A Standardized Protocol for Maximum Repetition Rate Assessment in Children

Sanne Diepeveen, Leenke van Haaften, Hayo Terband, Bert de Swart, Ben Maassen

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    Abstract

    BACKGROUND/AIMS: Maximum repetition rate (MRR) is often used in the assessment of speech motor performance in older children and adults. The present study aimed to evaluate a standardized protocol for MRR assessment in young children in Dutch.

    METHODS: The sample included 1,524 children of 2-7 years old with no hearing difficulties and Dutch spoken in their nursery or primary school and was representative for children in the Netherlands. The MRR protocol featured mono-, tri-, and bisyllabic sequences and was computer-implemented to maximize standardization.

    RESULTS: Less than 50% of the 2-year-olds could produce >1 monosyllabic sequence correctly. Children who could not correctly produce ≥2 monosyllabic sequences could not produce any of the multisyllabic sequences. The effect of instruction ("faster" and "as fast as possible") was small, and multiple attempts yielded a faster MRR in only 20% of the cases. MRRs did not show clinically relevant differences when calculated over different numbers of repeated syllables.

    CONCLUSIONS: The MRR protocol is suitable for children of 3 years and older. If children cannot produce at least 2 of the monosyllabic sequences, the multisyllabic tasks should be omitted. Furthermore, all fast attempts of each sequence should be analyzed to determine the fastest MRR.

    Original languageEnglish
    Pages (from-to)238-250
    Number of pages13
    JournalFOLIA PHONIATRICA ET LOGOPAEDICA
    Volume71
    Issue number5-6
    Early online date28-Jun-2019
    DOIs
    Publication statusPublished - Oct-2019

    Keywords

    • DISCRIMINATE CHILDHOOD APRAXIA
    • SPEECH-SOUND DISORDERS
    • PERFORMANCE-TASKS
    • DEVELOPMENTAL DISORDERS
    • ORAL-DIADOCHOKINESIS
    • DIAGNOSTIC MARKER
    • MOTOR
    • YOUNG
    • SKILLS
    • TESTS

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