An evaluation of the effectiveness of PROMPT therapy in improving speech production accuracy in six children with cerebral palsy

作者：Ward Roslyn; Leitao Suze^*; Strauss Geoff

来源：International Journal of Speech-Language Pathology, 2014, 16(4): 355-371.

DOI：10.3109/17549507.2013.876662

• Cerebral palsy
• PROMPT
• motor-speech control
• intervention

This study evaluates perceptual changes in speech production accuracy in six children (3-11 years) with moderate-to-severe speech impairment associated with cerebral palsy before, during, and after participation in a motor-speech intervention program (Prompts for Restructuring Oral Muscular Phonetic Targets). An A1BCA2 single subject research design was implemented. Subsequent to the baseline phase (phase A1), phase B targeted each participant%26apos;s first intervention priority on the PROMPT motor-speech hierarchy. Phase C then targeted one level higher. Weekly speech probes were administered, containing trained and untrained words at the two levels of intervention, plus an additional level that served as a control goal. The speech probes were analysed for motor-speech-movement-parameters and perceptual accuracy. Analysis of the speech probe data showed all participants recorded a statistically significant change. Between phases A1-B and B-C 6/6 and 4/6 participants, respectively, recorded a statistically significant increase in performance level on the motor speech movement patterns targeted during the training of that intervention. The preliminary data presented in this study make a contribution to providing evidence that supports the use of a treatment approach aligned with dynamic systems theory to improve the motor-speech movement patterns and speech production accuracy in children with cerebral palsy.

• 出版日期2014-8