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

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Data Results for Interdental Fricatives: /θ / and /ð /<br />

Figure 4 illustrates CP’s performance during <strong>speech</strong> probes as the percent <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

interdental fricatives /θ/ and /ð/ correctly produced. Data were charted over time during<br />

baseline, treatment, and post treatment phases. Pre treatment data probes indicated that<br />

CP made a variety <str<strong>on</strong>g>of</str<strong>on</strong>g> substituti<strong>on</strong> errors and omissi<strong>on</strong>s when attempting interdental<br />

fricative sounds. Most notable was his tendency to substitute bilabial fricatives /Ȉ/ and<br />

/β/ in place <str<strong>on</strong>g>of</str<strong>on</strong>g> /θ/ and /ð/ ph<strong>on</strong>emes in the majority <str<strong>on</strong>g>of</str<strong>on</strong>g> substituti<strong>on</strong> errors. This pattern<br />

was also observed in his attempts to approximate interdental sounds /f/ and /v/. CP<br />

substituted /v/, /d/, /z/, and /f/ sounds in initial word positi<strong>on</strong>s and /f/ in final positi<strong>on</strong>s.<br />

CP dem<strong>on</strong>strated c<strong>on</strong>sistent levels <str<strong>on</strong>g>of</str<strong>on</strong>g> performance (0% correct) <strong>on</strong> <strong>speech</strong> probes during<br />

baseline sessi<strong>on</strong>s (22 through 26). Sessi<strong>on</strong>s 27 through 37 include data probes gathered<br />

after treatment had begun and before the post treatment period. Data gathered over 12<br />

treatment sessi<strong>on</strong>s show CP resp<strong>on</strong>ding to treatment with variable results. Accuracy <str<strong>on</strong>g>of</str<strong>on</strong>g> /θ/<br />

and /ð/ ph<strong>on</strong>emes ranged from 0 to 60% correct. Despite a short treatment period and<br />

fluctuating performance, CP’s accuracy showed a pattern <str<strong>on</strong>g>of</str<strong>on</strong>g> increased improvement over<br />

the course <str<strong>on</strong>g>of</str<strong>on</strong>g> the treatment. His baseline accuracy for interdental fricatives was<br />

c<strong>on</strong>sistently at 0%. After 4 treatment sessi<strong>on</strong>s, his performance increased, but then<br />

decreased following 3 cancelled sessi<strong>on</strong>s due to illness. CP c<strong>on</strong>tinued to show symptoms<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> c<strong>on</strong>gesti<strong>on</strong> even after he returned to <strong>speech</strong> <str<strong>on</strong>g>therapy</str<strong>on</strong>g>.<br />

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