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Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/22
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Item The impact of real-time articulatory information on phonetic transcription: Ultrasound-aided transcription in cleft lip and palate speech(Karger, 2019-05-24) Cleland, Joanne; Lloyd, Susan; Campbell, Linsay; Crampin, Lisa; Palo, Pertti; Sugden, Eleanor; Wrench, Alan A.; Zharkova, NataliaObjective: This study investigated whether adding an additional modality, namely ultrasound tongue imaging, to perception-based phonetic transcription impacted on the identification of compensatory articulations and on interrater reliability. Patients and Methods: Thirty-nine English-speaking children aged 3 to 12 with cleft lip and palate (CLP) were recorded producing repetitions of /aCa/ for all places of articulation with simultaneous audio and probe-stabilised ultrasound. Three types of transcriptions were performed: 1. Descriptive observations from the live ultrasound by the clinician recording the data; 2. Ultrasound-aided transcription by two ultrasound-trained clinicians; and 3. Traditional phonetic transcription by two CLP specialists from audio recording. We compared the number of consonants identified as in error by each transcriber and then classified errors into eight different subcategories. Results: Both the ultrasound-aided and traditional transcriptions yielded similar error-detection rates, however these were significantly higher than the observations recorded live in the clinic. Interrater reliability for the ultrasound transcribers was substantial (k=0.65), compared to moderate (k=0.47) for the traditional transcribers. Ultrasound-aided transcribers were more likely to identify covert errors such as double articulations and retroflexion than the audio-only transcribers. Conclusion: Ultrasound-tongue imaging is a useful complement to traditional phonetic transcription for CLP speech.Item 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, JoanneVisual 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.Item Using ultrasound to quantify tongue shape and movement characteristics(Allen Press Incorporated, 2013-01) Zharkova, NataliaObjective: Previous experimental studies have demonstrated abnormal lingual articulatory patterns characterising cleft palate speech. Most articulatory information to date has been collected using electropalatography, which records the location and size of tongue-palate contact, but not the tongue shape. The latter type of data can be provided by ultrasound. The present paper aims to describe ultrasound tongue imaging as a potential tool for quantitative analysis of tongue function in speakers with cleft palate. A description of the ultrasound technique as applied to analysing tongue movements is given, followed by the requirements for quantitative analysis. Several measures are described, and example calculations are provided. Measures: Two measures are aimed to quantify overuse of tongue dorsum in cleft palate articulations. Crucially for potential clinical applications, these measures do not require head to transducer stabilisation, because both are based on a single tongue curve. The other three measures compare sets of tongue curves, with the aim to quantify the dynamics of tongue displacement, token-to-token variability in tongue position, and the extent of separation between tongue curves for different speech sounds. Conclusions: All measures can be used to compare tongue function in speakers with cleft palate before and after therapy, as well as to assess their performance against that in typical speakers, and to help in selecting more effective treatments.Item Articulatory placement for /t/, /d/, /k/ and / / targets in school age children with speech disorders associated with cleft palate.(Taylor & Francis, 2004) Gibbon, Fiona; Ellis, Lucy; Crampin, LisaThis study used electropalatography (EPG) to identify place of articulation for lingual plosive targets /t/, /d/, /k/ and / / in the speech of 15 school age children with repaired cleft palate. Perceptual judgements indicated that all children had correct velar placement for /k/, / / targets, but /t/, /d/ targets were produced as errors involving palatalization or velar placement. An EPG classification scheme identified alveolar, palatal and velar placement. Articulations involving contact in alveolar and velar regions simultaneously were identified as alveolar velar double articulations (AVDAs). The classification revealed that AVDAs were relatively frequent, with 28% of alveolar and 12% of velar targets affected, and ten out of the 15 children produced one or more of these abnormal articulations. The majority of children had variable placements, with alveolar more variable than velar targets. The positive finding from the EPG data revealed that most children with perceptual errors for /t/, /d/ were able to make closure in the alveolar region during at least some of their attempts to articulate these targets. It is argued that appropriate analysis and interpretation of EPG data provide clinically relevant information about tongue placement in cleft palate speech.Item Abnormal patterns of tongue-palate contact in the speech of individuals with cleft palate.(Taylor & Francis, 2004) Gibbon, FionaIndividualswith cleft palate, even thosewith adequate velopharyngeal function, are at high risk for disordered lingual articulation. This article attempts to summarize current knowledge of abnormal tongue-palate contact patterns derived from electropalatographic (EPG) data in speakers with cleft palate. These data, which have been reported in 23 articles published over the past 20 years, have added significantly to our knowledge about cleft palate speech. Eight abnormal patterns of tongue-palate contact are described and illustratedwith data fromchildren and adults with repaired cleft palate. The paper also discusses some of the problems in interpreting EPG data from speakers with abnormal craniofacial anatomy and emphasizes the importance of quantifying relevant aspects of tongue-palate contact data. Areas of research requiring further investigation are outlined.Item The national CLEFTNET project for individuals with speech disorders associated with cleft palate.(Taylor & Francis, 2007-03) Lee, Alice; Gibbon, Fiona; Crampin, Lisa; Yuen, Ivan; McLennen, GrantAlthough previous studies have demonstrated the benefits of using electropalatography (EPG) for treating therapy-resistant articulation errors associated with cleft palate, until recently access to this form of treatment has been limited. For the past 10 years, however, the CLEFTNET Scotland project has provided individuals with cleft palate access to EPG therapy. CLEFTNET Scotland represented a novel form of EPG service delivery-it linked the cleft palate centres throughout Scotland to Queen Margaret University College (QMUC) in Edinburgh through an electronic network. EPG data collected in the centres were sent to QMUC, where experts conducted detailed analysis leading to a precise diagnosis of each individual's specific articulation difficulty and suggested therapy guidelines to the specialist speech-language therapists based on their analysis. This form of service delivery has recently extended to include England, Wales and Northern Ireland to form CLEFTNET UK. This paper describes the CLEFTNET projects, discusses orthodontic issues relevant to EPG therapy for individuals with cleft palate, and presents a case study to illustrate how therapy guidelines for speech-language therapists are derived from data analysis.Item Labial-Lingual Double Articulations in Speakers With Cleft Palate.(Allen Press, 2002-01) Gibbon, Fiona; Crampin, LisaObjective: Labial-lingual double articulations (LLDAs) are speech errors involving simultaneous valving at the lips and in the linguapalatal region. This study investigates the frequency of LLDAs occurring for /p/, /b/, and /m/ targets and describes the linguapalatal contact patterns involved in these abnormal articulations. Design: A retrospective study involving analysis of articulatory data from all speakers with cleft palate recorded at a research center over a 10-year period. Participants: Twenty-seven speakers aged 5 to 62 years (median 11 years) with compensatory speech errors associated with repaired cleft palate. Measures: The lingual component of LLDAs was identified using electropalatography (EPG). EPG data were recorded simultaneously with acoustic data. Fifteen bilabial targets (/p/, /b/, /m/) per participant were analyzed. LLDAs were identified in cases where complete linguapalatal constriction (as observed from EPG data) occurred throughout the closure phase of bilabial targets. The labial component of LLDAs was identified from clinical observations of the speakers made during productions of bilabial targets. Results: Three speakers (11%) frequently produced LLDAs for bilabial targets. The configuration of tongue-palate contacts involved in the lingual component of the LLDAs differed in each of the three speakers: one speaker had velar constriction, another had alveolar constriction, and the third had simultaneous alveolar-velar constriction. LLDAs did not similarly affect bilabial targets in the three speakers. One speaker produced LLDAs for /p/ and /b/ targets only. Another produced LLDAs for all /m/ targets but inconsistently for /p/ and /b/ targets. The third speaker produced LLDAs for all /b/ targets but inconsistently for /p/ and /m/ targets. Conclusion: LLDAs occurred in a minority of speakers investigated. Nevertheless, it is argued that it is important to identify LLDAs for clinical decision making and for research purposes. The results from this study add to current knowledge about abnormal articulations in cleft palate speech, but further research is needed into the precise timing of lip and tongue-palate closures and into the airflow and acoustic characteristics of LLDAs.Item An electropalatographic investigation of middorsum palatal stops in an adult with repaired cleft palate.(Allen Press Incorporated, 2001-03) Gibbon, Fiona; Crampin, LisaObjective: Middorsum palatal stops are compensatory articulations that occur relatively frequently in cleft palate speech. This study used electropalatographic (EPG) and acoustic data to investigate /t/ and /k/ targets produced as middorsum palatal stops ([c]) by an adult with an articulation disorder associated with a repaired cleft palate. Results: Two novel observations were made from the instrumental data. First, although /t/ and /k/ targets were judged by phonetically trained listeners as homophonous (i.e., both produced as [c]), the EPG data revealed that the place of articulation for the [c] produced for /t/ was more anterior than the place of articulation for the [c] produced for /k/. Second, production of palatal stops involved lateral release followed by a variable period of lateral friction. Measurements made from the instrumental data quantified the temporal extent of lateral friction during the aspiration period. Conclusions: These observations merit further systematic investigation in cleft palate speech, and the procedures reported in this study are considered appropriate for such future research.