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

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Analysis <strong>of</strong> speech probe results included tracking the number <strong>of</strong> target speech attempts and recording the number <strong>of</strong> those attempts resulting in correct productions. Speech intelligibility was measured by a percent consonant correct (PCC) score for each target sound for every session throughout the duration <strong>of</strong> this study. Criterion for correct productions included accurate placement, manner, and voicing <strong>of</strong> target speech sounds according to individual sound characteristics. All three characteristics (place, manner, and voicing) were required to be accurately produced within the carrier phrase in order for it to be judged by the clinician as correct. PCC was calculated by dividing the number <strong>of</strong> correct productions in the speech probe by the number <strong>of</strong> possible productions. A percentage correct was obtained and recorded for each sound. Results were graphed over the period <strong>of</strong> 40 sessions to determine the level <strong>of</strong> change in percent consonants correct <strong>of</strong> target sounds. Adjustments to treatment implementation and client targets were made as the course <strong>of</strong> CP’s communicative needs and specific language pr<strong>of</strong>ile changed. Changes were made with consideration to parental feedback, child preferences, as well as clinical and research judgments. Validity and Reliability Throughout the duration <strong>of</strong> this study, the graduate clinician was consulted by her adviser, a licensed speech-language pathologist, to ensure the implementation <strong>of</strong> <strong>integral</strong> <strong>stimulation</strong> techniques and principles were valid. Randomly selected treatment videos were reviewed by an authority on the <strong>integral</strong> <strong>stimulation</strong> <strong>therapy</strong> approach, and were found to be consistent with <strong>therapy</strong> guidelines. Upon completion <strong>of</strong> this study, reliability testing was completed on 12% <strong>of</strong> randomly selected audio-video recorded speech probes. 50
The additional transcriber was trained in IPA phonetic transcription <strong>of</strong> normal and disordered speech. The percent <strong>of</strong> target sounds correct was calculated and compared those <strong>of</strong> the researching clinician’s to ensure inter-rater reliability. Agreement was calculated at 94.6%. 51
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EFFECTS OF INTEGRAL STIMULATION THE
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stimulation <stron
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Table of Contents
Page 7: List of Figures Fi
Page 10 and 11: The committee recognized that ident
Page 12 and 13: melodic support to overcome sound s
Page 14 and 15: Literature Review The differential
Page 16 and 17: part affect the numbers diagnosed a
Page 18 and 19: discrepancy suggests the probabilit
Page 20 and 21: neuromuscular impairment (Caruso &
Page 22 and 23: execute smooth and accurate speech.
Page 24 and 25: Table 1. Rosenbek et al.’s Hierar
Page 26 and 27: methodologies have yielded less con
Page 28 and 29: associated with the practice or exp
Page 30 and 31: very nature of spe
Page 32 and 33: Integral Stimulation and Childhood
Page 34 and 35: stimulation <stron
Page 36 and 37: period of no treat
Page 38 and 39: diagnosis of moder
Page 40 and 41: Table 3. Summary of</strong
Page 42 and 43: Table 4. Summary of</strong
Page 44 and 45: Word Shapes Simple word shapes such
Page 46 and 47: Hearing Hearing evaluations were co
Page 48 and 49: target sounds would allow CP a mana
Page 50 and 51: adjective, and a noun or verb (see
Page 52 and 53: welcomed from CP’s parents who we
Page 54 and 55: simultaneously with the child, prov
Page 56 and 57: to restart the mental processes nee
Page 60 and 61: Results This study examined the eff
Page 62 and 63: Post-Treatment Results for /s/ Clus
Page 64 and 65: Data Results for Labiodentals Frica
Page 66 and 67: Data Results for Affricates: /ȴ/ &
Page 68 and 69: Data Results for Interdental Fricat
Page 70 and 71: Figure 4. Percent correct for /θ/
Page 72 and 73: Discussion This discussion examines
Page 74 and 75: practice his motor speech skills in
Page 76 and 77: Indicators that motor learning had
Page 78 and 79: Conclusion The results of</
Page 80 and 81: A number of sessio
Page 82 and 83: References American Speech-Language
Page 84 and 85: Delaney, A.L., & Kent, R.D. (2004,
Page 86 and 87: Powell, T. W. (1996). Stimulability
Page 88 and 89: Strand, E. A. (1995). Treatment <st
Page 90 and 91: for regular treatment are determine
Page 92: Appendix C -Data Tracking Form TX T
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