilitation; D006801:Humans; D008297:Male; D010156:Palatal Muscles / Q000503:physiopathology*; D013060:Speech; D013062:Speech Articulation Tests / Q000379:methods; D013064:Speech Disorders / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation*; D013065:Speech Intelligibility; D013068:Speech Production Measurement / Q000295:instrumentation / Q000379:methods*; D013070:Speech Therapy; D016896:Treatment Outcome