The Use of Delayed Auditory Feedback in Self-Monitored Training of Acquired Apraxia of Speech – a descriptive pilot study
(2017) MEVM06 20171Logopedics, Phoniatrics and Audiology
- Abstract
- Purpose: This investigation was designed to examine the effects of self-monitored training combined with the use of delayed auditory feedback (DAF), on the accuracy of articulation in acquired apraxia of speech (AOS).
Background: The increased number of stroke survivors leads to higher societal costs when it comes to e.g., rehabilitation. Speech and language deficits post stroke can be diminished by intense aphasia training, in forms of one-to-one face-to-face treatment, home-training programmes and group therapy. Well-established tasks to improve speech and word retrieval ability used in a new, experimentally designed way by using DAF might motivate a person with aphasia to accepting and learning how to work with brain-damaged language... (More) - Purpose: This investigation was designed to examine the effects of self-monitored training combined with the use of delayed auditory feedback (DAF), on the accuracy of articulation in acquired apraxia of speech (AOS).
Background: The increased number of stroke survivors leads to higher societal costs when it comes to e.g., rehabilitation. Speech and language deficits post stroke can be diminished by intense aphasia training, in forms of one-to-one face-to-face treatment, home-training programmes and group therapy. Well-established tasks to improve speech and word retrieval ability used in a new, experimentally designed way by using DAF might motivate a person with aphasia to accepting and learning how to work with brain-damaged language and language skills by themselves. Expertise intervention from a speech and language pathologist facilitates language rehabilitation and supports learning processes, and would have to be short and structured in a self-monitored training programme.
Method: Three participants, one female and two men, with AOS and nonfluent chronic aphasia after stroke participated in an experimentally designed pilot study in form of a six-week self-monitored treatment. They were tested prior to the study and had a session with the test leader with an ambiguity exploration from Motivational Interviewing to motivate them to work. The participants downloaded an app with DAF, and they performed different speaking tasks while listening to their own speech with three different settings of delay. They used a training log and scaled their performances.
Results: The participants trained for between 32 to 41 times during the six weeks’ period. They all performed better post treatment. Speech accuracy, word retrieval improvement, more main clauses, better prosodic variations and a noticeable decrease in dysfluency were some of the effects of the training. The three participants also reached some their personal goals that were set before treatment.
Discussion: The results from this pilot study indicate that there could be ways to train language and speech deficits self-monitored by a person with aphasia while using DAF, with only little guidance, if motivation is there. More participants need to undergo the same training programme in the future before stating, and statistically establish, that this programme helps speakers in their need for better phoneme accuracy. For the three participants, each one of them noticed desired, and in some ways unexpected, improvement more than two and a half years after stroke on-set.
Conclusions: A self-monitored, intense training programme to improve speech production while using DAF, could hopefully be an alternative therapy method for people with acquired AOS. They need high motivation before and during the programme. (Less)
Please use this url to cite or link to this publication:
http://lup.lub.lu.se/student-papers/record/9215795
- author
- Tajthy, Ulrika LU
- supervisor
- organization
- course
- MEVM06 20171
- year
- 2017
- type
- H2 - Master's Degree (Two Years)
- subject
- keywords
- AOS, aphasia, DAF, self-monitored, speech, motivation, intense training
- language
- English
- id
- 9215795
- date added to LUP
- 2025-11-28 11:51:41
- date last changed
- 2025-11-28 11:51:41
@misc{9215795,
abstract = {{Purpose: This investigation was designed to examine the effects of self-monitored training combined with the use of delayed auditory feedback (DAF), on the accuracy of articulation in acquired apraxia of speech (AOS).
Background: The increased number of stroke survivors leads to higher societal costs when it comes to e.g., rehabilitation. Speech and language deficits post stroke can be diminished by intense aphasia training, in forms of one-to-one face-to-face treatment, home-training programmes and group therapy. Well-established tasks to improve speech and word retrieval ability used in a new, experimentally designed way by using DAF might motivate a person with aphasia to accepting and learning how to work with brain-damaged language and language skills by themselves. Expertise intervention from a speech and language pathologist facilitates language rehabilitation and supports learning processes, and would have to be short and structured in a self-monitored training programme.
Method: Three participants, one female and two men, with AOS and nonfluent chronic aphasia after stroke participated in an experimentally designed pilot study in form of a six-week self-monitored treatment. They were tested prior to the study and had a session with the test leader with an ambiguity exploration from Motivational Interviewing to motivate them to work. The participants downloaded an app with DAF, and they performed different speaking tasks while listening to their own speech with three different settings of delay. They used a training log and scaled their performances.
Results: The participants trained for between 32 to 41 times during the six weeks’ period. They all performed better post treatment. Speech accuracy, word retrieval improvement, more main clauses, better prosodic variations and a noticeable decrease in dysfluency were some of the effects of the training. The three participants also reached some their personal goals that were set before treatment.
Discussion: The results from this pilot study indicate that there could be ways to train language and speech deficits self-monitored by a person with aphasia while using DAF, with only little guidance, if motivation is there. More participants need to undergo the same training programme in the future before stating, and statistically establish, that this programme helps speakers in their need for better phoneme accuracy. For the three participants, each one of them noticed desired, and in some ways unexpected, improvement more than two and a half years after stroke on-set.
Conclusions: A self-monitored, intense training programme to improve speech production while using DAF, could hopefully be an alternative therapy method for people with acquired AOS. They need high motivation before and during the programme.}},
author = {{Tajthy, Ulrika}},
language = {{eng}},
note = {{Student Paper}},
title = {{The Use of Delayed Auditory Feedback in Self-Monitored Training of Acquired Apraxia of Speech – a descriptive pilot study}},
year = {{2017}},
}