{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:22:30Z","timestamp":1791264150271,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,2,26]],"date-time":"2013-02-26T00:00:00Z","timestamp":1361836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      The aim of this study was to investigate if intervention targeting breath support, phonation, and speech rate increases speech intelligibility and participation in the conversational interactions of younger children with dysarthria and cerebral palsy (\n                      <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Fifteen children with dysarthria and\n                      <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>\n                      (nine males, six females; age range 5\u201311y, mean age 8y,\n                      <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\n                      2y;\n                      <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>\n                      type: eight spastic, four dyskinetic, one ataxia, two\n                      <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>\n                      orster\n                      <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\n                      rought syndrome;\n                      <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                      ross\n                      <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>\n                      otor\n                      <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>\n                      unction\n                      <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\n                      lassification\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      ystem levels\n                      <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>\n                      \u2013\n                      <jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content>\n                      , median level\n                      <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>\n                      ) participated in this study. Children received three sessions of individual therapy per week for 6\u00a0weeks. Intelligibility of single words and connected speech was compared across five points: 1 and 6\u00a0weeks before therapy and 1, 6, and 12\u00a0weeks after therapy. Three familiar listeners and three unfamiliar listeners scored each recording. Participation in communicative interactions was measured using the\n                      <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>\n                      ocus on the\n                      <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>\n                      utcomes of\n                      <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\n                      ommunication\n                      <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>\n                      nder\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      ix (\n                      <jats:styled-content style=\"fixed-case\">FOCUS<\/jats:styled-content>\n                      ) tool. Analyses of variance and paired\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests were used to investigate change.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean speech intelligibility increased after therapy to familiar listeners (single words 10.8%, 95% confidence interval [\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ] 7.2\u201314.4; connected speech 9.4%, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      4.8\u201314.1) and unfamiliar listeners (single words 9.3%, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      6.8\u201311.8; connected speech 10.5%, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      7.3\u201313.8).\n                      <jats:styled-content style=\"fixed-case\">FOCUS<\/jats:styled-content>\n                      scores increased following therapy for parents (mean increase 30.3, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      10.2\u201350.4) and for teachers (28.25, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      14.4\u201342.1), but changes did not correlate with intelligibility. A wide variation was seen in individual responses to therapy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>Brief intensive therapy is associated with gains in intelligibility and communicative interactions for some younger children with dysarthria.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dmcn.12098","type":"journal-article","created":{"date-parts":[[2013,2,26]],"date-time":"2013-02-26T07:53:41Z","timestamp":1361865221000},"page":"464-471","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":85,"title":["Intensive dysarthria therapy for younger children with cerebral palsy"],"prefix":"10.1111","volume":"55","author":[{"given":"Lindsay","family":"Pennington","sequence":"first","affiliation":[{"name":"Institute of Health and Society Newcastle University Newcastle upon Tyne 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