Student 1 is an unintelligible female speaker with a very limited phonetic repertoire, severe pitch and loudness problems and little residual hearing. She was not using amplification when she sought speech-language services but expressed a willingness to explore the use of hearing aids and computerized visual feedback equipment to facilitate instruction, practice and self-monitoring. Student 1 made modest gains in pitch control, speech sound production and intelligibility after 20 hours of individual instruction. Rated as 1. NTID Voice Evaluation : Severe vocal tension which at times results in inability to sustain phonation; severe problem coordinating respiration and phonation; severe problem with prosody blending and co-articulation ; loudness was much below appropriate intensity levels.
Case Study – Pre-School Language
"Preschoolers with Speech and Language Impairment: Case Studies from a " by Wickham
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Speech and language impairment
Speech and language disorders refer to problems in communication and related areas such as oral-motor function — sucking, swallowing, drinking, eating. These delays and disorders range from simple sound substitutions to the inability to understand or use language or use the oral-motor mechanism for functional speech and feeding. Some causes of speech and language disorders include hearing loss, neurological disorders, brain injury, intellectual disability, drug abuse, physical impairments such as cleft lip or palate, and vocal abuse or misuse.
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