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Purpose: This study determined the time course of the emergence of prevocalic stop consonants in young children with cleft palate following surgical repair. Method: A total of 120 children in four cohorts from three institutions were followed from 12 to 24 months of age: (a) 24 with repaired cleft lip and palate (CLP), (b) 36 with repaired cleft palate only (CP), (c) 33 without clefts but with histories of frequent otitis media and ventilation tubes (OM), and (d) 27 typically developing (TD) children without clefts or OM. Emergence of prevocalic stops and symbolic language skills were determined during administration of the Communication and Symbolic Behavioral Scales Developmental Profile. Parametric survival models were fitted with and without covariates--recruitment site, gender, maternal education level, middle ear status, language ability, and age at surgery for children with clefts--to describe the time course of the emergence of prevocalic stops. Results: The estimated age at which 80% of children demonstrated prevocalic stop emergence was 15.0, 15.3, 18.9, and 21.8 months for TD, OM, CP, and CLP groups, respectively (p < .001, unadjusted model). Both CP and CLP cohorts had a significantly longer time to stop emergence than either the TD or OM cohorts, even after adjusting for covariates. Abnormal middle ear status, lower symbolic language ability, and older age at palatal surgery were significantly associated with delayed stop emergence. Conclusions: Survival model estimates show that four out of five children with repaired cleft palate will achieve emergence of prevocalic stop consonants by 19-22 months of age, corresponding to 9-12 months following palate repair. Clinical implications are discussed. [ABSTRACT FROM AUTHOR]

Purpose: To determine if children with repaired cleft palate and normal velopharyngeal (VP) closure as determined by aerodynamic testing exhibit greater acoustic nasalance than control children without cleft palate. Method: Pressure-flow procedures were used to identify 2 groups of children based on VP closure during the production of /p/ in the word hamper: (a) children with repaired cleft palate and normal VP closure (n = 23) and (b) controls without cleft palate and with normal VP closure (n = 16). Acoustic nasalance scores were obtained for all children during the production of syllables with high-pressure consonants and sentences with low-pressure consonants (i.e., low-pressure sentences). Results: Nasalance scores were generally higher for children with repaired cleft palate and normal VP function as compared to controls; however, a significant difference occurred only for low-pressure sentences ( p = .005). Conclusion: Results partially support a pressure-sensitive theory of VP function in that some children with repaired cleft palate may achieve VP closure during the production of high-pressure consonants but fail to do so during the production of vowels and low-pressure consonants. Clinical implications are discussed. [ABSTRACT FROM AUTHOR]

Spectral moment analysis (SMA) was used to describe voiceless alveolar and velar stop-plosive production in Persian-speaking children with repaired cleft lip and palate (CLP). Participants included 11 children with bilateral CLP who were undergoing maxillary expansion and 20 children without any type of orofacial clefts. Four of the children with CLP also exhibited backed (palatal) placement for alveolar stops. All children produced consonant-vowel-consonant nonsense words that targeted the plosives /t/ and /k/. SMA revealed that children with CLP had significantly reduced first spectral moment of /t/ and /t/-/k/ difference. Children with CLP who produced palatal stops for alveolar targets also had lower but non-significant first spectral moments for /t/ as compared with children with CLP who did not produce palatal stops. The results are consistent with previously reported findings for English-speaking children with repaired CLP and further suggest that maxillary arch constriction may be a contributing factor for (a) reduced spectral distinction of alveolar targets and/or (b) palatal substitutions for alveolar targets. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was twofold: (a) to determine maxillary arch dimensions of children with repaired cleft lip and palate (CLP) who produced middorsum palatal stops and (b) to describe some spectral characteristics of middorsum palatal stops. Method: Maxillary arch width, length, and height dimensions and first spectral moments of /t/-/k/ contrast words were determined for three groups of children ages 7-11 years: (a) with CLP who were clinically judged to produce middorsum palatal stops (n = 5), (b) with CLP but without middorsum palatal stops (n = 6), and (c) typically developing controls (n = 8). Validity of clinical judgments of middorsum palatal stops was assessed by adult listeners via forced-choice identification of /t/-/k/ contrast words. Results: Listeners confirmed production of middorsum palatal stops for 4 of 5 children with CLP. These children had (a) the narrowest anterior maxillary arch width relative to posterior arch width (p = .011) and (b) the lowest first spectral moment for /t/ targets (p = .001) and the lowest /t/-/k/ difference (p = .010). Conclusion: Middorsum palatal stops may occur in children with repaired CLP in response to limited anterior oral cavity space due to restricted (or collapsed) maxillary arches. First spectral moment characteristics of middorsum palatal stops are consistent with backed lingual placement during stop release. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was twofold: (a) to determine maxillary arch dimensions of children with repaired cleft lip and palate (CLP) who produced middorsum palatal stops and (b) to describe some spectral characteristics of middorsum palatal stops. Method: Maxillary arch width, length, and height dimensions and first spectral moments of /t/-/k/ contrast words were determined for three groups of children ages 7-11 years: (a) with CLP who were clinically judged to produce middorsum palatal stops (n = 5), (b) with CLP but without middorsum palatal stops (n = 6), and (c) typically developing controls (n = 8). Validity of clinical judgments of middorsum palatal stops was assessed by adult listeners via forced-choice identification of /t/-/k/ contrast words. Results: Listeners confirmed production of middorsum palatal stops for 4 of 5 children with CLP. These children had (a) the narrowest anterior maxillary arch width relative to posterior arch width (p = .011) and (b) the lowest first spectral moment for /t/ targets (p = .001) and the lowest /t/-/k/ difference (p = .010). Conclusion: Middorsum palatal stops may occur in children with repaired CLP in response to limited anterior oral cavity space due to restricted (or collapsed) maxillary arches. First spectral moment characteristics of middorsum palatal stops are consistent with backed lingual placement during stop release. [ABSTRACT FROM AUTHOR]

Purpose: To compare the perceived articulation rate of boys with fragile X syndrome (FXS) with that of chronologically age-matched (CA) boys and to determine segmental and/or prosodic factors that account for perceived rate. Method: Ten listeners used direct magnitude estimation procedures to judge the articulation rates of 7 boys with FXS only, 5 boys with FXS and a diagnosis of autism spectrum disorder (ASD), and 12 CA boys during sentence repetition. Sentences had similar articulation rates in syllables per second as determined acoustically. Four segmental/prosodic factors were used to predict perceived rate: (a) percentage consonants correct, (b) overall fundamental frequency (F0) level, (c) sentence-final F0 drop, and (d) acoustically determined articulation rate with the final word of the sentence excluded. Results: Boys with FXS and ASD were judged to talk faster than CA controls. Multiple linear regression indicated that articulation rate with the final word of the sentence excluded and sentence-final F0 drop accounted for 91% of the variance for perceived rate. Conclusions: Descriptions of speakers with FXS as having fast and/or fluctuating articulation rates may be influenced by autism status. Also, atypical sentence-final prosody may be related to perceived rate in boys with FXS and ASD. [ABSTRACT FROM AUTHOR]

Purpose: Increased speaking rate is a commonly reported perceptual characteristic among males with fragile X syndrome (FAXES). The objective of this preliminary study was to determine articulation rate--one component of perceived speaking rate--and vowel space characteristics of young males with FAXES. Method: Young males with FAXES (an = 38), developmental age (DA)-matched males (an = 21), and chronological age (CA)-matched males (n = 16) were audiotaped while engaged in spontaneous conversation and a picture-naming task. Articulation rate in syllables per second during intelligible utterances and vowel space area/dispersion measures were acoustically determined for each speaker. Results: Males with FXS did not articulate significantly faster than CA-matched males. Area and dispersion of the acoustic vowel space also were similar between the 2 groups. Males with FXS, however, used significantly shorter utterances and had a tendency to pause less often than CA-matched males. In addition, males with FXS exhibited greater intraspeaker variability of formants associated with the vowel /a/. Conclusions: These preliminary findings suggest that articulation rate may not be a primary factor contributing to perceived speaking rate of males with FXS. Limitations of the study relative to speech production tasks and utterance intelligibility are discussed. [ABSTRACT FROM AUTHOR]

Two studies were conducted to evaluate short-latency vocal tract air pressure responses to sudden pressure bleeds during production of voiceless bilabial stop consonants. It was hypothesized that the occurrence of respiratory reflexes would be indicated by distinct patterns of responses as a function of bleed magnitude. In Study 1, 19 adults produced syllable trains of /pλ/ using a mouthpiece coupled to a computer-controlled perturbator. The device randomly created bleed apertures that ranged from 0 to 40 mm 2 during production of the 2nd or 4th syllable of an utterance. Although peak oral air pressure dropped in a linear manner across bleed apertures, it averaged 2 to 3 cm H2O at the largest bleed. While slope of oral pressure also decreased in a linear trend, duration of the oral pressure pulse remained relatively constant. The patterns suggest that respiratory reflexes, if present, have little effect on oral air pressure levels. In Study 2, both oral and subglottal air pressure responses were monitored in 2 adults while bleed apertures of 20 and 40 mm 2 were randomly created. For 1 participant, peak oral air pressure dropped across bleed apertures, as in Study 1. Subglottal air pressure and slope, however, remained relatively stable. These patterns provide some support for the occurrence of respiratory reflexes to regulate subglottal air pressure. Overall, the studies indicate that the inherent physiologic processes of the respiratory system, which may involve reflexes, and passive aeromechanical resistance of the upper airway are capable of developing oral air pressure in the face of substantial pressure bleeds. Implications for understanding speech production and the characteristics of individuals with velopharyngeal dysfunction are discussed. [ABSTRACT FROM AUTHOR]

Presents information on a study which determined the effects of vowel height and vocal intensity on the magnitude of anticipatory nasal airflow in normal speakers when producing vowel-nasal-vowel sequences. Methodology of the study; Results and discussion on the study.

Men's and women's voices differ acoustically, and sex-stereotyped attributions are formed based on gender of voice. Recently it has been reported that men's voices are less nasal than women's voices, and that nasality of voice is inversely related to perceptions of persuasiveness. The present study was designed to determine whether nasality of voice affected sex-stereotyped perceptions. Audio tapes were created which contained the voices of 3 men and 3 women each speaking the same sentence at counterbalanced and comparable low, medium, and high levels of nasality as measured by nasalance scores. The voices were rated on 16 randomly presented adjectives by 30 male and 30 female listeners. The adjectives represented positive and negative female and male stereotypes. Ratings did not differ based on gender of listener. Nasality of voice contributed solely and interactively to sex-stereotyped perceptions. [ABSTRACT FROM AUTHOR]

Presents information on analyses to define some aerodynamic properties of one-way speaking valves designed for use with the tracheotomized patient. Methodology; Statistical analyses; Results; Discussion.

Presents a study that re-examined the influence of gender on nasal coarticulation in normal speakers. Methodology of the study; Results of the study.

Investigates responses to sudden change in vocal tract resistance during stop consonant production. Ability of the speech respiratory system to adapt to changes in the airway environment; Rapid occurrence of compensatory respiratory responses to suprathreshold pressure-venting after valve opening; Measurement of the rise in intraoral pressure.

Objective: To investigate aerodynamic and laryngeal factors associated with place-dependent voice onset time (VOT) differences. Methods: The speech materials were /pΛ, tΛ, kΛ/, each produced 15 times by 10 adult English speakers in the carrier phrase "say __ again". The sound pressure level was targeted within a ±3 dB range. Intraoral air pressure (Po) was obtained using a buccal-sulcus approach. VOT, Po, maximum Po declination rate (MPDR), duration of the laryngeal devoicing gesture (LDG), occlusion duration, and the duration of the Po drop to baseline (atmosphere) to the onset of voicing (PDOV) were determined for each stop. Results: VOT was longer for the alveolar and velar stops compared to the bilabial stop. A constant LDG was observed for all stops regardless of place of articulation. Occlusion duration, however, was significantly shorter for the alveolar and velar stops compared to the bilabial stop. Aerodynamically, Po was greatest for the velar stop, intermediate for the alveolar stop, and smallest for the bilabial stop. MPDR index showed a slower rate of Po drop for the velar and alveolar stops compared with the bilabial stop. PDOV was found to be longer for /p/ than /t/ and /k/. Conclusion: Findings provide empirical evidence for the inter-related roles of Po, rate of Po change, and laryngeal factors in place-dependent variations of VOT. [ABSTRACT FROM AUTHOR]

The purpose of the current research was to compare the lexical–grammatical skills of two-year-old children with and without repaired cleft palate (CP), accounting for the effect of variables such as vocabulary size at 18 months of age, maternal education level, and gender. Participants included 52 children with CP and 25 typically developing (TD) children. The CDI-WS was employed to measure vocabulary and grammatical skills. Significant differences were observed between the CP and TD groups with respect to the number of words, word forms (irregular nouns and verbs), word endings (overuse of plural (-s) and past tense (-ed) markers), the mean number of morphemes in their three longest utterances (M3L), and sentence complexity. In addition, compared to TD children, significantly smaller proportions of children with CP were observed to use words to talk about past and future events or use words to talk about an absent object. The difference between the CP and TD groups in terms of the size of vocabulary at 24 months of age remained statistically significant in the multivariable model. Among all predictors, the size of vocabulary at 18 months of age was identified as the most robust precursor of lexical and grammatical skills at 24 months of age. Gender was identified as a predictor of the M3L measure as an index for syntactic ability. [ABSTRACT FROM AUTHOR]

Purpose: This study investigated vocabulary growth from 18 to 24 months of age in young children with repaired cleft palate (CP), children with otitis media, and typically developing (TD) children. In addition, the contributions of factors such as hearing level, middle ear status, size of consonant inventory, maternal education level, and gender to the development of expressive vocabulary were explored. Method: Vocabulary size of 40 children with repaired CP, 29 children with otitis media, and 25 TD children was measured using the parent report on MacArthur-Bates Communicative Development Inventories: Words and Sentences (Fenson et al., 2007) at 18 and 24 months of age. All participants underwent sound field audiometry at 12 months of age and tympanometry at 18 months of age. A multiple linear regression with and without covariates was used to model vocabulary growth from 18 to 24 months of age across the 3 groups. Results: Children with CP produced a significantly smaller number of words at 24 months of age and showed significantly slower rate of vocabulary growth from 18 to 24 months of age when compared to TD children (p < .05). Although middle ear status was found to predict vocabulary growth from 18 to 24 months of age across the 3 groups (p < .05), the confidence interval was large, suggesting the effect should be interpreted with caution. Conclusions: Children with CP showed slower expressive vocabulary growth relative to their age-matched TD peers. Middle ear status may be associated with development of vocabulary skills for some children. [ABSTRACT FROM AUTHOR]

Purpose: The objective was to determine velopharyngeal (VP) status of stop consonants and vowels produced by young children with repaired cleft palate (CP) and typically developing (TD) children from 12 to 18 months of age. Method: Nasal ram pressure (NRP) was monitored in 9 children (5 boys, 4 girls) with repaired CP with or without cleft lip and 9 TD children (5 boys, 4 girls) at 12, 14, and 18 months of age. VP status was categorized as open or closed for oral stops and vowels in three contexts—consonant–vowel syllables, vowel–consonant–vowel syllables, and isolated vowels—on the basis of the presence or absence of positive nasal ram pressure. Results: At 12 months of age, TD children produced 98% of stops and vowels in syllables with VP closure throughout the entire segment compared with 81% of stops and vowels for children with CP (p < .0001). There were no significant group differences at 14 or 18 months of age. Conclusions: TD children exhibit consistent VP closure for stop consonants and vowels at 12 months of age. Some children with repaired CP do not achieve consistent closure until 14 months of age, approximately 3 to 4 months following palate repair. [ABSTRACT FROM AUTHOR]

Abstract: This study was designed to examine the feasibility of using the spectral mean and/or spectral skewness to distinguish between alveolar and palato-alveolar fricatives produced by individual adult speakers of English. Five male and five female speaker participants produced 100 CVC words with an initial consonant /s/ or /ʃ/. The spectral mean and skewness were derived every 10ms throughout the fricative segments and plotted for all productions. Distinctions were examined for each speaker through visual inspection of these time history plots and statistical comparisons were completed for analysis windows centered 50ms after the onset of the fricative segment. The results showed significant differences between the alveolar and palato-alveolar fricatives for both the mean and skewness values. However, there was considerable inter-speaker overlap, limiting the utility of the measures to evaluate the adequacy of the phonetic distinction. When the focus shifted to individual speakers rather than average group performance, only the spectral mean distinguished consistently between the two phonetic categories. The robustness of the distinction suggests that intra-speaker overlap in spectral mean between prevocalic /s/ or /ʃ/ targets may be indicative of abnormal fricative production and a useful measure for clinical applications. [ABSTRACT FROM AUTHOR]