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Fact · Speech recognition

The American Speech-Language-Hearing Association says the speech threshold procedure may need modifying for young children and for mentally disabled, uncooperative or neurologically disabled people, and that modifications must be recorded.

Checked against its source on October 17, 2026

In the source's own words

“certain individuals such as young children and mentally disabled, uncooperative, or neurologically disabled individuals may require modification of the procedure”

Determining Threshold Level for Speech (ASHA Guidelines, 1988), American Speech-Language-Hearing Association, American Speech-Language-Hearing Association, 1988, Background.

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What it measures
The guideline describes a standard descending procedure for adults and cooperative patients. Children's tests can use picture-based spondaic word lists, which the guideline includes as an appendix.
What it does not show
The guideline does not say how to modify the procedure for each group. That is a clinical decision made on each test.

Source

Cited on

Young children and some patients may need a modified speech threshold procedure | Yap