Tipos de erros de fala em crianças com transtorno fonológico em função do histórico de otite média

Haydée Fiszbein Wertzner, Perla Isabel dos Santos, Luciana de Oliveira Pagan-Neves
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引用次数: 8

Abstract

PURPOSE: To describe articulatory indexes for the different speech errors and to verify the existence of a preferred type of error in children with speech sound disorder, according to the presence or absence of otitis media history. METHODS: Participants in this prospective and cross-sectional study were 21 subjects aged between 5 years and 2 months and 7 years and 9 months with speech sound disorder. Subjects were grouped according to the presence of otitis media history: experimental group 1 (EG1) with 14 subjects with otitis media history and experimental group 2 (EG2) with seven subjects without otitis media history. The amount of speech errors (distortions, omissions and substitutions) and the articulation indexes were calculated. Data were submitted to statistical analysis. RESULTS: The performances from EG1 and EG2 regarding the indexes were different from each other in both phonological tasks applied. In all analyzes, the indexes evaluating substitutions indicated that this type of error was the most prevalent in children with speech sound disorders. CONCLUSION: The use of indexes was effective to indicate that substitution is the most prevalent type of error in children with speech sound disorders. The greater occurrence of speech errors observed in the picture naming task in children with otitis media history indicates that such errors are possibly associated to difficulties in phonological representation secondary to fluctuating conductive hearing loss.
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根据中耳炎史有语音障碍的儿童的语言错误类型
目的:描述不同语音错误的发音指标,并根据有无中耳炎病史验证语音障碍儿童是否存在首选类型的错误。方法:这项前瞻性和横断面研究的参与者是21名年龄在5岁2个月和7岁9个月之间的语音障碍患者。根据有无中耳炎史将受试者分组:实验组1 (EG1)有中耳炎史14例,实验组2 (EG2)无中耳炎史7例。计算语音错误(畸变、遗漏和替换)的数量和发音指标。数据提交统计分析。结果:在两个语音任务中,EG1和EG2在各项指标上的表现存在差异。在所有的分析中,评估替换的指标表明,这种类型的错误在有语音障碍的儿童中最为普遍。结论:使用指标可以有效地表明替代是言语障碍儿童中最常见的错误类型。有中耳炎病史的儿童在图片命名任务中更容易出现言语错误,这表明这种错误可能与波动性传导性听力损失继发的语音表征困难有关。
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