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Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/22

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Author: search.filters.author.Cleland, JoanneSubject: search.filters.subject.Ultrasound

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    Systematic review of ultrasound visual biofeedback in intervention for speech sound disorders
    (Wiley, 2019-06-10) Sugden, Eleanor; Lloyd, Susan; Lam, Jenny; Cleland, Joanne
    Background As cost and access barriers to ultrasound technology have decreased, interest in using ultrasound visual biofeedback (U-VBF) as a tool for remediating speech sound disorders (SSD) has increased. A growing body of research has investigated U-VBF in intervention for developmental SSD; however, diversity in study design, participant characteristics, clinical methods and outcomes complicate the interpretation of this literature. Thus, there is a need for a synthesis and review of the evidence base for using U-VBF in intervention for SSD.
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    Visualising speech: Identification of atypical tongue-shape patterns in the speech of children with cleft lip and palate using ultrasound technology
    (NHS Greater Glasgow & Clyde and University of Strathclyde, Glasgow, 2018) Lloyd, Susan; Cleland, Joanne; Crampin, Lisa; Campbell, Linsay; Zharkova, Natalia; Palo, Pertti
    Previous research by Gibbon (2004) shows that at least 8 distinct error types can be identified in the speech of people with cleft lip and palate (CLP) using electropalatography (EPG), a technique which measures tongue-palate contact. However, EPG is expensive and logistically difficult. In contrast, ultrasound is cheaper and arguably better equipped to image the posterior articulations (such as pharyngeals) which are common in CLP. A key aim of this project is to determine whether the eight error types made visible with EPG in CLP speech described by Gibbon (2004) can be also be identified with ultrasound. This paper will present the first results from a larger study developing a qualitative and quantitative ultrasound speech assessment protocol. Data from the first 20 children aged 3 to 18 with CLP will be presented. Data are spoken materials from the CLEFTNET protocol. We will present a recording format compatible with CAPS-A to record initial observations from the live ultrasound (e.g. double articulations, pharyngeal stops). Two Speech and Language Therapists analysed the data independently to identify error types. Results suggest that all of the error types, for example fronted placement and double articulations can be identified using ultrasound, but this is challenging in real-time. Ongoing work involves quantitative analysis of error types using articulatory measures.
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    Visualising speech: Using ultrasound visual biofeedback to diagnose and treat speech disorders in children with cleft lip and palate
    (NHS Greater Glasgow & Clyde and University of Strathclyde, Glasgow, 2017-09) Cleland, Joanne; Crampin, Lisa; Zharkova, Natalia; Wrench, Alan A.; Lloyd, Susan; Palo, Pertti
    Children with cleft lip and palate (CLP) often continue to have problems producing clear speech long after the clefts have been surgically repaired, leading to educational and social disadvantage. Speech is of key importance in CLP from both a quality of life and surgical outcome perspective, yet assessment relies on subjective perceptual methods, with speech and language therapists (SLTs) listening to speech and transcribing errors. This is problematic because perception-based phonetic transcription is well known to be highly unreliable(Howard & Lohmander, 2011) especially in CLP, where the range of error types is arguably far greater than for other speech sound disorders. Moreover,CLP speech is known to be vulnerable to imperceptible error types, such as double articulations which can only be understood with instrumental techniques such as ultrasound tongue imaging (UTI). Incorrect transcription of these errors can result in misdiagnosis and subsequent inappropriate intervention which can lead to speech errors becoming deeply ingrained.
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    Articulation therapy for children with cleft palate using visual articulatory models and ultrasound biofeedback
    (International Phonetic Association, 2015-08-15) Roxburgh, Zoe; Scobbie, James M.; Cleland, Joanne
    Visual biofeedback tools, such as Electropalatography (EPG), are recommended for assessing and treating speech sound disorders (SSDs) associated with Cleft Palate (CP). However, EPG is not suitable for all clients, due to dependencies on stable dentition and timing of palatal repair. Ultrasound is becoming increasingly popular for its use in treating SSDs, with no reports on its dependency on structure of the vocal tract. However its clinical application in the CP population remains to be tested. We compared Visual Articulatory Models (VAMs) with Ultrasound for the treatment of SSDs in two children with repaired submucous CP. Both children received two blocks of therapy each with eight sessions, with the first block using VAMs and the second using ultrasound. Results showed that both children improved overall, with more improvement found in the first block of therapy using VAMs.
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    Helping children learn non-native articulations: The implications for ultrasound-based clinical intervention
    (International Phonetic Association, 2015-08-15) Cleland, Joanne; Scobbie, James M.; Nakai, Satsuki; Wrench, Alan A.
    An increasing number of studies are examining the effectiveness of ultrasound as a visual biofeedback device for speech production training or therapy. However, no randomised control trials exist. We compared the success of typically-developing children learning new articulations with and without ultrasound biofeedback. Thirty children aged 6-12 were randomly assigned to 2 groups: Group U were taught novel (non-English) consonants and vowels using ultrasound in addition to imitation, modelling, articulatory descriptions and feedback on performance. Group A were taught the same speech sounds, using the same methods but in the absence of ultrasound visual biofeedback. Results showed that both groups of children improved in their production of the novel sounds with the exception of the high back vowels [u,]. No advantage for Group U was found, except for the palatal stop [c].
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    Covert contrast and covert errors in persistent velar fronting
    (Taylor & Francis, 2016-09-09) Cleland, Joanne; Scobbie, James M.; Heyde, Cornelia J.; Roxburgh, Zoe; Wrench, Alan A.
    Acoustic and articulatory studies demonstrate covert contrast in perceptually neutralised phonemic contrasts in both typical children and children with speech disorders. These covert contrasts are thought to be relatively common and symptomatic of phonetic speech disorders. However, clinicians in the speech therapy clinic have had no easy way of identifying this covertness. This study uses ultrasound tongue imaging to compare tongue contours for /t/and /k/in seven children with persistent velar fronting. We present a method of overlaying tongue contours to identify covert contrast at the articulatory level. Results show that all seven children, contrary to expectations, produced both /t/and /k/with near-identical tongue shapes showing no evidence of covert contrast. However, further analysis of one of the participants showed highly variable tongue shapes for /t/and /k/, including retroflex productions of both. Although not phonologically conditioned, this covert error is evidence of speech disorder at the phonetic level.