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      The influence of (central) auditory processing disorder on the severity of speech-sound disorders in children

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          Abstract

          OBJECTIVE:

          To identify a cutoff value based on the Percentage of Consonants Correct-Revised index that could indicate the likelihood of a child with a speech-sound disorder also having a (central) auditory processing disorder .

          METHODS:

          Language, audiological and (central) auditory processing evaluations were administered. The participants were 27 subjects with speech-sound disorders aged 7 to 10 years and 11 months who were divided into two different groups according to their (central) auditory processing evaluation results.

          RESULTS:

          When a (central) auditory processing disorder was present in association with a speech disorder, the children tended to have lower scores on phonological assessments. A greater severity of speech disorder was related to a greater probability of the child having a (central) auditory processing disorder. The use of a cutoff value for the Percentage of Consonants Correct-Revised index successfully distinguished between children with and without a (central) auditory processing disorder.

          CONCLUSIONS

          : The severity of speech-sound disorder in children was influenced by the presence of (central) auditory processing disorder. The attempt to identify a cutoff value based on a severity index was successful.

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          Most cited references77

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          Neurobiological basis of speech: a case for the preeminence of temporal processing.

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            A Neural Theory of Speech Acquisition and Production.

            This article describes a computational model, called DIVA, that provides a quantitative framework for understanding the roles of various brain regions involved in speech acquisition and production. An overview of the DIVA model is first provided, along with descriptions of the computations performed in the different brain regions represented in the model. Particular focus is given to the model's speech sound map, which provides a link between the sensory representation of a speech sound and the motor program for that sound. Neurons in this map share with "mirror neurons" described in monkey ventral premotor cortex the key property of being active during both production and perception of specific motor actions. As the DIVA model is defined both computationally and anatomically, it is ideal for generating precise predictions concerning speech-related brain activation patterns observed during functional imaging experiments. The DIVA model thus provides a well-defined framework for guiding the interpretation of experimental results related to the putative human speech mirror system.
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              The percentage of consonants correct (PCC) metric: extensions and reliability data.

              Research in normal and disordered phonology requires measures of speech production that are biolinguistically appropriate and psychometrically robust. Their conceptual and numeric properties must be well characterized, particularly because speech measures are increasingly appearing in large-scale epidemiologic, genetic, and other descriptive-explanatory database studies. This work provides a rationale for extensions to an articulation competence metric titled the Percentage of Consonants Correct [PCC; Shriberg & Kwiatkowski, 1982; Shriberg, Kwiatkowski, Best, Hengst, & Terselic-Weber, 1986], which is computed from a 5- to 10-minute conversational speech sample. Reliability and standard error of measurement estimates are provided for 9 of a set of 10 speech metric including the PCC. Discussion includes rationale for selecting one or more of the 10 metrics for specific clinical and research needs.
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                Author and article information

                Journal
                Clinics (Sao Paulo)
                Clinics (Sao Paulo)
                Clinics
                Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
                1807-5932
                1980-5322
                February 2016
                February 2016
                : 71
                : 2
                : 62-68
                Affiliations
                Faculdade de Medicina da Universidade de São Paulo, Departamento de Fisoterapia, Ciência da Comunicação & Transtornos, Terapia Ocupacional, São Paulo/, SP, Brazil
                Author notes
                *corresponding author E-mail: renamaca@ 123456usp.br
                Article
                cln_71p62
                10.6061/clinics/2016(02)02
                4760364
                26934233
                0d371f2e-c05e-4714-b412-1f6c291a06f9
                Copyright © 2016 CLINICS

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 14 October 2015
                : 27 November 2015
                : 27 November 2015
                Categories
                Clinical Science

                Medicine
                phonological impairments,speech articulation tests,auditory perceptual disorders,child,auditory perception

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