Fatores causais e aplicação de provas complementares relacionadas à gravidade no transtorno fonológico

Haydée Fiszbein Wertzner, Danira Tavares Francisco, Luciana de Oliveira Pagan-Neves
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Abstract

PURPOSE: To determine whether the severity index that measures the percentage of consonants correct distinguishes children with speech sound disorders (SSD) according to measures of stimulability and speech inconsistency, as well as to the presence of heritability (familial history) and history of early recurrent otitis media. METHODS: Participants were 15 subjects aged between 5 and 7 years and 11 months, diagnosed as phonologically disordered. The PCC-R index was calculated for both words imitation and picture naming tasks, separately. The need to apply stimulability test was considered according to the criteria proposed in previous research for Brazilian Portuguese-speaking children. Speech inconsistency allowed the classification of subjects as either consistent or inconsistent. Data were statistically analyzed. RESULTS: Comparison between PCC-R calculated for picture naming and words imitation tasks demonstrated difference only for the need for the application of the stimulability test. Such difference was not observed in the speech inconsistency test. No difference was found at PCC-R values considering both familial and otitis media histories. CONCLUSION: The present research indicates that children who were submitted to the stimulability test presented lower values of PCC-R. However, PCC-R values were not determinant for differences among children, regarding the speech inconsistency test and familial and otitis media histories.
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与语音障碍严重程度相关的因果因素和补充证据的应用
目的:确定衡量辅音正确率的严重程度指数是否能根据刺激性和言语不一致的指标,以及遗传(家族史)和早期复发性中耳炎的存在来区分语音障碍(SSD)儿童。方法:15名被诊断为语音障碍的5 ~ 7岁11个月的受试者。分别计算单词模仿和图片命名任务的PCC-R指数。根据先前对巴西葡语儿童的研究提出的标准,考虑了应用刺激性测试的必要性。言语不一致允许将主体分类为一致或不一致。对数据进行统计学分析。结果:图片命名和文字模仿任务的PCC-R计算结果的比较显示,只有在需要应用刺激性测试时才存在差异。在言语不一致测试中没有观察到这种差异。考虑到家族病史和中耳炎病史,PCC-R值没有差异。结论:本研究表明,接受刺激性测验的儿童PCC-R值较低。然而,PCC-R值并不是儿童之间差异的决定因素,关于言语不一致测试和家族病史和中耳炎。
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