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. 2020 Aug 12;63(9):2952–2994. doi: 10.1044/2020_JSLHR-20-00061

Table 4.

Charting of CAS studies in quantitative speech measures category.

Study Participants
Method/task Dependent measures Main results Sensitivity/specificity?
Group n Age range years/years;months
Thoonen et al. (1999) TD 11 6–8 Acoustic measures; maximum performance tasks - Maximum phonation duration, maximum fricative duration, rate and accuracy of DDK - Assessment protocol of maximum performance tasks had 89%–100% sensitivity and 97% specificity for differential diagnosis of CAS and dysarthria Y
Dys 9 6–10
CAS 11 6–8
SD 11 4–10
Maasen et al. (2001) CAS 6 5;0–5;11 Acoustic measures; structured phrases - F2 trajectories - CAS group had greater anticipatory coarticulation and more variable formant trajectories than TD group N
TD 6 5;0–5;11
Nijland et al. (2002) CAS 9 5;0–6;10 Acoustic measures; nonword repetition - F2 trajectories - CAS group had more variable coarticulation, less distinction between vowels than control groups N
TD 6 4;9–5;11
HC 6 20–30
Munson et al. (2003) sCAS 5 3;09–8;10 Acoustic measures, perceptual rating; troachic and iambic nonword repetition - Vowel duration, F0, timing of F0 peak, intensity - sCAS and SD groups both produced acoustic differences between stressed and unstressed syllables, but listeners judged the sCAS group to have fewer correct lexical stress productions N
SD 5 - Perceptual judgments of lexical stress
Nijland, Maassen, Van der Meulen, Gabreëls, et al., (2003) CAS 6 5;0–5;11 Acoustic measures; phrase repetition - F2 trajectories; segmental durations - Children with CAS had stronger anticipatory coarticulation and reduced prosodic contrasts compared to the TD group N
TD 6 4;9–5;11
Shriberg et al. (2003) sCAS 11 3;3–10;10 Acoustic measures; real-word repetition - Lexical stress ratio (LSR) - Children with sCAS had more extreme LSR values than children with SD N
SD 24 3;4–12;0
Moss & Grigos (2012) CAS 6 3;0–7;0 Kinematic measures; real-word repetition (1–3 syllables) - Lip and jaw spatial coupling, temporal coupling, and spatiotemporal index (STI) - No group differences in spatiotemporal coupling, but CAS group had more variable movements N
TD 6
SD 6
Grigos et al. (2015) CAS 11 3;1–7;2 Kinematic measures; real-word repetition (increasing word length) - Jaw and lip movement duration, velocity, displacement, and STI - The CAS group had significantly higher variability in movement; movement duration and variability differences between the CAS group and the SD group increased as word length increased N
SD 11 3;2–7;8
TD 11 3;1–7;0
Case & Grigos (2016) CAS 8 5;4–5;7 Kinematic measures, phonetic transcription; novel-word learning - Segmental accuracy, token-to-token consistency - CAS group improved consonant accuracy and consistency with practice N
TD 8 5;0–5;7 - Lip and jaw movement duration and STI - Increased variability in lip and jaw movements in CAS group that did not change with practice
Shriberg et al. (2017b) CAS 60 4;0–23;0 Acoustic-aided scoring of pauses; 17 speech tasks from Madison Speech Assessment Protocol - Pause Marker (PM) scores from continuous speech sample - PM scores had high sensitivity and specificity for identifying speakers with CAS vs. other SDs Y
AOS 31 50;0–78;0
SD 205 3;0–9;0
Shriberg et al. (2017d) CAS 37 4;0–23;0 Acoustic-aided scoring of pauses; acoustic and perceptual measures of speech, prosody, and voice precision stability - Pause Marker index (i.e., severity metric based on PM scores) - The Pause Marker index ratings significantly correlated with other measures of CAS precision and stability, suggesting this measure can be used to index severity of CAS N
CND 46 3;0–10;0
AOS 22 53;0–84;0
SD 202 3;0–9;0
Kopera & Grigos (2019) CAS 7 3;9–7;2 Acoustic measures, kinematic measures; production of multisyllable word in connected speech For stressed and unstressed syllables:
- Vowel duration, F0
- Jaw movement duration, displacement
- Pairwise variability index (PVI): kinematic and acoustic
- CAS group showed reduced jaw movement duration contrast between stressed and unstressed syllables compared to TD group; no other acoustic or kinematic PVI measurements differed between groups N
SD 8 4;1–6;7
TD 9 4;1–7;0

Note. TD = typically developing; Y/N = yes/no; Dys = dysarthria; CAS = childhood apraxia of speech, developmental apraxia of speech, speech disorder–developmental apraxia of speech (sCAS = suspected childhood apraxia of speech); DDK = diadochokinetic rate; SD = speech sound disorder, phonological disorder, articulation disorder, multiple phonological disorder; F2 = second formant; HC = healthy adult control; F0 = fundamental frequency; AOS = adult apraxia of speech; CND = complex neurodevelopmental disorder.