Fluency





INTRODUCTION
The term fluency is taken from the Latin word ‘fluere’ for flowing, describes what the listener perceives when listening to someone who is truly adept at producing speech. The speech flows easily and smoothly in terms of both sound and information. There is no disruption of the stream, and the listener can attend to the message (the overall effect of the performance) ratherthan considering how it was produced.Normal speech fluency refers to the production of speech at the normal level of skills that is, continuity of speech, rate of speech, effortless speech which is rhythmic in nature.Fluent speech is the consistent ability of an individual to not only move his speech production apparatus in an effortless, smooth and rapid manner resulting in a continuous, uninterrupted forward flow of speech but also smooth uninterrupted flow of language
DEFINITION
         Fluency in a layman term refers to general proficiency may be in the act of reading, writing and speaking.
         When it comes to speech communication it can be termed as effortless, rapid flow of utterances.
        In terms of non-native language skill or II language learned skill. It can be defined as an effortless, continuous speech at a rapid rate of utterance whether it refers to I language or II language

          “Fluency” refers to the effortless production of long continuous utterances at a rapid rate; be it the first language or second language(Starkweather, 1980).
         Fluency according to the ordinary usage is the “ability to speak a second language rapidly and continuously and without any particular effort or thought.”
         According to Starkweather,1986 fluency can be defined as the effortless production of long continuous utterances at a rapid rate, be it the first language or second language.

According to Adams(1982) to be fluent, a person has to adjust respiratory, phonatory, and articulatory system so as to:

  Start airflow upward and out of lungs.
  Create a source of resistance at the vocal folds level.
  Bring a subglottic air pressure to open up the vocal folds and allow periodic vibration for voicing
  Complete articulatory movement which is the final part for the meaningful utterance.
The critical importance involves co- ordination of these four adjustments so that it occurs in a smooth manner.
TYPES OF FLUENCY

      1)      Language fluency
2)  Speech fluency
Language fluency
There are four types of language fluency which are described by Filmore(1979) and interpreted by Starkweather(1987).
    a)      Syntactic fluency: speakers who are syntactically fluent are able to construct highly complex sentences.
    b)      Semantic fluency: speakers who are semantically fluent possess and are able to access large vocabularies.
    c)      Pragmatic fluency: speakers who are pragmatically fluent are adept at verbal response in a variety of speaking situations.
    d)     Phonologic fluency: speakers who are able to pronounce long and complicated sequences of sounds and syllables, including nonsense and foreign words.
Speech fluency
Starkweather (1987) defines speech fluency in terms of continuity, rate, duration, and effort.



Dimensions of fluency:
   
In order to appreciate the nature of nonfluent speech production, it is necessary to understand the dimensions of fluent speech. Starkweather (1987) considered fluency as a multidimensional behavior. And the dimensions of fluency suggested are:
1.      The continuity or smoothness of speech
2.      The rate of speech
3.      The effort a speaker makes in producing speech and
4.      Rhythmic structure (Starkweather, 1982)

Starkweather suggested that all these 4 elements of fluency are related to each other.
CONTINUITY
It relates to the degree to which syllables and words are logically sequenced as well as the presence or absence of pauses. If the semantic unit follows one another in a continual flow of information, the speech is interpreted as fluent. If the units of speech fail to flow in a logical sequence, information does not flow.
Another aspect of continuity has to do with a disruption in the flow of sound in the form of pauses. Clark (1971) differentiated pauses as conventional and idiosyncratic. Conventional pauses are used by speakers to signal a linguistically important event. Idiosyncratic pauses, on the other hand reflect hesitation or uncertainty on the part of speaker. These pauses indicate a decision making process concerning upcoming word choice, style or syntax.
Pauses also have been considered as filled or unfilled. Unfilled pauses are characterised by a silence lasting longer than approximately 250 ms(Goldman- Eisler,1958).filled pauses are characterised by meaningless sounds such as ‘ah’ ‘er’ and ’um’ .with filled pauses, the flow of sound continues, but again, the  information does not.
Stark whether stated that this pauses or hesitation may occur for a variety of reasons:
a)      As a planned or practiced pauses to create a dramatic effect.
b)      As a method to allow time to formulate the cognitive or linguistic content and sequence of the next utterances.
c)      As a method of preplanning the neuromotor production sequence of speech sounds
d)     As an avoidance to delay the onset of utterances where problems in production, content acceptability, or auditory reaction are anticipated.
CONTINUITY- FINDING
1)      Unfilled pauses occur on the average every 4.8 words when speakers were providing
narrative descriptions and every 7.5 words when they were engaged in discussion (Goldman-Eisler,1968).in both of these cases the speech was perceived by listeners to be ‘continuous’.
2)      Pauses are distributed in a predictable way throughout utterance. They are more likely to occur before content words such as nouns, verbs, adverbs and adjectives than before function words such as preposition, article and conjunction (Mc Clay and Osgood, 1959).
3)      Filled pauses tend to occur before longer and more complex sentences (Cook Smith and Lalljee, 1974).
4)      Filled pauses are more common at the beginning of clauses than within clauses(Boomer,1965)Cook,1971;Hawkins,1971)
5)      Adults pause more often when explaining than when describing(Goldman-Eisler,1968)
6)      When people read out loud, they pause less often, their pauses are synchronized with their breathing, and the pauses occur at major syntactic boundaries when the same people speak spontaneously, they pause more often, and some of the pauses are located intra causally and not synchronized with breathing (Henderson,GoldmanEistoc and skarbek,1965).
7)      There is a significant difference between the sexes in utterances length. Women tending to be more fluent than men in this way (Malccot,Johnston and Kizziar,1972).

RATE OF SPEECH
Rate of speech also signals the perception of fluency. Most people talk about as fast as they can, as indicated by Tiffaney(1980) who noted that the maximum and ordinary rate of speech tend to be similar. According to speaking task there is variability in rate in terms of such factors as formality of the speaking situation, time pressure and interference from noise or competing messages. These appear to be a reasonably wide range of acceptable rates in the judgement of fluency. It is well known that if communication failure is likely, such as when speaking in a noisy environment, speakers are likely to slow down(Long Hurst and Siegel,1973). Likewise if a speaker is producing a lengthy utterance, the rate of speech is likely to be more rapid (Malecot,Johnson and Kizzear,1972).
Rate is typically measured in terms of words or syllables per minute. Stark weather notes that as children mature, their syllable rate increases while rate variability decreases.
He suggests that pauses may help us in achieving faster intra phrase rate by creating brief planning intervals to prepare for rapid motor execution on the subsequent sequence. He questions a tendency to regard all (most pauses) as disfluencies. Stark weather refers to Kowal,o’Connoll and Sabin,1975) who reported that by the second grade, unfilled pause duration decreased by about 60%, while the pauses duration reduction from 2ndthrough 12th grade is only about 25%
Caution is necessary because we do not know to what degree pause duration represents language planning, motor-sequencing plans, other factors or combination.
RATE OF SPEECH –FINDINGS:
1)      Adult speakers of English speak at an average rate of 5-6 syllables/sec(Walker and Black,1950)
2)      Rate are only slightly different in other languages(Malecot,Johnston and Kizziar,1972:osser and Peng,1964)
3)      The rate at which continuous syllables can be produced is a function of
a)      Speed of articulatory movement
b)      The degree of coarticulatory overlap(Gay,1978:Stark weather,1981)
4)      Speech can be compressed up to 275 wpm mechanically with little loss of comprehension, but comprehension declines rapidly at higher speed(Foulke,1971)
5)      Length of utterance is correlated with the rate of speech, rate being faster in longer utterances (Malecot,Johnston and Kizziar,1972).
EFFORT
It refers to the ease with which an act is performed. Stark weather (1987) distinguishes two types of effort:
a)      Effort associated with linguistic planning(mental)
b)      Effort associated with the muscle movement(physical)
Effort can also be neuromuscular in the timing and coordination of respiration, phonation and articulation using the formula of 14 phonemes per second multiplied by 100 muscles involved per sound production, multiplied by 100 motor units per muscle ( Darley, Aronson and Brown,1975)
Effort can also be mental in terms of formulating the content of a response and rearranging content in an appropriate syntactic sequence.
Stark weather stated that pauses can be related to fluency as follows:
1)      If pauses are prolonged unduly, but production meets the criteria, there is a planning disfluency.
2)      If pauses are appropriate in place and duration but the production erroneous- there is execution disfluency.
3)      If pauses are inappropriate or prolonged duly, and production also is in error- there is combined planning and execution disfluency.
Stark weather relates the effort to continuity, rate, rhythm and stress. He notes that gesture may possibly reduce effort. On the idea that ‘entrained’ movements reflex the stress characteristics of the primary movement sequence or utterance. He refers to research where finger tapping in time with syllable production disclosed a more forceful finger tap when an uttered syllable was stressed.(Kelso,Tuller,Harris,1983).
It is possible that fluency disorders typically are reflections of abnormal effort in planning/execution. This abnormal effort may be in the form of thinking time or it may be in the form of too much muscular effort. Because there is a level of effort which may be duration judged abnormal, we need to learn what constitutes a normal amount of effort so that the clinical judgement of abnormal can have a point of reference.
Effort-finding:
1)      Alpha wave activity in locations of the brain known to be associated with speech diminishes just before a person speaks (Linebaugh, 1975).
2)      Stops and fricatives require more effort than nasals and glides, as measured by intra oral air pressure (Malecot,1955).
3)      Voiced sounds have lower intra oral air pressure than unvoiced sounds (Subtelnyet al.1966).
4)      Males have lower intra oral air pressure peaks than females (Subtelny et al,1966) because of the longer male vocal tract.
5)      Children have higher pressure peaks than adults (Subtelny et al,1966).
6)      Intra oral air pressure decreases as the rate of speech increases (Arkebaner,1964).
7)      The contact force between opposing articulators is increased during greater speech effort (Laper and natoll,1969).

DURATION
Duration of speech segments relates closely to the co articulation of the segments. The duration of the consonants and vowels of a language varies considerably with speech rate and phonetic and linguistic context. For example, stressed syllables are longer than unstressed ones9Umeda, 1975). Sound segments are longer at the initiation and termination of syllables, words and phrases (Fowler, 1978). Segment duration are  dramatically influenced by position in the syllable(initial consonants are longer than syllable-final consonants), length of the word and length of the sentence(Huggins,1978).much of what occurs in terms of the duration of individual sound segments and words appear to be related to the speaker’s anticipated flow of information during an utterance( Stark weather,1978).that is, the speaker may not need to plan all aspects of the upcoming utterances in terms of the necessary respiratory ,phonatory and articulatory events. Rather the speaker would only need to have some idea about the amount of information the utterance would contain.
Fluent speech is characterised by little sensation of opposition or constriction of airflow. The air, the movements and the sounds are produced with evident ease and smoothness .On the other hand; people who stutter are at the opposite end of the continuum of effort.
THE DURATION OF SPEECH SEGMENTS-FINDINGS:
1)      The duration of consonants and vowels varies according to their inherent duration, their position in the utterance, their position in the word, the immediately adjacent sounds, the length of and the word’s frequency of usage (Umeda, 1975).
2)      The duration of sounds reflects a continual speeding up and down of speech rate (Stark weather,1981) and these alterations seem to give the listener an additional cue about the syntactic structure of the utterance(Van Lancker,canter and Terbeek,1981).
3)      Segments are lengthened at the beginning and endings of each syllable, words and phrases.(Fowler,1977).
4)      All segments in a stressed syllables are lengthened, consonants and vowels alike(Huggin,1978).
5)      Segment durations are affected by position in the syllable (a syllable initial consonant-/s/ in my seat is 10-20% longer than a syllable final consonant-/s/ in ‘mice eat’ (Huggins,1978).
6)      Segment duration are affected by length of a sentence; the longer the sentence, the shorter each word in it-compare ‘joe’ in ‘joe called’ to ‘Joe’ in ‘Joe took father’s bench out’(Huggins,1978).
7)      Speech rate is not linearly related to segment duration when a sentence spoken twice as fast, some segments are shortened more than others specifically the vowels are shortened more than others, specifically the vowels are shortened more than the consonants (Huggins,1978).
RHYTHM
Theory: rather than being a dimension of fluency,’R’ seems to promote or enhance   fluency. Specifically, it seems that speech rhythm serves fluency by making it easier for us to talk faster.It does this in several ways.
Unstressed syllables are shorter and thus require less time. In addition rhythm assist in rapid speech production by providing means for us to anticipate upcoming movements there is a certain rhythm to speech. Rhythm as an aspect or rate and continuity is determined by the pattern of stress and unstressed in syllable production. Stress points in utterance tend to follow predictable pattern based on ‘law and custom’ of a particular language. Listener’s intuitive judgements of stress have been found to be related adequately to objective measures of stress (Wingate,1984).rate changes relate to stress points in that we tend to slow syllable rate prior to a stress point and then increase syllable rate following it.it is possible that the pre-stress rate reduction is an example of intra phrase planning activity. Most of our extra additions in the form of gestures ,loudness ,pitch variations, and so on, tend to occur at or around stress points in utterances.

FINDINGS:
1)      Segmental rhythm reflects word boundaries-compare ‘great rain’ and ‘graytrain,’(Allen1968)  uses the word rhythm to refer to segmental variations.
2)      In speeded speech, syllables are further unstressed (Gay, 1978).
3)      Speech produced in time to a regular rhythm ,like a metronome, contains fewer disfluencies(Silverman,1971) and is subjectively easier to produce

ROLE OF RHYTHM IN PROMOTING FLUENCY
Allen(1968) theorizes that rhythm is imposed on speech for the same reason that any movement might be organised temporarily, to facilitate execution. Like counting the beats of a measure, while learning a new dance step, the rhythm of speech makes it easier for speakers to perform speech movements at the appropriate time and to coordinate them, with other movements involved in the same production. Allen offers very little evidence for this idea, although it has strong intuitive appeal. It might be noted, however, that speech rhythm is made more regular, as it is when speaking in time to a metronome or singing, there is a tendency to speak with fewer discontinuities.
Allen (1968) refers to ’the fact that rhythm conveysvary little information during speech’. Martin (1972) however says that’ rhythmic patterning carries a heavy information load in ordinary connected speech’.
Martin’s idea(1972) is that the rhythm of language is a kind of temporal structure, a convention held jointly by speakers of the language. Because the’R’ is conventionally held, the listener is able to anticipate the rhythm of words that the speaker has not got uttered. This prepares the listener in a number of ways.it reduces the uncertainty of when specific speech events, for example stressed syllables, are going to occur. This might facilitate the focus of attention on information-bearing elements, such as content words (Lieberman, 1963).
It is interesting that Allen’s theory of speech rhythm explains how rhythm helps the speaker produce speech more quickly, while Martin’s explains how rhythm enables the listener to decode speech more accurately.
These two theories are consequently not only compatible, but they are complementary also. Several preliminary studies (Stark weather/1983) indicate the speakers are able to follow rhythms, using them to anticipate and produce temporally accurate speech movements, as the tempos of the rhythm increase and decrease.

DEVELOPMENT OF FLUENCY
The findings related to fluency development make it clear that children’s speech becomes increasing fluent as they mature. When children first begin to produce speech to convey idea, it is produced slowly, and many of the features of the rhythm are missing.as their fluency increases, children also learn to deal with lapses of fluency in more sophisticated ways.

Demands and capacities model of fluency development
Growth in the capacity for fluent speech comes from several areas. There is increasing control over the movements of the vocal tract.
Another capacity for fluency comes from rhythm. The sense of rhythm makes it easier for a child to anticipate movements of speech production, and as a result it will give him a motoric confidence for fluency.
Increased syntactic, semantic, phonologic and pragmatic knowledge all contribute to this demand for fluency. The people with whom children communicate-also place demands on them. According to Stark weather, the increasing fluency is accompanied by an increasing demand for fluency from the environment, or even from within the child.

Development-speech continuity
Findings
1)      From 29 months to 33 months to 37 months, discontinuities decline from 6.5 % to 5.10%, to 4.10 %(Yairi,1981).
2)      Discontinuities decline from 14.6% to 9.1% from ages 2-4 but then remain the same from 4-6 years (        wexler and Mysak,1982).
3)      From 3 ½ -5 years, discontinuities decline from 11.9-9.5%( Dejoy and Gregory,1975)
Kindergarten and first grade children’s speech is approximately 2% and more discontinuous than that of high school children (Kowal,O’Connell and Sabin,1975).
4)      Two types dominate the discontinuities of 2 years old.
A)    Repetition of small units(parts of words etc)
B)    Interjections and revision(Yairi,1981)


Development of rate
The rate at which speech is produced is an important aspect of       fluency and it shows clear developmental trends. These trends are evident in several different measures-pause duration, length of utterance, syllable/sec and segment duration.
Pause duration:
Several of Kowal, O’connel and Sabin’s observations suggest that      the duration of unfilled pauses is an excellent measure of fluency development.
1)      It directly influences the rate of speech
2)      It shows strong developmental trends that parallel another fluency measure of known clinical importance
3)      It shows a clinically important difference between the sexes- unfilled pauses duration presents one difficulty as a measure of speech fluency-it is not independent of language fluency. Children with abnormal long unfilled pauses may be using the extra time to plan language, not speech.
Speech has many levels of organisation- words are nested within utterances, syllables within words, sounds within syllables and individual gesture within sounds. The rate of speech is seen a little different at each of these levels of organization.
The most complex level is the utterance, and the length of an utterance related to the rate at which it is produced. This relation seems to be determined by the amount of sound produced. This relation seems to be determined by the amount of information the utterance contains. Although a longer utterance typically contains more information than a short one, the amount of information in each word of a longer utterance is less than that in a shorter utterance because of the additional redundancy of the context. One can supply the missing item more readily in a longer utterance because of the additional context.
The rate can be assessed in word and syllable levels also.
Smith (1978) compared the duration of 9 words in the speech of 2 and 4 year old children with that of adults. The duration of words was a direct function of the subject’s age.

The results
Adults                                        4 year olds                                  2 year olds
M             SD                             M        SD                                    M             SD
532           53.6                           612       53.4                               697           106.7
It is evident that the speech of children gets faster and faster with age.
The next level is syllable. Utterance duration and word duration seem to depend      heavily on the amount of information contained in the utterances but syllable/sec seems independent of content, as long as the sample is large enough to contain a large variety of syllables. For this reason the number of syllable/sec is the most common measure of speech production rate. The rate of speech in adults is 5-6 syllables/sec.
Development of speech rhythm
Findings:
1)      Young children(18-36 months) are unable to imitate sentences lacking normal rhythm(Eilers,1975)
2)      2 year old tends to use far fewer syllables than do adults, so that their speech rhythm has fewer syllables per foot or more beats per utterance; in short.it sounds more syllable timed(       Allen and Hawkins,1980)
3)      Syllable are totally reduced by 2-3 year olds in two phonetic environments
A)    word initial
B)    next to another unstressed syllable( Hawkins,1979)
The rhythm of speech is an important perceptual cue to our recognition of speech as meaningful stimuli. The very first word, children produce do not show as much stress contrast as in adult speech (Ingram,1974:Allen and Hawkins,1980). The adult rhythm of language is not as easily discerned in the speech of children in one or two word stages of development. Two syllable words containing one stressed and unstressed syllable are typically produced as if they were spondees, with both syllables being given full vowel color and duration. The only indication of stress is in the raised fundamental frequency of the stressed syllables. Furthermore, many of the sounds in the unstressed syllable may be lost, and instead the child produces a nearby, usually adjacent, stressed syllable. Typically, a child’s reduplication consists of one heavy accented syllable followed by a heavy unaccented one (Hawkins 1979).
E.g: ray-ray for raisin or bebe for betty.
Development of ease in speech
We have no direct measures of the effort children expend in the production of speech, either muscular effort or mental effort and thus no findings on this topic.
Anyway, some thought is required just before an utterance to plan execution, but once this planning is accomplished the utterance is executed automatically. When this conclusion is put together with the data reported earlier on the length of unfilled pauses in children’s speech, which tend to as the child grows, it appears that younger children spend more time planning an utterance and that the planning time decreases as the child develops. Since the rate of speech increases as children grow, one can concludes that they acquire the ability to talk with less muscular effort.

RELATED DISSERTATION
1)AUTHOR: Nagapoormina                              
YEAR: 1990
NO.OF SUBECTS: 12
SUBJECT’S AGE IN YEAR:3-4 years
LANGUAGE: Kannada
MATERIAL USED: conversation, rhymes, picture description, story telling
RESULTS:
1)      All the subjects had more percent of unfilled pauses, followed by filled pauses, parenthetical remarks, repetition
2)      Disfluencies occurred more in initial position.
2)AUTHOR: Indu
YEAR: 1990
NO.OF SUBJECTS: 12
SUBJECT’S AGE IN YEAR: 4-5years.
LANGUAGE:kannada
MATERIAL USED: conversation, rhymes, picture description, story telling
RESULTS:
1)      more filled pauses followed by repetition and parenthetical remarks.
2)      More disfluencies in the initial part of utterance.
3) AUTHOR:Yamini
YEAR: 1990
NO.OF SUBJECTS:12
SUBJECT’S AGE IN YEAR:5-6 years
LANGUAGE:Kannada
conversation, rhyme, picture description, storytelling.
RESULTS:
1)      MATERIAL USED: Unfilled pauses, filled pauses, parenthetical remarks, audible inspiration occurred more frequently.
2)      Disfluencies more in initial position around 90%.
4)AUTHOR: RajendraSwamy
YEAR: 1990
NO.OF SUBJECTS: 12
SUBJECT’S AGE IN YEAR: 6-7 years
LANGUAGE:Kannada
MATERIAL USED: conversation, rhyme, picture description, storytelling.
RESULTS:1) disfluencies were more for male subjects
3)      filled pause was most frequently occurring, then comes parenthetical remarks and repetitions.
Table: % of disfluencies in normal children (3-7 yrs), summarised by SoumyaSrinivasa (1992) from the studies of Nagapoornuma, Indu, Yamini and RajendraSwamy.
Disfluency types in %
Age(yrs) 3-4 yrs
4-5 yrs
5-6 yrs
6-7 yrs
Filled pauses
9.6
12
7.66
7.4
Unfilled
8.6
1.52
9.2
1.53
Repetition
4
0.69
3.21
6.37
Parenthetical remarks
2.5
5.27
7.49
6.54
False starts
0.16
0.39
6.51
2.88
Sound prolongation
-
0.13
1.11
1.84
Part question repeats
-
0.04
-
Audible inspiration
-
0.18
5.38
2.79
Broken words
-
-
-
Hesitations
-
-
-

Total                   24.86               20.18               35.60             29.67


FACTORS AFFECTING FLUENCY:

“We use speech mechanism to produce speech and some people produce speech more fluently, more easily, smoothly, and rapidly than others. The ease with which some people speak may result from characteristics present in the mechanisms they use”
(Stark Weather, 1987).
Several factors seems to affect fluency are continuity, rate, effort, rhythm, physiological factors,    motor factors, linguistic factors, language complexity, grammatical categories, sex, and environmental factor.
Physiological factors:
Fluency is directly related to the characteristics of mechanism of speech production structure like
  Size and mass of the structure
  Proper strength/tonicity in structures
  Coordination between the movements of structures/systems (respiratory, phonatory and articulatory).
  Perceptual and neural mechanism influencing timing
  Feedback controls
  Physicalwellbeing


The coordination and timing of speech segments can affect the articulation which in turn can affect fluency. Others such as reaction time for speech, changes in the feedback, gestural synchrony during speech can also affect fluency. Certain anatomical constraints on the child vocal system may also influence fluency. A younger child shows a smaller vocal tract, less control of the movements of the vocal tract, coordination, planning, and execution of speech action which also disrupts fluency.
Van Riper (1971), indicated that disruption of proper programming of the physiological movements necessary for fluent speech causes stuttering. Co-ordination between spatial movements and timing are essential physiological aspects of fluency (Stark Weather 1987).
Motor factors:
Muscles that contract during a speech gesture will receive high frequency neural impulses at the proper movement. Muscles which are relaxed will receive a low frequency neural impulse. The capacity to relax antagonist muscles has more to do with frequency than the capacity to contract agonist muscles, which is proved in stutterers (Freeman & Ushijima, 1978). Along with the mass and stiffness of the peripheral mechanism, certain neural mechanisms also have an important influence on the timing of movements.
Linguistic factors: One of the growing demands for fluency comes from the childs development of language skills, which include:
o        Language capacity (oral & reading)
o        Syntactic/grammatical complexity
o        Content/Function word class
o        Utterance length
o        Mother tongue/other languages
o        Linguistic demands

PHONOLOGY:
Children become more interested in using longer words, phrases and sentences with increase in the knowledge of rules of phonology. This places a demand on children’s motoric skill. They may be able to plan a motoric pattern, but lack the fluency to execute it at normal speed.
SYNTAX:
Increased syntactic knowledge is a demand on motor speech production, since it requires an ability to plan and execute longer utterance.
SEMANTICS:
Development of semantics is also a demand on fluency because as the child’s vocabulary increases he has more to choose from, which makes it more difficult and time consuming to plan an utterance. This may result in increase in the duration and frequency of pauses, which later reduces with child’s ability.
PRAGMATICS:
Growth in pragmatics seems to diminish the spontaneity of child’s speech. Their speech becomes more controlled and directed to more specific purposes. The child learns skills like turn taking, talking on demand, initiating conversations and understanding and talking about what their listeners will be interested in.
Language complexity: Analysis of language samples by Haynes and Hood (1978) who studied 20 male and 20 female children between 5-6yrs supported that language influences disfluency especially in the complex modeling condition. Significant repetition, revisions, incomplete phrases and dysrhythmic phonations occurred in the complex modeling situation.

Co articulation: Affects fluency since it is an aspect of syllabic rate. Co articulation increases with an increased rate. As rate increases, speakers shorten the duration of vowels and consonants; increasing overlapping of adjacent sounds.

Grammatical category: It is found that the frequency of occurrence of both unfilled and filled pauses is more before content words than function words (Mac Clay & Osgood, 1959; Fagen, 1982). The words following filled pauses are difficult to predict and filled pauses occur mainly before words which are highly uncertain. Filled pauses are much more common at the beginning of clauses than within clause (Boomer, 1965; Cook, 1971; Hawkings, 1971) and they to occur before longer and more complex sentences (Cook, Smith and Lallijee, 1974).

Extra linguistic Factors:
Age:
Children and geriatrics speech is longer than adults.
Sex: Children in both sex have been studied by several investigators. Some studies (Fisher, 1932, Kowal et al 1975, Hayness and Hood, 1977; Yairi, 1981, Wexler and Mysak, 1982) have indicated males as showing greater disfluencies than females in the age groups 2-6 yrs, others (Kools and Berryman, 1971) have indicated no sex differences in the dysfluent pattern or in the total number of disfluencies.
Novelty:
New word – longer duration.
Environmental Factors:
Person variables: seniority, position, age, gender, attitude, Confidence in using the language, knowledge of the topic …
Place variable: school, home, addressing a gathering, tution classes…
Task variables: Recitation, Reading, Monologue, Dialogue, Group discussion..
The person to which child is speaking is also an important factor which influences fluency. It has been found that the child speaks more fluently when asked to speak with a puppet than with an experimenter (Martin & Haroldson, 1972).




JOURNAL ARTICLES
1.Characteristics of speech disfluency and stuttering behaviors in 3- and 4-year-old children. Speech Lang Hear Res. 2002 Feb;45(1):20-34.
Pellowski MWConture EG 2002 studied speech disfluency and stuttering behaviors in 3- and 4-year-old children.
Measures of speech disfluency appreciably differentiate CWS from CWNS and that 4-year-old CWS exhibit changes in non re-iterative forms of stuttering as a function of time since stuttering onset.
2. Characteristics of stuttering-like disfluencies in Dutch-speaking children.
Fluency Disord. 2007;32(4):310-29. Epub 2007 Jul 27
  Boey RAWuyts FLVan de Heyning PHDe Bodt MSHeylen L. 2007,Compared  the characteristics of stuttering-like disfluencies in a group of native Dutch-speaking children who stutter with a group of normally fluent children.
  Findings indicate that stuttering-like disfluencies exhibited by children who stutter are significantly more frequent, longer in duration and involve more physical tension when compared to those of normally fluent children.
3.Disfluency characteristics of 2-, 4-, and 6- yr-old males
 Karin B. Wexler  , Edward D. Mysak , Journal of Fluency Disorders
Volume 7, Issue 1, 1982, Pages 37-46
Karin B. Wexler 1982,studied developmental Disfluency in 2-, 4-, and 6-Year-Old Boys in Neutral and Stress Situations .
Neutral stress
2-yr-olds
higher disfluency frequencies for word repetitions and phrase repetitions higher frequency of dysrhythmic phonations
stress situation
2-yr-olds
higher frequency of average oscillation higher frequency of dysrhythmic phonations
4.Speaking rate characteristics of elementary-school-aged children who do and do not stutter.
Department of Speech, Language, and Hearing Sciences, 336 Dauer Hall, University of Florida, Gainesville, FL 32611-7420, United States. klogan@ufl.edu
Journal of communication disorders 2011 Jan-Feb
  Kenneth J. Logan 2003,examined language and fluency characteristics of single utterance (SU) and multiple-utterance (MU) conversational turns produced by 15 preschoolers who stutter and 15 age- and sex-matched preschoolers who do not stutter.
  Results indicated that the children’s utterances from MU-turns typically served assertive functions and were significantly longer and more linguistically complex than their utterances from SU-turns.
  Neither group showed a significant difference in disfluency rate for length-matched utterances from MU- and SU-turns.

References:
  • ManningW. H(2001).Clinical decision making in fluency disorders(2nded.). Singular Thomson Learning.
  • Bloodstein,Hand book of stuttering (5th ed.).

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