Effects of integral stimulation therapy on speech - Portland State ...

Sequential Motion Rates
CP performed a diadochokinetic test <strong>of</strong> sequential and alternating motion rate.
CP sequenced open syllables with the same initial consonant to repeat “puh,-puh,-puh,”
and experienced difficulty producing “tuh-tuh-tuh” and “kuh-kuh-kuh” as both were
changed to their voiced equivalents- “duh” and “guh.” His productions were halting with
arrhythmic characteristics. When CP attempted sequencing alternating initial consonants
with differing articulatory placements such as “puh-tuh-kuh,” the task became
significantly more challenging. CP’s rate and correct sequencing decreased after just one
repetition <strong>of</strong> the sequence. Informal tests for signs <strong>of</strong> oral and limb apraxia revealed no
abnormalities in form or function during non-speech related motor tasks.
Suprasegmentals
Analysis <strong>of</strong> CP’s suprasegmental qualities during a spontaneous speech sample
determined his voice pitch to be normal for his age and gender. He was observed using
intonation appropriately which <strong>of</strong>fered his listeners some semantic context for
comprehension <strong>of</strong> unintelligible utterances. On several occasions, CP used excess equal
stress on two-syllable words. As treatment progressed, the presence <strong>of</strong> excess equal stress
(monostressed syllables) was observed with greater frequency. Vocal loudness was
judged as appropriate. CP’s rate was difficult to determine due to his limited production
<strong>of</strong> multi-word utterances. An endoscopic examination had been previously conducted on
CP resulting in no observable velopharyngeal closure abnormalities.
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