Campbell, T.F. & Dollaghan, C.A. (1995). Speaking rate, articulatory speed, and linguistic processing in children and adolescents with severe traumatic brain injury. Journal of Speech and Hearing, 38,864-875.
Type of
Study
Research study with controls
Subjects 4 males, 5 females; ages 5:8-16:2
Gender-matched, age-matched controls
Diagnoses Severe TBI
Normal controls
Speech
Condition
Potentially slow speaking rates
Purpose Study 1: To determine if the subjects and controls had different speaking rates.
To determine whether their rates changed over time.

To determine whether naive listeners hear differences in their rates.

Study 2: To determine to what extent reduced articulatory seed and increased pausing reflect linguistic processing deficits.
Methods Study 1: Over 7 sessions, speech samples were collected and transcribed orthographically and phonetically.
Speech rate was calculated with CSpeech.

Unfamiliar listeners judged speaking rate.

Study 2: Fifty syllables from each subject were analyzed to measure average syllable duration and within utterance pause time.

Subjects were evaluated for dysarthria.
Results Study 1: Control group produced more syllables per second.
Neither group changed much over time.

5/9 TBI subjects had slower rates than matched controls based on unfamiliar listener judgments.

Study 2: 3/5 TBI subjects with slower rates had longer average syllable durations and were the only ones diagnosed with dysarthria.

4/5 TBI subjects with slower rates had higher percentages of pause time.
Treatment
Implications
Speaking rate is a significant sequela in children with TBI.
Slowed rate from problems with articulatory speed and cognitive-linguistic processing speed.

Important to evaluate both articulatory speed and cognitive-linguistic processing speed.
 
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