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

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Data Results for Interdental Fricatives: /θ / and /ð / Figure 4 illustrates CP’s performance during speech probes as the percent <strong>of</strong> interdental fricatives /θ/ and /ð/ correctly produced. Data were charted over time during baseline, treatment, and post treatment phases. Pre treatment data probes indicated that CP made a variety <strong>of</strong> substitution errors and omissions when attempting interdental fricative sounds. Most notable was his tendency to substitute bilabial fricatives /Ȉ/ and /β/ in place <strong>of</strong> /θ/ and /ð/ phonemes in the majority <strong>of</strong> substitution errors. This pattern was also observed in his attempts to approximate interdental sounds /f/ and /v/. CP substituted /v/, /d/, /z/, and /f/ sounds in initial word positions and /f/ in final positions. CP demonstrated consistent levels <strong>of</strong> performance (0% correct) on speech probes during baseline sessions (22 through 26). Sessions 27 through 37 include data probes gathered after treatment had begun and before the post treatment period. Data gathered over 12 treatment sessions show CP responding to treatment with variable results. Accuracy <strong>of</strong> /θ/ and /ð/ phonemes ranged from 0 to 60% correct. Despite a short treatment period and fluctuating performance, CP’s accuracy showed a pattern <strong>of</strong> increased improvement over the course <strong>of</strong> the treatment. His baseline accuracy for interdental fricatives was consistently at 0%. After 4 treatment sessions, his performance increased, but then decreased following 3 cancelled sessions due to illness. CP continued to show symptoms <strong>of</strong> congestion even after he returned to speech <strong>therapy</strong>. 60
Post Treatment Results for Interdental Fricatives: /θ / and /ð /. Post treatment results (sessions 38 through 40 in Figure 4) illustrate that CP’s correct production <strong>of</strong> target phonemes /θ / and / ð / did not reach a level <strong>of</strong> stability after a 2- week break from treatment. While post-data accuracy for the interdental fricatives was higher than pre-treatment baseline accuracy, there was a pattern <strong>of</strong> decline in accuracy over the 3 post treatment data probes. 61
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EFFECTS OF INTEGRAL STIMULATION THE
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stimulation <stron
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Table of Contents
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List of Figures Fi
Page 10 and 11:
The committee recognized that ident
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melodic support to overcome sound s
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Literature Review The differential
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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 58 and 59: Analysis of speech
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 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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