Journal of speech, language, and hearing research : JSLHR最新文献

{"title":"When Do Pragmatic Abilities Peak? Assessment of Pragmatic Abilities and Cognitive Substrates-French Version Psychometric Properties Across the Lifespan.","authors":"Nicolas Petit, Flavia Mengarelli, Marie-Maude Geoffray Cassar, Giorgio Arcara, Valentina Bambini","doi":"10.1044/2025_JSLHR-24-00844","DOIUrl":"https://doi.org/10.1044/2025_JSLHR-24-00844","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims (a) to assess the psychometric properties of a French adaptation of the Assessment of Pragmatic Abilities and Cognitive Substrates (APACS-Fr), a comprehensive test of pragmatic abilities for French-speaking adolescents and adults, and (b) to use it to study lifespan variations in pragmatic abilities, to determine when pragmatic abilities peak.</p><p><strong>Method: </strong>The APACS-Fr was adapted from the original Italian APACS and then used in a cross-sectional design to assess the pragmatic abilities of 184 participants aged between 14 and 88 years with no known disorder. The psychometric properties of the test were analyzed from these data, and age effects were assessed through locally estimated scatter plot smoothing regression and multiple linear regressions.</p><p><strong>Results: </strong>The APACS-Fr was characterized by a good overall internal consistency, a good-to-excellent interrater reliability, and a good structural validity with a unifactorial structure. Age analysis revealed that accuracy consistently improves between 14 and approximately 25-30 years old. A decline in performance was also visible in some tasks after 70 years old. Multiple regressions revealed that socioeconomic status was an additional supporting factor on most tasks; in contrast, gender never resulted as a relevant predictor of performance.</p><p><strong>Conclusions: </strong>Pragmatic abilities keep improving during late adolescence and early adulthood, before reaching a plateau around 25-30 years old, and they may decline after 70 years old. Taking this pattern into account should make research as well as clinical practice with adolescents and adults more accurate. The APACS-Fr embraces such a lifespan perspective. Thanks to its good psychometric properties, this freely distributed tool appears suitable to assess pragmatic abilities in French-speaking adolescents and adults.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.30333901.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145338411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamic Assessment of Inflectional Morphology as a Diagnostic Tool for Developmental Language Disorder in French-Speaking Children.","authors":"Olivia Hadjadj, Margaret Kehoe, Samuel Maistre, Hélène Delage","doi":"10.1044/2025_JSLHR-24-00348","DOIUrl":"https://doi.org/10.1044/2025_JSLHR-24-00348","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to investigate the learning potential of French-speaking children, either with typical development (TD) or with developmental language disorder (DLD), when learning an invented inflectional morphological rule. We tested the children's performance in learning pseudomorphemes of gender and number with dynamic assessment tasks.</p><p><strong>Method: </strong>A total of 101 children with TD and 24 with DLD (<i>M</i>_age = 6;4 [years;months]) were recruited. The gender and number morphological tasks followed the same procedure, with (a) the introduction of a pseudoverb (PV) to describe the action of some animated characters, (b) the explicit teaching of the invented rule (i.e., the adding of a specific pseudomorpheme to the end of the PV), (c) the assessment of children's ability to apply the rule, and (d) the assessment of children's ability to generalize the rule to four other PV. Graduated prompts were provided to assist children in producing the six inflected forms for each PV.</p><p><strong>Results: </strong>Effects of age and diagnosis were found for both tasks. Children with TD were able to learn and generalize the rule, demonstrating a mastery of the rule through to the last PV of the task. However, children with DLD needed more prompts to learn the rule and did not reach a plateau as their peers did. There was also an impact of nonverbal reasoning, but only in children with TD.</p><p><strong>Conclusion: </strong>Our findings allow a better understanding of children's learning processes in inflectional morphology and provide clinicians with a new diagnostic tool, in line with the current definition of DLD.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"1-21"},"PeriodicalIF":2.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145338394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges and Opportunities in Characterizing the Genetics of Stuttering: From Sample Acquisition to Functional Interpretation of the Genome.","authors":"Dillon G Pruett, Alyssa C Scartozzi, Hannah G Polikowsky, Heather M Highland, Doug M Shaw, Lauren E Petty, Alex S Petty, Shelly Jo Kraft, Jennifer E Below","doi":"10.1044/2025_JSLHR-25-00093","DOIUrl":"10.1044/2025_JSLHR-25-00093","url":null,"abstract":"<p><strong>Purpose: </strong>Converging etiological evidence supports a genetic risk for developmental stuttering; however, major gaps detailing the genetic architecture remain. Technological advances in genetics have allowed us to explore novel approaches to analyzing this complex trait, but conducting robust and replicable genetic studies requires large, well-phenotyped cohorts of subjects. This article reviews previous research strategies employed to overcome these challenges in identifying genetic variants associated with stuttering and translating stuttering-associated variants into molecular and cellular mechanisms.</p><p><strong>Method: </strong>We present an overview of data sources and strategies research teams have utilized for the genetic study of stuttering, highlighting the advantages and limitations of each approach. Primary data sources include (a) the International Stuttering Project, (b) the National Longitudinal Study of Adolescent to Adult Health, (c) BioVU, and (d) 23andMe, Inc. In addition to genome-wide association studies (GWASs), we review multiple post-GWAS follow-up analyses to probe the functional impact of stuttering-associated genetic variants and offer new transcriptome-wide analyses.</p><p><strong>Results: </strong>To date, a diverse array of approaches has resulted in the identification of over 50 stuttering-associated genes. Many genetic associations were near or within genes previously linked to known neurological traits, highlighting a neurological role in stuttering. Additionally, validation studies using polygenic risk scores suggested a high level of genetic concordance between our samples. Functional follow-up studies suggest stuttering-associated variants may affect gene expression in tissues relevant to speech-related structures and neural correlates.</p><p><strong>Conclusions: </strong>While understanding how specific regions of the genome contribute to stuttering risk remains complex, research from our team and others has utilized a variety of data sources in an attempt to overcome previous limitations in the identification of genetic variation associated with stuttering. As the field of genetics evolves toward large-scale biobanks for research and discovery, prioritizing inclusion of traits such as stuttering will be key.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.30299764.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"1-21"},"PeriodicalIF":2.2,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Four Decades of Inquiry Into the Genetic Bases of Specific Reading Disability.","authors":"Pavel Dobrynin, Yi Zeng, Marina Norkina, Alina Fedorova, Anna Zhuk, Elena L Grigorenko","doi":"10.1044/2025_JSLHR-25-00050","DOIUrl":"https://doi.org/10.1044/2025_JSLHR-25-00050","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated the genetic bases of specific reading disability (SRD) by systematically cataloging candidate genes reported as associated with SRD and reading-related processes over the last 4 decades and analyzing their evolutionary conservation, developmental expression patterns, and functional networks to address significant knowledge gaps in understanding the genetic architecture of reading (dis)ability.</p><p><strong>Method: </strong>Through a comprehensive literature review, we identified 175 putative SRD (and reading-related processes) candidate genes (hereafter, SRD genes). Using bioinformatic approaches, we analyzed their evolutionary conservation across species, examined their expression patterns in developmental and single-cell transcriptome data sets from the Allen Brain Atlas, and performed functional pathway analyses to identify biological processes associated with these genes.</p><p><strong>Results: </strong>SRD genes showed remarkable evolutionary conservation, with enrichment in ancient taxonomic groups. Developmental transcriptome analysis revealed two distinct gene clusters with expression differentiation around 24 postconception weeks: early genes associated with brain morphology development and later genes involved in synaptic signaling. Single-cell analysis identified cell-type-specific expression patterns and protein-protein interaction networks with hub genes potentially coordinating reading-related neural pathways.</p><p><strong>Conclusions: </strong>Our findings challenge the notion of the existence of reading-specific genes, suggesting instead that SRD reflects the disruption of ancient evolutionary neural mechanisms operating within human-specific brain architecture. The identification of developmental expression transitions and functional networks provides insight into how genetic variation might impact reading development and offers potential targets for future clinical approaches to the identification and remediation of reading difficulties.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.30290446.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"1-16"},"PeriodicalIF":2.2,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145295014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acoustic Analysis of Long Vowels in Jordanian Arabic With Class III Malocclusion.","authors":"Aziz Jaber, Afnan Ibrahim","doi":"10.1044/2025_JSLHR-25-00165","DOIUrl":"10.1044/2025_JSLHR-25-00165","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the acoustic properties of long vowels /ā/, /ū/, and /ī/ adjacent to labiodental and interdental fricatives (/f/, /θ/, /ð/, and /ðˤ/) in Jordanian Arabic speakers with Class III malocclusion compared with those with normal occlusion.</p><p><strong>Method: </strong>Fourteen untreated or early-stage treatment participants with Class III malocclusion and 14 with normal occlusion, representing both sexes, produced 24 consonant-vowel-vowel-consonant monosyllabic words containing the target vowels. Acoustic parameters, including vowel duration and the first three formant frequencies, were analyzed using Praat software.</p><p><strong>Results: </strong>In the environment of /ā/, Class III malocclusion speakers exhibited lower third formant frequency (<i>F</i>3)-mid values than those with normal occlusion. The formant frequencies of /ū/ were significantly affected, with higher <i>F</i>1 and <i>F</i>2 and lower <i>F</i>3 in Class III malocclusion cases. For /ī/, speakers with Class III malocclusion showed higher <i>F</i>1-mid, <i>F</i>2-onset, and <i>F</i>2-midpoint values.</p><p><strong>Conclusion: </strong>The findings suggest that Class III malocclusion alters vowel acoustics, particularly in formant frequencies, contributing to a deeper understanding of its impact on speech production and informing speech therapy interventions.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"4591-4606"},"PeriodicalIF":2.2,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Real-World Listening Experiences of Hearing Aid Users Are Associated With In Situ Heart Rate and Acoustic Data.","authors":"Klaudia Edinger Andersson, Jeppe Høy Christensen, Rasmus P Skipper, Tobias Neher","doi":"10.1044/2025_JSLHR-24-00847","DOIUrl":"10.1044/2025_JSLHR-24-00847","url":null,"abstract":"<p><strong>Background: </strong>Ecological momentary assessment (EMA) combined with acoustic data logging can provide insights into the real-world listening experiences of hearing aid (HA) users. Previous research conducted on individuals with normal hearing has shown that higher sound pressure level (SPL) and lower signal-to-noise ratio (SNR) to be associated with poorer EMA ratings. Furthermore, including listening intent in the analyses revealed higher heart rate to be linked with better EMA ratings during focused listening compared to nonfocused listening. The current study explored if corresponding associations can be observed for HA users.</p><p><strong>Method: </strong>Sixteen experienced HA users completed smartphone-based EMAs during a 2-week trial period. EMAs related to general listening experience and perceived noisiness of the surroundings were collected. When completing the EMAs, the participants also indicated their listening intent (speech-focused, other-focused, or nonfocused listening). The participants were fitted with test HAs that included adaptive noise management and that provided in situ data of the ambient SPL and SNR. Continuous heart rate data were collected using wristbands worn by the participants.</p><p><strong>Results: </strong>Linear mixed-effects models showed that poorer general listening experiences were associated with higher SPL, lower SNR, and higher heart rate, while greater perceived noisiness was associated with higher SPL and lower SNR. When considering the influence of listening intent on these results, poorer general listening experiences and greater perceived noisiness were strongly associated with lower SNR during speech- and other-focused listening compared to nonfocused listening. Furthermore, poorer general listening experiences were associated with higher heart rate during other-focused listening.</p><p><strong>Conclusions: </strong>Louder and noisier environments impact the real-world listening experiences of HA users negatively, especially during focused listening. Overall, these results underscore the importance of the ambient acoustics and listening intent. Further research is needed to shed more light on the relations with heart rate.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"5039-5054"},"PeriodicalIF":2.2,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimal Dosage Characteristics of Recasting for Developmental Language Disorder: A Scoping Review.","authors":"Shengfu Fan, Samuel D Calder, Nenagh Kemp, Alison Holm","doi":"10.1044/2025_JSLHR-24-00885","DOIUrl":"10.1044/2025_JSLHR-24-00885","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this scoping review was to map and summarize currently available evidence about optimal dosage of recasting for developmental language disorder (DLD).</p><p><strong>Method: </strong>A systematic search of databases was completed, including Web of Science, Medline via OvidSP, PsycINFO, Cochrane Library, and Scopus. The inclusion criteria comprised the involvement of DLD intervention, the use of recasting alone or predominantly, and systematic manipulation of one or more dosage characteristics of recasting with the remaining parameters consistent across groups. Single-case experimental design studies were also included.</p><p><strong>Results: </strong>A total of 1,289 studies were included in the review, but only four articles met the criteria. Stratification analysis of an expanded set of 32 publications was then performed for effective dosage values, according to the way recasting was implemented. The effective quantitative dosage of recasting that has often been used is either an intervention duration > 8 weeks including a recast rate > 1.4/min within 30-min sessions, twice per week without high variability input, or a 5-week intervention including a recast rate of 0.8/min within 30-min sessions, five times per week with high variability input.</p><p><strong>Conclusions: </strong>Differences in the way dosage has been described and manipulated in the existing literature mean that the optimal dosage characteristics of recasting for DLD remain unknown. We propose ways to conceptualize dose and dose frequency to avoid ambiguities within the current framework of dosage. This review identifies ways that dosage characteristics of recasting for DLD can be manipulated and reported when designing interventions.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.30015529.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"4917-4941"},"PeriodicalIF":2.2,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of Swallowing Function, Aphasia and High-Level Language Impairment on Discharge Destination Acutely Post-Thrombectomy.","authors":"Pamela D'Netto, Emma Finch, Anna Rumbach, David A Copland","doi":"10.1044/2025_JSLHR-24-00866","DOIUrl":"10.1044/2025_JSLHR-24-00866","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to describe the incidence of aphasia, high-level language impairment, and swallowing impairment in patients post-stroke treated with mechanical thrombectomy (MT) and to identify predictors of impairment and discharge destination.</p><p><strong>Method: </strong>This retrospective study examined impairments diagnosed by a speech-language pathologist in patients post-MT during their admission to the acute stroke unit. Multivariate logistic regression was used to determine the independent predictors of impairments and discharge to inpatient rehabilitation.</p><p><strong>Results: </strong>Language impairment was present in 66.4% (<i>n =</i> 249/375; <i>n =</i> 133 aphasia and <i>n =</i> 116 high-level impairment) and swallowing impairment in 59.1% (<i>n =</i> 238/403) of the patients. National Institute of Health Stroke Scale scores 24-hr post-MT were predictive of language (odds ratio [<i>OR</i>] <i>=</i> 1.09, 95% confidence interval [CI; 1.02, 1.16], <i>p</i> = .011) and swallowing (<i>OR =</i> 1.41, 95% CI [1.26, 1.58], <i>p</i> < .001) impairments. The occlusion site and medical complications post-MT were independently predictive of language and swallowing impairments, respectively. Diagnosed language impairment was a strong predictor of discharge for inpatient rehabilitation (<i>OR</i> = 4.77, 95% CI [1.60, 14.22], <i>p</i> = .005).</p><p><strong>Conclusions: </strong>Swallowing and language impairments, such as aphasia or high-level impairment, in isolation and in combination with other demographic and clinical variables, significantly influence the discharge trajectory of patients acutely post-MT. This information is vital for clinicians who need to prognosticate and plan rehabilitative care.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.30066892.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"4607-4618"},"PeriodicalIF":2.2,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Capitalizing on Digital Health Care for Speech-Language Pathology and Audiology Professions to Be Contextually Relevant, Responsive, and Responsible in South Africa: A Narrative Review.","authors":"Katijah Khoza-Shangase","doi":"10.1044/2025_JSLHR-24-00895","DOIUrl":"10.1044/2025_JSLHR-24-00895","url":null,"abstract":"<p><strong>Background: </strong>The integration of digital health care technologies into speech-language pathology and audiology is rapidly transforming service delivery. In South Africa and other low- and middle-income countries (LMICs), digital tools offer significant opportunities to address access challenges and enhance patient outcomes. However, the adoption of these technologies requires careful consideration of contextual factors.</p><p><strong>Objective: </strong>This study is a narrative review that analyzes the role of digital health care in speech-language pathology and audiology within the South African and LMIC context.</p><p><strong>Method: </strong>A narrative review of 64 studies was conducted, extracting and synthesizing data into key thematic areas. The synthesis focused on the impact of digital health care on service delivery, training and capacity building, ethical challenges, and policy implications.</p><p><strong>Results: </strong>The results highlight opportunities and challenges associated with digital health care implementation in speech-language pathology and audiology. Findings reveal five major themes in line with study objectives: (a) Digital health care enhances accessibility and equity in speech-language pathology and audiology services, particularly through telehealth and mobile applications; (b) artificial intelligence-driven diagnostics and personalized interventions improve efficiency and patient outcomes; (c) barriers include infrastructure deficits, regulatory gaps, and digital literacy challenges; (d) ethical and cultural considerations must be addressed to ensure inclusivity and equitable care; and (e) professional training and continuous professional development are critical for equipping practitioners with the necessary skills to integrate digital tools into clinical practice effectively.</p><p><strong>Conclusions: </strong>Digital health care presents a transformative opportunity for speech-language pathology and audiology, but its success in South Africa and LMICs depends on targeted investments, policy alignment, and culturally responsive implementation. Key recommendations include expanding digital infrastructure, integrating digital health care training into academic curricula, establishing regulatory and ethical guidelines, and promoting research on the contextual adaptation of digital tools. By embracing these strategies, speech-language pathology and audiology professions can enhance service delivery; improve patient outcomes; and ensure digital health care is contextually relevant, responsive, and responsible.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29997847.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"5086-5100"},"PeriodicalIF":2.2,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapy for Childhood Apraxia of Speech Through a Dynamic Systems Lens: A Tutorial.","authors":"Jacqueline Lim, Patricia McCabe, Alison Purcell","doi":"10.1044/2025_JSLHR-25-00024","DOIUrl":"10.1044/2025_JSLHR-25-00024","url":null,"abstract":"<p><strong>Purpose: </strong>Dynamic Systems Theory (DST) has been used as a foundational lens through which to observe and understand child development and disorders. Childhood apraxia of speech (CAS) is a motor planning speech disorder that can be difficult to treat. This tutorial outlines how a DST framework can be used to understand the therapy process for children with CAS, thus aiding clinicians to provide more individualized and focused therapy for these children.</p><p><strong>Method: </strong>This tutorial will focus on three concepts from DST that may have relevance for CAS related therapy. These are: (a) multicausality, (b) variability, and (c) self-organization. This tutorial will describe DST and demonstrate its usefulness in understanding the therapy process in children with CAS through a case study that outlines how the application of a dynamic systems framework can enhance the clinical practice of speech-language pathologists.</p><p><strong>Conclusions: </strong>DST can be a useful theoretical framework to apply when attempting to understand the nature of a child's presentation of CAS. This can then be used to develop individualized and flexible treatment plans that help to support the child through developmental change.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"4567-4579"},"PeriodicalIF":2.2,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145067438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}