Noninvasive Instrumentation in the Treatment of Stuttering.

Number 765
Year 1991
Drawer 14
Entry Date 11/08/1999
Authors Alfonso, P. J., & Watson, B.C.
Contact
Publication In D. Vogel and M. P. Cannito (Eds.), Treating Disordered Speech Motor Control. Pro-ed: Austin, TX. (pp.319-340).
url http://www.haskins.yale.edu/Reprints/HL0765.pdf
Abstract [Introduction] To date, the use of noninvasive instrumentation for monitoring physiologic events during speech production has been confined primarily to the laboratory setting. One important application of this instrumentation has been to identify and characterize to identify and characterize physiologic deficits associated with disruptions of speech motor control observed in clinical populations. Results of this research have begun to suggest meaningful applications of noninvasive instrumentation in clinical settings. The goal of this chapter is to present a rationale for clinical use of noninvasive instrumentation to identify, characterize, and remediate certain physiologic deficits associated with stuttering. We focus on deficits revealed in movements of the respiratory and laryngeal systems or as reflected in patterns of airflow through the vocal tract. We do no specifically address direct monitoring of movements of the supralaryngeal articulators because this instrumentation is complex, often invasive, and expensive. Airflow measures are less complex and can be used to infer movements of the supralaryngeal articulators. We also discuss come practical issues reagarding clinical applications of instrumentation. Our discussion of these issues is not intended to provide a “cookbook” for therapy, but to highlight specific advantages and disadvantages. Finally, we present several illustrative examples of initial applications of noninvasive instrumentation in the treatment of two speech disorders: stuttering and spasmodic dysphasia. These examples highlight the general applicability of non-invasive instrumentation.
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