intelligibility rating scale for motor speech disorders RATING DIMENSION INTELLIGIBILITY IS... 10 Environment* Normal in all environments Content Without restrictions on content Efficiency* Without slowness or need for repairs 9 Environment Sometimes reduced under adverse conditions Content ‘when content is unrestricted Efficiency bur adequate with repairs 8 Environment Sometimes reduced under ideal conditions Content when content is unrestricted Efficiency bu; adequate with repairs 7 Environment Sometimes reduced under adverse conditions Content even when content is restricted Efficiency but adequate with repairs 6 Environment Sometimes reduced under id conditions Content when content is unrestricted Efficiency ‘even when repairs are attempted 5 Environment Usually’ reduced under adverse conditions Content ‘when content is unrestricted Efficiency even when repairs are attempted 4 Environment Usually reduced under ideal conditions Content ‘even when content is restricted Efficiency but adequate with repairs 3 Environment Usually reduced under adverse conditions Content even when content is restricted Efficiency even when repairs are attempted 2 Environment Usually reduced under ideal conditions Content ‘even when content is restricted Efficiency ‘even when repairs are attempted i Speech is not a viable means of communication in any environment, egardless of restrictions in content or attempts at repair Environment may be “ideal (eg. faceto face, without visual or austory def- cis in the fstener, without competition from noise or visual dstracions) or “adverse” (eg. at a distance, with Vaual or auditory deficit or distractions). ‘Content may be “unrestricted (includes al pragmaticaly appropriate content, new topics, lengthy narratives, and So on) or “restricted” (e.g. imited to bref responses to questions or statements that permit some predicton of response content). $Eficiency may be “normal (normal in rate and rarely in need of repetition or Clarification because of poor speech production) or “repairs’ may be necessary (Cepetition, restatement, responses to darifng questions, modfied production such as orl speling, word-by-word confirmation of listener's repetiton, spell: ing, and o on), Sintelighilty is reduced in 25% or fewer of uterances. Sinteighilty is reduced in 50% oF more of utterances but not for all uiterances. Note: Not all combinations of deviant dimensions can be captured by a {0 -poin scale, and an obvious gray area exists between the meaning of "some- tines" and “usally.” The point on the scale that most closely approximates the clan's judgment shouldbe sed. Many patents may fi.nto more than one point onthe sal. Its appropriate to assign a range rather than a single pont such eases (eg. 56),