Intervention for lateral /s/ using electropalatography (EPG) biofeedback and an intensive motor learning approach: a case report

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J. McAuliffe, Megan
L. Cornwell, Petrea
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2008
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Abstract

Background: Visual biofeedback using electropalatography (EPG) has been beneficial in the treatment of some cases of lateral /s/ misarticulation. While EPG intervention is motorically based, studies have not commonly employed a motor learning approach to treatment. Furthermore, treatment success is measured primarily by change to EPG tongue-palate contact patterns and listener ratings conducted by speech-language therapists. Studies have not commonly measured articulatory change without the palate in-situ using acoustic analysis and non-professional listeners. Aims: To determine if an intensive treatment programme including both visual biofeedback (EPG) and traditional articulation techniques within a motor learning paradigm would result in functional improvement to /s/ articulation in an 11-year-old girl with persistent lateral misarticulation. Methods & Procedures: Treatment involved 12 sessions of therapist-delivered treatment over 4 weeks followed by a 6-week home programme. Outcomes of the treatment programme were measured primarily using naﶥ listener ratings and acoustic analysis of /s/ spectra. Outcomes & Results: Improvements to both the perceptual and spectral characteristics of /s/ articulation occurred following the treatment programme. Conclusions: The study highlighted the benefit of an intensive approach to intervention incorporating both visual biofeedback and traditional articulation approaches. The inclusion of a 6-week structured home-programme was beneficial and resulted in consolidation of treatment gains.

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International Journal of Language & Communication Disorders

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43

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2

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Clinical sciences

Clinical sciences not elsewhere classified

Cognitive and computational psychology

Linguistics

Allied health and rehabilitation science

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