Purpose: This work evaluates whether seeing the speaker's face could improve the speech intelligibility of adults with Down syndrome (DS). This is not straightforward because DS induces a number of anatomical and motor anomalies affecting the orofacial zone.
Method: A speech-in-noise perception test was used to evaluate the intelligibility of 16 consonants (Cs) produced in a vowel-consonant-vowel context (Vo = /a/) by 4 speakers with DS and 4 control speakers. Forty-eight naïve participants were asked to identify the stimuli in 3 modalities: auditory (A), visual (V), and auditory-visual (AV). The probability of correct responses was analyzed, as well as AV gain, confusions, and transmitted information as a function of modality and phonetic features.
Results: The probability of correct response follows the trend AV > A > V, with smaller values for the DS than the control speakers in A and AV but not in V. This trend depended on the C: the V information particularly improved the transmission of place of articulation and to a lesser extent of manner, whereas voicing remained specifically altered in DS.
Conclusions: The results suggest that the V information is intact in the speech of people with DS and improves the perception of some phonetic features in Cs in a similar way as for control speakers. This result has implications for further studies, rehabilitation protocols, and specific training of caregivers.
Supplemental material: https://doi.org/10.23641/asha.6002267.