Mudanças fonológicas obtidas no tratamento de sujeitos comparando diferentes modelos de terapia

Abstract

The three therapy models were effective for the treatment of children with phonological disorder because they all of them provided an increase in the Percentage of Consonants Correct-Revised, in the number of acquired phonemes and in the types of analyzed generalizations.

Mudanças fonológicas após aplicação de abordagem terapêutica baseada em traços distintivos no tratamento do desvio fonológico

“…The subject with MMD was the one to show the highest number of generalizations on items which were not employed on the treatment, followed by the one with MD. Similar results regarding generalization to other words have been suggested in other researches (7,9) . In what regards to the generalization to other positions in a word, reported in several studies (7)(8)(9) , it can be observed that in the group treated by "contrast" the subject with MSD showed an increase on the number of correct production of the segments in other positions of the word, followed by one with MMD and the one with SD.…”

“…These types of generalization support especially the acquisition of sounds in the phonological inventory of children, and they have been verified in other studies as well (2,8,9) . Both the subjects treated by "contrast" and the ones treated by "reinforcement" showed generalization to items that had not been used along the treatment, for other positions of the word, for the same segment class and for other segment classes.…”

“…Another study (14) verified that there was an increase on the number of acquired segments on the final phonological inventory of children with MMD, followed by MD and, finally, MSD. The acquisition of sounds after the applications of phonological models is also observed by other authors (2)(3)(4)(5)(6)(8)(9)(10)15) . The disorder severity of the subject with SD, treated by "contrast" of features, decreased for MMD in the FPE, and the subjects with SMD and MMD also developed for MD.…”

“…This expansion is related to an improvement regarding the substituted phonemes pre and post-treatment, not only regarding the sounds trained, in the positions trained, but also in what refers to non-target sounds in positions that haven't been trained (4,5) . Several studies analyzed the generalization after the application of different models of phonological therapy (2,4,(6)(7)(8)(9) . The intervention process of phonological disorder should begin with an evaluation and complete analysis of the children's phonological inventory, in order to facilitate the choice of the targets, which can lead to a reorganization or re-structuring of the phonological inventory, due to the generalization (1,4,6,10) .…”

Mudanças fonológicas obtidas no tratamento pelo modelo de oposições múltiplas

“…Several approaches for phonological intervention have been created during the last decades. Some of these models (Modified Cycles Model, Maximal Oppositions, ABAB--Withdrawal and Multiple Probes) are often used with children who are native speakers of Brazilian Portuguese [3][4][5][6][7][8][9] . However, the Multiple Opposition children were referred to the speech care where they started the therapy, connected to research projects, according to the vacancies.…”