Auditory-Perceptual Assessment of Fluency in Typical and Neurologically Disordered Speech

Autor/inn/en	Penttilä, Nelly; Korpijaakko-Huuhka, Anna-Maija; Kent, Ray D.
Titel	Auditory-Perceptual Assessment of Fluency in Typical and Neurologically Disordered Speech
Quelle	In: Journal of Speech, Language, and Hearing Research, 61 (2018) 5, S.1086-1103 (18 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1092-4388
DOI	10.1044/2018_JSLHR-S-17-0326
Schlagwörter	Auditory Perception; Speech Skills; Language Fluency; Speech Impairments; Speech Language Pathology; Allied Health Personnel; Neurological Impairments; Communication Disorders; Head Injuries; Trauma; Interrater Reliability; Stuttering + Suchen Sie Ihr Suchwort? Auditive Wahrnehmung; Akustische Wahrnehmung; Akustik; Mündliche Leistung; Sprachfertigkeit; Language skill; Language skills; Sprachkompetenz; Speech impairment; Speech handicap; Speech handicaps; Language handicps; Language impairments; Sprachbehinderung; Neurodegenerative Erkrankung; Kommunikationsstörung; Kopfverletzung; Interrater-Reliabilität; Stammer; Stottern
Abstract	Purpose: The aim of this study is to investigate how speech fluency in typical and atypical speech is perceptually assessed by speech-language pathologists (SLPs). Our research questions were as follows: (a) How do SLPs rate fluency in speakers with and without neurological communication disorders? (b) Do they differentiate the speaker groups? and (c) What features do they hear impairing speech fluency? Method: Ten SLPs specialized in neurological communication disorders volunteered as expert judges to rate 90 narrative speech samples on a Visual Analogue Scale (see Kempster, Gerratt, Verdolini Abbott, Barkmeier-Kraemer, & Hillman, 2009; p. 127). The samples--randomly mixed--were from 70 neurologically healthy speakers (the control group) and 20 speakers with traumatic brain injury, 10 of whom had neurogenic stuttering (designated as Clinical Groups A and B). Results: The fluency rates were higher for typical speakers than for speakers with traumatic brain injury; however, the agreement among the judges was higher for atypical fluency. Auditory-perceptual assessment of fluency was significantly impaired by the features of stuttering and something else but not by speech rate. Stuttering was also perceived in speakers not diagnosed as stutterers. A borderline between typical and atypical fluency was found. Conclusions: Speech fluency is a multifaceted phenomenon, and on the basis of this study, we suggest a more general approach to fluency and its deviations that will take into account, in addition to the motor and linguistic aspects of fluency, the metalinguistic component of expression as well. The results of this study indicate a need for further studies on the precise nature of borderline fluency and its different disfluencies. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01