Pausing and Sentence Stress in Children with Dysarthria due to Cerebral Palsy

Folia Phoniatr Logop. 2021;73(4):298-307. doi: 10.1159/000508097. Epub 2020 Jun 30.

Abstract

Introduction: Children with dysarthria due to cerebral palsy (CP) can experience problems manipulating intensity, fundamental frequency, and duration to signal sentence stress in an utterance. Pauses have been identified as a potential additional cue for stress-marking, which could compensate for this deficit.

Objective: This study aimed to determine whether children use pauses to signal stress placement, and whether this differs between typically developing children and those with CP.

Methods: Six children with CP and 8 typically developing children produced utterances with stresses on target words in 2 different positions. Pauses before and after the stressed target words were analyzed in terms of number, location, and duration.

Results: Both groups inserted pauses into their utterances. However, neither group used pause location or duration in a systematic manner to signal the position of the words stressed.

Conclusions: The results suggest that pausing was not used strategically by either group to signal sentence stress. Further research is necessary to explore the value of pausing as a cue to stress-marking in general and as a potential compensatory strategy for speakers with dysarthria.

Keywords: Cerebral palsy; Children; Dysarthria; Pausing; Sentence stress.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cerebral Palsy* / complications
  • Child
  • Dysarthria* / etiology
  • Humans
  • Speech Intelligibility