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Acquired apraxia of speech (AOS) is a type of motor speech disorder (MSD) characterized by deficits in the motor planning or programming of speech movements (Duffy, 2005). Because AOS is often a chronic condition that may severely impair intelligibility and, thus, significantly reduce quality of life (Ballard et al., 2015), it is necessary to develop efficient and effective treatment protocols. A previous study by Youmans, Youmans, and Hancock (2011), demonstrated the efficacy of script training in the treatment of AOS. Furthermore, extensive research in general motor learning has shown that feedback is one of the most important components of motor learning (Schmidt & Lee, 2011). Research devoted specifically to speech motor learning has generally favored this view, though few studies have distinguished between the two major types of feedback: feedback providing knowledge of results (KR) and feedback providing knowledge of performance (KP). The present study is the first to examine feedback type in treatment for AOS, and the first to examine the utility of script training specifically for a participant with AOS, but no aphasia. The findings from this single-case experimental design study reveal that, compared to KR, KP resulted in greater improvements in speaking rate. KR and KP feedback resulted in comparable gains for accuracy, but condition differences were difficult to interpret due to unexpected rising baselines for the KR scripts. Both KR and KP scripts, but especially the KP scripts, outperformed the untreated control scripts, providing further support for the efficacy of script training for AOS. / Communication Sciences

<p> Increasing evidence indicates that giving individuals control over their practice schedule facilitates motor learning (Titzer, Shea, & Romack, 1993; Wu & Magill, 2004, 2005). A recent study within cognitive psychology (Son, 2004) found that individuals massed practice on tasks they judged as hard but spaced practice on tasks they judged as easy. The purpose of this experiment was to examine how self-regulated practice impacts motor learning and the strategies used by individuals as a function of task complexity. Participants were required to move a mouse-driven cursor through a pattern of coloured squares, pausing only long enough in each square to make an appropriate button press (white square=left button, black square=right button). Task complexity (4 easy and 4 hard patterns) was determined by the combined effects of the arrangement of the grid of squares and the hand used to manipulate the mouse (easy =dominant hand, hard=non-dominant hand). Participants were randomly assigned to one of eight groups: blocked, random, self-regulated, and yoked to self-regulated, performing either the easy or hard tasks. The number of switches between patterns were recorded as well as temporal and accuracy measures. The self-regulated groups were ineffective in acquisition, but showed the most stable and improved performance in retention, irrespective of task difficulty. Moreover, although switch strategies of the self-regulated groups differed between and within task complexity, the motor learning advantage was generalized. Taken together, these results reveal that an individual's strategic approach to practice may change as a function of task complexity, with no detriment to motor learning and adds to the growing body of literature that suggests self-regulated practice is an important variable for effective motor learning.</p> / Thesis / Master of Science (MSc)

<p>This study examined the effects of self-controlled and performance-based feedback schedules on the acquisition and retention of a novel motor task. In Experiment 1 participants performed an interception task on a computer using a mouse-controlled cursor. The goal of the task was to intercept the image of a red circle as it passed through a designated area. Each trial received a score based on the speed and accuracy of the interception movement. Participants were randomly assigned to three feedback groups: Best-trial feedback, Worst-trial feedback, and Self-controlled feedback. No differences were found between groups in acquisition, however analysis of no-feedback retention and transfer tests indicated that the Worst-trial group showed the most significant improvements in performance. Experiment 2 examined the potential mechanisms contributing to the advantages of a worst-trial feedback schedule. Participants in the second experiment performed the same interception task utilized in Experiment 1 under two novel feedback conditions: Estimation feedback and Immediate feedback. These new groups were compared to the Worst-trial group from Experiment 1. Analysis of no-feedback retention and transfer tests again indicated that the Worst-trial group showed the most significant improvements in performance. These results suggest that self-controlled schedules may not be ideal when feedback is based on performance; instead, specific error information for the least successful trials appear to be most beneficial, especially when individuals have knowledge of results regarding previous attempts at the task.</p> / Thesis / Master of Science (MSc)

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