Resultados da fonoterapia intensiva para correção da oclusiva glotal e fricativa faríngea na fissura labiopalatina

Pinto, Maria Daniela Borro

doi:10.11606/t.61.2016.tde-18102016-171139

Cited by 7 publications

(23 citation statements)

References 35 publications

(69 reference statements)

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“…Recentemente, Pinto (2016) -KROOK et al, 2010;BISPO et al, 2011;KUMMER, 2013;BOHM et al, 2014;KUMMER, 2014;YAMASHITA et al, 2014;YEN et al, 2017). Contudo, mesmo após a correção física da insuficiência velofaríngea é possível que a hipernasalidade e/ou a emissão nasal não sejam eliminadas totalmente e, para alguns casos, nem parcialmente (PETERSON-FALZONE et al, 2006;KUMMER, 2011aKUMMER, , 2013.…”

Section: Comparação Entre Os Resultados Da Avaliação Nasométrica Pós-unclassified

“…Kuehn (1991) As pistas auditivas são muito utilizadas para contrastar as diferenças entre presença e ausência de hipernasalidade e de ACs (GOLDING-KUSHNER, 1995BZOCH, 2004;PETERSON-FALZONE et al, 2006, LIMA et al, 2007PEGORARO-KROOK et al, 2010;KUMMER, 2011a;DUTKA et al, 2012;PINTO et al, 2017). HARDIN, 1986;PAMPLONA et al, 2005PAMPLONA et al, , 2009BISPO et al, 2011;PRATHANEE et al, 2011;DUTKA et al, 2012;PAMPLONA et al, 2012;PRATHANEE et al, 2014;DERAKHSHANDEH et al, 2016;PINTO, 2016;ANDRADE, 2017;PINTO et al, 2017).…”

Section: Comparação Entre Os Resultados Da Avaliação Nasométrica Pós-unclassified

“…Embora a literatura descreva diferentes tipos de escala para a avaliação perceptivo-auditiva da fala (JOHN et al, 2006;HENNINGSSON et al, 2008;CHAPMAN;WHITEHILL, 2015), o presente estudo fez uso da escala de intervalos iguais, por ser mais apropriada e pertinente à rotina clínica, e por facilitar a comparação de seus resultados antes e após a intervenção fonoaudiológica (PAMPLONA et al, 2009;BISPO et al, 2011;PRATHANEE et al, 2011;PAMPLONA et al, 2012;DERAKHSHANDEH et al, 2016;LUYTEN et al, 2016;PINTO, 2016;ANDRADE, 2017;.…”

Section: Comparação Entre Os Resultados Da Avaliação Nasométrica Pós-unclassified

“…Muito se discute quanto às diferenças entre as avaliações perceptivoauditivas presenciais e por meio de gravação (LOHMANDER; OLSSON, 2004;LARANGEIRA et al, 2016;PADILHA et al, 2015). Muitos estudos têm mostrado que um único módulo de fonoterapia intensiva não necessariamente é suficiente para a correção da hipernasalidade e de ACs de indivíduos com fissura labiopalatina (LIMA et al, 2007;BISPO et al, 2011;MELO et al, 2013;PINTO, 2016;ANDRADE, 2017 NORDSTROM, 1976;LÖFQVIST;MANDERSSON, 1987;PEGORARO-KROOK, 1990;LINVILLE, 2002;WELCH, 2009;da SILVA et al, 2011), mas poucos visam as alterações da ressonância de fala em indivíduos com fissura labiopalatina YANG et al, 2018). De acordo com Kataoka et al (2001), indivíduos com hipernasalidade apresentam características espectrais específicas como por exemplo, redução do primeiro formante (F1), presença de ressonância extra e diminuição do segundo formante (F2).…”

Section: Comparação Entre Os Resultados Da Avaliação Nasométrica Pós-unclassified

“…De acordo com Colosimo (2016) Preconiza que estes devem ter módulos curtos de até 2 meses, com frequência semanal de 3 a 7 dias, com sessões entre 30 e 60 minutos realizadas uma ou mais vezes ao dia (PAMPLONA et al, 2009;LEE et al, 2010;BISPO et al, 2011;LASKA et al, 2011;PRATHANEE et al, 2011;SPIELMAN et al, 2011;HALPERN et al, 2012;MARANGOLO et al, 2013;PENNINGTON et al, 2013;DOBBELSTEYN et al, 2014;FRY;MILARD;BOTTERILL, 2014;JOHNSON et al, 2014;PINTO et al, 2017). Pamplona et al (2005) (PAMPLONA et al, 2005(PAMPLONA et al, , 2009BISPO et al, 2011;PRATHANEE et al, 2011;, LUYTEN et al, 2016PINTO, 2016;ANDRADE, 2017;PINTO et al, 2017) e também nas avaliações de acompanhamento para verificar se os resultados se mantiveram (ALBERY; ENDERBY, 1984;PRATHANEE et al, 2011;DERAKHSHANDEH et al, 2016). Skidmore (2012)…”

Section: Espectro Médio De Longo Termo (Emlt)unclassified

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Programa de fonoterapia intensiva em pacientes com fissura labiopalatina

Ferreira¹

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Section: Comparação Entre Os Resultados Da Avaliação Nasométrica Pós-unclassified

Section: Espectro Médio De Longo Termo (Emlt)unclassified

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Programa de fonoterapia intensiva em pacientes com fissura labiopalatina

Ferreira¹

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Influence of an Intensive Speech Therapy Program on the Speech of Individuals with Cleft Lip and Palate

Andrade

Dutka

Ferreira

et al. 2022

Int Arch Otorhinolaryngol

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Introduction Compensatory articulations are speech disorders due to the attempt of the individual with cleft palate/velopharyngeal dysfunction to generate intraoral pressure to produce high-pressure consonants. Speech therapy is the indicated intervention for their correction, and an intensive speech therapy meets the facilitating conditions for the correction of glottal stop articulation, which is the most common compensatory articulation. Objective To investigate the influence of an intensive speech therapy program (ISTP) to correct glottal stop articulation in the speech of individuals with cleft palate. Methods Speech recordings of 37 operated cleft palate participants of both genders (mean age = 19 years old) were rated by 3 experienced speech/language pathologists. Their task was to rate the presence and absence of glottal stops in the 6 Brazilian Portuguese occlusive consonants (p, b, t, d, k, g) distributed within several places in 6 sentences. Results Out of the 325 pretherapy target consonants rated with glottal stop, 197 (61%) remained with this error, and 128 (39%) no longer presented it. The comparison of the pre- and posttherapy results showed: a) a statical significance for the p1, p2, p3, p4, t1, k1, k2 and d6 consonants (McNemar test; p < 0.05); b) a statistical significance for the p consonant in relation to the k, b, d, g consonants and for the t consonant in relation to the b, d, and g consonants (chi-squared test; p < 0.05) in the comparison of the proportion improvement among the 6 occlusive consonants. Conclusion The ISTP influenced the correction of glottal stops in the speech of individuals with cleft palate.

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Instrumento de rastreio do risco para alterações de fala em crianças com fissura labiopalatina

Mendes¹

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Screening tool to identify children with cleft lip and palate at risk for speech disorders Objectives: To develop and to evaluate screening tool to identify children with cleft lip and palate (CLP) at risk for speech disorder addressing the relationship between clinical factors and aspects of speech production and perception in the first three years of life. Methods: The study involved 3 phases: phase 1 the planning and development of the instrument was done combining a list of clinical factors and a list of speech behaviors. After an initial evaluation of the material, by one Pediatrician and one Speech-Language Pathologist (SLP) experienced with CLP, the lists were combined creating the screening tool to identify children with Cleft Lip and Palate at Risk for Speech Disorder (CLP-RSP). Phase 2 involved the content evaluation of the CLP-RSP by five Pediatricians and three SLPs from the Hospital de Reabilitação de Anomalias Craniofaciais (HRAC), establishing the Content Validity Index (CVI) followed by refinement of the CLP-RSP. Phase 3 included the preliminary assessment of the CLP-RSP effectiveness in corroborating the speech-language pathologist's referrals (follow-up of speech development or speech therapy). Results: The tool developed in this study aims to combine the clinical conditions related to CLP (such as hospitalizations, middle ear conditions, oronasal coupling, for example) with speech behaviors expected during the first three years of life. The content of the material was evaluated by 5 pediatricians and 3 SLPs and, after modifications, the CLP-RSP was created with the purpose of identify what the toddler understands, what the toddler speaks and clinical factors observed during the first three years of life. To better interpret the findings, the items in the CLP-RSP were divided into 6 age groups (0-6months, 7-12months, 13-18months, 19-24months, 25-30months, and 31-36 months) including three behaviors each for speech production and speech perception paired with possible clinical conditions expected at each age group for babies and toddlers with CLP. The content of the CLP-RSP was evaluated positively with a mean Content Validity Index indicating that 87% of the evaluators considered the content of the material very clear while 13% considered it clear. That is, there was no ratings indicating least clear or not clear content. The tool was applied with 18 caregivers establishing its efficacy in corroborating the SLPs referrals for either follow-up of speech development or intervention with speech therapy. Conclusion: In the present study the screening tool to identify children with Cleft Lip and Palate at Risk for Speech Disorder (CLP-RSP) was developed and its content was evaluated by pediatricians and SLPs experts in CLP management, which agreed in its majority, that the proposed material is "very clear". After establishing the tool preliminary efficacy, final refinement was proposed and should be implemented before its use in future studies to validate the screening tool CLP-RSP.

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Resultados da fonoterapia intensiva para correção da oclusiva glotal e fricativa faríngea na fissura labiopalatina

Abstract: Pinto, MDB. Resultados da fonoterapia intensiva para correção da oclusiva glotal e fricativa faríngea na fissura labiopalatina [tese].

Cited by 7 publications

References 35 publications

Programa de fonoterapia intensiva em pacientes com fissura labiopalatina

Programa de fonoterapia intensiva em pacientes com fissura labiopalatina

Influence of an Intensive Speech Therapy Program on the Speech of Individuals with Cleft Lip and Palate

Instrumento de rastreio do risco para alterações de fala em crianças com fissura labiopalatina

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