THE MOTOR LEARNING APPROACH AND STRATEGIES IN THE TREATMENT OF CHILDREN’S ARTICULATION DISORDERS /MOTORINIU MOKYMU(SI) GRĮSTAS POŽIŪRIS IR STRATEGIJOS, ĮVEIKIANT VAIKŲ ARTIKULIACIJOS SUTRIKIMUS

Daiva Kairienė

Abstract


The article presents a theoretical analysis of the concept based on a motor learning approach as well as the possibilities for the application of this approach in speech and language therapy in the treatment of children’s articulation disorders. Motor learning principles have been emphasised as essential elements in speech and language therapy. They explain the importance of speech and language therapy services which are flexible and focused on individual cases. 

An analysis of theoretical sources focuses on the strategies of speech and language therapy based on the motor learning approach. These therapies differ between non-speech or speech levels. The aims of the application of these strategies and their theoretical presumptions of efficacy reveals the need for changes in the practice of speech and language therapists. An analysis of theoretical sources reveals that speech-based strategies of therapy are more efficient in learning correct sound pronunciation and promoting the intelligible speech of children. The application of non-speech oral motor therapy is purposeful in teaching non-speech movements of the articulatory system. When coping with children’s articulation disorders, it is necessary to differentiate strategies of motor learning with regard to the origin and level of a particular disorder.     

Straipsnyje pateikiama teorinė motoriniu mokymu(si) grįsto požiūrio koncepto analizė bei šio požiūrio taikymo kalbėjimo ir kalbos terapijoje galimybės, įveikiant vaikų artikuliacijos sutrikimus. Išskiriami motorinio mokymosi principai laikomi esminiais kalbėjimo ir kalbos terapijoje. Jais paaiškinama ir pagrindžiama lanksčių, orientuotų į individualų atvejį, logopedo paslaugų svarba.

Teorinių šaltinių analizė leidžia išskirti motorinio mokymo(si) požiūriu grindžiamas kalbėjimo ir kalbos terapijos strategijas, kurios skiriasi tuo, kokiu lygmeniu, t.y. nekalbėjimo ar kalbėjimo, yra taikomos. Straipsnyje pateikiami šių strategijų taikymo tikslai ir teorinės veiksmingumo, įveikiant vaikų artikuliacijos sutrikimus, prielaidos, atskleidžia logopedų praktikos kaitą. Teorinių šaltinių analizė atskleidžia, kad kalbėjimu grįstos terapijos strategijos yra veiksmingesnės mokant taisyklingo ir suprantamo vaikų kalbėjimo. Nekalbinės oralinės terapijos strategijų taikymas yra tikslingas nekalbiniams artikuliacinio aparato judesiams mokyti. Įveikiant vaikų artikuliacijos sutrikimus, būtina diferencijuoti motorinio mokymosi strategijas, atsižvelgiant į sutrikimo kilmę bei laipsnį.


Keywords


children’s articulation disorders, motor learning approach, speech and language therapy, stratevaikų artikuliacijos sutrikimai, motorinio mokymo(si) požiūris, kalbėjimo ir kalbos terapija (logopedinė pagalba), artikuliacijos sutrikimų įveikimo strategijos

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References


Bahr, D., & Rosenfeld-Johnson, S. (2010). Treatment of Children with Speech Oral Placement Disorders (OPDs): A Paradigm Emerges. Communication Disorders Quarterly, XX(X), 1–8.

Ballard, K. J., Robin, D. A., McCabe, P., & McDonald, J. (2010). A Treatment for Dysprosody in Childhood Apraxia of Speech. Journal of Speech, Language, and Hearing Research, 53, 1227–1245.

Baracevičienė, V. (2002). Nežymi dizartrija. Lucilijus.

Bowen, C. (2005). What is Evidence for Oral Motor Therapy? Acquiring Knowledge in Speech, Language and Hearing, 7 (3), 144–147.

Bowen, C. (2015). Children’s Speech Sound Disorders. Wiley Blackwell.

Caruso A. J., & Strand E. A. (Eds.) (1999). Clinical Management of Motor Speech Disorders in Children. New York: Thieme.

Creaghead, N. A., Newman, P.W., & Secord, W. A. (1989). Assessment and Remediation of Articulatory and Phonological Disorders. McMillan Publishing Company: New York.

Dale, P.S., & Hayden, D. A. (2013). Treating Speech Subsystems in Childhood Apraxia of Speech with Tactual Input: The PROMPT Approach. American Journal of Speech-Language Pathology, 22 (4), 644–661.

Dodd, B. (2005). Differential Diagnosis and Treatment of Children with Speech Disorder. Whurr Publishers Ltd.

Edeal, D. M., & Gildersleeve-Neumann, Ch. E. (2011). The Importance of Production Frequency in Therapy for Childhood Apraxia of Speech. American Journal of Speech-Language Pathology, 20, 95–110.

Forrest, K. (2002). Are Oral Motor Exercises Useful in the Treatment of Phonological / Articulatory Disorders? Seminars in Speech and Language, 23, 15–25.

Garšvienė, A. & Jankevičienė, V. (2002). Dizartrijos simptomatikos įvertinimas. Specialusis ugdymas, 2(7), 93–104.

Garšvienė, A., & Strelkovienė, N. (2008). Vidutinės dizartrijos simptomatikos įvertinimas. Jaunųjų mokslininkų darbai, 4 (20), 116–122.

Gildersleeve-Neumann, C. (2007). Treatment for Childhood Apraxia of Speech: A Description of Integral and Stimulation and Motor Learning. The ASHA Leader, 12(15), 10–13, 30.

Gillam, R. B., Marquardt, T. P., & Martin, F. N. (2011). Communication Sciences and Disorders: From Science to Clinical Practice. Jones and Bartlett Publishers.

Guadagnoli, M. A., & Lee, T. D. (2004). Challenge Point: A Framework for Conceptualizing the Effects of Various Practice Conditions in Motor Learning. Journal of Motor Behavior, 36, 212–224.

Hegde, M. N. (1996). Hegde’s Pocket Guide to Assessment in Speech-Language Pathology. Singular: Thompson Learning.

Hodge, M. M. (2002). Non-speech Oral Motor Treatment Approaches for Dysarthria: Perspectives on a Controversial Clinical Practice. Perspectives in Neurophysiology and Neurogenic Speech Disorders, 12 (4), 22–28.

Yorkston, K.M., Beukelman, D. R., Strand, E.A., & Hakel, M. (2010). Management of Motor Speech Disorders in Children and Adults. Pro-ed.

Kairienė, D., & Daniutė, S. (2015). Motorinės kilmės vaikų garsų tarimo sutrikimų apibrėžtys, identifikavimas ir diferencinės charakteristikos. Specialusis ugdymas, 2 (33), 47–68.

Kamhi, A. G. (2006). Treatment Decisions for Children with Speech Sound Disorders. Language, Speech, and Hearing Services in Schools, 37, 271–279.

Kent, R.D. (2000). Research on Speech Motor Control and Its Disorders: A Review and Prospective. Journal of Communication Disorders, 33, 391–428.

Kardelis, K. (2002). Mokslinių tyrimų metodologija. Šiauliai: Liucilijus.

Laas, N. J., & Pannbacker, M. (2008). The Application of Evidence-Based Practice to Nonspeech Oral Motor Treatments. Language, Speech, and Hearing Services in Schools, 39, 408–421.

Lof, G. L. (2006). Logic, Theory and Evidence against the Use of Non-Speech Oral Motor Exercises to Change Speech Sound Productions. ASHA Convention against Non-Speech Oral Motor Exercises, 1-11.

Maas, E., Butalla, Ch., E., & Farinella, K., A. (2012). Feedback Frequency in Treatment for Childhood Apraxia of Speech. American Journal of Speech-Language Pathology, 21, 239–257.

Maas, E., & Farinella, K., A. (2012). Random Versus Blocked Practice in Treatment for Childhood Apraxia of Speech. Journal of Speech, Language, and Hearing Research, 55, 561–578.

Maas, E., Robin, D.A., Austermann H. Sh. N., Freedman, S., E., Wulf, G., Ballard, K., J., & Schmidt, R. A. (2008). Principles of Motor Learning in Treatment of Motor Speech Disorders. American Journal of Speech-Language Pathology, 17, 277–298.

Marshalla, P. (2001). Oral Motor Techniques in Articulation and Phonological Therapy. Kirkland, WA: Marshalla Speech and Language.

Mutiah, N., Georges, K., & Brackenbury, T. (2011). Clinical and Research Perspectives on Nonspeech Oral Motor Treatments and Evidence-Based Practice. American Journal of Speech-Language Pathology, 20, 47–59.

Powell, T.W. (2008a). An Integrated Evaluation of Non-speech Oral Motor Treatments. Language Speech and Hearing Services in Schools, 39, 422–427.

Powell, T.W. (2008b). The Use of Non-speech Oral Motor Treatments for Developmental Speech Sound Production Disorders: Interventions and Interactions. Language, Speech, and Hearing Services in Schools, 39, 374–379.

Roth, F. P., & Worthington, C. K. (2005). Treatment Resource Manual for Speech-Language Pathology. Thomson Delmar Learning.

Ruark, J.L., & Moore, C.A. (1997). Coordination of Lip Muscle Activity by 2-Years Old Children during Speech and Non-Speech Tasks. Journal of Speech Language and Hearing Research, 40 (6), 1373–1385.

Ruscello, D. M. (2008). Nonspeech Oral Motor Treatment Issues Related to Children with Developmental Speech Sound Disorders. Language, Speech, and Hearing Services in Schools, 39, 380–391.

Schmidt, R. A., & Lee, T. D. (2005). Motor Control and Learning: A Behavioral Emphasis. Champaign, IL: Human Kinetics.

Secord, W. A. (1989). The Traditional Approach to Treatment. Assessment and Remediation of Articulatory and Phonological Disorders. Macmillan Publishing Company: New York.

Tidikis, R. (2003). Socialinių mokslų tyrimų metodologija. Vilnius.

Velleman, S. (2003). Childhood Apraxia of Speech: Resource Guide. Clifton Park, NY: Thomson.

Velleman, S. (2003). Childhood Apraxia of Speech Resource Guide. Clifton Park, NY: Thomson. Delmar Learning.

Velleman, S. L., & Strand, K. (1994). Developmental Verbal Dyspraxia. In J.E. Bernthal, & N.W. Bankson (Eds.), Child Phonology: Characteristics, Assessment and Intervention with Special Populations. New York: Theme.

Wilson, E. M., Green, J. R., Yunusova, Y.Y., & Moore, Ch. A. (2008). Task Specificity in Early Oral Motor Development. Seminars in Speech and Language, 29(4), 257–266.




DOI: http://dx.doi.org/10.21277/se.v1i36.284

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