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Child Language Teaching and Therapy, Vol. 22, No. 3, 255-273 (2006)
DOI: 10.1191/0265659006ct307xx
© 2006 SAGE Publications

Intensive dysarthria therapy for older children with cerebral palsy: findings from six cases

Lindsay Pennington

Clinical Medical Sciences, University of Newcastle, Newcastle, UK, lindsay.pennington{at}ncl.ac.uk

Claire Smallman

Clinical Medical Sciences, University of Newcastle, Newcastle, UK

Faith Farrier

Clinical Medical Sciences, University of Newcastle, Newcastle, UK, Sedgefield Primary Care Trust, Clinical Medical Sciences (Child Health)

Children with cerebral palsy often have speech, language and communication difficulties that affect their access to social and educational activities. Speech and language therapy to improve the intelligibility of the speech of children with cerebral palsy has long been advocated, but there is a dearth of research investigating therapy effectiveness. To begin to explore the possible effectiveness of therapy focussing on speech production, six students aged 10-18 years, were given intensive individual therapy to increase breath support for speech, maintain breath support and volume across utterances and hence maximise their background effort for speech. Intelligibility of single words and connected speech was measured immediately before and after the block of therapy and again seven weeks later. Gains in intelligibility were observed at the single word level, but not for continuous speech. Implications for therapy and future research are discussed.

References

  • Aicardi, J. and Bax, M. 1992: Cerebral palsy. In Aicardi, J., editor, Diseases of the nervous system in childhood. MacKeith Press , 330-363.
  • Aronson, A. 1985: Clinical voice disorders: An interdisciplinary approach. Thieme Inc.
  • Bellaire, K., Yorkston, K. M. and Beukelman, D. 1986: Modification of breath patterning to increase naturalness of a mildly dysarthric speaker . Journal of Communication Disorders 19, 271-280 .[CrossRef][Medline] [Order article via Infotrieve]
  • Bishop, D. V. M. 1989: Test for reception of grammar (1st ed.). Available from the author.
  • Colver, A. F., Gibson, M., Hey, E. N., Jarvis, S. N., Mackie, P. C. and Richmond, S. for the North of England Collaborative Cerebral Palsy Survey. 2000: Increasing rates of cerebral palsy across the severity spectrum in north-east England 1964-1993 . Archives of Disease in Childhood Fetal and Neonatal Edition 83, F7-F12 .[Abstract/Free Full Text]
  • Gibbon, F. E. and Wood, S. E. 2003: Using electropalatography (EPG) to diagnose and treat articulation disorders associated with mild cerebral palsy: a case study . Clinical Linguistics and Phonetics 17, 365-374 .[CrossRef]
  • Hagberg, B. 1989: Nosology and classification of cerebral palsy . Giornale di Neuropisichiatrica del Eta Evolutnia 4, 12-17 .
  • Hagberg, B., Hagberg, G., Beckung, E. and Uvebrant, P. 1996: Changing panorama of cerebral palsy in Sweden. VIII. Prevalence and origin in the birth year period 1991-94 . Acta Paediatrica 90, 271-277 .
  • Hayden, D. A. and Square, P. A. 1994: Motor speech treatment hierarchy: a systems approach . Clinics in Communication Disorders 4, 162-174 .[Medline] [Order article via Infotrieve]
  • Hodge, M. M. and Wellman, L. 1999: Management of children with dysarthria. In Caruso, A. J. and Strand, E., editors, Clinical management of motor speech disorders in children. Thieme .
  • Love, R. J. 1992: Childhood motor speech disability. Allyn and Bacon .
  • Pennington, L.Goldbart, J. and Marshall, J. 2005: Speech and language therapy to improve the communication skills of children with cerebral palsy. In The Cochrane library issue. John Wiley .
  • Pharoah, P. O. and Cooke, T. 1996: Cerebral palsy and multiple births . Archives of Disease in Childhood - Fetal and Neonatal Edition 75, F174-F177 .
  • Ramig, L. O., Fox, C. and Sapir, S. 2004: Parkinson’s disease: speech and voice disorders and their treatment with the Lee Silverman Voice Treatment . Seminars in Speech and Language Disorders 25, 169-180 .[CrossRef]
  • Renfrew, C. 1995: Renfrew bus story manual: A test of narrative speech. Renfrew/Winslow .
  • Schmidt, R. A. and Lee, T. D. 2005: Motor control and learning. 4th edition: A behavioural emphasis. Human Kinetics .
  • Shea, J. B. and Morgan, R. L. 1979: Contextual interference effects on the acquisition, retention and transfer of a motor skill . Journal of Experimental Psychology: Human Learning, Memory and Cognition 27, 907-912 .
  • Stanley, F. J. and Watson, L. 1992: Trends in perinatal mortality and cerebral palsy in Western Australia, 1967-1985 . British Medical Journal 304, 1658-1663 .[Medline] [Order article via Infotrieve]
  • Strand, E. A. 1995: Treatment of motor speech disorders in children . Seminars in Speech and Language 16, 126-139 .[Medline] [Order article via Infotrieve]
  • Tjaden, K. K. and Liss, J. M. 1995a: The role of listener familiarity in the perception of dysarthric speech . Clinical Linguistics and Phonetics 9, 139-154 .
  • Tjaden, K. K. and Liss, J. M. 1995b: The influence of familiarity on judgments of treated speech . American Journal of Speech-Language Pathology 4, 39-47 .
  • Yorkston, K. M., Beukelman, D. R., Strand, E. A. and Bell, K. R. 1999: Management of motor speech disorders in children and adults. Pro-ed .
  • Yorkston, K. M., Spencer, K., Duffy, J., Beukelman, D., Golper, L. A. and Miller, R. 2001: Evidence-based practice guidelines for dysarthria: management of velopharyngeal function . Journal of Medical Speech-Language Pathology 9, 257-273 .
  • Wilcox, K. and Morris, S. 1999: Children’s speech intelligibility measure. The Psychological Corporation .
  • Workinger, M. S. and Kent, R. D. 1991: Perceptual analysis of the dysarthrias in children with athetoid and spastic cerebral palsy. In Moore, C. A., Yorkston, K. M. and Beukelman, D. R., editors, Dysarthria and apraxia of speech: perspectives on management. Paul Brookes .

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This Article
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