Pub Date : 2011-09-01DOI: 10.1590/S1516-80342011000300014
F. Fernandes
PURPOSE: To verify the existence of correlation between the results found in the Functional Communicative Profile, the social-cognitive performance, the Autism Behavior Checklist, and the social-communicative adaptation along a period of six months. METHODS: Participants were eight institutionalized adolescents with Autism Spectrum Disorders, assessed regarding their functional communicative profile and social-cognitive performance. Parents, caretakers and therapists answered the Social-Communicative Adaptation and the Autistic Behavior Checklist questionnaires in the beginning of the study and six months later. Data were statistically analyzed using non-parametric techniques. RESULTS: Higher scores on the Autistic Behavior Checklist are associated to lower scores on social-cognitive performance and to lower number of communicative acts. CONCLUSION: There is association between the results in the Autistic Behavior Checklist and the functional communicative profile and the social-communicative performance, but the results in the social-communicative adaptation are not correlated with any of the other variables.
{"title":"Adaptação sócio-comunicativa e Autism Behavior Checklist: correlações com a evolução de adolescentes autistas institucionalizados","authors":"F. Fernandes","doi":"10.1590/S1516-80342011000300014","DOIUrl":"https://doi.org/10.1590/S1516-80342011000300014","url":null,"abstract":"PURPOSE: To verify the existence of correlation between the results found in the Functional Communicative Profile, the social-cognitive performance, the Autism Behavior Checklist, and the social-communicative adaptation along a period of six months. METHODS: Participants were eight institutionalized adolescents with Autism Spectrum Disorders, assessed regarding their functional communicative profile and social-cognitive performance. Parents, caretakers and therapists answered the Social-Communicative Adaptation and the Autistic Behavior Checklist questionnaires in the beginning of the study and six months later. Data were statistically analyzed using non-parametric techniques. RESULTS: Higher scores on the Autistic Behavior Checklist are associated to lower scores on social-cognitive performance and to lower number of communicative acts. CONCLUSION: There is association between the results in the Autistic Behavior Checklist and the functional communicative profile and the social-communicative performance, but the results in the social-communicative adaptation are not correlated with any of the other variables.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"16 1","pages":"323-329"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67593127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-09-01DOI: 10.1590/S1516-80342011000300015
L. Rossi-Barbosa, A. P. Caldeira, Rodrigo Honorato-Marques, R. F. Silva
PURPOSE: To identify the prevalence of phonological disorders and to verify the sensitivity and specificity of the adapted Speech Disorder Screening Test (TERDAF) in first grade students of elementary school in Montes Claros, MG (Brazil). METHODS: Children were randomly assigned into cluster sampling in 56 public schools in the city. We assessed 587 children with a mean age of 6 years and 6 months using the adapted TERDAF; to verify the test's sensitivity and specificity, 229 of them were also assessed using the Speech Diagnosis Assessment, considered golden standard method. RESULTS: The prevalence of phonological disorders was 36.2%. The test presented sensitivity of 94.0%, but low specificity (41.1%). Considering the linguistic variations as normal production, the test had sensitivity of 86.7%, specificity of 75.3%, positive predictive value of 66.7% and negative predictive value of 90.9%. CONCLUSION: A high prevalence of phonological disorders was found. Due to the fact that most subjects did not recognize some picture and also that productions reflecting socio-cultural conditions occurred, the test must be further reviewed in order to be more accurate in the identification of phonological disorders.
{"title":"Prevalência de transtornos fonológicos em crianças do primeiro ano do ensino fundamental","authors":"L. Rossi-Barbosa, A. P. Caldeira, Rodrigo Honorato-Marques, R. F. Silva","doi":"10.1590/S1516-80342011000300015","DOIUrl":"https://doi.org/10.1590/S1516-80342011000300015","url":null,"abstract":"PURPOSE: To identify the prevalence of phonological disorders and to verify the sensitivity and specificity of the adapted Speech Disorder Screening Test (TERDAF) in first grade students of elementary school in Montes Claros, MG (Brazil). METHODS: Children were randomly assigned into cluster sampling in 56 public schools in the city. We assessed 587 children with a mean age of 6 years and 6 months using the adapted TERDAF; to verify the test's sensitivity and specificity, 229 of them were also assessed using the Speech Diagnosis Assessment, considered golden standard method. RESULTS: The prevalence of phonological disorders was 36.2%. The test presented sensitivity of 94.0%, but low specificity (41.1%). Considering the linguistic variations as normal production, the test had sensitivity of 86.7%, specificity of 75.3%, positive predictive value of 66.7% and negative predictive value of 90.9%. CONCLUSION: A high prevalence of phonological disorders was found. Due to the fact that most subjects did not recognize some picture and also that productions reflecting socio-cultural conditions occurred, the test must be further reviewed in order to be more accurate in the identification of phonological disorders.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"16 1","pages":"330-336"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67593172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-09-01DOI: 10.1590/S1516-80342011000300021
M. Behlau, Glaucya Madazio
Rev Soc Bras Fonoaudiol. 2011;16(3):370-2 (1) Centro de Estudos da Voz – CEV – Sao Paulo (SP), Brazil; Department of Speech-Language Pathology and Audiology, Sao Paulo Federal University – Universidade Federal de Sao Paulo – UNIFESP – Sao Paulo (SP), Brazil. Correspondence address: Glaucya Madazio. R. Machado Bittencourt, 361, 10o andar, Sao Paulo (SP), Brazil, CEP: 04044-905. E-mail: glaumadazio@uol.com.br Measuring quality of life in dysphonic patients: a systematic review of content development in patient-reported outcomes measures
{"title":"Measuring quality of life in dysphonic patients: a systematic review of content development in patient-reported outcomes measures","authors":"M. Behlau, Glaucya Madazio","doi":"10.1590/S1516-80342011000300021","DOIUrl":"https://doi.org/10.1590/S1516-80342011000300021","url":null,"abstract":"Rev Soc Bras Fonoaudiol. 2011;16(3):370-2 (1) Centro de Estudos da Voz – CEV – Sao Paulo (SP), Brazil; Department of Speech-Language Pathology and Audiology, Sao Paulo Federal University – Universidade Federal de Sao Paulo – UNIFESP – Sao Paulo (SP), Brazil. Correspondence address: Glaucya Madazio. R. Machado Bittencourt, 361, 10o andar, Sao Paulo (SP), Brazil, CEP: 04044-905. E-mail: glaumadazio@uol.com.br Measuring quality of life in dysphonic patients: a systematic review of content development in patient-reported outcomes measures","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"16 1","pages":"370-372"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67593343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-09-01DOI: 10.1590/S1516-80342011000300002
M. Behlau
{"title":"Why participate in the SBFa Speech-Language Pathology and Audiology Congress?","authors":"M. Behlau","doi":"10.1590/S1516-80342011000300002","DOIUrl":"https://doi.org/10.1590/S1516-80342011000300002","url":null,"abstract":"","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67592251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-09-01DOI: 10.1590/S1516-80342011000300009
R. D. Almeida, Renata Cavalcante Barbosa Haguette, Izabella Santos Nogueira de Andrade
Purpose: To characterize the swallowing process of different food consistencies and quantities, with and without verbal commands, through videofluoroscopy. METHODS: Quantitative cross-sectional, observational study held in the period between January and March 2010 with 40 healthy subjects with no apparent signs of swallowing problems. Mean age was 23 years and 5 months (SD±2.5), with a minimum age of 20 years and a maximum of 30 years, and 87.5% of the subjects were female (35/40). A videofluoroscopy swallowing study (VFSS) was carried out with the ingestion of barium in the liquid, thick liquid, pureed and solid consistencies. Two swallowing tests were held during the administration of the liquid consistency, with and without verbal commands. The place of beginning of the pharyngeal phase of swallowing in different structures was analyzed, as well as the presence of premature spillage of food, delayed oral transit time, multiple swallowing, stasis, and laryngeal penetration and/or aspiration in both situations. RESULTS: The beginning of the pharyngeal phase took place in the base of the tongue and in the valleculae for most consistencies and quantities, with the exception of the liquid swallowing (5 ml), which started in the valleculae. There was no influence of the verbal command both in the place where the pharyngeal phase of swallowing started, and the presence of stasis of residue. However, the command was effective in reducing oropharyngeal findings. CONCLUSION: The pharyngeal phase of swallowing occurred in the base of the tongue and valleculae. The verbal commands influenced the dynamics of swallowing.
{"title":"Deglutição com e sem comando verbal: achados videofluoroscópicos","authors":"R. D. Almeida, Renata Cavalcante Barbosa Haguette, Izabella Santos Nogueira de Andrade","doi":"10.1590/S1516-80342011000300009","DOIUrl":"https://doi.org/10.1590/S1516-80342011000300009","url":null,"abstract":"Purpose: To characterize the swallowing process of different food consistencies and quantities, with and without verbal commands, through videofluoroscopy. METHODS: Quantitative cross-sectional, observational study held in the period between January and March 2010 with 40 healthy subjects with no apparent signs of swallowing problems. Mean age was 23 years and 5 months (SD±2.5), with a minimum age of 20 years and a maximum of 30 years, and 87.5% of the subjects were female (35/40). A videofluoroscopy swallowing study (VFSS) was carried out with the ingestion of barium in the liquid, thick liquid, pureed and solid consistencies. Two swallowing tests were held during the administration of the liquid consistency, with and without verbal commands. The place of beginning of the pharyngeal phase of swallowing in different structures was analyzed, as well as the presence of premature spillage of food, delayed oral transit time, multiple swallowing, stasis, and laryngeal penetration and/or aspiration in both situations. RESULTS: The beginning of the pharyngeal phase took place in the base of the tongue and in the valleculae for most consistencies and quantities, with the exception of the liquid swallowing (5 ml), which started in the valleculae. There was no influence of the verbal command both in the place where the pharyngeal phase of swallowing started, and the presence of stasis of residue. However, the command was effective in reducing oropharyngeal findings. CONCLUSION: The pharyngeal phase of swallowing occurred in the base of the tongue and valleculae. The verbal commands influenced the dynamics of swallowing.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"46 1","pages":"291-297"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/S1516-80342011000300009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67592487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-09-01DOI: 10.1590/S1516-80342011000300008
Olívia Helena Gomes Patatas, Maria Inês Rebelo Gonçalves, Brasília Maria Chiari, Ingrid Gielow
PURPOSE: To investigate the consistency of duration and reproducibility of the pattern of acoustical events related to the swallowing of individuals without complaints. METHODS: Participants were 88 women and 76 men with ages between 6 and 85 years. With a microphone attached to the neck and connected to a computer, each of them performed nine swallowings of saliva, of 5 ml of water, and of 10 ml of water. Based on the acoustic registration of the sounds recorded, the duration of the interval between the peaks of the two main swallowing clicks (T), of the swallowing apnea (dA), and of the relationship between them (T/dA). RESULTS: No differences were found regarding the mean duration between the peaks of the two swallowing clicks (T), the mean duration of the swallowing apnea (dA), and the relationship T/dA in the different age ranges and between genders, except for the T/dA index for the swallowing of 5 ml of water. There was no correlation between age and the measured parameters. CONCLUSION: The swallowing sounds present a characteristic reproducible pattern, which is distinct both from external noises and from other sounds produced in the cervical region. Therefore, they may be used in dysphagia evaluation methods.
{"title":"Parâmetros de duração dos sinais acústicos da deglutição de indivíduos sem queixa","authors":"Olívia Helena Gomes Patatas, Maria Inês Rebelo Gonçalves, Brasília Maria Chiari, Ingrid Gielow","doi":"10.1590/S1516-80342011000300008","DOIUrl":"https://doi.org/10.1590/S1516-80342011000300008","url":null,"abstract":"PURPOSE: To investigate the consistency of duration and reproducibility of the pattern of acoustical events related to the swallowing of individuals without complaints. METHODS: Participants were 88 women and 76 men with ages between 6 and 85 years. With a microphone attached to the neck and connected to a computer, each of them performed nine swallowings of saliva, of 5 ml of water, and of 10 ml of water. Based on the acoustic registration of the sounds recorded, the duration of the interval between the peaks of the two main swallowing clicks (T), of the swallowing apnea (dA), and of the relationship between them (T/dA). RESULTS: No differences were found regarding the mean duration between the peaks of the two swallowing clicks (T), the mean duration of the swallowing apnea (dA), and the relationship T/dA in the different age ranges and between genders, except for the T/dA index for the swallowing of 5 ml of water. There was no correlation between age and the measured parameters. CONCLUSION: The swallowing sounds present a characteristic reproducible pattern, which is distinct both from external noises and from other sounds produced in the cervical region. Therefore, they may be used in dysphagia evaluation methods.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"16 1","pages":"282-290"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67592350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-09-01DOI: 10.1590/S1516-80342011000300020
C. A. Cielo, V. Elias, D. Brum, Fernanda Vargas Ferreira
The work of speech-language pathologists uses exercises such as the vocal fry (VF), which originates from the great contractile activity of the intrinsic laryngeal thyroarytenoid muscle (TA). The aim of this study was to review the literature related to TA and VF. A literature review of the last 20 years on the subject was performed in the databases LILACS, SciELO, PUBMED, Web of Science and Google Scholar. It was found that the internal beam of the TA has slow twitch fibers, isotonic, resistant to fatigue; the external beam provides fast twitch, fatigable and isometric fibers. The VF is characterized by the perception of the vibration of the glottal pulses during the emission of the lowest frequencies in the vocal range (crackling in bass or vocal fry), mainly by the action of the TA, especially its inner portion, which shows evident shortening, dropping the mucosa in great volume along the free edge, increasing subglottic pressure and jitter, shimmer and noise levels, and reducing the airflow. Based on the literature, the isometric exercise with the external TA happens with VF sustained in the lowest possible frequency to the subject (maximum contraction), for six seconds, five to ten times daily, consistent with its predominance of fast twitch fibers. In the isotonic exercise with the internal TA, high sounds must be to stretch the muscle, alternating emissions by VF (concentric contraction) and in modal register and falsetto head (high-pitched sounds) (eccentric contraction) with several daily series of eight to 12 repetitions, consistent with the predominance of slow twitch fibers.
语言病理学家的工作使用的练习，如声带(VF)，它起源于喉内甲状腺样肌(TA)的巨大收缩活动。本研究的目的是回顾有关TA和VF的文献。在LILACS、SciELO、PUBMED、Web of Science和b谷歌Scholar等数据库中对近20年来有关该主题的文献进行了综述。结果表明:TA内梁具有缓抽动纤维，等张性好，抗疲劳;外部梁提供快速抽搐，疲劳和等长纤维。VF的特征是在发声范围内的最低频率发射时(低音或声部的噼啪声)感受到声门脉冲的振动，主要是由TA的作用，特别是它的内部部分，表现出明显的缩短，粘膜沿自由边缘大量下降，声门下压力和抖动，闪烁和噪声水平增加，气流减少。根据文献，外源性TA的等长运动是在VF以尽可能低的频率(最大收缩)持续6秒的情况下进行的，每天5到10次，与快速抽搐纤维的优势相一致。在内部TA的等张训练中，高声音必须拉伸肌肉，通过VF(同心收缩)和模态音域和假声头(高音声音)(离心收缩)交替发射，每天重复8到12次，与慢肌纤维的优势相一致。
{"title":"Músculo tiroaritenoideo e som basal: uma revisão de literatura","authors":"C. A. Cielo, V. Elias, D. Brum, Fernanda Vargas Ferreira","doi":"10.1590/S1516-80342011000300020","DOIUrl":"https://doi.org/10.1590/S1516-80342011000300020","url":null,"abstract":"The work of speech-language pathologists uses exercises such as the vocal fry (VF), which originates from the great contractile activity of the intrinsic laryngeal thyroarytenoid muscle (TA). The aim of this study was to review the literature related to TA and VF. A literature review of the last 20 years on the subject was performed in the databases LILACS, SciELO, PUBMED, Web of Science and Google Scholar. It was found that the internal beam of the TA has slow twitch fibers, isotonic, resistant to fatigue; the external beam provides fast twitch, fatigable and isometric fibers. The VF is characterized by the perception of the vibration of the glottal pulses during the emission of the lowest frequencies in the vocal range (crackling in bass or vocal fry), mainly by the action of the TA, especially its inner portion, which shows evident shortening, dropping the mucosa in great volume along the free edge, increasing subglottic pressure and jitter, shimmer and noise levels, and reducing the airflow. Based on the literature, the isometric exercise with the external TA happens with VF sustained in the lowest possible frequency to the subject (maximum contraction), for six seconds, five to ten times daily, consistent with its predominance of fast twitch fibers. In the isotonic exercise with the internal TA, high sounds must be to stretch the muscle, alternating emissions by VF (concentric contraction) and in modal register and falsetto head (high-pitched sounds) (eccentric contraction) with several daily series of eight to 12 repetitions, consistent with the predominance of slow twitch fibers.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"16 1","pages":"362-369"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/S1516-80342011000300020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67593281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-09-01DOI: 10.1590/S1516-80342011000300013
L. Ferreira, Ranielly da Costa Relvas, Márcia Suely Souza de Castro Ramalho, C. Ronchi, Viviane Castro de Araújo Perillo, Lidiane Cristina Barravieira Rodrigues
Purpose: To identify speech-language pathology manifestations presented by children with congenital hypothyroidism, and to investigate the association of such manifestations with the time of diagnosis and beginning of treatment. Methods: Caregivers of 15 children diagnosed with congenital hypothyroidism who attended the Reference Service on Neonatal Screening of the states of Rondônia and Acre answered a questionnaire in which they should report mainly speech-language pathology complaints. Children’s age ranged from 2 to 7 years, 67% of boys and 33% of girls. The average age at the time of diagnosis was 1 month and 3 days, and treatment started, in average, at 1 month and 6 days. The dosage of the drug varied from 5 mg/day to 100 mg/day. Results: The complaints reported were: delay in the onset of oral language, speech alterations, unintelligible speech, agitated and nervous behavior. Some caregivers did not report any complaints. It was found that most subjects had problems with speech (80%), and a few had hearing impairment (7.7%). For those who reported complaints, mean time of diagnosis and beginning of treatment was delayed when compared to those who did not report. Conclusion: Speech-language pathology manifestations were reported, especially regarding speech. Moreover, there was association between the presence of complaints and speech disorders with the time of diagnosis and beginning of treatment. It is suggested the inclusion of the speech-language pathologist and audiologist in the team monitoring the development of children with congenital hypothyroidism.
{"title":"Speech-language pathology manifestations reported by parents of children with congenital hypothyroidism","authors":"L. Ferreira, Ranielly da Costa Relvas, Márcia Suely Souza de Castro Ramalho, C. Ronchi, Viviane Castro de Araújo Perillo, Lidiane Cristina Barravieira Rodrigues","doi":"10.1590/S1516-80342011000300013","DOIUrl":"https://doi.org/10.1590/S1516-80342011000300013","url":null,"abstract":"Purpose: To identify speech-language pathology manifestations presented by children with congenital hypothyroidism, and to investigate the association of such manifestations with the time of diagnosis and beginning of treatment. Methods: Caregivers of 15 children diagnosed with congenital hypothyroidism who attended the Reference Service on Neonatal Screening of the states of Rondônia and Acre answered a questionnaire in which they should report mainly speech-language pathology complaints. Children’s age ranged from 2 to 7 years, 67% of boys and 33% of girls. The average age at the time of diagnosis was 1 month and 3 days, and treatment started, in average, at 1 month and 6 days. The dosage of the drug varied from 5 mg/day to 100 mg/day. Results: The complaints reported were: delay in the onset of oral language, speech alterations, unintelligible speech, agitated and nervous behavior. Some caregivers did not report any complaints. It was found that most subjects had problems with speech (80%), and a few had hearing impairment (7.7%). For those who reported complaints, mean time of diagnosis and beginning of treatment was delayed when compared to those who did not report. Conclusion: Speech-language pathology manifestations were reported, especially regarding speech. Moreover, there was association between the presence of complaints and speech disorders with the time of diagnosis and beginning of treatment. It is suggested the inclusion of the speech-language pathologist and audiologist in the team monitoring the development of children with congenital hypothyroidism.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"20 1","pages":"317-322"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/S1516-80342011000300013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67592964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-09-01DOI: 10.1590/S1516-80342011000300016
M. Cera, Karin Zazo Ortiz, Paulo Henrique Ferreirai Bertolucci, Thais Minett
PURPOSE: To identify praxic speech manifestations in patients diagnosed with different stages of Alzheimer's disease, and to verify similarities among their occurrences. METHODS: Participants were 90 patients with Alzheimer's, 30 in each stage of the disease (mild, moderate and severe), who were assessed using the following instruments: Clinical Dementia Rating (CDR), Mini-Mental State Examination (MMSE), Lawton Instrumental Activities of Daily Living, and the Assessment Protocol of Verbal and Orofacial Apraxia. Sixty six female subjects and 24 male subjects were assessed; mean age was 80.2±7.2 years, and mean level of education was 4.2±3.5 years. RESULTS: In the mild stage, the proportions of trial-and-error, repetition and addition were similar, as well as omission, substitution and self-correction. In the moderate stage, the following items were similar: trial-and-error and repetition, substitution, omission and addition, and self-correction. In the severe stage, all manifestations were similar, except addition. The error type addition differentiated the patients regarding the stages of the disease. CONCLUSION: Patients in the three stages of Alzheimer's disease showed distinct patterns of verbal praxic manifestations.
{"title":"Manifestações da apraxia de fala na doença de Alzheimer","authors":"M. Cera, Karin Zazo Ortiz, Paulo Henrique Ferreirai Bertolucci, Thais Minett","doi":"10.1590/S1516-80342011000300016","DOIUrl":"https://doi.org/10.1590/S1516-80342011000300016","url":null,"abstract":"PURPOSE: To identify praxic speech manifestations in patients diagnosed with different stages of Alzheimer's disease, and to verify similarities among their occurrences. METHODS: Participants were 90 patients with Alzheimer's, 30 in each stage of the disease (mild, moderate and severe), who were assessed using the following instruments: Clinical Dementia Rating (CDR), Mini-Mental State Examination (MMSE), Lawton Instrumental Activities of Daily Living, and the Assessment Protocol of Verbal and Orofacial Apraxia. Sixty six female subjects and 24 male subjects were assessed; mean age was 80.2±7.2 years, and mean level of education was 4.2±3.5 years. RESULTS: In the mild stage, the proportions of trial-and-error, repetition and addition were similar, as well as omission, substitution and self-correction. In the moderate stage, the following items were similar: trial-and-error and repetition, substitution, omission and addition, and self-correction. In the severe stage, all manifestations were similar, except addition. The error type addition differentiated the patients regarding the stages of the disease. CONCLUSION: Patients in the three stages of Alzheimer's disease showed distinct patterns of verbal praxic manifestations.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"16 1","pages":"337-343"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67592722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-09-01DOI: 10.1590/S1516-80342011000300022
E. L. Mello, M. A. E. Silva
*EVA is a device which, attached to a computer, allows for recording and assessing simultaneously several vocal and word parameters, such as: fundamental frequency, intensity (sound pressure level), instability levels (jitter, shimmer, variation coefficient), spectral analysis, air volumes in breathing and speech, glottal resistance development. Available at: http://www.sqlab.fr/ (SQLab-LPL, Aix-en-Provence, France). **SMART is a software for biomechanical analysis of movement, and is capable of integrating movement data synchronized with information derived from analogical devices, such as: strength platforms, electromyography (EMG) or other devices. It consists of infrared cameras, with 120 Hz frequency acquisition and a 768x576 pixels resolution, retromarker reflex device. The study of Lagier et al. (2010) approaches a very important aspect of vocal production, which concerns the reciprocity of implications between postural adjustments and phonation. However, in spite of the importance of this issue, the authors reported in their literature review that there are few studies about this matter, even though it is widely approached in the clinical practice of speech therapy. The authors based themselves on the assumption that the movement that is associated to vocal effort is structured, and involves the entire body. Thus, the head and other body parts have specific patterns of movement during phonation. Based on this premise, Lagier and collaborators conducted a study which had the purpose of determining whether body movement is a collateral effect of vocal effort or a part of effort behaviors in communication. For this purpose, the authors evaluated, simultaneously, the voice and posture of 20 speaking women, with an average of 26 years of age (interval: 20-43 years) with no history of laryngeal cancer, and without auditory disorders or postural issues. The subjects engaged in communication with a listener, aiming to be understood. They were asked to repeat 16 times, randomly, a series of numbers, short and informative words, with the purpose of increasing vocal effort in three different conditions:-weak vocal effort (WVEC): subject and listener placed 4 meters (m) apart from each other, in a calm room with inside noise level varying in between 44 and 48 dB;-moderate vocal effort (MVEC): same conditions as above, but with speaker and listener placed 10 m apart;-high vocal effort (HVEC): the distance between subject and listener was 10 m, and both wore earphones playing a soundtrack composed by mixed sounds (reference: Phonak Party Night Noise), at an average of 90 dB SPL, combining reduced auditory feedback and Lombard effect. …
*EVA是一种连接到计算机上的设备，可以同时记录和评估几个声音和单词参数，如:基本频率，强度(声压级)，不稳定水平(抖动，闪烁，变异系数)，频谱分析，呼吸和说话的空气量，声门阻力发展。可在:http://www.sqlab.fr/ (SQLab-LPL，艾克斯普罗旺斯，法国)。**SMART是一款用于运动生物力学分析的软件，能够整合运动数据与来自类似设备的信息同步，例如:力量平台，肌电图(EMG)或其他设备。它由红外摄像机组成，具有120赫兹的频率采集和一个768 × 576像素的分辨率，反向反射装置。Lagier等人(2010)的研究探讨了声音产生的一个非常重要的方面，即姿势调整和发声之间的相互影响。然而，尽管这个问题很重要，作者在他们的文献综述中报告说，尽管在言语治疗的临床实践中广泛接触到这个问题，但关于这个问题的研究却很少。作者基于这样的假设:与发声努力相关的动作是有结构的，涉及到整个身体。因此，在发声过程中，头部和其他身体部位有特定的运动模式。基于这一前提，Lagier及其合作者进行了一项研究，目的是确定身体运动是发声努力的附带效应，还是沟通中努力行为的一部分。为此，作者同时评估了20位会说话的女性的声音和姿势，她们平均年龄为26岁(间隔20-43岁)，没有喉癌病史，没有听觉障碍或姿势问题。与听者进行交流的主体，目的是被理解。他们被要求随机重复16次一系列数字，简短而有信息量的单词，目的是在三种不同的条件下增加发声的力度:弱发声力度(WVEC):受试者和听者在一个安静的房间里，内部噪音水平在44到48分贝之间，彼此相距4米(m);中度发声力度(MVEC):与上述条件相同，但说者和听者相距10米;受试者与听者之间的距离为10米，两人都戴着耳机，播放由混合声音组成的配乐(参考文献:峰力Party Night Noise)，平均声级为90 dB，结合了听觉反馈减弱和伦巴第效应。．..
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