Table 4.
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.