Tags

Type your tag names separated by a space and hit enter

Evaluation of speech intelligibility for children with cleft lip and palate by means of automatic speech recognition.
Int J Pediatr Otorhinolaryngol. 2006 Oct; 70(10):1741-7.IJ

Abstract

OBJECTIVE

Cleft lip and palate (CLP) may cause functional limitations even after adequate surgical and non-surgical treatment, speech disorders being one of them. Interindividually, they vary a lot, showing typical articulation specifics such as nasal emission and shift of articulation and therefore a diminished intelligibility. Until now, an objective means to determine and quantify the intelligibility does not exist.

METHOD

An automatic speech recognition system, a new method, was applied on recordings of a standard test to evaluate articulation disorders (psycholinguistic analysis of speech disorders of children PLAKSS) of 31 children at the age of 10.1+/-3.8 years. Two had an isolated cleft lip, 20 a unilateral cleft lip and palate, 4 a bilateral cleft lip and palate, and 5 an isolated cleft palate. The speech recognition system was trained with adults and children without speech disorders and adapted to the speech of children with CLP. In this study, the automatic speech evaluation focussed on the word accuracy which represents the percentage of correctly recognized words. Results were confronted to a perceptive evaluation of intelligibility that was performed by a panel of three experts.

RESULTS

The automatic speech recognition yielded word accuracies between 1.2 and 75.8% (mean 48.0+/-19.6%). The word accuracy was lowest for children with isolated cleft palate (36.9+/-23.3) and highest for children with isolated cleft lip (72.8+/-2.9). For children with unilateral cleft lip and palate it was 48.0+/-18.6 and for children with bilateral cleft lip and palate 49.3+/-9.4. The automatic evaluation complied with the experts' subjective evaluation of intelligibility (p<0.01). The multi-rater kappa of the experts alone differed only slightly from the multi-rater kappa of experts and recognizer.

CONCLUSION

Automatic speech recognition may serve as a good means to objectify and quantify global speech outcome of children with cleft lip and palate.

Authors+Show Affiliations

Universitaetsklinikum der Friedrich-Alexander-Universitaet Erlangen-Nuernberg, Phoniatrie und Paedaudiologie, Bohlenplatz 21, 91054 Erlangen, Franken, Germany. maria.schuster@phoni.imed.uni-erlangen.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16814875

Citation

Schuster, Maria, et al. "Evaluation of Speech Intelligibility for Children With Cleft Lip and Palate By Means of Automatic Speech Recognition." International Journal of Pediatric Otorhinolaryngology, vol. 70, no. 10, 2006, pp. 1741-7.
Schuster M, Maier A, Haderlein T, et al. Evaluation of speech intelligibility for children with cleft lip and palate by means of automatic speech recognition. Int J Pediatr Otorhinolaryngol. 2006;70(10):1741-7.
Schuster, M., Maier, A., Haderlein, T., Nkenke, E., Wohlleben, U., Rosanowski, F., Eysholdt, U., & Nöth, E. (2006). Evaluation of speech intelligibility for children with cleft lip and palate by means of automatic speech recognition. International Journal of Pediatric Otorhinolaryngology, 70(10), 1741-7.
Schuster M, et al. Evaluation of Speech Intelligibility for Children With Cleft Lip and Palate By Means of Automatic Speech Recognition. Int J Pediatr Otorhinolaryngol. 2006;70(10):1741-7. PubMed PMID: 16814875.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of speech intelligibility for children with cleft lip and palate by means of automatic speech recognition. AU - Schuster,Maria, AU - Maier,Andreas, AU - Haderlein,Tino, AU - Nkenke,Emeka, AU - Wohlleben,Ulrike, AU - Rosanowski,Frank, AU - Eysholdt,Ulrich, AU - Nöth,Elmar, Y1 - 2006/06/30/ PY - 2006/02/23/received PY - 2006/05/19/revised PY - 2006/05/23/accepted PY - 2006/7/4/pubmed PY - 2007/2/28/medline PY - 2006/7/4/entrez SP - 1741 EP - 7 JF - International journal of pediatric otorhinolaryngology JO - Int J Pediatr Otorhinolaryngol VL - 70 IS - 10 N2 - OBJECTIVE: Cleft lip and palate (CLP) may cause functional limitations even after adequate surgical and non-surgical treatment, speech disorders being one of them. Interindividually, they vary a lot, showing typical articulation specifics such as nasal emission and shift of articulation and therefore a diminished intelligibility. Until now, an objective means to determine and quantify the intelligibility does not exist. METHOD: An automatic speech recognition system, a new method, was applied on recordings of a standard test to evaluate articulation disorders (psycholinguistic analysis of speech disorders of children PLAKSS) of 31 children at the age of 10.1+/-3.8 years. Two had an isolated cleft lip, 20 a unilateral cleft lip and palate, 4 a bilateral cleft lip and palate, and 5 an isolated cleft palate. The speech recognition system was trained with adults and children without speech disorders and adapted to the speech of children with CLP. In this study, the automatic speech evaluation focussed on the word accuracy which represents the percentage of correctly recognized words. Results were confronted to a perceptive evaluation of intelligibility that was performed by a panel of three experts. RESULTS: The automatic speech recognition yielded word accuracies between 1.2 and 75.8% (mean 48.0+/-19.6%). The word accuracy was lowest for children with isolated cleft palate (36.9+/-23.3) and highest for children with isolated cleft lip (72.8+/-2.9). For children with unilateral cleft lip and palate it was 48.0+/-18.6 and for children with bilateral cleft lip and palate 49.3+/-9.4. The automatic evaluation complied with the experts' subjective evaluation of intelligibility (p<0.01). The multi-rater kappa of the experts alone differed only slightly from the multi-rater kappa of experts and recognizer. CONCLUSION: Automatic speech recognition may serve as a good means to objectify and quantify global speech outcome of children with cleft lip and palate. SN - 0165-5876 UR - https://www.unboundmedicine.com/medline/citation/16814875/Evaluation_of_speech_intelligibility_for_children_with_cleft_lip_and_palate_by_means_of_automatic_speech_recognition_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(06)00177-7 DB - PRIME DP - Unbound Medicine ER -