Clinical Linguistics & Phonetics最新文献

An analysis of pausing in Cantonese alaryngeal speech. 广东话咽音中的停顿现象分析。

IF 1 4区医学

Clinical Linguistics & Phonetics Pub Date : 2025-10-07 DOI: 10.1080/02699206.2025.2566332

Steven R Cox, Ting Huang, Wei-Rong Chen, Manwa L Ng

引用次数: 0

Exploring language profiles with a focus on pragmatic skills in children with orofacial clefts. 探索唇腭裂儿童的语言特征，重点关注语用技能。

IF 1 4区医学

Clinical Linguistics & Phonetics Pub Date : 2025-10-03 DOI: 10.1080/02699206.2025.2565016

Wenche A Helland, Marit B Kvinsland, Turid Helland

引用次数: 0

Automatic speech recognition (ASR) for the diagnosis of pronunciation of speech sound disorders in Korean children. 自动语音识别（ASR）用于诊断韩国儿童的语音发音障碍。

IF 1 4区医学

Clinical Linguistics & Phonetics Pub Date : 2025-10-01 Epub Date: 2024-08-20 DOI: 10.1080/02699206.2024.2387609

Taekyung Ahn, Yeonjung Hong, Younggon Im, Do Hyung Kim, Dayoung Kang, Joo Won Jeong, Jae Won Kim, Min Jung Kim, Ah-Ra Cho, Hosung Nam, Dae-Hyun Jang

{"title":"Automatic speech recognition (ASR) for the diagnosis of pronunciation of speech sound disorders in Korean children.","authors":"Taekyung Ahn, Yeonjung Hong, Younggon Im, Do Hyung Kim, Dayoung Kang, Joo Won Jeong, Jae Won Kim, Min Jung Kim, Ah-Ra Cho, Hosung Nam, Dae-Hyun Jang","doi":"10.1080/02699206.2024.2387609","DOIUrl":"10.1080/02699206.2024.2387609","url":null,"abstract":"This study presents a model of automatic speech recognition (ASR) that is designed to diagnose pronunciation issues in children with speech sound disorders (SSDs) to replace manual transcriptions in clinical procedures. Because ASR models trained for general purposes mainly predict input speech into standard spelling words, well-known high-performance ASR models are not suitable for evaluating pronunciation in children with SSDs. We fine-tuned the wav2vec2.0 XLS-R model to recognise words as they are pronounced by children, rather than converting the speech into their standard spelling words. The model was fine-tuned with a speech dataset of 137 children with SSDs pronouncing 73 Korean words that are selected for actual clinical diagnosis. The model's Phoneme Error Rate (PER) was only 10% when its predictions of children's pronunciations were compared to human annotations of pronunciations as heard. In contrast, despite its robust performance on general tasks, the state-of-the-art ASR model Whisper showed limitations in recognising the speech of children with SSDs, with a PER of approximately 50%. While the model still requires improvement in terms of the recognition of unclear pronunciation, this study demonstrates that ASR models can streamline complex pronunciation error diagnostic procedures in clinical fields.","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"913-926"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors associated with nonword repetition skills in 4-to 6-year-old deaf and hard-of-hearing and typically hearing children. 与 4-6 岁聋哑儿童和典型听力儿童非词重复能力相关的因素。

IF 1 4区医学

Clinical Linguistics & Phonetics Pub Date : 2025-10-01 Epub Date: 2024-08-21 DOI: 10.1080/02699206.2024.2390502

Sari Kunnari, Taina Välimaa, Krista Tuohimaa, Johanna Hautala, Anna-Kaisa Tolonen, Satu Rimmanen, Tanja Tennilä, Teija Tsupari, Sari Vikman, Nonna Virokannas, Antti A Aarnisalo, Aarno Dietz, Antti Hyvärinen, Jaakko Laitakari, Sari Mykkänen, Jaakko Salonen, Ville Sivonen, Heikki Löppönen

{"title":"Factors associated with nonword repetition skills in 4-to 6-year-old deaf and hard-of-hearing and typically hearing children.","authors":"Sari Kunnari, Taina Välimaa, Krista Tuohimaa, Johanna Hautala, Anna-Kaisa Tolonen, Satu Rimmanen, Tanja Tennilä, Teija Tsupari, Sari Vikman, Nonna Virokannas, Antti A Aarnisalo, Aarno Dietz, Antti Hyvärinen, Jaakko Laitakari, Sari Mykkänen, Jaakko Salonen, Ville Sivonen, Heikki Löppönen","doi":"10.1080/02699206.2024.2390502","DOIUrl":"10.1080/02699206.2024.2390502","url":null,"abstract":"Children identified as deaf and hard of hearing (DHH) exhibit an increased risk of speech and language difficulties. Nonword repetition (NWR) is a potential tool for identifying language difficulties in children with limited experience with the target language. In this study, we explored associations between auditory, linguistic, demographic and cognitive factors and NWR performance in DHH children and their typically hearing (TH) peers. We also examined the effect of the group on NWR outcomes when different factors were statistically controlled for. Our study included 68 4- to 6-year-old children: 18 with bilateral hearing aids (BiHAs), 18 with bilateral cochlear implants (BiCIs) and 32 with TH. The participants completed the Finnish Nonword Repetition Test comprising 24 test items with varying syllable lengths. The assessment methods also included tests of phonological, lexical, language comprehension and sentence repetition skills, along with a measure of nonverbal intelligence. The results showed that none of the auditory, linguistic, demographic and cognitive factors examined in the present study were correlated with NWR performance in the BiHA group, while significant correlations between NWR skills and linguistic abilities were observed in the BiCI group. The DHH children showed extraordinary difficulties in NWR compared to their TH peers, and these group differences remained after controlling for linguistic and demographic variables. The NWR task may be a potential clinical tool for identifying DHH children at risk for poor language outcomes and in need of speech and language intervention.","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"946-963"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Phonological assessment and analysis tools for Polish: Construction and use. 波兰语语音评估和分析工具：构建和使用。

IF 1 4区医学

Clinical Linguistics & Phonetics Pub Date : 2025-10-01 Epub Date: 2024-08-14 DOI: 10.1080/02699206.2024.2387611

Paulina Zydorowicz, Barbara May Bernhardt, Ewa Kaptur

引用次数: 0

Tongue dorsum activity in children with velopharyngeal insufficiency vs. typically developing children. 咽发育不全儿童与发育正常儿童的舌背活动。

IF 1 4区医学

Clinical Linguistics & Phonetics Pub Date : 2025-10-01 Epub Date: 2024-10-22 DOI: 10.1080/02699206.2024.2411946

Hedieh Hashemi Hosseinabad, Yixun Xing

{"title":"Tongue dorsum activity in children with velopharyngeal insufficiency vs. typically developing children.","authors":"Hedieh Hashemi Hosseinabad, Yixun Xing","doi":"10.1080/02699206.2024.2411946","DOIUrl":"10.1080/02699206.2024.2411946","url":null,"abstract":"To investigate whether children with velopharyngeal insufficiency (VPI) exhibit increased elevation and retraction of the tongue dorsum. Two quantitative metrics of tongue dorsum activity: Dorsum excursion Index (DEI) and Tongue Constraint Position Index (TCPI) were captured using mid-sagittal images of the tongue obtained from Ultrasound Tongue Imaging. Participants: Six children with velopharyngeal insufficiency (VPI), six children with palate (w/wo cleft lip) without velopharyngeal insufficiency (wo VPI) and ten typically developing children aged 6-15 repeated six different consonants in aCa and iCi contexts five times. A linear mixed-effect model was used to examine the response variables across three groups. Overall, DEI was not significantly higher in the VPI group than in the other two groups. Also, TCPI was not significantly lower in the cleft palate group (VPI and wo VPI). However, significant differences were detected between certain phonetic contexts in the VPI group. In addition, a significant interaction between group and consonant was found in the context of /i/. These findings suggest that the presence of VPI may not lead to a uniform increase in tongue dorsum elevation or retracted position across all speech sounds. Rather, the articulatory behaviours of children with VPI may be influenced by the specific phonetic context and individual variability.","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"989-1007"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lower sentence comprehension than word comprehension in preschool children who stutter predicts persistent stuttering and stuttering severity at school-age. 学龄前口吃儿童句子理解能力低于单词理解能力预示着学龄期口吃的持续性和严重程度。

IF 1 4区医学

Clinical Linguistics & Phonetics Pub Date : 2025-09-30 DOI: 10.1080/02699206.2025.2560630

L W Stipdonk, T Rietveld, M C Franken

{"title":"Lower sentence comprehension than word comprehension in preschool children who stutter predicts persistent stuttering and stuttering severity at school-age.","authors":"L W Stipdonk, T Rietveld, M C Franken","doi":"10.1080/02699206.2025.2560630","DOIUrl":"https://doi.org/10.1080/02699206.2025.2560630","url":null,"abstract":"This study investigated whether preschool language profiles predict persistent stuttering and stuttering severity at school-age, and whether children who stutter (CWS) with specific language profiles respond differently to RESTART-DCM treatment versus the Lidcombe Program (LP). Data from 149 CWS in a longitudinal follow-up of the RESTART randomised trial were analysed. Four difference scores within individual language profiles at preschool age (3;0-6;3 years) were examined: word comprehension minus sentence comprehension quotient (∆WC-SC), word comprehension minus word production quotient (∆WC-WP), word production minus sentence production quotient (∆WP-SP), and sentence comprehension minus sentence production quotient (∆SC-SP). Outcome measures at school age (8-17 years) included Stuttering Severity Instrument scores from trained observers and subjective severity ratings from parents, speech-language pathologists, children, and teachers using Yairi & Ambrose's eight-point scale. Results revealed that children with persistent stuttering (CWS-per) showed imbalanced language profiles at preschool age, particularly with sentence comprehension lagging behind word comprehension. In contrast, children with transient stuttering (CWS-tran) demonstrated balanced profiles. The word-sentence comprehension difference score significantly predicted persistent stuttering and stuttering severity at school age, especially in boys. Treatment type showed no significant effect. In conclusion, an imbalanced preschool language profile, specifically when sentence comprehension lags behind word comprehension, represents a risk factor for persistent stuttering at school age in boys. While this finding has clinical implications, no evidence suggested differential treatment benefits between RESTART-DCM and LP based on the preschool language profile.","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"1-22"},"PeriodicalIF":1.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reliability of a procedure for segmenting extemporaneous speech produced by speakers with Parkinson disease. 帕金森氏病患者即兴言语分词程序的可靠性。

IF 1 4区医学

Clinical Linguistics & Phonetics Pub Date : 2025-09-24 DOI: 10.1080/02699206.2025.2559685

Anna Gravelin Coy, Brent Archer, Mary Oddo, Jason A Whitfield

{"title":"Reliability of a procedure for segmenting extemporaneous speech produced by speakers with Parkinson disease.","authors":"Anna Gravelin Coy, Brent Archer, Mary Oddo, Jason A Whitfield","doi":"10.1080/02699206.2025.2559685","DOIUrl":"https://doi.org/10.1080/02699206.2025.2559685","url":null,"abstract":"Gravelin et al. (2023) developed a segmentation procedure informed by Systemic Functional Linguistics (SFL) for parsing extemporaneous speech samples. The purpose of the current study is to investigate the reliability, utility, and application of this system when it is applied to samples produced by 10 participants with Parkinson Disease (PD). Two expert analysts and one clinician analyst utilised an SFL-based segmentation procedure to identify clauses and clause complexes. We calculated intra- and inter-rater reliability for each analyst and pair of analysts. We also measured speech acoustics, including duration, inter-complex pause durations, and speech rate for each clause complex. Both intra- and inter-rater reliability for SFL segmentation procedures within and between analysts revealed high percent agreement that was significantly greater than chance (κ = 0.661-0.855; p < 0.001) for speakers with PD. Acoustic analyses revealed expected variation in number and duration of spoken syllables of clause complexes between and within speakers. The clause-focused segmentation approach operationalised in Gravelin et al. (2023) and the current study is a reliable method for segmenting extemporaneous speech produced by individuals with PD. Moreover, this method allows for acoustic examination of speech and prosody production.","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"1-17"},"PeriodicalIF":1.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developing acoustic field distribution analysis tools for noninvasive assessment of laterality and nasality in disordered and typical pronunciation. 开发声场分布分析工具，用于无创评估发音紊乱和典型的侧音和鼻音。

IF 1 4区医学

Clinical Linguistics & Phonetics Pub Date : 2025-09-16 DOI: 10.1080/02699206.2025.2550419

Anita Lorenc, Daniel Król, Katarzyna Klessa, Łukasz Mik, Agnieszka Borowiec

{"title":"Developing acoustic field distribution analysis tools for noninvasive assessment of laterality and nasality in disordered and typical pronunciation.","authors":"Anita Lorenc, Daniel Król, Katarzyna Klessa, Łukasz Mik, Agnieszka Borowiec","doi":"10.1080/02699206.2025.2550419","DOIUrl":"https://doi.org/10.1080/02699206.2025.2550419","url":null,"abstract":"This research note presents an acoustic field distribution analyser with sample visualisations, applied to the study of typical and disordered laterality and nasality in speech - an area lacking fully non-invasive diagnostic tools. A portable system was developed by combining a custom circular microphone array with software for temporal, spectral and spatial speech analysis in both horizontal and vertical planes. The array comprises 16 micro-electro-mechanical microphones equipped with pulse-density modulators, along with a laser distance sensor that focuses the acoustic beam on the facial contours and compensates for the speaker's head movements - thereby increasing the array's focusing precision. Two case studies visualise disordered speech in patients with (1) occlusal development disorders and compensatory articulation, and (2) bilateral cleft lip and palate with resonance issues, compared to typical speech patterns. Spatial analysis of the acoustic field distribution enabled a non-invasive comparison of articulation symmetry and air pressure distribution in both the horizontal and vertical planes, facilitating the investigation of (undesired) lateral and (hyper)nasalised pronunciations. The system allows for the investigation of the acoustic field distribution around the speaker's face, offering potential for research, diagnostic and therapeutic uses. Further validation involving a larger group of patients is underway.","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"1-14"},"PeriodicalIF":1.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reduction of hypernasal speakers' nasalance scores with voice focus adjustments: Replication and expansion of findings. 调焦降低高鼻音说话者的鼻平衡评分：结果的重复和扩展。

IF 1 4区医学

Clinical Linguistics & Phonetics Pub Date : 2025-08-22 DOI: 10.1080/02699206.2025.2548213

Tim Bressmann, Loredana Cuglietta, Blanche Hei-Yung Tang, Charlene Santoni

{"title":"Reduction of hypernasal speakers' nasalance scores with voice focus adjustments: Replication and expansion of findings.","authors":"Tim Bressmann, Loredana Cuglietta, Blanche Hei-Yung Tang, Charlene Santoni","doi":"10.1080/02699206.2025.2548213","DOIUrl":"https://doi.org/10.1080/02699206.2025.2548213","url":null,"abstract":"Speech therapy exercises are not considered effective to reduce hypernasality in the speech of children with cleft palate. Previous research studies have shown that nasalance scores of hypernasal speakers were lower in backward and higher in forward voice focus. Conversely, some individual speakers had lower nasalance scores in forward voice focus. The present study sought to replicate and further expand these findings. The study investigated how many hypernasal speakers in a small convenience sample could lower their nasalance using voice focus. For 6 hypernasal speakers (4 F, 2 M, ages 5-18) with repaired cleft palate, nasalance scores were recorded for a non-nasal sentence, a nasal sentence, 2 phonetically varied sentences and a short song at baseline, in backward voice focus, in forward voice focus and at a final baseline. For individual speakers, reductions in nasalance of -10% from baseline were considered meaningful. Mean nasalance scores for all stimuli combined changed significantly from 58.2% nasalance (SD 11.3) at baseline to 44.2% (SD 15.3) in backward voice focus, 60.8% (SD 17.6) in forward voice focus, and 53.0% (SD 11.9) at the final baseline. Nasalance scores in the backward voice focus were significantly lower than the initial baseline and forward voice focus conditions. Inspection of individual scores showed that 4 of the 6 participants showed pronounced reductions in nasalance scores of up to -44% in backward and up to -23% in forward voice focus. Further research about the potential effectiveness of this approach for speech therapy should be undertaken.","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"1-13"},"PeriodicalIF":1.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0