Correlação entre nasalância e nasalidade em crianças com hipernasalidade

Pegoraro‐Krook, Maria Inês; Marino, Viviane Cristina de Castro; Silva, Luciana; Dutka, Jeniffer de Cássia Rillo

doi:10.1590/1982-0216201415113

Cited by 5 publications

(3 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The speech material consisted of 12 sentences of Brazilian Portuguese, developed by the BrazilCleft task force, 30 that were composed of 12 different pressure consonants (target consonants): P apai olha a p i p a; O t a t u é t eu; O c uco c aiu a q ui; A B ibi b a b ou; O d edo da D uda d oeu; O G u g u é le g al; A F ifi é f o f a; O s a c i s aiu; A X uxa a ch ou o ch á; O v ovô v iu a v ela, A ro s a é a z ul - do z e; A J u j u é j oia . Three repetitions of each target consonant were elicited for the speech analysis for a total of 36 consonants.…”

Section: Methodsmentioning

confidence: 99%

Models for Predicting Velopharyngeal Competence Based on Speech and Resonance Errors and Velopharyngeal Area Estimation

Scarmagnani

Lohmander

Salgado

et al. 2023

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

Objective To develop tools for predicting velopharyngeal competence (VPC) based on auditory-perceptual assessment and its correlation with objective measures of velopharyngeal orifice area. Design Methodological study. Participants and Methods Sixty-two patients with repaired cleft palate, aged 6 to 45 years, underwent aerodynamic evaluation by means of the pressure-flow technique and audiovisual recording of speech samples. Three experienced speech-language pathologists analysed the speech samples by rating the following resonance, visual, and speech variables: hypernasality, audible nasal air emission, nasal turbulence, weak pressure consonants, facial grimacing, active nonoral errors, and overall velopharyngeal competence. The correlation between the perceptual speech variables and velopharyngeal orifice area estimates was analysed with Spearman's correlation coefficient. Two statistical models (discriminant and exploratory) were used to predict VPC based on the orifice area estimates. Sensitivity and specificity analyses were performed to verify the clinical applicability of the models. Results There was a strong correlation between VPC (based on the orifice area estimates) and each speech variable. Both models showed 88.7% accuracy in predicting VPC. The sensitivity and specificity for the discriminant model were 92.3% and 97.2%, respectively, and 96.2% and 94.4% for the exploratory model. Conclusion Two predictor models based on ratings of resonance, visual, and speech variables and a simple calculation of a composite variable, SOMA (Eng. “sum”), were developed and found to be efficient in predicting VPC defined by orifice estimates categories based on aerodynamic measurements. Both tools may contribute to the diagnosis of velopharyngeal dysfunction in clinical practice.

show abstract

Section: Methodsmentioning

confidence: 99%

Models for Predicting Velopharyngeal Competence Based on Speech and Resonance Errors and Velopharyngeal Area Estimation

Scarmagnani

Lohmander

Salgado

et al. 2023

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

show abstract

“…Multiple studies have focused on quantifying the relationship between auditory-perceptual and objective evaluations of resonance. [38][39][40][41][42][43][44][45][46][47][48][49][50][51][52] In adults with and without velopharyngeal dysfunction, a moderate positive relationship has been reported between perceptual and objective assessments of resonance (r values around .4 to .8). 27,38,44,53,54 There are factors that weaken this relationship, however, including differences in auditory-perceptual scales as well as the broad range of nasometry scores reported for individuals judged to have balanced resonance.…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Auditory-Perceptual and Objective Measures of Resonance in Children with Cleft Palate: Effects of Intelligibility and Dysphonia

Fujiki

Kostas

Thibeault

2023

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

To investigate the relationship between auditory-perceptual ratings of resonance and nasometry scores in children with cleft palate. Factors which may impact this relationship were examined including articulation, intelligibility, dysphonia, sex, and cleft-related diagnosis. Retrospective, observational cohort study Outpatient pediatric cranio-facial anomalies clinic Four hundred patients <18 years of age identified with CP ± L, seen for auditory-perceptual and nasometry evaluations of hypernasality as well as assessments of articulation and voice. Relationship between auditory-perceptual ratings of resonance and nasometry scores Pearson's correlations indicated that auditory-perceptual resonance ratings and nasometry scores were significantly correlated across oral-sound stimuli on the picture-cued portion of the MacKay-Kummer SNAP-R Test (r values .69 to.72) and the zoo reading passage (r = .72). Linear regression indicated that intelligibility ( p ≤ .001) and dysphonia ( p = .009) significantly impacted the relationship between perceptual and objective assessments of resonance on the Zoo passage. Moderation analyses indicated that the relationship between auditory-perceptual and nasometry values weakened as severity of speech intelligibility increased ( P < .001) and when children presented with moderate dysphonia ( p ≤ .001). No significant impact of articulation testing or sex were observed. Speech intelligibility and dysphonia alter the relationship between auditory-perceptual and nasometry assessments of hypernasality in children with cleft palate. SLPs should be aware of potential sources of auditory-perceptual bias and shortcomings of the Nasometer when following patients with limited intelligibility or moderate dysphonia. Future study may identify the mechanisms by which intelligibility and dysphonia affect auditory-perceptual and nasometry evaluations.

show abstract

“…Como demonstrado em diversos estudos (MIGUEL; TRINDADE, 2007;PEGORARO-KROOK et al, 2014;LARANJEIRA et al, 2016), é indispensável que, nesses exames, as amostras de sílabas, vocábulos e frases sejam padronizados, visto que somente por meio dessa padronização é que é possível comparar resultados pré e pós-tratamento da disfunção velofaríngea. Além disso, a padronização das amostras favorece a discussão entre profissionais e entre diferentes centros de estudo.…”

Section: Submissão Da Documentação Ao Comitêunclassified

Tradução e adaptação transcultural para a língua inglesa do Protocolo de Avaliação Miofuncional Orofacial MBGR

Silva¹

View full text Add to dashboard Cite

The "Protocolo de Avaliação Miofuncional Orofacial MBGR" was developed in the Brazilian Portuguese language to assess and diagnose orofacial myofunctional disorders in the Brazilian Portuguese-speaking population. Considering its extensive use in clinical practice and in scientific studies, the indispensability of participation of professional translators in every translation procedure, the existence of studies in the literature that recommend specific guidelines for the process of translation and cross-cultural adaptation of health-related instruments, and the prevalence of the North American English language in the dissemination of technical and scientific knowledge, the objective of this study was to perform the translation and cross-cultural adaptation of the updated "Protocolo MBGR" from the Brazilian Portuguese language into the North American English language according to the guidelines for translation and cross-cultural adaptation of health-related instruments proposed by Beaton et al. (2000), aiming at the dissemination of both the updated "Protocolo MBGR" and the technical and scientific knowledge in Speech-Language Pathology area, specifically in the Orofacial Myology area, produced in Brazil. The guidelines proposed by Beaton et al. (2000) recommend six steps: (1) translations, (2) synthesis of translations, (3) back translations, (4) expert committee, (5) pretests, and (6) submission of the documentation to a coordinating committee.In the first step, two translations into English were done by two different native Englishspeaking translators. In the second step, these two translations were compiled in order to reach a synthesis version. In the third step, the synthesis version of the translations was backtranslated into Portuguese by two native Portuguese-speaking translators. In the fourth step, translators, back translators, and other specialists, including Speech-Language Pathologists, established the pre-final English version of the "Protocolo MBGR" to be tested; each participant scored from 1 to 4 (1 = not relevant, 2 = somewhat relevant, 3 = quite relevant, 4 = highly relevant) each item of the pre-final English version of the "Protocolo MBGR" according to the Content Validity Index (CVI), in order to measure the percentage of experts who were in agreement with the translation of the items. In the fifth step, which was held at the University of South Florida, tests were performed in order to establish the final English version of the "Protocolo MBGR". In the first phase of the pretesting, the pre-final English version of the "Protocolo MBGR" was analyzed and evaluated by 15 North American Speech-Language Pathologists in order to verify the quality and clarity of its translation and cross-cultural adaptation; in the second phase of the pretesting, the pre-final English version of the "Protocolo MBGR" readjusted from the analyzes and evaluations of the first phase of the pretesting was re-analyzed and re-evaluated by five other North American Speech-Language Pathologists in order to verify the qua...

show abstract

Correlação entre nasalância e nasalidade em crianças com hipernasalidade

Cited by 5 publications

References 25 publications

Models for Predicting Velopharyngeal Competence Based on Speech and Resonance Errors and Velopharyngeal Area Estimation

Models for Predicting Velopharyngeal Competence Based on Speech and Resonance Errors and Velopharyngeal Area Estimation

Relationship Between Auditory-Perceptual and Objective Measures of Resonance in Children with Cleft Palate: Effects of Intelligibility and Dysphonia

Tradução e adaptação transcultural para a língua inglesa do Protocolo de Avaliação Miofuncional Orofacial MBGR

Contact Info

Product

Resources

About