The Handbook of Language and Speech Disorders

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An authoritative overview of language and speech disorders, featuring new and updated chapters written by leading specialists from across the field The Handbook of Speech and Language Disorders Now in its second edition, the Handbook features extensively revised and refocused content throughout, reflecting the latest advances in the field. Original and updated chapters explore diverse topics including literacy and literacy impairments, patterns of normal and disordered language development, hearing impairment and cochlear implants, language acquisition and language delay, dementia, dysarthria, ADHD, autism spectrum disorder, and many others. This acclaimed single-volume reference resource:
Provides 26 original chapters which describe the latest in new research and which indicate future research directions Covers new developments in research since the original publication of the first edition Features in-depth coverage of the major disorders of language and speech, including new insights on perception, hearing impairment, literacy, and genetic syndromes Includes a series of foundational chapters covering a variety of important general principles, including labelling, diversity, intelligibility, assessment, and intervention
, Second Edition, is essential reading for researchers, scholars, and students in speech and language pathology, speech, language and hearing sciences, and clinical llinguistics, as well as active practitioners and clinicians.

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69 Rudner, M., Seeto, M., Keidser, G., Johnson, B., & Rönnberg, J. (2019). Poorer speech reception threshold in noise is associated with lower brain volume in auditory and cognitive processing regions. Journal of Speech, Language, and Hearing Research, 62(4S), 1117–1130.

70 Sarant, J. Z., Harris, D. C., Galvin, K. L., Bennet, L. A., Canagasabey, M., & Busby, P. A. (2018). Social development in children with early cochlear implants: Normative comparisons and predictive factors, including bilateral implantation. Ear and Hearing, 39(4), 770–782.

71 Schaette, R., & McAlpine, D. (2011). Tinnitus with a normal audiogram: Physiological evidence for hidden hearing loss and computational model. The Journal of Neuroscience: The Official Journal of the Society for Neuroscience, 31(38), 13452–13457.

72 Scherer, K. R., Banse, R., & Wallbott, H. G. (2001). Emotion inferences from vocal expression correlate across languages and cultures. Journal of Cross‐Cultural Psychology, 32(1), 76–92.

73 See, R. L., Driscoll, V. D., Gfeller, K., Kliethermes, S., & Oleson, J. (2013). Speech intonation and melodic contour recognition in children with cochlear implants and with normal hearing. Otology & Neurotology, 34(3), 490.

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4 Intelligibility Impairment

KATHERINE C. HUSTAD 1AND STEPHANIE A. BORRIE 2

1University of Wisconsin–Madison, WI, USA

2Utah State University, Logan, UT, USA

4.1 Introduction

Intelligibility is a critical concern in speech‐language pathology, impacting a wide range of individuals across populations, with ages ranging across the lifespan. For example, intelligibility is an important developmental concern for children who are acquiring speech, including those with and without risk factors for speech impairment (Hustad, Mahr, & Rathouz, 2020). Speech intelligibility impairments in children can stem from speech sound disorders, childhood apraxia, conditions associated with neuromotor involvement or disease (cerebral palsy, childhood brain injury or stroke), genetic etiologies (Down syndrome, cleft palate), or sensory involvement (hearing impairment). In adults, intelligibility remains an important concern for individuals with many of the aforementioned childhood onset etiologies as well as for individuals with adult onset etiologies. Adult onset etiologies include those that have a degenerative course affecting speech motor control (e.g., amyotrophic lateral sclerosis, Parkinson’s disease, Huntington’s disease), those with a recovering course (e.g., stroke, traumatic brain injury during the post‐onset recovery window), and those with a persistent stable course (stroke, traumatic brain injury, cerebral palsy, and other chronic conditions). The field of motor speech disorders has had a particularly notable and longstanding interest in speech intelligibility, in part because reductions in intelligibility are very frequently associated with dysarthria (Darley, Aronson, & Brown, 1969). Improving intelligibility has long been considered a key goal of treatment for this population (Ansel & Kent, 1992).

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