-1 r • " ,I 1 {I~~ ' ,. ".l I ./ ! . I I THE DI:';Cldt·II~:ATIC!·: OF' OJc:. ECTS B1 TACTILE }.J:ilC;E.FTICL OF' TEL; 03.AL C1\\1'1'1'Y i, ii ./ Re_ec C~ Sue ::Jall.ler ,'( COETENTS 1. • "~el cc; • • • • • • • • • • • • • • 0.0 • • • • • • • • 0 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • '..:.:. ~'~-~ of· p:t~C(d'X::'8 • • • • • • • • • ....................................... • • • • • • • • • • • • • • • • • • 0 • • • • • • • • • • • • • • • • • I) • • •••••••••••••••••••••••••••••••••••• I, 'T. 5. CorJ.cl_,~)iGr:. 0 •••••••••••••••••• o ••••••••••••••••••••••••••••••••••••••••••• 0 ••••••• ....................................................... / O. 7. • • • • • • • 10 • • • • • • • 0 • • • • • • • • • • 0 • • • • • • • • • • • • • • • • • • • • • • • • • • • ,', v 8 10 1) -'- 14 .................................................... 19 FIGURES 1. Figure 1 A Se:~o l<odel of the Tota.l C01~1l!lUl1ic& tion ::;~~stem m' ... r - ..•••••..... 2 -,~, 11-1. .. :,LJ.!,~ 1. Table I The nW:lcer, '~Lean c~nu :·u:. of the squz,;:,cs of tile cievic:ticms fro;, t:~e :le:m of the control ~,rJu;:, 2,r::1 e, ::e;."i ,ectal ::;:rC1U? •• 9 2. Tc:cle II The nu.c,cer, j.8an anQ :OUt! oi' the ";qu~:.res of the dcvic1tic)DS fro":d tr;.e .. G2.D. ::;f the . . . J~,-s (_~r:.G. girls ............•.•.•.•.•..• 10 Ire st B--orl~~ •.••••••••••..•.•.••••.•••...••••...••.•.•.•...•.• 1Li· 4. Taole IV !he scores, ~ean~. deviations ~ro~ the ~eans and the s:.:ucc_:,"es 01' tile Qcviatic)Y;.s fer each of the ~lU,il.s if; the cont::-'Dl zrc)u~~: .:.:.nc e~~j)8~·'i_·-lGnt;.i.l -' r:)u •• () •••••••••••••••••••• 17 5. Table 1{ The :;cor83 .:,ean~;. devi~L tioe:_: froL the ::_ean" ,::T,:1 the SC_U::j~e2 of the cievL-:.tions for eCcC~l ;;f the 1.:::'':''5 ~md the girl~J •••••.•••••.••.•..•.••.•..••.•••••.••.••.•••.•••••.••. 13 6. I'aole 1[1 Fisher's Ta~le of t for n ••••••••••••••••••••••••••••• 18 T~iE DISCiULlI,',TIel; OF O~JZGT3 ~:,Y TACTIL3 2 ji;ilCiH'I 01; CF TnE ORAL CAVITY Introduction Tbe L:,;)ory of the function of the speech _,echarllsn as GJste:n, dev31o~:e(i F ~::..~'__ r .. ',.,,1 r ...,.i\. .........'\. '-' (4) Cl ::ervoh: s c,.ic1e c:oDt~ol s~---:te:_ (L~). rs 8ntc·i ;,ere the i'oJ.lo~-in,~: e -e;:>L.ent. U:8 ci:. il:".. I:. :In the n i :r-~~'----""\3~""'::: ;;;1,- _ 1_ ~L 4S\<a~ C. :> l I J.-t---- :: I , I II --t- L__ - I ' .- - - - bI -- ----:r-' ~_ .. __ '._'" - j I j - t I . ,-, I I : 1.1 N.- ,' I • I ,__\Il_~ _, t ~ ~a II _, I - - - -, 2- ? I ' II ~ 0 II I =. - -J (fI 2 .-"i--': ' II rh I I I 15) I 5 ~ .-----I ,I , '1 I r - -I ~ I I if! I '2 ~I.-III I I :,,_<Q - - I - __ _ , I I I I ~ I I I~ I I ,~ I I , I I I ...... I It I ( I ,Iil I I I -----' __ <J) I I ,-----, 1 W Q ~ ___ -lli.iii I t 0 II'. ~ V i I" ~.., ~ tD ~ It) IJ tJ z f ... ~IJ 0 ..2 ~ ) ~ 0 v ~ :I )' Q. { rJ ~ ~ ~0 \J ~ a-\I) 0 i ~ iii I/'J (( Q. ~ -• IJ:::> It \J ~ ~ -::.- a u. 0 It ~ (j) .. ()IJ 2- ) , « .., b ::. .. U o r j 0 J 1- [ ~ a w 0 lJ. cl 0 0 t 0 ~ ~ 4 -' ,- .,' C " J.. ,"' I ~ , ILte- r t::n' 2 ., •. ' .... .-, -.,"/1 ~J .'.,- It ...1L-. T le :'he :!t:.it, the COil .c~r~ CCL.- tor cls.~, :.. otor The (1) :"1 <':.,8 :::1".:.0 -3- CIlU 0..1.. ~lL, hill YOUll;; I s 01 ':'en::;OT &L inc~c sa 1~ ~Ttic~l; T::e 1':).Le :)1' sensor 2,t.Le t ctile eui. ~cl~tively aCCUl'ac:~ tor) or,~~n.s, little er~ors. icc~~: ~ea h2.8 i.,een consider'eel rese2rc~ con- • rc).:lLlCeci cy l1Cl'Ve 'olock ::nesthesia. In the firGt-~j:t t~·~ 011 CODCAucted by ihl1 t;el the thenar regior.s* ',;ere te:)t3u :fer atili ty to discrii:inate tvlOsti~rlul,J.tion. i:oint the area.s &1'e: ridge, ti~J, fin:'::;r tip, liIi, soft )alE.te, alveolar :Sefora the disorcle:::'s of the .syste:_ can ce thorout;hly an:! rese~,rch understoJ<l, ::.;tud~- .. ust:. .:;e underc.alcen to aiscover the to investir:;;<t<3 the role of senc;er 2, the tactile end or- ctte;:l:~t ,-,ar.s, tonue croer of dec::occdnt, di;:;crii(,in3tive aLility, then~r rG~ions. wnole 2Jste:;. an Iii 0,)': ,casuring the a;ili ty of children IIi th severely d2fecti ve articula.tion and chil:Jrell vIi tll non,wl sp:;ech crL~inate oLjectE h~,r-'othesized ~laced in the ~I to di:3- ',th (oral stereo~::nosis). that a disorder of the tar:·::,ile end orl;dns tac-c.ile feeQi;ack and thuCi te tory cievelo~)ment Ea~· It 'tla s disrufJt caus2.tive factor in severe articula- ~,isorders. ;':ethod Selection £! subjects FourteeL first the~'a;Jists '\.;er6 con sidered uy their speech to have severe articulatory disorders ::ere ;,atched in sez, due and intelli;ence te",cl1ers. ~rGje ~)u]ils ~oJno Bi2, .. teen 1li th another child in the ;:..o~'smd 521",8 cIa .~;srOOli: ten :.::irls Here selected. 0~· their The d,:es of *The theo2.r reGions re::er to -chea.lr'l of the hand or the pro.J:inence Cit the 0C.se of the thur';0. -5- .. onth. ';:·roceuure fiec:.l ·)o~;i tio(1s: 3 5 ~~~cars .::; :·-C'-~lr~.J ~/~-,~"rs ~ [p), (tJ, (eil. Cn, (s), (z), (I] .(~ -6- ,CtJ. (rl. ::.en oi)~ects used for tie test :iere !resented to the child c.nd he asked to name ther~h T:11.S ":'::,$ done 2') V:2.S th3.t a child wO'Jld not oe penalized curine the test for not kno\,u:1t; the nan.e of an oLjGct that he could nevertheless ~;as ider_tif~' ;:;y t&ctile i;ercei.tion. ',,'hen the e;:perL:enter assured that the child reco::;nized t:16 o;:;..:1o(':s, the~ Her(; carefully cleaned. :: ';:; GoinG to ~L,t t:~E<~e;:':J.;;c. : .. tc ::"·.:ur"Quti:l. I L'2.r.t to kee·; tl1en in the frorlt.art of ;:/our l::ov.th Jour front~Qet:1 so thE t ~.;)C. ..:0" t t ::,;0.L.. o',.; the~:l. Feel tLe:,_ ,;i th t,!licn to~ i;~ L1 j :;ur .... -utr ... _ v:t t,:e~-j i:~ :::r:~l ~~J{e t,LE:.,,~ 2,-~t of·", 'ur _l~'}t~'l, I ,,y:i.LL ':::L ?'U to :chut I;': ~;:)Jj' L, sae tL~e ... . - , ~;.·~·.lC~·~ "LC' 'Tben I 1';0. I! t j'JU .. r -,)1 ~ ,_ , "'tr -, ~.'" It.,: ..... " . ..,. 'lC2 - O,~, ,..;C .... "_ CJ.-~o:_)'.::rl . ,__ ~.l c.. -':'~)L "'.,~e:;'1(-: .- .. . ;:.. :-.':"t , te, .. ,-'1 -(II'.:.L v_ , -:- -'. i ...... : " ~ '...\...' C...L., .... _ 2.. C' ' L. -'- ,.\. '..J I".. '-'.;.~ ,.(-" - .. - (' ...... -~ ~' l. .... 1, -.- - t.(;,~ . :.l-~ ,-: ( . -., V."-,~ \ L ,c 7C). ....i..'-' the _._- ------------- /~_G ~-~--~(,~ .. _----- J: .it. ...... -- .: IJ~ +.." ~ .1• , n :~ , -) • -- + :~ v (=-:J). '.:':::.._Le IV): TCle frot"' n~~OGl', t~J.8 _e.:;.:: 1 • '. '~CVl;:::' :"l:J~:S ,c;al ~ 'JI c:::r:..Gro::" Sl'OU" = 5·7 i.,nence: 6.7 - t = :"L ::,;: q __ .J_ '. ~ -v - , ".-,' ~ of ~ l.,;,'" confiQ(::l.lCe J: : . . .~ r:ull It irL '-' ~ r"\ I • i.) .......;: 'J _. ,. ,._. -9- :;:1.' ;:irls ~-' :)2':- S = 1 n. -:- } .. 6. 5 - ~ y(~ -- '7 : I ,,;llence: t ~ .5C 11 = 10 y = ~ ""'../,:., = 5.7 I, i-y._, • I \..;'" = ~ m(72.50 + 42.10 \/\L+Lj-2 = :26, Accordi.ng tJ Fisher l ::; T,,,i:::le c>f t, ,-:;:;1.:1:...: j1 to .40. this value of' t is ne':lrest C.·)l1clusi.:'n Ttel:ull i~;;~)othesi5 th.::. t there i::- nc, difference :.;etv;een the true ana it is concluaed tt2t the~s~~~ aifferonC0S in cavity ,,0 li ciL;ru.ot~3 t~Jctile are )rQJ~~l~ fe8d.r ci: a~.d due to 1':;:,:~ :82.1: ~ut ;.r3.:. •,0:;:08 oral c<lvit;.. A stuc~· :;:oe~ected. C~; t~.ctile sos the aC::1ieVt)::eLt The test scores ,',a,;/ have (.eer, o~jGcts 2c,le to r?call. the of not~6 sl:::mlci SincfJ in sone level ::;f ir;tellic;eLce. '.i:'he chile. \,rr'lO in the not ;,., v2lid test for:eC,surin llot I,vell ii;'.tC::ec:. in intelli enC8. hi her cha~cG vari~tian tlws is cc cc,u::C:ll i';:c:,or in severe 2rticub.tory di:::orders is (.)t vcrifieci, It is _,osS"i'cle th'lt tilL, tC.t Tee ot G.iffer U~e cor~;el'?ti:'m of thzt he intelli~er.ce :12.0 seen ros- level 1·;ith a an influencin::: factor. The in:.iividu2.1 int'::r re:",,:':.::.::;ns of 0" jl;Ctc in their r: 'uths in orcic;:' ~~() t~1e fe":l -11- V,st in;3tructions also could eV0r~- part of tbem, Lut ;:nerely a f~~ o~jects 08 civen as rc~ic~ ~te~s ~efore the tGst is ailiLinis- Guess. It i;: :::.1:38 :>i' the orc.l c':.vi t:,· •. 0'. tched t1~1.S role iL ossi;';le th2.t ;:'o,:.,ncticn of S.keC:l tc;~tile)erce~,tion th·t c.f::'ccts tlle in ide:tif;.' 1. , ';01'(;: ", :. L_ ,~ ~, ~-·t,··le O.L hi~3 c~o:~e CcC::C::; .. 1c to discclV8r ~erce~~i~~ '--'~. -13- of of ,~rticu1ator2' '.>ll,... ~~c A130 the oral c~vity ..::.irt: !)u!~'il sc:x Dc;te . J-' t.:_· ...lC. D~:te of Test Test cef. -'--'~" 7-21 1. f 2. f 3. .J. 4. f 5. I 59 LJ~-·'~. i~ J CL ED? D rt H T Tot. --_. --- --- ,,- -- '--1--- 2-7tc' , ' " . 3-9- 2-7- 59 + + o -+ + 00+ + + -t o ::; + 7 0 4 6-6 o ,)-11 ++0')0+0+00 + 0 + :J 3-14. 2-7-" 9-4- . // Do Dc f :/-12,- 2-7,- 6-27-- 2-759 6~ 10-5 :::-3,5,.:; 7-2 + + ,)-5 + + + 0 -I- 0 + + + 0 J 8 0 3 + 4 + 3 0++-1 7 + 7 2'-7- 1-9- 2-7''- f ) 66 12-4. 2-7- :~ v. 7. 59 0- o 00+ + ::; + + + 7-1 o / ~ U -../ + 6-7 + :::++ 0+ 7-4 + + + o -1 LI-_ o o J + o + o 0 o o ~~t. =-------------:...-=--=====-.-.:.::=.-----==-:-------==.:~----~- ::::.-~- '--- :::==;;=:::;::::=;::==== - - - ' _~:crth iu~:;il se: Dc!.te Dc:. -;;e of Test 1~. ill T D Tot. J.i.t. 4-7- :2-359 66 ~-10 + 0 + + 0 + 0 00+ 7-1 + + + + + + o + + + + + + + o + 5 1-15- 2-311. f .59 /" " ,--:j 7-1212. L 5-7 + -9 + 0++++++ c co + + 3-16- 2-J- 14. _'< 15. r; 5~, ~~L-, 7-1~ +++00+0+++ 7 5-22- 2-3- 1G. ,,_ 59 -t>D + + 0 0 + J 00+ 0 + + 0 6 0+++0+000+ .5 000 0 0 1 ':;-26. 2- J- 53 66 '7-3 + + + 4-11- ;2-1- 17. d 59 3-21- 13 • .l.), Go :~-1- 66 19. " 1_'7_ 20. ,. 5-11 +0++++++0+ 6-9 -;- 7-1 ++++ 6-1J + 0+ + + o + + + + + + o 7 0 7 2-9- .59 0++ 0+ 3-;::.5- 2-90++++++ 9-22- L-9- -15- + + + + + + + + 10 --~~ :5irU Dz\te ?ui 2.il 3e~~ D~ote of 'l\S;:;t )-1559 23. 24. C-19- ,:.....). ') C ..J~ ,. 27. ~'ll "-Go .!..I. 65 12-13- 2-2)8 66 ;;1 ., ' "::::0. ;~-2- ~-3J-<' J'j ;'(1, .1. ___-:3";:, dof. :~ ~:::y~ .,) l. ,- .. CL ~ 7' .L- v" 0 + r, 0-1 1 + 0 + + 7-2 + + + + + 0 0 0 0 ';)-0 + + C 0 5-11 + + + 0-~\ + 0 + I 'L: ~.l..i V + D II". T 0 0 + c, .-I + + + + /'/ oc / '7-7 ' ,. .' /' + + 0 0 + 0 0 .~ ;) = ~';ronb = :"atton = ov2.r ('.I- 10 3 + + 0 0 0 + + c () + 0 + + + + + + r'. ./ 2~- 3r" OC 2-3/ / 0·..-:" 0 + 0 '--- + = corrsct Tot. llt. ,~, " 5> Ac·tic. u. -.:(, h f--~- 7-27- 2-3(.JG 59 ;'-25- l~;;e R = Rin2: CL = .,D = CH = Ch2.ir CL,thesc~in D = Dog ::ed r,r " = ',\ihistle T = = J: 8l.r.~~ -16- T<:'cble <; "" 9 ".~~12 5C8re;-:,, .. CD.ns, Q~.;Vi~l.ti:·):-·L~~· £·ro~·: -::'~le .s::'J.2..:c:::~~' ~. c~evi2.ti~':1s :'Jr f S!.18 :L:; the coc:,rc:l :J,:,l:r .?x.o score 4 1• 2. ') .,I. q,. ? c; ). .,I 7 "'0 ,) ,. >• hi. I . "~~ e- 1 J. 14. · 1 ( · +1 · + -+1 ·· ·J + +J.·:3 '? 10 "" ,', Iv 5 c:: ..-' 94 ) -/.'1 J '") ? I · . ". 1 '"'.. . .· 1 -' / {-- , = · C / · ? r: ,· j .~,o. ~.0 x= .J r, '_-I .- ! -17- +1. :3 +.3·3 +1.3 :"' .', - .? +1.3 " }: ';' j ..· i · 30 ;/ -1_ . { .,I ~, ;0. +1.3 -~-r. T~7 J ,. '7 'I , 1 .J. 1i , ',..)j '7 . .. J / +J. J i :3 ~ '.J" ') ·· -1. 7 j. ~' :-.,-, '7 ( -1 -1 " / ..:;ro'J.:). L;. q,. : v ,~ :-,-l1Q t~_1e -I;u~=)ils 7 / ~. ·. 1 · ··'-,"'> - 1 ,7 (if · 1 · ;9 · .~C2n~~ score r'?29 ? +1 ./. ..., -2.. : + j 0 7. ~ -r:". ·eri.~:ental ",.-,~ " 0. 1I x e~ the G~·.cI1 - . 7.29 '7 :0 i .. "-'./ I .c9 1 ;). ' I • ~9 .. I~) 1• / 1.:-.'./ -i-, .. f '7 " 0 , "'-./ , ..., +3.3 = cui 14 = 5.7 1 ) .. ~ 9 '~he fro: ... tr.ie t:,c Q8vizctic;}s .:()::;; ::t:.d tLeirls. J.._;3~::.:. :~:, sc Ol-'C;S, ,~ea::.s :L·Q t:~e t~lC f:::'r 82.c1: 8f G(';-Ji2 ti :)ns :~CUf'l"CD ~f ,=irls score . 1 2. 'f 3. 'I, i.}, 'II '.; C / - . I '7 1 'J. i1 1.: 10 13. ..J" 1~~. 10 1 ). ./'), 1,e::v . 'I 7. ';/ I ~::; . . j .~ (- Zb L~ Lt / , o. 4 c:{ .J · , "~I 2..2;, 1 • ._:.J -3.5 'j -.-. :.'.) +::·5 < '-.I. ,,'_'-" -1·5 ...:.- -1 ·7 +1 3 -1 ·· "" '7 i +2. J -..::.. ? "':1 7 ->~. 7 C' ;' '} -'" 7: 1 1 ). ~~, . ·. ':10 "/ . '"/~ / 5. " .,/ i- " -/ -, i . . ,-,/ ') 57 -/ 5·29 , • ~S: · +1 · +" 3 +~:,. ,() ~/ ,':·C: " / 1 oJ. 1':.<, 1 · . .- . ~~' ::: --.. 1 · ;) .J' .. · '-~ " ~ 1,r;!1'::: . I" ..... .,/'". ::: P ,- ./ .- n .J. i 1 1'1 !. ( '""y'. ~' . -1. .5 . ,- "1 }, . ·.:.,.:.. S -1. ,~ ·. .J. +1.5 + ·5 + .:; +1.5 +)·5 'i 1 C~. -1.5 t: . " c. '-./' + • ~ 7. ·23 + .:-1.5 + • ~ 5. 6. ,-, ~';c:ore . .u • c:56' ·531 ::: ~-: .1.;- t;:, -' ~ ') • i.... 1 .315 -L- •1 (' .< 1 • ..-,('')...J .05 .02 .01 2.056 2.4?S: 2.??9 1• 2erry, :',ildred F. ;:T.C EL:;er:'ol}, ~on. Ap.leton-Centur: r -Croft3, I:·:c., (~. ~;eu York: ,:l'cck, u8c:n ',':. "T:.8 iffect cd Dol.:.:-ed Sic.e-Toce Von Voc8.1 h;te :.r:d ::ntens:l t .. , " J 'ur:-;~il of ""'J,,,:c[--. ;"n0. ::0 rinji Disorders, Vol. 16 4. S:Jcech Disorders. 1)56. (L~rch, S 1 51), -5)-:0.- - - - --_._ .. ------ .... "3:ste:~G_:Jic~GSG~·y'cL in 3::[)er:L,:e11tal Fi10netics: 1. A TteoJ,] of the 3~j(;CC:l '_Gci:c.r:isl,_ :,3 C,. .'::ervo S~ sto:-:, II ,journal of S~Je..:;eh ::.n,:. ~:e=.rir:g Disorde~'c;, V'JJ.. 19 (June, 1954), 133-139-.- -- 5. i'\.ron~'[2.Ll, 6, ~'1;:;r..2e, .-.~--"~ . -----_.- 31~cest L. :mci :Jie:':l, C:1:1'10s F. liThe ~(o;jlations~,i' of /,u':citor2- Di:::crir,l~.r,,,:ti::m to "\rtic:~L,tor,' Defects of CLildren ',:i E: ~:o ?;r.Ol.Ji1 01' :.112.C I .. >.~1'; _ow.t, It J:)urlJ.al of ;.),:eech ('.nd 11e",r~ ~jiSoro.8·' ~, \T () t. 1 '9 (SC~ tc:'-. _,C:{', 1954), 335- .33~- C.!lCl _ _ v. 113.el,:t·, :'.cLi~),) _,ot\~c:;n Seloct2c~ Auc~it.,)rJ terti ()i~ /L. il:'~ t~', u J ?_~rr~?::.~. ££ ~~_ch ::ie;;.riw· ReSedl'ch, ":;',-!.......J'l (1 C1.: -"./ C,.:',/ • ___ ,;;.w. _ . _ _ _ _ ....... _ Cn"rlos CeT)t~121 F::ctors '_llG~ .;'rt:'~ -:~ ___ !_:- ._~ ? J.~cCro.s:ce~,;"·, L·. };J's;~'k, i '- ~·to~_,Grt ~., J~_". UTb.e ~'~el[~ _,ive ConL. I'· '.l-:.i2~~ of ~~lJ.('l.i-c.or:/ ct::, L<~tile Cuss to C0rl,ain .,·,~c ccts of ~;:~},ech,:I :3Jutn~ ~;eech J OUl'::,:'§:.L , Vol. 2ij. (Fell ,Sb-:,'.: _,':;1', 1 :;),') ), ,~4-'~ 0. ""~ ,':;(;l'VO 0'.l81 FJr 3~::.>~cl~ T;:8~'a ,II J:Jurnalof Heari)l.. pi:::o:'del':~, '1:;1. 24 Cad', 1959 , 11-1-4-149. 3i::::'zu D. 3)e:.~j} ~md ;'d.r'Gel, Ilol.ert :".'.r.d .~~E:li)~~' :~i T"iO-r:oint Ji:cri_lin.:-t:L::m, VOl.. , . . 11 ..::Ji_~·:ce_ ;J(-j~t ~:luclitor~{- .i:Lltera.ti_,)l--:~~ :)1' ,:.ita:le:· u. 1I0 ra l h,:}'co 'Color;: 1. JO:jr11c,l of .5eech ;='.11':;' liearin c- Re- '1 '], ~\-r-; )'...))/, j ·,)-39b. ~'8,-;cL Cut"~ut,t1 t..9.~:b~__ ~te3 ~~~~:c ~., \I c<_. ~ (D·-;c0::. < -I - _"F 81', - - - - - - -...... - Journal of .;2£sech an.d 1'j - J) -, 3t~~- 3'7-::: ~ I • .., 1-. ~) )u,~ c:·~( .rl e,'. S,)eech - L' t'G:', l:-ice-E~l i.l, 13. ;Lr:::'~~r2~il~~::~ • Yre.:.:: :, 1 _C!-,_-T~,_~, l:i:;"icx; --~---.-.--- C.·:.1··::'"O(·.0i.~:n. .L:.C., l'~~_ ~ 1 ).;.J. Engle"wd Clif[:;, e,e\: