Implementing two treatment approaches to childhood dysarthria

Figures & data

Figure 1. Visual reminder (© 2014 Justine Allen) for SSIT.

Figure 2. Visual reminder (© 2014 Justine Allen) for LSVT LOUD.

Table I. Daily breakdown of motivational activities for SSIT and LSVT LOUD.

Day	SSIT day-by-day (for a 13-year-old girl)	LSVT LOUD day-by-day (for a 7-year-old boy)
1	Sustained vowels Practice phrases • Jenga• Card game (Coconuts), 4 phrases between turns	Daily tasks • Jenga Words/phrases • Connect Four
2	Practice phrases: • Drill style, child chooses a sentence from a cup and reads 3 × each • Jenga Single words • “Getting to know you” game • UNO, drill style • Pictionary	Daily tasks • Connect Four Words/phrases • Jenga (During game, clinician asks child questions with one-word responses)
3	Practice phrases Single words • “I'm going on a trip” game (Clinician and child take turns naming one item from each letter of the alphabet to bring on a trip) • Pictionary • Go Fish, drill style	Daily tasks • Trouble Words/phrases • Superhero Bingo • One-Word Story (Clinician and child take turns saying consecutive words to make a story)
4	Practice phrases Single words • Connect Four • Mad Libs • Sorry!	Daily tasks • Honey Bee Tree Words/phrases • Battleship
5	Practice phrases Single words • UNO, drill style Sentences • Hedbanz	Daily tasks • Don't Break the Ice Sentences • Guess Who? • I Spy
6	Practice phrases Sentences • Would You Rather • Guess Who? • iPad barrier game (Child gives clinician directions to create a product)	Daily tasks • Honey Bee Tree Sentences • Don't Spill the Beans • Connect Four • Go Fish
7	Practice phrases Sentences • iPad barrier game • Hedbanz • Would You Rather	Daily tasks • Space Faces game Sentences Go Fish
8	Practice phrases Sentences • Hedbanz • Guess Who?	Daily tasks • Space Faces Sentences • Guess Who? • Trouble
9	Practice phrases Sentences • Two Truths and a Lie • Scattergories	Daily tasks • Connect Four • Bowling Reading • Cloudy with a Chance of Meatballs (Barrett, 1978)
10	Practice phrases Sentences • iPad barrier game • UNO, drill style	Daily tasks • War card game Reading • In the Trees, Honey Bees (Mortensen, 2009)
11	Practice phrases Sentences • UNO • iPad barrier game • LIFE game (Child reads all sentences from game cards and uses full sentences during discourse)	Daily tasks • Crazy Eights Reading • Swirl by Swirl: Spirals in Nature (Sidman, 2011) • The Foot Book: Dr. Seuss's Wacky Book of Opposites (Dr. Seuss, 1996)
12	Practice phrases Sentences • Twenty Questions • Rory's Story Cubes (Using cubes with items depicted on them, child and clinician take turns narrating a story) • Taboo game	Daily tasks • Hoot, Owl, Hoot board game • Life on Earth Bingo Reading • Turtle, Turtle, Watch Out! (Sayre, 2010)
13	Practice phrases Conversation • Discussion of Fourth of July weekend • LIFE game	Daily tasks • War card game Conversation • Topic cards from Topic Talk game
14	Practice phrases Conversation • Conversation regarding day's activities at camp • Rory's Story Cubes	Daily tasks • Hoot, Owl, Hoot board game Conversation • Rory's Story Cubes
15	Practice phrases Conversation • Rory's Story Cubes • Topic cards from Topic Talk game	Daily tasks • Space Faces Conversation • Topic cards from Topic Talk game
16	Practice phrases Conversation • Making ice cream sundaes (Child gives clinician multiple-step directions to create identical sundaes)• Discussion regarding plans for the rest of the summer vacation	Daily tasks • Bowling Conversation • Discussion regarding camp and rest of summer vacation • Practice with mock conversations with friends in new school year

Figure 3. Calibration unit.

Figure 4. P1 (8;8 year old with dysarthria) vowels in nonsense words pre- and post-LSVT LOUD.

Figure 5. P2 (3;3 year old with dysarthria) vowels in nonsense words pre- and post-LSVT LOUD.

Figure 6. P3 (9;6 year old with dysarthria and apraxia) vowels in nonsense words pre- and post-SSIT.

Table II. Vowel area (in Hz) at pre-treatment, post-treatment, and difference between pre- and post-treatment.

Participant	Pre (Hz)	Post (Hz)	Difference (Hz)
P1	354,219	556,754	202,535
P2	194,071	133,398	−60,673
P3	−1,657	8,626	10,282

Barrett, J. (1978). Cloudy with a chance of meatballs. New York, NY: Simon & Schuster.

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Mortensen, L. (2009). In the trees, honey bees. Nevada City, CA: Dawn Publications.

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Sidman, J. (2011). Swirl by swirl: Spirals in nature. New York, NY: Houghton Mifflin Harcourt.

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Dr. Seuss. (1996). The foot book: Dr. Seuss's wacky book of opposites. New York, NY: Random House. (Original work published 1968).

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Sayre, A. P. (2010). Turtle, turtle, watch out! Watertown, MA: Charlesbridge Publishing.

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