Issue N# 1 - 2013
PHONIATRICS
From intelligibility to comprehension, which measurement in practice?
Authors : Woisard V, Espesser R, Ghio A, Duez D. (Toulouse, Aix en Provence)
Ref. : Rev Laryngol Otol Rhinol. 2013;134,1:27-33.
Article published in french 
Downloadable PDF document french
Summary :
The modelling of the tests assessing speech disorders in touch with the international classification of the functioning implies a reflection on measurement tools. The access to the sense of the message from decoding of the signal to the action infers at the interlocutor's justifies various methods. The objective of this work is to demonstrate the limit of the usual tests of intelligibility. Material and method: A population of 10 subjects presenting a speech disorder secondary to a Head and Neck cancer and 2 subjects controls recorded a corpus of 80 syllables developed with the most frequent 16 French consonants and 5 vowels. The test of intelligibility consisted of a task of identification of consonants by a jury of 11 listeners. Results: About is the method used to estimate the informative value of the consonants tested, the uvular consonant /r/ and the nasal /n/, /m/ are very well perceived. The weighting by the rate of confusion makes tipped over the position of labiodentales /f/, /v/ and that of / p/. The just perception of the sound /p/ would be underestimated while sounds /v/ and /f/ would be overestimated. Sounds /g/, /k/, /j/ remain the least well received. This observation results probably from the profile of distortions produced by the selection of the population and probably from the frequency of the syllables containing these consonants in the french language for the sample of the corpus. Conclusion: The rate of confusion appears as a fundamental element, inciting to look for more relevant methods of analysis of the results of the tests of intelligibility.
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