Article section
Dynamic Interactive Multimodal Speech (DIMS) Framework
Abstract
Articulation disorders significantly impact children's speech intelligibility, academic performance and social interactions. Traditional intervention methods primarily focus on isolated phonetic corrections, often neglecting the cognitive, sensory-motor, and social aspects of speech production. The Dynamic Interactive Multimodal Speech (DIMS) Framework presents a comprehensive psycholinguistic approach that integrates visual, auditory, and tactile-kinesthetic cues, alongside neural plasticity-based reinforcement and social-environmental integration to enhance articulation therapy.
This study explores the theoretical underpinnings of multimodal speech processing and presents a case study of a six-year-old child with articulation difficulties, demonstrating the effectiveness of the DIMS Framework over a 12-week intervention period. Findings indicate a 35% improvement in speech intelligibility, a 45% increase in phoneme accuracy, and enhanced speech motor coordination. Additionally, the study highlights the role of parental involvement, teacher-led reinforcement, and technology-assisted learning in promoting long-term retention and real-world application of articulation improvements.
Despite its advantages, challenges such as the need for trained therapists, standardization issues and resource limitations must be addressed. Future research should explore neural mechanisms, AI-driven speech tools and scalable intervention models to optimize multimodal speech therapy. The DIMS Framework provides a transformative, evidence-based approach for improving articulation disorders in children.
Article information
Journal
Frontiers in Global Health Sciences
Volume (Issue)
2 (1)
Pages
1-13
Published
Copyright
Copyright (c) 2023 Gladys Ameze Ikhimwin (Author)
Open access

This work is licensed under a Creative Commons Attribution 4.0 International License.
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References
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Wren, Y., Miller, L. L., Peters, T. J., Emond, A., & Roulstone, S. (2016). Prevalence and predictors of persistent speech sound disorder at eight years old. Journal of Speech, Language, and Hearing Research, 59(4), 647-673. https://doi.org/10.1044/2015_JSLHR-S-14-0282
Anthony, J. L., Williams, J. M., Zhang, Z., Landry, S. H., & Dunkelberger, M. J. (2011). Phonological awareness: A key component in learning to read. Journal of Educational Psychology, 103(2), 1-12. https://doi.org/10.1037/a0021856
Bernthal, J. E., Bankson, N. W., & Flipsen, P. (2017). Articulation and phonological disorders: Speech sound disorders in children (8th ed.). Pearson.
Bowen, C. (1998). Children’s speech sound disorders: Questions and answers. Speech-Language Therapy. Retrieved from https://www.speech-language-therapy.com
Gathercole, S. E., & Baddeley, A. D. (1990). Working memory and language processing. Journal of Memory and Language, 29(3), 336-359. https://doi.org/10.1016/0749-596X(90)90040-J
Gierut, J. A. (2001). Complexity in phonological treatment: Clinical factors. Language, Speech, and Hearing Services in Schools, 32(4), 229-241. https://doi.org/10.1044/0161-1461(2001/021)
Guenther, F. H. (2006). Cortical interactions underlying the production of speech sounds. Journal of Communication Disorders, 39(5), 350-365. https://doi.org/10.1016/j.jcomdis.2006.06.013
Hickok, G., & Poeppel, D. (2007). The cortical organization of speech processing. Nature Reviews Neuroscience, 8(5), 393-402. https://doi.org/10.1038/nrn2113
Kleim, J. A., & Jones, T. A. (2008). Principles of experience-dependent neural plasticity: Implications for rehabilitation after brain damage. Journal of Speech, Language, and Hearing Research, 51(1), S225-S239. https://doi.org/10.1044/1092-4388(2008/018)
Leonard, L. B. (2014). Children with specific language impairment (2nd ed.). MIT Press.
Maas, E., Robin, D. A., Freedman, S. E., & Ballard, K. J. (2008). Principles of motor learning in treatment of motor speech disorders. American Journal of Speech-Language Pathology, 17(3), 277-298. https://doi.org/10.1044/1058-0360(2008/025)
Massaro, D. W., & Light, J. (2004). Using multimodal speech perception for word recognition in children with speech disorders. Journal of Speech, Language, and Hearing Research, 47(5), 132-147. https://doi.org/10.1044/1092-4388(2004/095)
McCormack, J., McLeod, S., McAllister, L., & Harrison, L. J. (2009). Speech impairment and quality of life in children. International Journal of Speech-Language Pathology, 11(4), 381-391. https://doi.org/10.1080/17549500903125110
McLeod, S., & Baker, E. (2017). Children’s speech: An evidence-based approach to assessment and intervention (2nd ed.). Pearson.
Preston, J. L., Ramsdell-Hudock, H. L., & Proctor-Williams, K. (2013). Multisensory integration in speech therapy. Language, Speech, and Hearing Services in Schools, 44(3), 183-194. https://doi.org/10.1044/0161-1461(2012/12-0064)
Rvachew, S., & Brosseau-Lapré, F. (2018). Developmental phonological disorders: Foundations of clinical practice (2nd ed.). Plural Publishing.
Shriberg, L. D., & Kwiatkowski, J. (1994). Developmental phonological disorders: Speech patterns and intervention strategies. Journal of Speech and Hearing Research, 37(5), 1100-1126. https://doi.org/10.1044/jshr.3705.1100
Shriberg, L. D., Tomblin, J. B., & McSweeny, J. L. (2010). A diagnostic marker for speech delay associated with otitis media with effusion. Journal of Speech, Language, and Hearing Research, 53(1), 29-60. https://doi.org/10.1044/1092-4388(2009/07-0264)
Tomasello, M. (2003). Constructing a language: A usage-based theory of language acquisition. Harvard University Press.
Vihman, M. M. (2017). Phonological development: The first two years (2nd ed.). Wiley-Blackwell.
Vygotsky, L. S. (1978). Mind in society: The development of higher psychological processes. Harvard University Press.
Wren, Y., Miller, L. L., Peters, T. J., Emond, A., & Roulstone, S. (2016). Prevalence and predictors of persistent speech sound disorder at eight years old. Journal of Speech, Language, and Hearing Research, 59(4), 647-673. https://doi.org/10.1044/2015_JSLHR-S-14-0282