Frequência e tipologia das disfluências: análise comparativa entre taquifêmicos e gagos

Abstract

OBJETIVO: quantificar e comparar as tipologias das disfluências da fala de adultos com taquifemia e adultos com gagueira desenvolvimental persistente. MÉTODO: participaram 15 adultos, divididos em dois grupos: Grupo de Pessoas com Taquifemia, composto por 5 adultos com taquifemia e Grupo de Pessoas com Gagueira, composto por 10 adultos com gagueira. Os procedimentos utilizados foram: avaliação da fluência, Inventário Preditivo de Taquifemia e Instrumento de Gravidade da Gagueira. RESULTADOS: os grupos apresentaram diferenças estatisticamente significantes para o total de disfluências comuns (p=0,021) e de disfluências gagas (p<0,001). Quanto à tipologia de disfluências comuns, interjeição, revisão e palavra não terminada apresentaram diferenças significantes. Todos os tipos de disfluencias gagas foram manifestados com maior ocorrência no grupo de gagueira, com diferença estatisticamente significante. CONCLUSÃO: o grupo de pessoas com taquifemia apresentou aumento da frequência de disfluencias comuns, enquanto que o grupo de pessoas com gagueira apresentou aumento na frequencia de disfluências gagas. As disfluências comuns foram variadas em ambos os grupos e taquifêmicos mostraram menos tipos de disfluências gagas em relação aos taquifêmicos.

Efeito da retroalimentação auditiva atrasada na fala e leitura de taquifêmicos

“…Regarding speech rate, it was observed that adults with cluttering (Table 1) showed values well above the normative data (11) , confirming previous studies that described the presence of fast speech in the cluttering (6,7,8,9) . In relation to speech disruption, the cluttering group (G1) was heterogeneous: some presented values close to those considered normal (11) , but the majority showed increased values.…”

“…In the intergroup comparison of spontaneous speech, there were more differences in Non-Altered Auditory Feedback condition than in the delayed one (Tables 2). This result was already expected, once the main characteristic of cluttering is the increase in speech rate and the number of common disfluencies (2,6,7,8,9,10) . It is worth highlining that in the spontaneous speech under the DAF, the groups differed in the number of common disfluencies (Table 2).…”

“…The data related to the comparison of non-altered and delayed auditory feedback in spontaneous speech showed positive results in the cluttering group (G1), since there was a reduction in the main manifestations of the disorder, which are increased speech rate (2,6,7,8,9) and excessive number of common disfluencies (2,7,8,9) (Table 2). It is suggested that the chorus effect provoked by the delay in auditory feedback, which facilitates the greater cortex activation (20) , assists the speech control and monitoring of adults who clutter.…”

“…In the description of the cluttering neurological foundations, a study concluded that the disorder may be explained by imbalance in the anterior cingulate cortex circuit and the supplementary motor area (5) . The main characteristics of cluttering are increased speech rate and excessive disfluencies (2,6,7,8,9,10) . Fast speech was reported both by studies that assessed speech rate (8,9) and compared it with normative standard (11) , as well as by reports of the own adults who clutter (1) .…”

“…The main characteristics of cluttering are increased speech rate and excessive disfluencies (2,6,7,8,9,10) . Fast speech was reported both by studies that assessed speech rate (8,9) and compared it with normative standard (11) , as well as by reports of the own adults who clutter (1) . This last study was performed with eight cluttering adults and characterized relevant findings of the clinical history.…”