Improving clinical speech remediation with ultrasound technology

利用超声技术改善临床言语矫正

• 批准号: 9539667
• 负责人: SUZANNE Elizabeth BOYCE
• 金额: $ 66.69万
• 依托单位: CUNY GRADUATE SCH AND UNIV CTR
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-01 至 2021-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9539667
• 关键词: Acoustics; Address; Adult; Affect; Age; Anterior; Articulation; Articulation Disorders; Basic Science; Child; Child Development; Client; Clinic; Clinical; Clinical Management; Clinical Treatment; Communication impairment; Cues; Data; Diagnosis; Diagnostic; Disease; Effectiveness; Elements; Exhibits; Feedback; Frequencies; Gestures; Goals; Guidelines; Hospitals; Hylobates Genus; Image; Imagery; Imaging Techniques; Impairment; Improve Access; Individual; Intervention; Interventional Ultrasonography; Language; Magnetic Resonance Imaging; Medical Imaging; Methods; Modeling; Motor; Movement; Nature; Pattern; Pharyngeal structure; Plant Roots; Population; Preschool Child; Price; Privatization; Procedures; Production; Regimen; Research; Residual state; Resistance; Schools; Shapes; Speech; Speech Delay; Speech Sound; Speech-Language Pathology; Technology; Testing; Time; Tongue; Training; Translational Research; Translations; Treatment Efficacy; Ultrasonography; Undifferentiated; Validation; Visual; auditory feedback; clinical implementation; clinical practice; clinically significant; comparative efficacy; constriction; cost; evidence base; evidence based guidelines; experience; improved; innovation; interest; motor learning; novel; phonology; public health relevance; remediation; response; sound; tongue root; tool; treatment program; visual feedback

DESCRIPTION (provided by applicant): Ultrasound technology has been shown to be a new tool in the treatment of speech sound disorders. It helps diagnose problems and can provide visual feedback to help children correct errors they make in producing the sounds of their language. Recent advances have made this imaging technique more accessible to clinicians, both in terms of price and of ease of use. The present proposal will facilitate the translation of the research into clinical practice so that a wide range of clients can begin to benefit from these technological advances. One part of the project will test the usefulness of looking at the types of tongue shapes used by children with speech problems. Research has found that some children use tongue shapes that are relatively adult-like but incorrect, while others use an "undifferentiated" shape-that is, a shape that shows limited accommodation to different sounds. These undifferentiated tongue shapes may indicate that a different kind of therapy is called for. We will test two kinds of therapy on misarticulating children. We expect to find that knowing whether a child uses undifferentiated shapes or not (as seen with ultrasound imaging) will allow the selection of the better treatment program. A particularly difficult sound is that of /r/, as i "right", "try" and "car." Ultrasound imaging can help children see what their tongue should be doing to get a perceptually correct sound. We will further test elements of this feedback procedure so that we can provide evidence-based guidance for implementing ultrasound treatment in clinics everywhere. Further support for the approach will come from magnetic resonance imaging (MRI) of the tongue in children with good and poor /r/ pronunciation. We will validate ultrasound imaging of the tongue against MRI images, and we will also collect MRI images that can be used to model appropriate tongue shapes for children. While our MRI images from adults have proven useful in helping children pick an appropriate tongue shape for /r/, we predict that MRI images of children will be even more informative. Improving the articulation of this common sound will help thousands of children.

描述（由申请人提供）：超声技术已被证明是治疗语音障碍的新工具。它有助于诊断问题，并可以提供视觉反馈，以帮助儿童纠正他们在产生语言声音时犯的错误。在价格和易用性方面，最近的进步使临床医生更容易获得这种成像技术。本提案将促进研究将研究转化为临床实践，以便各种各样的客户可以从中受益 技术进步。 该项目的一部分将测试查看言语问题儿童使用的舌头形状类型的用途。研究发现，有些孩子使用舌头形状相对较成年但不正确，而另一些孩子则使用“未分化”的形状，即一种形状，这种形状显示出对不同声音的适应性有限。这些未分化的舌头形状可能表明需要另一种治疗。我们将测试有关儿童杂志的两种治疗。我们希望知道孩子是否使用未分化的形状（如超声成像所示）是否会允许选择更好的治疗程序。 一个特别困难的声音是 /r /，我“正确”，“尝试”和“汽车”。超声成像可以帮助孩子们看到他们的舌头应采取的措施以获得感知正确的声音。我们将进一步测试此反馈程序的要素，以便我们可以在各地的诊所提供基于证据的指导来实施超声处理。对该方法的进一步支持将来自具有良好和不良 / R /发音的儿童的舌头磁共振成像（MRI）。我们将验证舌头对MRI图像的超声成像，并且还将收集可用于建模儿童适当的舌头形状的MRI图像。虽然我们来自成年人的MRI图像已被证明可用于帮助儿童选择 /r /的适当舌头形状，但我们预计儿童的MRI图像将更加有用。改善这种常见声音的表达将有助于成千上万的儿童。

项目成果

Incompleteness features in the descriptive discourse of Chinese elders with and without Alzheimer's disease.

患有和未患有阿尔茨海默病的中国老年人的描述性话语存在不完整的特点。

• DOI: 10.1080/02699206.2022.2092423
• 发表时间: 2022
• 期刊: Clinical linguistics & phonetics
• 影响因子: 1.2
• 作者: Huang,Lihe;Liu,Zhuoya;Li,Yunxia
• 通讯作者: Li,Yunxia

Characterizing sensorimotor profiles in children with residual speech sound disorder: a pilot study.

• DOI: 10.1016/j.jcomdis.2022.106230
• 发表时间: 2022-09
• 期刊: JOURNAL OF COMMUNICATION DISORDERS
• 影响因子: 1.7
• 作者: Kabakoff, Heather;Gritsyk, Olesia;Harel, Daphna;Tiede, Mark;Preston, Jonathan L.;Whalen, D. H.;McAllister, Tara
• 通讯作者: McAllister, Tara

Associations Between Speech Perception, Vocabulary, and Phonological Awareness Skill in School-Aged Children With Speech Sound Disorders.

• DOI: 10.1044/2020_jslhr-20-00356
• 发表时间: 2021-01
• 期刊: Journal of speech, language, and hearing research : JSLHR
• 作者: Nina R. Benway;Kelly Garcia;Elaine R. Hitchcock;Tara McAllister;Megan C. Leece;Qiu Wang;J. Preston

Remediating Residual Rhotic Errors With Traditional and Ultrasound-Enhanced Treatment: A Single-Case Experimental Study.

通过传统治疗和超声增强治疗来修复残余的僵直错误：单例实验研究。

• DOI: 10.1044/2019_ajslp-18-0261
• 发表时间: 2019
• 期刊: American journal of speech-language pathology
• 影响因子: 2.6
• 作者: Preston,JonathanL;McAllister,Tara;Phillips,Emily;Boyce,Suzanne;Tiede,Mark;Kim,JackieSihyun;Whalen,DouglasH
• 通讯作者: Whalen,DouglasH

Treatment for Residual Rhotic Errors With High- and Low-Frequency Ultrasound Visual Feedback: A Single-Case Experimental Design.

用高频和低频超声视觉反馈治疗残余视差错：单例实验设计。

• DOI: 10.1044/2018_jslhr-s-17-0441
• 发表时间: 2018
• 期刊: Journal of speech, language, and hearing research : JSLHR
• 作者: Preston,JonathanL;McAllister,Tara;Phillips,Emily;Boyce,Suzanne;Tiede,Mark;Kim,JackieS;Whalen,DouglasH
• 通讯作者: Whalen,DouglasH