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Revista Da Sociedade Brasileira De Fonoaudiologia最新文献

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Comparação dos estímulos clique e CE-chirp® no registro do Potencial Evocado Auditivo de Tronco Encefálico 点击和CE-chirp®刺激在脑干听觉诱发电位记录中的比较
Pub Date : 2012-12-01 DOI: 10.1590/S1516-80342012000400008
G. Rodrigues, D. R. Lewis
PURPOSE: To compare the latencies and amplitudes of wave V on the Brainstem Auditory Evoked Potential (BAEP) recording obtained with click and CE-chirp® stimuli and the presence or absence of waves I, III and V in high intensities. METHODS: Cross-sectional study with 12 adults with audiometric thresholds <15 dBHL (24 ears) and mean age of 27 years. The parameters used for the recording with both stimuli in intensities of 80, 60, 40, 20 dBnHL were alternate polarity and repetition rate of 27.1 Hz. RESULTS: The CE-chirp® latencies for wave V were longer than click latencies at low intensity levels (20 and 40 dBnHL). At high intensity levels (60 and 80 dBnHL), the opposite occurred. Larger wave V amplitudes were observed with CE-chirp® in all intensity levels, except at 80 dBnHL. CONCLUSION: The CE-chirp® showed shorter latencies than those observed with clicks at high intensity levels and larger amplitudes at all intensity levels, except at 80 dBnHL. The waves I and III tended to disappear with CE-chirp® stimulation.
目的:比较点击和CE-chirp®刺激下脑干听觉诱发电位(BAEP)记录的V波的潜伏期和振幅,以及高强度的I、III和V波的存在或不存在。方法:对12名听力阈值<15 dBHL(24耳)、平均年龄27岁的成年人进行横断面研究。记录80、60、40、20 dBnHL强度刺激的参数为交替极性,重复频率为27.1 Hz。结果:在低强度水平(20和40 dBnHL)下,波V的CE-chirp®潜伏期比点击潜伏期长。在高强度水平(60和80 dBnHL)时,情况正好相反。除80 dBnHL外,CE-chirp®在所有强度水平下均观察到较大的波V振幅。结论:CE-chirp®的潜伏期比高强度下的咔哒声短,且除80 dBnHL外,其他所有强度下的振幅都较大。在CE-chirp刺激下,I波和III波趋于消失。
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引用次数: 15
A efetividade dos testes complementares no acompanhamento da intervenção terapêutica no transtorno fonológico 补充试验在监测语音障碍治疗干预中的有效性
Pub Date : 2012-12-01 DOI: 10.1590/S1516-80342012000400018
Haydée Fiszbein Wertzner, Luciana de Oliveira Pagan-Neves
Therapeutic planning and evolution of children with speech sound disorders are related to both the initial assessment and to the complementary tests selected to be applied. Monitoring the case by regular evaluations adds important information to the diagnosis, which allows strengthening the initial findings with regards to the underlying deficits identified in the initial evaluation. The aim of this case report was to verify the effectiveness and the efficiency in using the Percentage of Consonants Correct - Revised (PCC-R) index as well as complementary tests of speech inconsistency, stimulability and phonological awareness skills in monitoring therapeutic intervention in children with speech sound disorders. The study included three male children. At the time of initial evaluation, Case 1 was 6 years and 9 months old, Case 2, 8 years and 10 months old, and Case 3, 9 years and 7 months old. In addition to the specific assessment of phonology, complementary tests were used to help in verifying the underlying deficits for each specific case. Subjects were also evaluated on phonological awareness abilities, speech inconsistency and speech stimulability. Data analysis confirmed that the complementary tests selected for this case study were effective and efficient to complement initial diagnostic as well as to demonstrate modifications that occurred in the three subjects with speech sound disorders.
言语障碍儿童的治疗计划和发展与初步评估和选择应用的补充测试有关。通过定期评估对病例进行监测,为诊断增加了重要信息,从而可以加强初步评估中确定的潜在缺陷的初步发现。本病例报告的目的是验证使用正确辅音百分比-修订(PCC-R)指数以及语音不一致,刺激和语音意识技能的补充测试在监测语音障碍儿童的治疗干预中的有效性和效率。该研究包括三个男孩。初步评估时,病例1为6岁9个月大,病例2、8岁10个月大,病例3、9岁7个月大。除了对语音的具体评估外,还使用了补充测试来帮助核实每个具体病例的潜在缺陷。同时对被试进行语音意识能力、言语不一致性和言语刺激能力的评估。数据分析证实,为本案例研究选择的补充测试是有效和高效的,可以补充初始诊断,并证明三名语音障碍患者发生的改变。
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引用次数: 8
Prevalência do desvio fonológico em crianças da cidade de Salvador, Bahia 流行的语音偏差的救世主,巴西在城里的孩子
Pub Date : 2012-12-01 DOI: 10.1590/S1516-80342012000400013
Laura Giotto Cavalheiro, Ana Rita Brancalioni, M. Keske-Soares
PURPOSE: To verify the prevalence of phonological disorders according to age, gender and socioeconomic level of children from Salvador, Bahia, Brazil. METHODS: The sample comprised 2880 children of both genders from low, middle and high socioeconomic levels enrolled in public schools from Salvador, with ages ranging from 4 years to 6 years and 11 months. Initially, all children were individually screened for speech-language and hearing disorders. Moreover, an anamnesis was conducted with caregivers/parents, and teachers answered to an interview. After that, a phonological assessment and a contrastive analysis were conducted, in order to diagnose children with phonological disorders. The prevalence of phonological disorder was calculated, and statistical analyses were performed. RESULTS: The prevalence of speech disorders was 9.17%. It was verified a higher prevalence of phonological disorders for male subjects. In addition, when genders were associated to the variables "age" and "socioeconomic status", the prevalence varied statistically. CONCLUSION: Biological and social factors might influence the acquisition of phonological skills of oral language. Prevention measures and actions directed to identifying and treating phonological disorders should consider the different classes of socioeconomic development.
目的:根据巴西巴伊亚州萨尔瓦多儿童的年龄、性别和社会经济水平,验证语音障碍的患病率。方法:样本包括2880名来自萨尔瓦多公立学校低、中、高社会经济水平的男女儿童,年龄从4岁到6岁零11个月不等。最初,所有儿童都接受了语言和听力障碍的单独筛查。此外,还对照顾者/家长进行了记忆,并对教师进行了访谈。之后,进行语音评估和对比分析,以诊断语音障碍儿童。计算语音障碍的患病率,并进行统计分析。结果:言语障碍患病率为9.17%。经证实,男性受试者有较高的语音障碍患病率。此外,当性别与“年龄”和“社会经济地位”变量相关联时,患病率在统计上有所不同。结论:生理和社会因素可能影响口语语音技能的习得。针对识别和治疗语音障碍的预防措施和行动应考虑到社会经济发展的不同类别。
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引用次数: 13
Resolution of vocal fold polyps with conservative treatment 声带息肉的保守治疗
Pub Date : 2012-12-01 DOI: 10.1590/S1516-80342012000400023
Glaucya Madazio, Felipe Moreti
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引用次数: 2
Early identification of language delay by direct language assessment or parent report 通过直接语言评估或家长报告来早期识别语言迟缓
Pub Date : 2012-12-01 DOI: 10.1590/S1516-80342012000400024
D. Molini-Avejonas
Rev Soc Bras Fonoaudiol. 2012;17(4):504 (1) Curso de Fonoaudiologia, Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo – USP – São Paulo (SP), Brasil. Endereço para correspondência: Daniela Regina Molini-Avejonas. R. Cipotânea, 51, Cidade Universitária, São Paulo (SP), Brasil, CEP: 05360-160. E-mail: danielamolini@usp.br Early identification of language delay by direct language assessment or parent report?
Rev Soc Bras Fonoaudiol. 2012;17(4):504(1)言语治疗课程,物理治疗,言语治疗和职业治疗,sao保罗大学医学院- USP - sao保罗(SP),巴西。通讯地址:Daniela Regina Molini-Avejonas。R. cipotanea, 51, Cidade大学城,sao Paulo (SP),巴西,邮政编码:05360-160。E-mail: danielamolini@usp.br通过直接语言评估或家长报告及早识别语言延迟?
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引用次数: 2
Análise do ruído de impacto na audição de integrantes do batalhão de operações especiais da polícia militar do Paraná: uma proposta de prevenção parana宪兵特别行动营成员听觉冲击噪声分析:预防建议
Pub Date : 2012-12-01 DOI: 10.1590/S1516-80342012000400026
Adriana Betes Heupa
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引用次数: 0
Tipos de erros de fala em crianças com transtorno fonológico em função do histórico de otite média 根据中耳炎史有语音障碍的儿童的语言错误类型
Pub Date : 2012-12-01 DOI: 10.1590/S1516-80342012000400010
Haydée Fiszbein Wertzner, Perla Isabel dos Santos, Luciana de Oliveira Pagan-Neves
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.
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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引用次数: 8
Comportamento motor oral e global de recém-nascidos de mães usuárias de crack e/ou cocaína 快克和/或可卡因母亲新生儿的口腔和整体运动行为
Pub Date : 2012-12-01 DOI: 10.1590/S1516-80342012000400016
Marisa Gasparin, Josiele Larger Silveira, L. W. Garcez, B. S. Levy
PURPOSE: analyzing the oral and general motor behavior of newborns from women who used crack and/or cocaine during pregnancy, and verifying if there is a relation between the development of the oral and general sensory motor system. METHODS: Cross-sectional study with 25 premature and full-term newborns from women who were crack and/or cocaine users were compared with another group composed of 25 newborns without the studied factor. The evaluations of the oral and general sensory motor system were carried out by the Instrument to Assess the Readiness of Preterm Infants for Oral Feeding and by the Test of Infant Motor Performance (TIMP). The results compared the scores obtained in both scales and their relation to the use of crack and/or cocaine during pregnancy. RESULTS: No significant difference was found by the TIMP when comparing the newborns from crack and/or cocaine-using mothers to the ones from non-using mothers. The results from the Instrument to Assess the Readiness of Preterm Infants for Oral Feeding showed statistic significance. A significant relation between the results from babies who presented delay in the TIMP to the lowest score in the Instrument to Assess the Readiness of Preterm Infants for Oral Feeding was observed. CONCLUSION: The low performance observed in the Instrument to Assess the Readiness of Preterm Infants for Oral Feeding suggests that the oral motor responses are altered by the use of drugs during the pregnancy. The significant correlation between both instruments shows that the development of the oral sensory motor system is directly related to the general motor development.
目的:分析怀孕期间使用快克和/或可卡因的妇女所生新生儿的口腔和一般运动行为,验证口腔和一般感觉运动系统的发育是否存在关系。方法:采用横断面研究方法,将25名来自快克和/或可卡因使用者的早产儿和足月新生儿与另一组由25名未受研究因素影响的新生儿进行比较。口腔和一般感觉运动系统的评估采用早产儿口腔喂养准备评估仪和婴儿运动表现测试(TIMP)进行。结果比较了两种量表的得分及其与怀孕期间使用快克和/或可卡因的关系。结果:使用快克和/或可卡因母亲的新生儿与不使用可卡因母亲的新生儿的TIMP无显著差异。早产儿口服喂养准备程度评估仪的结果具有统计学意义。观察到在TIMP中出现延迟的婴儿的结果与在评估早产儿口服喂养准备程度的工具中得分最低之间存在显着关系。结论:早产婴儿口服喂养准备度评定仪表现不佳,提示妊娠期药物使用改变了口腔运动反应。这两种仪器之间的显著相关性表明,口腔感觉运动系统的发展与一般运动的发展直接相关。
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引用次数: 12
Influência do ambiente hospitalar nos aspectos relacionados ao aleitamento materno 医院环境对母乳喂养相关方面的影响
Pub Date : 2012-12-01 DOI: 10.1590/S1516-80342012000400017
A. Beck, Karine de Oliveira Assunção, L. Barbosa, Erissandra Gomes
PURPOSE: To investigate the influence of hospital environment on aspects related to breastfeeding and communication on the mother/newborn interaction during the breastfeeding process. METHODS: This consisted on a cross-sectional study composed by 34 dyads: 18 in rooming and 16 in intermediate/medium care units of a public hospital. Each dyad was observed at the time of breastfeeding, and data were analyzed considering the aspects standardized by UNICEF for breastfeeding. Verbal and nonverbal communication modes were observed. RESULTS: Comparison of variables showed significant associations between hospital environment and the position of the mother in relation to the newborn and mother stimulation and vocalization to the neonate, with favorable percentage for the dyad that was in rooming. The other variables did not differ. CONCLUSION: Important conditions for the establishment of breastfeeding and communication between mother and newborn are influenced by the location of the dyad, especially the hospital environment.
目的:探讨医院环境对母乳喂养相关方面的影响,以及沟通对母乳喂养过程中母婴互动的影响。方法:这是一项由34对夫妇组成的横断面研究:18对在病房,16对在公立医院的中级/中等护理单位。观察每对婴儿在母乳喂养时的情况,并根据联合国儿童基金会母乳喂养标准对数据进行分析。观察语言和非语言交流模式。结果:各变量比较显示,医院环境与母亲对新生儿的体位、母亲对新生儿的刺激和发声有显著的相关性,其中病房对新生儿的刺激和发声有较好的影响。其他变量没有差异。结论:建立母乳喂养和母婴沟通的重要条件受双联体位置,尤其是医院环境的影响。
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引用次数: 8
Perfil de escolares do 3º ao 5º ano do ensino fundamental I em compreensão de leitura: elaboração de um instrumento avaliativo 小学三至五年级学生阅读理解概况:开发评估工具
Pub Date : 2012-12-01 DOI: 10.1590/S1516-80342012000400028
Vera Lúcia Orlandi Cunha
Universidade Estadual Paulista Julio de Mesquita Filho Faculdade de Filosofia e Ciencias Programa de Pos-Graduacao (Doutorado) em Educacao
保利斯塔州立大学Julio de Mesquita Filho哲学和科学学院教育学研究生项目(博士)
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引用次数: 3
期刊
Revista Da Sociedade Brasileira De Fonoaudiologia
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