The PraxiFala Battery: A diagnostic accuracy study.

IF 1.4 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY International Journal of Speech-Language Pathology Pub Date : 2024-12-01 Epub Date: 2023-10-30 DOI:10.1080/17549507.2023.2263183

Marizete Ilha Ceron, Marileda Barichello Gubiani, Karina Carlesso Pagliarin, Denis Altieri O Moraes, Márcia Keske-Soares

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Abstract

Purpose: To present the sensitivity and specificity and establish cutoff points (receiver operating characteristic [ROC] curve) for the PraxiFala Battery.

Method: The sample included 308 Brazilian-speaking children aged 3;0-7;11. Twenty-one children had motor speech disorders (MSD), 58 children had phonological disorder (PD), and 229 had typical speech (TS) development. Participants were administered the PraxiFala Battery, which contains verbal (word and sentence production), nonverbal (orofacial praxis), and diadochokinetic tasks. The sensitivity and specificity of items in each task were then calculated using ROC curves.

Result: Total scores on the verbal (word production), nonverbal (orofacial praxis), and diadochokinetic tasks had good sensitivity and specificity. The only scores with poor sensitivity and specificity in differentiating between TS, PD, and MSD were consistency and prosody in the verbal tasks (sentence production), and item /ta/ in the diadochokinetic task. Area under the ROC curve (AUC) values were greater than 0.7 for most items in the comparison between TS vs. MSD and PD vs. MSD. AUC values were poor or fair among children with TS and PD, suggesting that this instrument may not be accurate in identifying these groups.

Conclusion: The verbal, nonverbal, and diadochokinetic tasks in the PraxiFala Battery had good sensitivity and specificity.

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PraxiFala电池：诊断准确性研究。

目的：介绍PraxiFala电池的敏感性和特异性，并建立其临界点（受试者工作特性[ROC]曲线）。方法：样本包括308名3岁的讲巴西语的儿童；0-7；11.21名儿童患有运动言语障碍（MSD），58名儿童患有语音障碍（PD），229名儿童患有典型言语发育（TS）。参与者接受了PraxiFala Battery，其中包括言语（单词和句子的产生）、非言语（口面练习）和diadochokinetic任务。然后使用ROC曲线计算每个任务中项目的敏感性和特异性。结果：言语（造词）、非言语（口面实践）和双动任务总分具有良好的敏感性和特异性。区分TS、PD和MSD的唯一敏感性和特异性较差的分数是言语任务（句子产生）中的一致性和韵律，以及diadochokinetic任务中的项目/ta/。在TS与MSD和PD与MSD的比较中，大多数项目的ROC曲线下面积（AUC）值大于0.7。TS和PD儿童的AUC值较差或尚可，表明该仪器在识别这些组时可能不准确。结论：PraxiFala Battery中的言语、非言语和diadochokinetic任务具有良好的敏感性和特异性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Speech-Language Pathology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION

CiteScore

3.10

自引率

16.70%

发文量

审稿时长

>12 weeks

期刊介绍： International Journal of Speech-Language Pathology is an international journal which promotes discussion on a broad range of current clinical and theoretical issues. Submissions may include experimental, review and theoretical discussion papers, with studies from either quantitative and/or qualitative frameworks. Articles may relate to any area of child or adult communication or dysphagia, furthering knowledge on issues related to etiology, assessment, diagnosis, intervention, or theoretical frameworks. Articles can be accompanied by supplementary audio and video files that will be uploaded to the journal’s website. Special issues on contemporary topics are published at least once a year. A scientific forum is included in many issues, where a topic is debated by invited international experts.