A comparison of outcome measures for speech motor learning in acquired apraxia of speech using motor learning guided treatment

Abstract

Purpose: The purpose of this study was to investigate potential benefits of using a qualitative and quantitative outcome measure of articulation accuracy and suprasegmental characteristics in isolation for speech motor learning in acquired apraxia of speech (AOS). Methods: Baseline, retention, and maintenance measures from an oral reading task of 2 speakers with chronic AOS and aphasia were rated using an 11-point multidimensional rating scale accounting for articulation and immediacy and a hybrid scale measuring number of correctly produced words, presence of distortions in correctly produced words, and immediacy of the production. Participants received motor learning guided treatment two days a week for eighteen sessions. Results: The multidimensional rating scale and the hybrid scale comparably represented speech motor changes related to articulation accuracy and immediacy of the production across the duration of the intervention. The hybrid scale provided a sensitive measure for individual differences in immediacy and presence of distortions not represented in the multidimensional rating scale. Conclusions: The results of this pilot study provide evidence to support the benefit of using a qualitative and quantitative outcome measure for speech motor changes in acquired AOS. The individual differences identified through the hybrid scale have clinical and research implications.