A efetividade dos testes complementares no acompanhamento da intervenção terapêutica no transtorno fonológico

Abstract

Effectiveness of complementary tests in monitoring therapeutic intervention in speech sound disorders ABSTRACTTherapeutic planning and evolution of children with speech sound disorders are related to both the initial assessment and to the complementary tests selected to be applied. Monitoring the case by regular evaluations adds important information to the diagnosis, which allows strengthening the initial findings with regards to the underlying deficits identified in the initial evaluation. The aim of this case report was to verify the effectiveness and the efficiency in using the Percentage of Consonants Correct -Revised (PCC-R) index as well as complementary tests of speech inconsistency, stimulability and phonological awareness skills in monitoring therapeutic intervention in children with speech sound disorders. The study included three male children. At the time of initial evaluation, Case 1 was 6 years and 9 months old, Case 2, 8 years and 10 months old, and Case 3, 9 years and 7 months old. In addition to the specific assessment of phonology, complementary tests were used to help in verifying the underlying deficits for each specific case. Subjects were also evaluated on phonological awareness abilities, speech inconsistency and speech stimulability. Data analysis confirmed that the complementary tests selected for this case study were effective and efficient to complement initial diagnostic as well as to demonstrate modifications that occurred in the three subjects with speech sound disorders.

Porcentagem de consoantes corretas (PCC) em crianças com deficiência auditiva: estudo longitudinal

“…Longitudinal studies have shown the effectiveness and efficiency of the application percentage of the correct consonant index for monitoring the therapeutic intervention in children with phonological disorder and specific language disorder 10,11 . Due to the scarcity of validated instruments, especially in Brazil, to quantify speech alterations specifically in hearing impaired children, we question the use of standardized instruments to measure phonological alterations in children with normal hearing that could also be used to evaluate children hearing impaired.…”

Estudo sobre a intervenção em crianças falantes do Português Europeu com atraso fonológico

“…Wertzner and Pagan (2012) analisaram o índice de percentagem de consoantes corretas revisado (PCC-R) bem como os resultados obtidos em testes complementares de inconsistência de fala, de estimulabilidade e de capacidades metafonológicas em três crianças com transtorno fonológico às quais foi aplicado o modelo de ciclos adaptado. Os resultados mostraram que os testes referidos foram efi cazes para ajudar a estabelecer o diagnóstico bem como para registar a evolução nos três casos após o período de intervenção terapêutica.…”

Aplicação de medidas de gravidade e de inconsistência de fala em crianças com transtorno fonológico

“…One of the most widely indexes used by national (7)(8)(9)(10) and International (1) authors is what measures the Percentage of Consonants Correct -Revised (PCC-R) (11) , which considers only substitutions and omissions as errors and evaluates distortions as correct. Process Density Index (PDI) (12,13) is an index of severity of SSD which supports the occurrence of PP.…”

“…Using indexes to quantify the types of errors found in the assessment assists in comparisons among children and are also useful for monitoring therapy (9) . In the literature, are described some indexes, including relative indexes (14) , which are calculated dividing the number of omission (IRO), distortion (IRD), or substitution (IRS), by the number of total errors in the speech sample and allow verifying the type of error most occurring among all types produced.…”