Speech intelligibility is a complex
construct and many aspects are known to influence intelligibility in motor
speech disorders. This includes the way people pronounce words, but also how
well listeners can tune into people’s speech. Context also helps, which is why
connected speech is usually more intelligible than single words. In a recent
study, Kristen Allison and Katie Hustad explored another important aspect
influencing speech intelligibility: the linguistic properties of speech. Two
aspects were of particular interest to them: sentence length and phonetic
complexity, i.e. the motoric difficulty of a word’s sound structure (e.g. the
word ”no” involves less complex motoric movements than the word “complex”).
Both, longer sentences and higher phonetic complexity are known to increase the
motoric demands of producing an utterance, which can affect intelligibility.
In order to quantify their
contribution to intelligibility problems in children with CP the authors asked
119 listeners to orthographically transcribe speech samples of 24 5-year old children.
16 children had CP, of which 8 were diagnosed with dysarthria. The speech of 8
typically developing children was transcribed as well. The speech samples were sentences
of 2 to 7 words in length. Each listener was asked to transcribe about 60
sentences.
Results showed that both factors had
an effect on intelligibility, but the effect was found to be greater for
children with dysarthria. They were best understood in short sentences of 2 to
3 words, whereas children without speech problems were easily understood up to
a sentence length of 6 words. A similar result was observed for phonetic
complexity: whilst the effect for children without speech problems was small, intelligibility
of children with dysarthria was significantly reduced in sentences with words
that required more complex motoric movements. The findings indicate that reducing
length as well as phonetic complexity may enhance intelligibility. However, considerable
individual variation suggests that for some children sentence length was more
of an issue and for others complexity. This highlights the importance of a
child’s individual motor profile when considering treatment options.