Speech Disorders
Conditions
Keywords
Speech disorders, Speech therapy, Visual feedback, Buccopharyngeal surgery, Central nervous system damage
Brief summary
Speech is a privileged means of communication for humans: its trouble can thus prove being extremely handicapping. Standard speech therapy is limited in some cases by the lack of sensory feedback available to the patient (hearing, surgery, neural damage, etc.). The present study aims at quantify the contribution of the tongue articulatory visual feedback offered by ultrasound echography to speech trouble rehabilitation. Two complementary populations will be studied : 30 adults with buccopharyngeal surgery, and 10 childrens with important speech troubles due to central nervous system damage. The principle is to conduct standard speech therapy sessions, alternating series of sessions with the use of visual feedback and sessions without visual feedback. The progress will be regularly measured by means of standard batteries of speech articulation tests.
Interventions
DEVICEVisual feedback
Use of ultrasound echography for tongue articulatory visual feedback
Sponsors
Hospices Civils de Lyon
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
8 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Articulatory troubles needing speech therapy * French mother tongue * Adult patients \[18 ≥ age \< 80 years\] who underwent buccopharyngeal surgery after cancer diagnostic OR children \[8 ≥ age \< 18 years\] suffering from central nervous system damage
Exclusion criteria
* Incapacity to easily understand the speech therapist instructions * People protected by the law * People deprived from freedom by judiciary decision * Potential allergy to the water-based conducting gel used to ensure good skin - probe contact * Overweight if large fatty mass under chin * Major edema under chin limiting echogenicity * Non corrected vision or hearing problems * For the adults: central or peripheral neural damage * History of Ear, Nose, and Throat surgery or radiotherapy * For the adults: isolated articulatory trouble, former articulatory trouble not treated, disfluency * Massive orofacial dyspraxia * Posture trouble * Motor problem in upper limbs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| BECD test score | 4 months | One of the primary outcome will be measured as the difference of increase of total BECD score between the therapy sessions with and without visual feedback. BECD (Batterie d'Evaluation Clinique de la Dysarthrie, Battery of Clinical Evaluation of Dysarthria) is a French speech articulation test. |
| MBLF test score | 4 months | The second primary outcome will be measured as the difference of increase of total MBLF score between the therapy sessions with and without visual feedback. MBLF (Motricité Bucco-Linguo-Faciale, Motricity of Mouth, Tongue and Face) is a French speech articulation test. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Perception test scores | 4 months | The secondary outcome will be measured as the difference of increase of the scores of perception obtained by a jury listening to a selected set of patients' speech sounds between the therapy sessions with and without visual feedback. The speech sounds are those recorded during the batteries of speech articulation tests. |
Countries
France
Outcome results
None listed