Tutorial: Speech Motor Chaining Treatment for School-Age Children with Speech Sound Disorders

Autor/inn/en	Prestion, Jonathan L.; Leece, Megan C.; Storto, Jaclyn
Titel	Tutorial: Speech Motor Chaining Treatment for School-Age Children with Speech Sound Disorders
Quelle	In: Language, Speech, and Hearing Services in Schools, 50 (2019) 3, S.343-355 (13 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0161-1461
Schlagwörter	Speech Impairments; Psychomotor Skills; Feedback (Response); Elementary School Students; Evidence Based Practice; Motor Development; Generalization; Phonology; Speech Therapy; Stimuli; Outcomes of Treatment + Suchen Sie Ihr Suchwort? Speech impairment; Speech handicap; Speech handicaps; Language handicps; Language impairments; Sprachbehinderung; Psychomotorische Aktivität; Motorische Entwicklung; Fonologie; Entwicklungsproximale Sprachtherapie; Logotherapie; Anreizsystem
Abstract	Purpose: Operationalized treatments for school-age children with speech sound disorders may result in more replicable and evidence-based interventions. This tutorial describes Speech Motor Chaining (SMC) procedures, which are designed to build complex speech around core movements by incorporating several principles of motor learning. The procedures systematically manipulate factors such as feedback type and frequency, practice variability, and stimulus complexity based on the child's performance. Method: The rationale and procedures for SMC are described. Examples are presented of how to design stimuli, deliver feedback, and adapt the approach. Free resources are provided to guide clinicians through implementation of the procedure. Data on fidelity of implementation and dose per session are presented. Clinical and research evidence is provided to illustrate likely outcomes with the procedure. Results: SMC is a method that can result in successful acquisition of target speech patterns and generalization to untrained words. Most clinicians can implement the procedure with over 90% fidelity, and most children can achieve over 200 trials per session. Conclusion: Clinicians and researchers can use or adapt the operationally defined SMC procedures to incorporate several principles of motor learning into treatment for school-age children with speech sound disorders. (As Provided).
Anmerkungen	American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: lshss@asha.org; Web site: http://lshss.pubs.asha.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01