American Journal of Speech-Language Pathology最新文献

{"title":"Speech Sound Production in Australian English-Dutch Bilingual Children.","authors":"Hayo Terband, Bhavana Bhat, Anniek van Doornik","doi":"10.1044/2024_AJSLP-24-00261","DOIUrl":"10.1044/2024_AJSLP-24-00261","url":null,"abstract":"<p><strong>Purpose: </strong>Determining if suspected speech errors in bilingual children are due to bilingual language acquisition or a speech sound disorder is challenging for speech-language pathologists (SLPs). This study investigates how the productions of nonword imitation (NWI) tasks of English-Dutch bilingual children differ from other speech tasks, both in direct comparison and relative to norm data.</p><p><strong>Method: </strong>Seventy-seven typically developing Australian English-Dutch bilingual children aged 4-12 years participated in this study. All children completed the Dutch test battery called the Computer Articulation Instrument. Data on language exposure were collected through parent/caregiver questionnaires.</p><p><strong>Results: </strong>The English-Dutch bilingual children scored lower than the norm data on the picture-naming and consistency task but not on NWI and diadochokinesis tasks. Specific phonological processes were more evident in bilingual children, and these patterns differed according to the task. The consistency task revealed a unique pattern of production in bilingual children.</p><p><strong>Conclusions: </strong>The results confirm that the NWI task may be the most language neutral. Detailed phonological error analysis indicates that SLPs assessing English-Dutch bilingual children should pay attention to voice onset time, fricatives, and vowels.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2452-2463"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Automated Scoring of the Speech Intelligibility Test Using Autoscore.","authors":"Kaila L Stipancic, Tyson S Barrett, Kris Tjaden, Stephanie A Borrie","doi":"10.1044/2024_AJSLP-24-00276","DOIUrl":"10.1044/2024_AJSLP-24-00276","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the current study was to develop and test extensions to Autoscore, an automated approach for scoring listener transcriptions against target stimuli, for scoring the Speech Intelligibility Test (SIT), a widely used test for quantifying intelligibility in individuals with dysarthria.</p><p><strong>Method: </strong>Three main extensions to Autoscore were created including a compound rule, a contractions rule, and a numbers rule. We used two sets of previously collected listener SIT transcripts (<i>N</i> = 4,642) from databases of dysarthric speakers to evaluate the accuracy of the Autoscore SIT extensions. A human scorer and SIT-extended Autoscore were used to score sentence transcripts in both data sets. Scoring performance was determined by (a) comparing Autoscore and human scores using intraclass correlations (ICCs) at individual sentence and speaker levels and (b) comparing SIT-extended Autoscore performance to the original Autoscore with ICCs.</p><p><strong>Results: </strong>At both the individual sentence and speaker levels, Autoscore and the human scorer were nearly identical for both Data Set 1 (ICC = .9922 and ICC = .9767, respectively) and Data Set 2 (ICC = .9934 and ICC = .9946, respectively). Where disagreements between Autoscore and a human scorer occurred, the differences were often small (i.e., within 1 or 2 points). Across the two data sets (<i>N</i> = 4,642 sentences), SIT-extended Autoscore rendered 510 disagreements with the human scorer (vs. 571 disagreements for the original Autoscore).</p><p><strong>Discussion: </strong>Overall, SIT-extended Autoscore performed as well as human scorers and substantially improved scoring accuracy relative to the original version of Autoscore. Coupled with the substantial time and effort saving provided by Autoscore, its utility has been strengthened by the extensions developed and tested here.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2397-2408"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Training on Childhood Apraxia of Speech: Experiences of Speech-Language Pathologists.","authors":"Sydney Keller, Hannah Valentine, Daphna Harel, Maria I Grigos","doi":"10.1044/2025_AJSLP-24-00224","DOIUrl":"10.1044/2025_AJSLP-24-00224","url":null,"abstract":"<p><strong>Purpose: </strong>The diagnosis and treatment of childhood apraxia of speech (CAS) remains a clinical challenge for many speech-language pathologists (SLPs). Given this, it is imperative to understand how SLPs learn about CAS during graduate school and throughout their careers.</p><p><strong>Method: </strong>In the current study, American Speech-Language-Hearing Association-certified SLPs who practice in the United States and work with young children completed a 32-item online survey. Survey items aimed to understand SLPs' experiences learning about CAS during graduate school and through continuing education (CE). Respondents were evaluated on their knowledge of diagnosing and treating CAS (against an expert consensus). Finally, the survey sought to investigate how respondents' learning experiences related to their knowledge of diagnosing and treating CAS.</p><p><strong>Results: </strong>In total, 346 clinicians completed the survey. Reliance on CE (<i>p</i> < .001) and scientific literature in SLP (<i>p</i> < .01) were found to be the only positive significant predictors of CAS knowledge. No graduate school experiences positively predicted CAS knowledge. The majority of clinicians indicated being unprepared to diagnose and treat CAS based on their graduate-level education but reported high levels of satisfaction for CE resources for CAS.</p><p><strong>Conclusions: </strong>Results of this study highlight challenges in graduate program models for training on CAS. Implications for graduate program models are discussed.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2464-2484"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acoustic Measures of Word-Level Prosody in Childhood Apraxia of Speech: An Initial Validation Study.","authors":"Meghan Littlejohn, Edwin Maas","doi":"10.1044/2025_AJSLP-24-00260","DOIUrl":"10.1044/2025_AJSLP-24-00260","url":null,"abstract":"<p><strong>Background: </strong>The \"gold standard\" of childhood apraxia of speech (CAS) diagnosis is expert clinical judgment based on perception of core features: inconsistent errors, impaired transitions, and impaired prosody. However, this standard has several limitations, which may be addressed with acoustic measures.</p><p><strong>Purpose: </strong>This retrospective study aims to provide initial validity evidence for nine acoustic measures of prosody and examine lexical stress production in CAS.</p><p><strong>Method: </strong>The study involves 33 children with CAS (4-8 years) imitating six bisyllabic words (three strong-weak, three weak-strong). For each word, nine acoustic measures of prosody were obtained: three pairwise variability index measures, two lexical stress ratio measures and their three component ratios, and word syllable duration. To address construct validity, we examined effects of stress pattern, age, and severity. To address convergent validity, we correlated acoustic measures with each other and with clinical-perceptual judgments of prosody. Finally, we examined the degree to which children with CAS differentiated stressed and unstressed syllables.</p><p><strong>Results: </strong>Findings revealed that acoustic measures differed between stress patterns. Six of the measures had moderate and significant correlations with CAS severity for strong-weak words but not weak-strong words, and none of the measures correlated with age. All acoustic measures showed moderate or strong correlations with each other for strong-weak words but only some did for weak-strong words. None of the measures correlated significantly with clinical-perceptual measures of prosody. Children demonstrated equal stress on most measures for strong-weak words but clear evidence of stress differentiation for weak-strong words.</p><p><strong>Conclusions: </strong>This study provides qualified initial support for the validity of all acoustic measures. Findings replicate and extend prior research to show that children with CAS may have difficulty with production of lexical stress. Prospective research is needed to control for stimulus features with a larger sample that includes a range of diagnoses.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29289032.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2485-2508"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinician and Caregiver Perspectives on a Community-Based Dynamic Temporal and Tactile Cueing Treatment Trial for Childhood Apraxia of Speech: Exploring Perceptions of Research and Routine Clinical Practice.","authors":"Donna C Thomas, Geraldine Bricker-Katz, Elizabeth Murray, Shelley L Velleman, Jenya Iuzzini-Seigel","doi":"10.1044/2024_AJSLP-24-00228","DOIUrl":"10.1044/2024_AJSLP-24-00228","url":null,"abstract":"<p><strong>Purpose: </strong>Dynamic Temporal and Tactile Cueing (DTTC) is an evidence-based treatment for children with childhood apraxia of speech. In clinical practice, speech-language pathologists (SLPs) frequently use an eclectic approach incorporating aspects of DTTC, for reasons that are not well understood. This research note describes a qualitative investigation of the experiences of SLPs and caregivers who participated in protocolized research DTTC for a 24-session treatment efficacy study. Specifically, we sought to understand the perspectives of these SLPs and caregivers regarding (a) DTTC treatment, as provided during the study, and (b) participating in a treatment research study.</p><p><strong>Method: </strong>Four SLPs and three caregivers participated in semistructured interviews, via Zoom, 4 weeks after the treatment study. Questions explored perceptions of research DTTC treatment and experiences of participating in a research study. Data were analyzed with inductive thematic analysis using an iterative and reflective process.</p><p><strong>Results: </strong>One overarching main theme was identified: \"Research and clinical practice: Different priorities and processes,\" with five subthemes. The subthemes were (a) research DTTC is more challenging, (b) research DTTC is surprisingly effective, (c) clinical practice is preferable to research, (d) research participation leads to new learning, and (e) power differential exists between researchers and clinicians.</p><p><strong>Conclusions: </strong>Aspects of the research DTTC were uncomfortable for SLPs and families, despite its efficacy and what they learned from participating. SLPs perceived a schism between researchers and clinicians. More needs to be done to decrease the perceived gap between researchers and clinicians to facilitate implementation of evidence-based practice in nonresearch contexts.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28299764.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2509-2518"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Pathway to Research-Reliable Dynamic Temporal and Tactile Cueing for Children With Childhood Apraxia of Speech: A Multiphase Process for Training Community Clinicians.","authors":"Julie Case, Maria I Grigos, Shelley L Velleman, Elizabeth Murray, Donna C Thomas, Shelby Anumandla, Jenya Iuzzini-Seigel","doi":"10.1044/2025_AJSLP-24-00239","DOIUrl":"10.1044/2025_AJSLP-24-00239","url":null,"abstract":"<p><strong>Purpose: </strong>Mounting research supports the use of motor-based intervention (e.g., Dynamic Temporal and Tactile Cueing [DTTC]) for children with childhood apraxia of speech (CAS), but large randomized controlled trials (RCTs) are needed to better understand optimal treatment conditions. Partnering with community clinicians may help support recruitment and data collection for large groups of participants with CAS. However, to achieve this, rigorous training is needed to ensure high-fidelity treatment and adherence to research protocols. This work presents a multiphase process for training community clinicians to implement high-fidelity DTTC. We then examined whether clinician factors predicted their performance on assessment tasks used to determine eligibility to be hired as research clinicians and DTTC treatment fidelity.</p><p><strong>Method: </strong>Community clinicians underwent a multiphase process of application, training, and assessment tasks to determine their eligibility as research clinicians for an RCT on DTTC dose frequency. Throughout the RCT, DTTC treatment fidelity was monitored across 20% of all treatment sessions. Linear regressions were performed to determine if clinician factors predicted performance on (a) eligibility assessment tasks and (b) DTTC fidelity with the first RCT participant.</p><p><strong>Results: </strong>DTTC fidelity during the eligibility assessment phase was predicted by clinicians' prior DTTC experience, but not years of overall clinician experience or CAS-specific experience. No clinician factors predicted DTTC fidelity within the RCT.</p><p><strong>Conclusions: </strong>Results suggest that this multiphase process was successful in preparing community clinicians to provide research-reliable DTTC treatment, even when prior clinical experience varied. We posit that multiple and varied learning opportunities, combined with individualized feedback, mentorship, and self-reflection, contributed to these results.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2359-2382"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Pilot Study of Listening Fatigue: Impacts of Pediatric Dysarthria on Adult Listeners.","authors":"Jennifer U Soriano, Tristan J Mahr, Paul J Rathouz, Katherine C Hustad","doi":"10.1044/2024_AJSLP-24-00259","DOIUrl":"10.1044/2024_AJSLP-24-00259","url":null,"abstract":"<p><strong>Purpose: </strong>We sought to characterize fatigue of adults when listening to speech of children with cerebral palsy (CP).</p><p><strong>Method: </strong>Fifty-seven children with CP (19 without dysarthria and 38 with dysarthria) produced single-word and multiword speech samples. One hundred fourteen adult listeners completed transcription intelligibility tasks and provided listening fatigue ratings. Multiword utterances were analyzed in terms of speech rate and communication efficiency.</p><p><strong>Results: </strong>Intraclass correlations showed large individual differences for listening fatigue ratings. Pearson correlations showed negative relationships between listening fatigue and intelligibility; however, the magnitude varied depending upon utterance length and dysarthria status of child speakers. Pearson correlations between listening fatigue and speech rate and between listening fatigue and communication efficiency varied depending upon dysarthria status of child speakers. Welch's <i>t</i> test showed that listeners of children with dysarthria had higher fatigue ratings than listeners of children without dysarthria. Listeners of children with dysarthria were more fatigued following multiword utterances than single-word utterances. Best subset regression showed that the combined effect of dysarthria status, intelligibility, and speech rate best explained listening fatigue of adult listeners.</p><p><strong>Conclusions: </strong>Listeners had increased levels of fatigue when they heard dysarthric speech relative to nondysarthric speech. The needs of both speaker and listener should be considered when supporting children with CP and dysarthria to achieve successful communication.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2409-2424"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Stability of Communicative Participation and Level of Daily Speech Usage Among Individuals With Hypophonia and Parkinson's Disease.","authors":"Allyson D Page, Cynthia Mancinelli, Julie Theurer, Mandar Jog, Scott G Adams","doi":"10.1044/2024_AJSLP-24-00192","DOIUrl":"10.1044/2024_AJSLP-24-00192","url":null,"abstract":"<p><strong>Purpose: </strong>This exploratory study evaluated the test-retest stability of three participation-based patient-reported outcome measures (PROMs) rated by individuals with Parkinson's disease (IWPD), primary communication partners (PCPs) serving as proxy raters, and control participants over three study visits spanning approximately 1 month.</p><p><strong>Method: </strong>Twenty-three IWPD and hypophonia, 23 PCPs, and 30 control participants attended three non-intervention experimental visits. During each visit, all participants completed three participation-based PROMs: Communicative Participation Item Bank (CPIB), Voice Activity and Participation Profile (VAPP), and Levels of Speech Usage Scale (LSUS). Proxy ratings for each PROM were completed by PCPs.</p><p><strong>Results: </strong>Results indicated significant differences between IWPD and control participants on all PROMs. IWPD exhibited lower scores on the CPIB and LSUS and higher scores on the VAPP compared to control participants. There was relative agreement in ratings between IWPD and their PCPs on all PROMs. Finally, there were relatively stable test-retest scores on all three PROMs over the three study visits, both within and between IWPD and PCPs. An exception was a statistically, but not clinically significant, decrease in CPIB scores between Visit 1 and Visit 3 for IWPD.</p><p><strong>Conclusions: </strong>This study has contributed to our understanding of the measurement properties of the CPIB, VAPP, and LSUS related to the test-retest stability of these measures over three time points in IWPD, proxy raters, and control participants. These findings provide additional context in the interpretation of participation-based PROMs in this clinical population and may prove to be useful in interpreting changes to participation-based PROM scores.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2425-2439"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Refined Operational Definitions for the Apraxia of Speech Rating Scale.","authors":"Marja-Liisa Mailend, Adam Jacks, Katarina L Haley","doi":"10.1044/2025_AJSLP-24-00229","DOIUrl":"10.1044/2025_AJSLP-24-00229","url":null,"abstract":"<p><strong>Purpose: </strong>The Apraxia of Speech Rating Scale (ASRS; Strand et al., 2014) has quickly emerged as a standard for apraxia of speech (AOS) diagnosis in stroke despite mixed evidence. The purpose of this study was to analyze, clarify, and revise the scoring procedures and item definitions of the ASRS as a preliminary step for investigating the scale's psychometric properties in stroke.</p><p><strong>Method: </strong>We evaluated the interpretation of the ASRS items and scale procedures by independently rating the video and audio examples provided with the latest dissemination of the ASRS. Discrepancies in ratings were discussed after each rating.</p><p><strong>Results: </strong>Upon discussing the rating discrepancies, our team identified barriers to using the scale, including lack of clear operational definitions for the scale items, difficulties with applying the multidimensional rating scale, mismatch between the scale description and item description, and lack of detailed procedures for applying the scale. Based on this analysis, we developed a series of rules for scoring the ASRS in our own research applications with stroke survivors. We also clarified scale labels and operationalized definitions for most of the scale items.</p><p><strong>Conclusions: </strong>Several potential concerns for reliable use of the ASRS were identified and addressed by clarifying the scale procedures and item definitions. We plan to use the updated procedures and definitions in research applications and are sharing them here for further input and potential applications from the research community. Research is needed to evaluate the impact of the changes on diagnostic classification and severity estimation for AOS.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2519-2532"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differential Diagnostic Patterns of Acquired Motor Speech Disorders in Children: A Preliminary Investigation of Four Case Studies.","authors":"Drew Mancini, Caitlin Cain, Allison Hilger","doi":"10.1044/2025_AJSLP-24-00225","DOIUrl":"10.1044/2025_AJSLP-24-00225","url":null,"abstract":"<p><strong>Purpose: </strong>This clinical focus article aimed to explore how motor speech disorders (MSDs) manifest in children with acquired brain injury (ABI) and determine if an adult diagnostic system, such as the Mayo Clinic System, applies to pediatric cases.</p><p><strong>Method: </strong>Four children with ABI with differing loci of impairment were evaluated to compare perceptual speech features and how they align or diverge from expected adult profiles with similar loci of impairment. Two expert speech-language pathologists identified perceptual speech features from the recorded motor speech evaluations and determined motor speech disorder diagnosis and severity based on consensus.</p><p><strong>Results: </strong>Three out of the four children had clear motor speech disorder diagnoses (flaccid dysarthria, ataxic dysarthria, and apraxia). The one child with a less clear diagnosis had mixed dysarthria from diffuse traumatic brain injury. Regardless, the perceptual speech and nonspeech features identified per child matched with expected findings from neuroimaging and expected motor speech profiles from the Mayo Clinic System.</p><p><strong>Conclusions: </strong>From this preliminary study, children with ABI fit into expected motor speech subgroups based on the Mayo Clinic classification system. Differential diagnosis in pediatric MSDs in the hospital setting has clinical implications for evaluation, treatment, and interdisciplinary communication with other health care providers.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2383-2396"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}