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    Stuttering: tools for speech-language pathologists

    SPS tracking, RESTART-DCM module (parent/child), fluency assessment, and at-home exercises.

    1%

    of the adult population worldwide stutters

    3–4Γ—

    more common in boys

    75%

    of children who stutter recover spontaneously before age 8

    What life is like for a person who stutters

    Stuttering (F98.5) shows up as involuntary blocks, prolongations, and repetitions. The person is fully aware of the difficulty and often develops speech anxiety, avoidance strategies, and social withdrawal. The challenge is as much emotional as it is motor.

    ICD-10: F98.5

    Blocks: the word "locks up" and won't start

    Repetitions: sounds or syllables repeated involuntarily

    Prolongations: a sound stretched out unintentionally

    Secondary behaviors: facial grimacing, muscle tension

    Anticipatory anxiety and avoidance of speaking situations

    What Talk Slower brings to this indication

    πŸ“

    Real-time SPS measurement

    Tracks articulation rate (syllables per second) in guided reading and spontaneous speech. Essential for rate-regulation approaches (Camperdown, fluency shaping).

    πŸ‘¨β€πŸ‘©β€πŸ‘§

    RESTART-DCM module

    The child speaks, the parent rephrases at a reduced rate. The app measures both SPS curves at once and calculates the gap. Based on Franken's Demands-Capacities model (2007).

    πŸ—ΊοΈ

    8-step guided path

    A structured progression tailored to each fluency/rate profile. Every step introduces a clinical goal: breath pausing, chunking, easy onset, self-monitoring.

    πŸ”‡

    Silence tolerance module

    Graded exposure to silence to desensitize initiation anxiety, after Van Riper (1973). The patient gradually tolerates longer silences without compensatory speech.

    πŸ“Š

    Between-session SPS report

    An SPS progress curve across several weeks. Spot the exercises where rate consistency (CV) improves or degrades. Baseline vs. target comparison.

    πŸ“‹

    Targeted prescriptions

    Assign texts, exercise modes (reading, spontaneous speech, dialogue), and personalized rate goals directly to each patient.

    Try it live

    These modules run right in your browser, microphone optional. This is what your patients see between sessions.

    Real-time SPS measurement: syllables per second

    Read this sentence aloud:

    "The cat is quietly eating its food in the kitchen."

    Keep your level in the green zone for 10 seconds.

    RESTART-DCM module: parent / child SPS

    Parent and child are both speaking too fast.

    Parent
    5.8
    Child
    5.2
    SlowTarget zoneFast

    Based on Franken & Putker-de Bruijn (2007) Β· RESTART-DCM

    Your patients' exercises

    A preview of the modules available in the app. Every exercise can be assigned from your dashboard.

    πŸ“Rate

    SPS measurement in reading

    Your patient knows down to the second whether they're in the zone. They stop waiting for your verdict and adjust their own rate.

    Available in the app
    πŸ‘¨β€πŸ‘©β€πŸ‘§Fluency

    RESTART-DCM parent/child

    The parent sees their own curve next to the child's. Without any explanation, they grasp how their rate shapes their child's.

    Available in the app
    πŸ”‡Pauses

    Silence tolerance

    Every session, the patient holds a little longer in the silence. They see for themselves that the emptiness no longer overwhelms them.

    Available in the app
    πŸ›‘Pauses

    Pause mid-speech

    Stopping on purpose in the middle of a sentence. Speech becomes less mechanical and the anxiety more manageable.

    Available in the app
    πŸ—ΊοΈProgression

    8-step guided path

    One milestone a week, from rate work all the way to spontaneous speech. Your patient always knows where they stand.

    Available in the app
    πŸ’¬Transfer

    Dialogue mode

    What your patient learned in reading, they now apply in a real conversation. The transfer is measurable.

    Available in the app

    How it fits into your practice

    1

    1. Initial assessment

    SPS measured in reading and spontaneous speech. Compared to Van Zaalen norms by age.

    2

    2. Guided path

    8 progressive steps: from rate work to self-monitoring in spontaneous speech.

    3

    3. RESTART-DCM

    For children: the parent vs. child SPS curve displays in real time. Goal: Ξ” ≀ βˆ’0.3 syll/sec.

    4

    4. Silence module

    Graded exposure to silence. Tolerated duration measured and tracked across sessions.

    5

    5. Follow-up

    Between-session SPS curve, full history, prescriptions adjustable at every visit.

    Clinical assessmentsBeta Β· orientation aid

    The stuttering assessment, adapted to every age

    The patient speaks, the analysis engine pre-fills the measures, you keep control of every value β€” and the Word report is ready at the end.

    Stuttering assessment

    Age-adapted pathway Β· ages 4-6 β†’ adult

    25 to 45 min depending on age
    • %SS computed on spontaneous speech, reading and singing β€” variability becomes visible
    • Sheehan's iceberg, impact and avoidance scales for the invisible part of the disorder
    • Parent questionnaire completed remotely before the first appointment
    The patient speaks, the analysis engine pre-fills measures and scores
    You replay every task and adjust every value
    Pre-written Word report, ready to personalise
    Automatic comparison with the previous assessment (T0 β†’ T1)

    Clinical orientation aids, to be validated in consultation. The app does not establish any diagnosis.

    Clinical references

    The Camperdown protocol (rate regulation + prolonged speech) produces fluency gains maintained at 12 months.

    O'Brian et al. (2003), Camperdown Program. JSLHR

    Reducing parental speech rate by 0.3 syll/sec or more reduces developmental stuttering in children aged 4 to 6.

    Franken & Putker-de Bruijn (2007), RESTART-DCM

    Desensitization to silence reduces initiation anxiety and avoidance behaviors.

    Van Riper (1973), The Treatment of Stuttering

    Comparison of available tools

    An honest look at what the main tools on the market offer for this indication.

    ToolSPS measurement (rate)RESTART-DCM moduleBuilt for cliniciansNo installSLP trackingFree for patients
    Talk Slower
    #Stuttering.app
    Stamurai
    DAF Pro

    = partial or limited feature. Sources: official tool websites, May 2026.

    Extend the impact of your sessions between appointments

    Your patients practice at home with the same biofeedback as in session. You see their progress before they even arrive.

    Ready to use from the first sessionYour patients get access with no account to createHuman support within 24 hours

    Frequently asked questions