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Questions and Answers
What is one of the parameters assessed in the perceptual speech assessment of dysarthria?
What is one of the parameters assessed in the perceptual speech assessment of dysarthria?
Which category does not belong to the Mayo clinic classification of dysarthria?
Which category does not belong to the Mayo clinic classification of dysarthria?
In the vowel prolongation task, how long should participants sustain the sound 'ah'?
In the vowel prolongation task, how long should participants sustain the sound 'ah'?
What does the alternating motion rates (DDK) task primarily assess?
What does the alternating motion rates (DDK) task primarily assess?
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Which of the following is not an interest parameter in the sequential motion rates task?
Which of the following is not an interest parameter in the sequential motion rates task?
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What type of speech signal feature is associated with instrumental assessment?
What type of speech signal feature is associated with instrumental assessment?
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Which parameter is included in both the BRAV assessment for Sam and Jim?
Which parameter is included in both the BRAV assessment for Sam and Jim?
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Which aspect is not directly measured in perceptual speech assessment?
Which aspect is not directly measured in perceptual speech assessment?
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What is indicated by imprecise consonants and distorted vowels in speech production?
What is indicated by imprecise consonants and distorted vowels in speech production?
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What type of speech may result from unilateral or bilateral velar paralysis?
What type of speech may result from unilateral or bilateral velar paralysis?
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What does abnormal stress in speech refer to?
What does abnormal stress in speech refer to?
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Which of the following is NOT a characteristic of dysprosody?
Which of the following is NOT a characteristic of dysprosody?
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What is the focus of instrumental speech evaluation?
What is the focus of instrumental speech evaluation?
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What might be observed in a patient with irregular articulatory breakdowns?
What might be observed in a patient with irregular articulatory breakdowns?
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What does a speech spectrogram analyze?
What does a speech spectrogram analyze?
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Which feature is a sign of accelerative speech?
Which feature is a sign of accelerative speech?
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Which assessment quantifies single-word intelligibility, sentence intelligibility, and speaking rate in speakers with dysarthria?
Which assessment quantifies single-word intelligibility, sentence intelligibility, and speaking rate in speakers with dysarthria?
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What is the purpose of the Frenchay Dysarthria Assessment?
What is the purpose of the Frenchay Dysarthria Assessment?
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Which test was revised and associated with Robertson in 1995?
Which test was revised and associated with Robertson in 1995?
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Which component is included in the Frenchay Dysarthria Assessment?
Which component is included in the Frenchay Dysarthria Assessment?
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What type of test is the Sentence Intelligibility Test?
What type of test is the Sentence Intelligibility Test?
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Which of the following assessments is primarily focused on dysarthric speech reflexes?
Which of the following assessments is primarily focused on dysarthric speech reflexes?
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Which assessment measures the ability to produce single words?
Which assessment measures the ability to produce single words?
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What aspect does the Assessment of Intelligibility of Dysarthric Speech NOT quantify?
What aspect does the Assessment of Intelligibility of Dysarthric Speech NOT quantify?
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What does speech intelligibility primarily focus on?
What does speech intelligibility primarily focus on?
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What does comprehensibility emphasize in communication?
What does comprehensibility emphasize in communication?
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Which assessment tool is specifically for measuring word-level intelligibility?
Which assessment tool is specifically for measuring word-level intelligibility?
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What is one limitation of the intelligibility measurement index?
What is one limitation of the intelligibility measurement index?
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Which of the following is NOT listed as a connected speech level assessment?
Which of the following is NOT listed as a connected speech level assessment?
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How is efficiency defined in the context of intelligibility assessment?
How is efficiency defined in the context of intelligibility assessment?
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Which assessment would likely analyze conversational speech?
Which assessment would likely analyze conversational speech?
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What factor can influence intelligibility aside from the speaker's clarity?
What factor can influence intelligibility aside from the speaker's clarity?
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How has the individual's speech problem affected their self-perception?
How has the individual's speech problem affected their self-perception?
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What might the individual feel when someone asks them to repeat?
What might the individual feel when someone asks them to repeat?
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How does the individual perceive their speech problem in relation to their independence?
How does the individual perceive their speech problem in relation to their independence?
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What is the individual's perspective on feeling inadequate due to their speech problem?
What is the individual's perspective on feeling inadequate due to their speech problem?
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How does the individual view their speech problem's impact on their fundamental identity?
How does the individual view their speech problem's impact on their fundamental identity?
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What feeling does the individual report when they are misunderstood?
What feeling does the individual report when they are misunderstood?
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In terms of coping with their speech problem, how has the individual adjusted their confidence?
In terms of coping with their speech problem, how has the individual adjusted their confidence?
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How does the individual feel about talking compared to how they used to feel?
How does the individual feel about talking compared to how they used to feel?
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Study Notes
Speech Signal Features
- Speech signal features can be instrumental or visual.
- Instrumental features include breathing, resonance, articulation, and voice.
- Visual features include kinematic and aerodynamic characteristics.
Perceptual Speech Assessment
- Perceptual speech assessment is based on distinctive speech characteristics.
- Mayo clinic classification of dysarthria (DAB) is based on perceptual speech assessment.
- The Mayo Clinic classification of dysarthria considers 38 speech characteristics.
- The Mayo Clinic classification of dysarthria considers 38 speech characteristics that fall into different categories.
Speech Assessment Tasks
- Vowel prolongation is assessing how long a person can say "ah" steadily and clearly.
- Parameters measured in vowel prolongation include pitch, loudness, voice quality, and breath support.
- Alternating motion rates (DDK) assesses speed and regularity of articulator movements.
- The DDK task assesses articulatory precision.
- Sequential motion rates (SMRs) assesses rapid sequential movement from one articulatory position to another.
- Speech production at word and sentence level assesses articulation.
- Picture description assesses articulation, it may reveal imprecise bilabial sounds if the person has lip weakness.
- Connected speech assessments assess articulation and resonance.
- Resonance assessments include: asking the person to say “u” with a mirror under the nose and asking the person to differentiate between phonemes "nay/bay" and "may/pay".
- Prosody assessments focus on: dysprosody, monotonous speech, uneven and equal stress patterns in speech, and intonation.
Instrumental Speech Evaluation
- Instrumental speech evaluation visually displays and quantifies frequency, intensity and temporal components of speech.
- Computerised Speech Lab (https://www.youtube.com/watch?v=2yO3JZB-yvU) is an example of instrumental speech evaluation.
Formal Dysarthria Assessment
- Frenchy Dysarthria Assessment (FDA) assesses cough reflex, swallow reflex, drool at rest, breathing at rest and during speech, lip function in various movements, jaw function, palate function, laryngeal function, tongue function in various movements, and intelligibility.
- Assessment of Intelligibility of Dysarthric Speech (AIDS) quantifys single-word intelligibility, sentence intelligibility, and speaking rate.
- Sentence Intelligibility Test (SIT) assesses the intelligibility of sentences, the test can be administered by a clinician or through a computer.
- Word Intelligibility Test (WIT) assesses the intelligibility of individual words, the test can be administered by a clinician or through a computer.
- Robertson Dysarthria Profile assesses a wide variety of speech and oral motor functions.
Assessment of Intelligibility, Comprehensibility, and Efficiency (ICE)
- Intelligibility is the accuracy with which an acoustic signal is conveyed by the speaker and recovered by the listener.
- Comprehensibility is the extent to which a message can be understood by the listener within a communication context.
- Efficiency is the overall effectiveness of communication.
Intelligibility Measurement
- Index of severity assesses the severity of a speech impairment.
- Index of functional limitation assesses the impact of a speech impairment on a person’s ability to communicate.
Comprehensibility
- Comprehensibility includes: semantic, syntactic, and physical contexts.
- It is influenced by a wide range of factors beyond the speech signal itself.
Communication Effectiveness Survey (CES)
- The CES measures a person’s perception of their own speech difficulties.
Severity Rating of Functional Speech
- ASHA NOMS Motor Speech Workshop: rates the severity of a person's speech problems and identifies areas for therapy intervention.
- Therapy Outcome Measure (TOM) Activity Scale: Dysphasia/Aphasia measures the functional impact of dysarthria on a person’s ability to communicate.
Additional Information
- Frenchay Dysarthria Assessment (FDA): see video demonstration here: https://www.youtube.com/watch?v=m2ZR1JCmkmw&t=552s
- Assessment of Intelligibility of Dysarthric Speech (AIDS): see video demonstration here: https://www.youtube.com/watch?v=4-4FJa84daw
- Robertson Dysarthria Profile: See Blackboard.
- ASHA NOMS Motor Speech Workshop: Watch this clip and rate the persons speech using the ASHA NOMS scale: https://www.youtube.com/watch?v=R-3oasbo-28
- Therapy Outcome Measure (TOM) Activity Scale: Dysphasia / Aphasia: http://www.communitytherapy.org.uk/slides/Measuring_Impact_Stroke_on_Conversation_ABowen.pdf
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Description
This quiz covers essential aspects of speech signal features, including instrumental and visual characteristics. It also delves into perceptual speech assessment, particularly the Mayo Clinic classification of dysarthria, and evaluates various speech assessment tasks like vowel prolongation and alternating motion rates. Test your knowledge on these crucial components of speech analysis.