Management options for pediatric patients who stutter: current challenges and future directions

Donaghy, Michelle; Smith, Kylie

doi:10.2147/phmt.s77568

Cited by 13 publications

(4 citation statements)

References 76 publications

(77 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Findings of current study are fairly reliable with previous studies in literature which report that the digital manipulation of thyroid cartilage and fluency shaping therapy are effective techniques to reduce the severity of stuttering 18,19 . Therefore, suggested that DMTC and FST would reduce the severity of stuttering, however the combination of both would remarkably reduce the severity of stuttering than single alone.…”

Section: Discussionsupporting

confidence: 88%

Efficacy of Digital Manipulation of Thyroid Cartilage, Fluency Shaping Therapy and Combination of Both in Treatment of Stuttering Severity: A Randomized Clinical Trial

et al. 2022

View full text Add to dashboard Cite

Background: The stuttering is manifested by disruption in normal speech flow and fluency that also disturbs social and emotional wellbeing. There is immediate need of rehabilitation for the improvement of fluency and reduce the severity of stuttering.Objective:To compare the digital manipulation of thyroid cartilage (DMTC), fluency shaping therapy (FST) and combination of DMTC and FST for improving severity in stuttering patients. Material and Method: A randomized clinical trial was conducted at National Institute of Rehabilitation Medicine. The patients were enrolled through non-probability, convenient sampling technique. The participants were randomly allocated into three equal groups (n=10): DMTC group, FST group and combination of both. The Scale of Rating Severity of Stuttering (SRSS) was used to assess the severity level at baseline, 2ndweek, 4thweek, 8thweek and 12thweek of intervention.Results: The mean age of DMTC, FST and combination group was, 22.25 ±3.33 years, 21.65±3.36 and 21.35±3.76 years respectively. Friedman with post hoc test revealed significant improvement (p<0.05) in all groups but combination group had showed better outcome than single DMTC and FST intervention. A Kruskal-Wallis H test showed that there was no significant difference (p≥0.05) among DMTC, FST and Combination group from baseline to 8thweeks of training, but significant difference {X2(2) =5.897, p<0.014} was observed after 12thweek of training among the groups. The post hoc test showed that the combination group was more significantly improved as compared to DMTC group {MR=9.10 ver. MR=17.71, p=0.012} but not significant difference between difference between combination and FST group (p=0.317) as well as DMTC and FST group (p=0.619) regarding severity of stuttering. Conclusion: It is concluded that combination of digital manipulation of thyroid cartilage and fluency shaping therapy were more beneficial for improving fluency in stuttering patients. Key words:Digital manipulationtherapy,fluency shaping therapy, stammering, stuttering.

show abstract

Section: Discussionsupporting

confidence: 88%

Efficacy of Digital Manipulation of Thyroid Cartilage, Fluency Shaping Therapy and Combination of Both in Treatment of Stuttering Severity: A Randomized Clinical Trial

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Addressing such feelings is important because they can disrupt the healing process and prevent parental change (25,26). The most effective options for early intervention are stuttering through parental cooperation, in which the clinician acts as a facilitator., However Practicing regular treatment at home can also be challenging, especially if both parents are working, and if parents or siblings are separated (21). Another study examines the impact of telemedicine on parent participation in pediatric intensive care, the results show that all parents reported that telemedicine approaches had a positive effect on their confidence in child care and improved communication with the care team (26).…”

Section: Ensuring Follow-up Treatment By the Family And Improving Parent-child Relationsmentioning

confidence: 99%

Evaluation of Telehealth Efficacy in Improving Maintenance Phase of Stuttering Children

Samzadeh

Iranpour

Shekari

et al. 2021

J Clin Res Paramed Sci

View full text Add to dashboard Cite

Background: Stuttering as a communication disorder can lead to serious problems in interpersonal communication and affect the quality of life of the affected person. Objectives: The aim of this study was to investigate the effectiveness of telehealth in improving its treatment and its effect on maintenance phase of stuttering children. Methods: In this study, all 6 - 12 year-old stuttering children referred to the Speech Therapy Center of Shahid Beheshti Hospital in 2018 were selected by purposeful sampling method and divided into two groups of experiment and control. Children were healthy and without any disorder. All 12 children received a three-month course of treatment with a speech and language pathologist (SLP) weekly one session. Maintenance phase included 8 sessions of 30 minutes over a period of six months. Results: Six children in the experimental group received maintenance phase training exercises by the SLP in the form of audio and video files through the WhatsApp software. Average total satisfaction rating (4.22) the lowest satisfaction score (3.16) highest score (5). According to the total score of the questionnaire,17% of the parents were satisfied at a low rate, 33% of parents were satisfied with the average and 50% of parents were very satisfied. Conclusions: In this study, the efficacy of telehealth on the maintenance phase of stuttering children has been evaluated. Results showed that telemedicine, with its ability to completely remove distance and travel as barriers for both patients and health care professionals is one option. Telemedicine can be a viable alternative to traditional in-person physician-based care for stuttering.

show abstract

“…Stuttering persists after puberty in approximately 1% of the general population, with a male to female ratio of 4 to 1 (Yairi and Ambrose, 2013). Currently, access to treatment is limited by regional availability (Donaghy and Smith, 2016).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Therapy Rates for Stuttering, Cluttering, and Developmental Disorders of Speech and Language: Evaluation of German Health Insurance Data

Sommer

Waltersbacher

Schlotmann

et al. 2021

Front. Hum. Neurosci.

View full text Add to dashboard Cite

PurposeTo evaluate the prevalence and treatment patterns of speech and language disorders in Germany.MethodsA retrospective analysis of data collected from 32% of the German population, insured by the statutory German health insurance (AOK, Local Health Care Funds). We used The International Statistical Classification of Diseases and Related Health Problems, 10th revision, German Modification (ICD-10 GM) codes for stuttering (F98.5), cluttering (F98.6), and developmental disorders of speech and language (F80) to identify prevalent and newly diagnosed cases each year. Prescription and speech therapy reimbursement data were used to evaluate treatment patterns.ResultsIn 2017, 27,977 patients of all ages were diagnosed with stuttering (21,045 males, 75% and 6,932 females, 25%). Stuttering prevalence peaks at age 5 years (boys, 0.89% and girls, 0.40%). Cluttering was diagnosed in 1,800 patients of all ages (1,287 males, 71.5% and 513 females, 28.5%). Developmental disorders of speech and language were identified in 555,774 AOK-insurants (61.2% males and 38.8% females). Treatment data indicate a substantial proportion newly diagnosed stuttering individuals receive treatment (up to 45% of 6-year-old patients), with slightly fewer than 20 sessions per year, on average. We confirmed a previous study showing increased rates of atopic disorders and neurological and psychiatric comorbidities in individuals with stuttering, cluttering, and developmental disorders of speech and language.ConclusionThis is the first nationwide study using health insurance data to analyze the prevalence and newly diagnosed cases of a speech and language disorder. Prevalence and gender ratio data were consistent with the international literature. The crude prevalence of developmental disorders of speech and language increased from 2015 to 2018, whereas the crude prevalence for stuttering remained stable. For cluttering, the numbers were too low to draw reliable conclusions. Proportional treatment allocation for stuttering peaked at 6 years of age, which is the school entrance year, and is later than the prevalence peak of stuttering.

show abstract

Management options for pediatric patients who stutter: current challenges and future directions

Cited by 13 publications

References 76 publications

Efficacy of Digital Manipulation of Thyroid Cartilage, Fluency Shaping Therapy and Combination of Both in Treatment of Stuttering Severity: A Randomized Clinical Trial

Efficacy of Digital Manipulation of Thyroid Cartilage, Fluency Shaping Therapy and Combination of Both in Treatment of Stuttering Severity: A Randomized Clinical Trial

Evaluation of Telehealth Efficacy in Improving Maintenance Phase of Stuttering Children

Prevalence and Therapy Rates for Stuttering, Cluttering, and Developmental Disorders of Speech and Language: Evaluation of German Health Insurance Data

Contact Info

Product

Resources

About