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Revista Da Sociedade Brasileira De Fonoaudiologia最新文献

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Aplicação da técnica de emissão em tempo máximo de fonação em paciente com disfonia espasmódica adutora: relato de caso 内收肌痉挛性发音困难患者最大发声时间发射技术的应用:病例报告
Pub Date : 2012-01-01 DOI: 10.1590/S1516-80342012000300019
L. A. Mota, C. Santos, Jamile Meira de Vasconcelos, Bruno Calife Mota, Henrique de Sá Carneiro Mota
Adductor Spasmodic Dysphonia (ASD) is a neurological disorder of central motor processing, characterized by involuntary and inappropriate contractions of the phonatory muscles, producing hyperadduction of the vocal folds, which causes a tremulous, faltering and strained-strangled voice. The aim of this study was to describe the vocal, acoustic and laryngeal parameters measured for a female patient with ADS pre and post speech therapy using the Technique of Sustained Maximum Phonation Time (SMPT). This technique aims to promote increase in glottal resistance, improve phonatory stability, and enhance glottal coaptation. A 66-year-old female patient with ASD took part in this study. She was submitted to otorhinolaryngologic and speech-language assessment before and after the application of the SMPT technique. The results showed modification of vocal, acoustic and laryngeal parameters, such as re-classifying her dysphonia from G3R1B1A0S3I3 to G2R1B1A0S2I2, her pitch from severe to adequate, her spectrographic trace from unstable to more stable, and an expressive increase in mean fundamental frequency and mean vocal intensity, besides improvement of her glottal efficiency, with closure of the anteroposterior glottal opening. Speech therapy using the SMPT technique was considered a suitable treatment option for this case, given the good results obtained, especially the improvements in vocal quality and phonatory stability. The importance of further studies with the aim to provide greater scientific evidence for the effectiveness of the technique when treating ASD is emphasized.
内收肌痉挛性语音障碍(ASD)是一种中枢运动处理的神经系统疾病,其特征是发音肌不自主和不适当的收缩,产生声带过度内收,导致声音颤抖、颤抖和紧张窒息。本研究的目的是描述使用持续最大发声时间技术(SMPT)测量的女性ADS患者在言语治疗前后的声音、声学和喉参数。这项技术的目的是促进声门阻力的增加,提高发音的稳定性,增强声门的配合。一位66岁的ASD女性患者参加了这项研究。在应用SMPT技术前后,对患者进行耳鼻喉科和言语语言评估。结果显示,该患者的发声、声学和喉部参数得到了改善,如将其发声障碍从G3R1B1A0S3I3重新分类为G2R1B1A0S2I2,音高从严重到一般,声谱谱从不稳定到较稳定,平均基频和平均发声强度有明显的增加,声门效率提高,声门前后开口关闭。考虑到获得的良好结果,特别是在音质和发音稳定性方面的改善,使用SMPT技术的言语治疗被认为是适合该病例的治疗选择。强调了进一步研究的重要性,目的是为该技术治疗ASD的有效性提供更大的科学证据。
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引用次数: 2
Reabilitação de déficits comunicativos pós-acidente vascular cerebral 中风后沟通缺陷的康复
Pub Date : 2012-01-01 DOI: 10.1590/S1516-80342012000300021
Gigiane Gindri, Rochele Paz Fonseca
Discursive, lexical-semantic, pragmatic-inferential and/or prosodic communication processing may be impaired following a cerebrovascular accident. These deficits require intervention methods and programmes for effective communication rehabilitation. Within this context, the aim of this systematic review was to identify and describe methods used for neuropsychological rehabilitation of the communication of adults after a stroke, more specifically, systematic intervention approaches for each communication processing. Abstracts published in the last ten years were selected in PubMed, using keywords related to rehabilitation, stroke and communication. For the communication topic, we also used specific keywords related to the four communication processing components. Initially, 914 abstracts were found; after exclusion of the repeated studies, 460 were analyzed. Full texts were examined if the abstract evidenced that the study was empirical, included at least one post-stroke patient, focused in communication rehabilitation, presented pre- and post-intervention assessments, and if it was published in English, French or Portuguese within the last ten years. Only four empirical studies accomplished such criteria, being conducted mainly with aphasic or aprosodic patients. These findings might be considered surprising and alarming, since there is a lack of systematic studies about rehabilitation of communication components. It is important to highlight the need to search for a detailed description of intervention procedures with specific goals, allowing studies to be replicated and also contributing for monitoring the effects of treatment. Communicative processing intervention programmes should be developed based on theoretical approaches, and studies with this focus should be conducted and published, in order to verify therapeutic effects.
在脑血管事故后,话语、词汇-语义、语用-推理和/或韵律的沟通加工可能受损。这些缺陷需要干预方法和方案,以便有效地恢复沟通。在此背景下,本系统综述的目的是确定和描述用于中风后成人沟通的神经心理康复的方法,更具体地说,是针对每个沟通处理的系统干预方法。在PubMed中选取近十年发表的摘要,使用康复、中风和交流相关的关键词。对于通信主题,我们也使用了与四个通信处理组件相关的特定关键词。最初,共发现914篇摘要;在排除重复研究后,对460项研究进行了分析。全文被检查是否摘要证明该研究是经验性的,包括至少一名中风后患者,专注于沟通康复,提出干预前和干预后的评估,以及是否在过去十年内以英语,法语或葡萄牙语发表。只有四项实证研究完成了这些标准,主要是针对失语或非酒精性患者进行的。这些发现可能被认为是令人惊讶和震惊的,因为缺乏关于通信成分康复的系统研究。重要的是要强调需要寻找具有特定目标的干预程序的详细描述,使研究能够被复制,并有助于监测治疗效果。交际处理干预方案应基于理论方法制定,并应开展和发表这方面的研究,以验证治疗效果。
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引用次数: 1
Processamento temporal, localização e fechamento auditivo em portadores de perda auditiva unilateral 单侧听力损失患者的时间处理、定位和听觉闭合
Pub Date : 2012-01-01 DOI: 10.1590/S1516-80342012000300006
Regiane Nishihata, M. Vieira, L. Pereira, Brasília Maria Chiari
PURPOSE: To assess the behaviors of temporal resolution and temporal ordering, sound localization, and auditory closure, and to investigate possible associations with complaints of learning, communication and language difficulties in individuals with unilateral hearing loss. METHODS: Participants were 26 individuals with ages between 8 and 15 years, divided into two groups: Unilateral hearing loss group; and Normal hearing group. Each group was composed of 13 individuals, matched by gender, age and educational level. All subjects were submitted to anamnesis, peripheral hearing evaluation, and auditory processing evaluation through behavioral tests of sound localization, sequential memory, Random Detection Gap test, and speech-in-noise test. Nonparametric statistical tests were used to compare the groups, considering the presence or absence of hearing loss and the ear with hearing loss. RESULTS: Unilateral hearing loss started during preschool, and had unknown or identified etiologies, such as meningitis, traumas or mumps. Most individuals reported delays in speech, language and learning developments, especially those with hearing loss in the right ear. The group with hearing loss had worse responses in the abilities of temporal ordering and resolution, sound localization and auditory closure. Individuals with hearing loss in the left ear showed worse results than those with hearing loss in the right ear in all abilities, except in sound localization. CONCLUSION: The presence of unilateral hearing loss causes sound localization, auditory closure, temporal ordering and temporal resolution difficulties. Individuals with unilateral hearing loss in the right ear have more complaints than those with unilateral hearing loss in the left ear. Individuals with hearing loss in the left ear have more difficulties in auditory closure, temporal resolution, and temporal ordering.
目的:评估时间分辨和时间排序、声音定位和听觉关闭的行为,并调查单侧听力损失患者的学习、沟通和语言困难的可能关联。方法:参与者26名,年龄在8 ~ 15岁之间,分为两组:单侧听力损失组;听力正常组。每组由13个人组成,按性别、年龄和教育程度相匹配。通过声音定位、顺序记忆、随机检测间隙测试、噪音语音测试等行为测试,对所有被试进行记忆、外周听力评估和听觉加工评估。采用非参数统计检验对两组进行比较,考虑有无听力损失和有听力损失的耳朵。结果:单侧听力损失始于学龄前,病因不明或已确定,如脑膜炎、创伤或腮腺炎。大多数人报告说,他们在说话、语言和学习方面发展迟缓,尤其是那些右耳听力丧失的人。听力损失组在时间排序和分辨能力、声音定位能力和听觉关闭能力方面的反应较差。除了声音定位外,左耳听力损失的个体在所有能力上都比右耳听力损失的个体表现得更差。结论:单侧听力损失导致声音定位、听觉封闭、时间排序和时间分辨困难。右耳单侧听力损失的人比左耳单侧听力损失的人有更多的抱怨。左耳听力损失的个体在听觉关闭、时间分辨和时间排序方面有更多的困难。
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引用次数: 29
Annual research review: the nature and classification of reading disorders - a commentary on proposals for DSM-5 年度研究回顾:阅读障碍的性质和分类-对DSM-5提案的评论
Pub Date : 2012-01-01 DOI: 10.1590/S1516-80342012000300022
A. L. Navas
Rev Soc Bras Fonoaudiol. 2012;17(3):370-1 (1) Undergraduate Program in Speech-Language Pathology and Audiology, Faculdade de Ciências Médicas da Santa Casa de São Paulo – FCMSCSP – São Paulo (SP), Brazil. Correspondence address: Ana Luiza Gomes Pinto Navas. R. Doutor Cesário Mota Júnior, 61, 8andar, Vila Buarque, São Paulo (SP), Brasil, CEP: 01221-020. E-mail: ana.navas@fcmsantacasasp.edu.br Annual research review: the nature and classification of reading disorders – a commentary on proposals for DSM-5
(1) 圣保罗圣卡萨- FCMSCSP -圣保罗圣卡萨- 圣保罗圣卡萨- FCMSCSP - 圣保罗(SP)学院言语语言病理学与听力学本科课程。通信地址:Ana Luiza Gomes Pinto Navas。R. Doutor Cesário Mota Júnior, 61,8 andar, Vila Buarque, s o Paulo (SP), CEP: 01221-020。电子邮件:ana.navas@fcmsantacasasp.edu.br年度研究回顾:阅读障碍的性质和分类-对DSM-5提案的评论
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引用次数: 10
Correlação entre tempo, erro, velocidade e compreensão de leitura em escolares com distúrbio de aprendizagem 学习障碍学生的时间、错误、速度与阅读理解的相关性
Pub Date : 2011-12-01 DOI: 10.1590/S1516-80342011000400008
C. Silva, S. Capellini
OBJETIVO: Correlacionar as variaveis: erros, tempo, velocidade e compreensao de leitura de escolares com disturbios de aprendizagem e escolares sem dificuldade de aprendizagem. METODOS: Participaram deste estudo 40 escolares de 8 a 12 anos de idade, de ambos os generos, de 2a a 4a serie do Ensino Fundamental Municipal, divididos em GI: composto por 20 escolares sem dificuldade de aprendizagem e GII: composto por 20 escolares com disturbio de aprendizagem. Foram utilizados textos selecionados a partir da indicacao de professores da 2a a 4a serie da Rede Municipal de Ensino, para a realizacao de leitura oral. A compreensao foi realizada por meio de quatro perguntas apresentadas apos a leitura do texto, as quais os escolares deveriam responder oralmente. RESULTADOS: Houve diferenca entre GI e GII no numero de erros, velocidade e compreensao de leitura e tempo total de leitura. A correlacao entre tempo total de leitura e erros cometidos durante a leitura foi positiva, e entre as variaveis tempo total de leitura e velocidade de leitura foi negativa. Para o grupo GII, houve diferenca com correlacao negativa entre as variaveis tempo total de leitura e velocidade de leitura. CONCLUSAO: Para os escolares com disturbio de aprendizagem, o desempenho nas variaveis que foram correlacionadas encontra-se alterado interferindo no desenvolvimento em leitura e, consequentemente, na compreensao do texto lido.
目的:将有学习障碍的学生和无学习障碍的学生的错误、时间、速度和阅读理解等变量关联起来。方法:本研究包括40名8 - 12岁的市立小学二年级至四年级学生,分为GI: 20名无学习困难的学生和GII: 20名有学习障碍的学生。从市立学校第二至第四年级教师的指示中选择的文本用于口语阅读。理解是通过阅读课文后提出的四个问题来完成的,学生应该口头回答。结果:GI和GII在错误数、阅读理解速度和总阅读时间方面存在差异。总阅读时间与阅读错误的相关性为正,总阅读时间与阅读速度的相关性为负。对于GII组,总阅读时间和阅读速度变量之间存在负相关差异。结论:对于有学习障碍的学生来说,相关变量的表现会发生变化,从而干扰阅读的发展,从而干扰阅读文本的理解。
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引用次数: 4
PROPOSTA DE CLASSIFICAÇÃO DA GRAVIDADE DO DESVIO FONOLÓGICO POR MEIO DA MODELAGEM FUZZY, SEGUNDO O MODELO IMPLICACIONAL DE COMPLEXIDADE DE TRAÇOS 根据特征复杂性的含义模型,通过模糊建模对语音偏差的严重程度进行分类
Pub Date : 2011-12-01 DOI: 10.1590/S1516-80342011000400024
Ana Rita Brancalioni
Master's Dissertation Graduate Program in Human Communication Disorders Universidade Federal de Santa Maria, RS, Brazil. CLASSIFICATION PROPOSAL OF PHONOLOGICAL DISORDER SEVERITY USING FUZZY METHODOLOGY, ACCORDING TO THE IMPLICATIONAL MODEL OF FEATURE COMPLEXITY AUTHOR: ANA RITA BRANCALIONI ADVISOR: MÁRCIA KESKE-SOARES CO-ADVISOR: KARINE FAVERZANI MAGNAGO This study aimed at proposing a quantitative classification for phonological disorder severity based on the Implicational Model of Feature Complexity – IMFC (MOTA, 1996), considering Rangel’s adequacies (1998). Quantification of such proposal was based on the Fuzzy modeling; to do so, a Linguistic Fuzzy Model was created, developed from a system of fuzzy rules, processed in parallel, using Mamdani’s minimum inference method and the center of area defuzzification method. The Model comprehended three input variables: Path Course, Level of Complexity and Acquisition of Phonemes, described in linguistic terms to which fuzzy subsets were added (three subsets for each variable). Determination of borders followed criteria and inference based on the IMFC and on the researcher’s experience. The model output variable was the Severity Phonological Disorder Index based on four fuzzy subsets: Severe, Moderate-Severe, Moderate-Mild, and Mild. The Severity Phonological Disorder Index was calculated for all 204 deviating phonological systems included in the sample using the Fuzzy Linguistic Model, run in MATLAB fuzzy toolbox (2009b). Validation of modeling was performed by evaluating severity of a representative number of phonological systems by two groups of speech and language therapists. The first, GT-I (Group of Speech and Language Therapists I), was comprised of three speech and language therapists with a doctorate in applied linguistics and experienced in disordered speech. The second, GT-II (Group of Speech and Language Therapists II), was comprised of three speech and language therapists with a master’s degree in human communication disorders and experienced in disordered speech at a research laboratory. Classification of disorder severity based on the proposal was similar to that assessed by the speech and language therapists in most phonological systems under evaluation. In addition, the criteria used in the proposal were used by Group I speech and language therapists and were considered adequate by Group II. Finally, the proposal has shown to be able to quantitatively differentiate degrees as to input variables (path course, level of complexity, acquisition of phonemes), sound classes, and distinctive features. Such findings allowed the conclusion that the proposal is able to adequately classify phonological disorder severity and presents validity for the speech and language therapists; therefore, it is an important reference for clinical practice.
人类沟通障碍硕士学位论文研究生课程圣玛丽亚联邦大学,RS,巴西。基于特征复杂性蕴涵模型的语音障碍严重程度模糊分类建议作者:ANA RITA BRANCALIONI顾问:MÁRCIA KESKE-SOARES合作顾问:KARINE FAVERZANI MAGNAGO本研究旨在基于特征复杂性蕴涵模型- IMFC (MOTA, 1996),考虑Rangel(1998)的不足,提出语音障碍严重程度的定量分类方法。基于模糊模型对建议进行量化;为此,使用Mamdani的最小推理方法和区域中心去模糊化方法,在模糊规则系统的基础上,创建了一个并行处理的语言模糊模型。该模型包含三个输入变量:路径过程,复杂程度和音素的获取,用添加了模糊子集(每个变量有三个子集)的语言术语来描述。边界的确定遵循了基于IMFC和研究人员经验的标准和推断。模型输出变量是基于四个模糊子集的严重程度语音障碍指数:严重、中度严重、中度轻度和轻度。使用模糊语言模型计算样本中所有204个偏离语音系统的严重语音障碍指数,并在MATLAB模糊工具箱中运行(2009b)。通过两组语音和语言治疗师评估具有代表性的语音系统的严重程度来验证模型。第一个小组是GT-I(言语和语言治疗师小组I),由三名具有应用语言学博士学位并在言语障碍方面有经验的言语和语言治疗师组成。第二个小组,GT-II(言语和语言治疗师小组II),由三名言语和语言治疗师组成,他们拥有人类交流障碍硕士学位,并在研究实验室有过言语障碍的经验。基于该建议的障碍严重程度分类与大多数被评估的语音系统中言语和语言治疗师的评估相似。此外,提案中使用的标准由第一组言语和语言治疗师使用,并被第二组认为是适当的。最后,该建议已经证明能够定量区分输入变量(路径过程、复杂程度、音素的获得)、声音类别和独特特征的程度。这些发现表明,该建议能够充分分类语音障碍的严重程度,并为言语和语言治疗师提供有效性;因此,它是临床实践的重要参考。
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引用次数: 1
Idiom understanding in people with Asperger syndrome/high functioning autism 阿斯伯格综合症/高功能自闭症患者的习语理解
Pub Date : 2011-12-01 DOI: 10.1590/S1516-80342011000400005
I. Vogindroukas, O. Zikopoulou
PURPOSE: To extend previous research in the development of idiom comprehension by investigating this ability in children with Asperger Syndrome (AS) or with High Functioning Autism (HFA). METHODS: Three groups participated in the study. The first group consisted of 27 children with AS/HFA (mean age 11.3 years) and the other two consisted of typically developing children and adults, respectively. The Comprehension Test of Idiomatic Phrases (CTIP) was administered to all participants. RESULTS: Children with AS/HFA had lower performance compared to the other two groups. No difference was found in the performance between the two typically developing groups. Also, there was no significant correlation between the IQ and the performance for the children with AS/HFA, while positive correlations were revealed between performance and age for the two groups of children. CONCLUSION: The results provide further evidence that children with AS/HFA have difficulties in understanding idioms and they confirm their tendency to make literal interpretations. These impairments are irrelevant to their intelligence and they affect their communication with others. The understanding of these difficulties is important in order to find ways to limit the confusion and the misinterpretations which are observed during the communicative acts with this clinic group.
目的:通过调查阿斯伯格综合症(AS)或高功能自闭症(HFA)儿童的习语理解能力,扩展先前对习语理解能力发展的研究。方法:分为三组。第一组由27名患有AS/HFA的儿童组成(平均年龄11.3岁),另外两组分别由正常发育的儿童和成人组成。对所有参与者进行习语理解测试。结果:与其他两组相比,AS/HFA患儿表现较差。在两个正常发展的组之间的表现没有发现差异。此外,AS/HFA儿童的智商与表现之间没有显著相关,而两组儿童的表现与年龄之间存在正相关。结论:研究结果进一步证明了AS/HFA儿童在理解习语方面存在困难,并证实了他们的直译倾向。这些缺陷与他们的智力无关,而且会影响他们与他人的交流。了解这些困难是很重要的,以便找到方法来限制混淆和误解,这些混淆和误解是在与临床小组的交流行为中观察到的。
{"title":"Idiom understanding in people with Asperger syndrome/high functioning autism","authors":"I. Vogindroukas, O. Zikopoulou","doi":"10.1590/S1516-80342011000400005","DOIUrl":"https://doi.org/10.1590/S1516-80342011000400005","url":null,"abstract":"PURPOSE: To extend previous research in the development of idiom comprehension by investigating this ability in children with Asperger Syndrome (AS) or with High Functioning Autism (HFA). METHODS: Three groups participated in the study. The first group consisted of 27 children with AS/HFA (mean age 11.3 years) and the other two consisted of typically developing children and adults, respectively. The Comprehension Test of Idiomatic Phrases (CTIP) was administered to all participants. RESULTS: Children with AS/HFA had lower performance compared to the other two groups. No difference was found in the performance between the two typically developing groups. Also, there was no significant correlation between the IQ and the performance for the children with AS/HFA, while positive correlations were revealed between performance and age for the two groups of children. CONCLUSION: The results provide further evidence that children with AS/HFA have difficulties in understanding idioms and they confirm their tendency to make literal interpretations. These impairments are irrelevant to their intelligence and they affect their communication with others. The understanding of these difficulties is important in order to find ways to limit the confusion and the misinterpretations which are observed during the communicative acts with this clinic group.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"16 1","pages":"390-395"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/S1516-80342011000400005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67593303","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}
引用次数: 14
Exclusive breastfeeding in infants with cleft lip and/or palate 唇裂和/或腭裂婴儿的纯母乳喂养
Pub Date : 2011-12-01 DOI: 10.1590/S1516-80342011000400009
C. Q. M. S. D. Ninno, D. Moura, Regina Raciff, Sandra Valéria Machado, Christiane Marize Garcia Rocha, R. C. Norton, Fernanda Abalen Dias Martins, D. B. D. O. E. Britto
Purpose: To investigate exclusive breastfeeding in infants with cleft lip and/or palate and its association with the type of cleft. Methods: Data recorded by the pediatrician during the first consultation were obtained from 137 clinical charts. The sample consisted of the pediatric records of infants of both genders, with cleft lip and/or palate, born full term and without any other associated anomalies, who arrived for the first consultation between zero and 12 months of age. Data were statistically analyzed. Results: There was predominance of complete cleft lip and palate in male infants. Subjects’ mean age was 53 days, with median of 33 days on the date of first consultation. Exclusive breastfeeding occurred in 7.3% of the total sample – 6.57% in cleft lip group, 0.73% in the cleft palate, and none in the complete cleft lip and palate group. There was significant association between type of cleft and breastfeeding. Conclusion: Exclusive breastfeeding is present in only a small part of the total sample of infants with cleft lip and/or palate, and is frequent in infants with incomplete cleft lip.
目的:探讨唇腭裂婴儿纯母乳喂养及其与唇裂类型的关系。方法:从137张临床图表中获取儿科医生首次会诊时记录的资料。样本包括在0 - 12个月大期间首次就诊的患有唇裂和/或腭裂、足月出生且无其他相关异常的男女婴儿的儿科记录。对数据进行统计学分析。结果:男婴以完全性唇腭裂为主。受试者的平均年龄为53天,第一次就诊时的中位年龄为33天。纯母乳喂养占总样本的7.3%,其中唇裂组为6.57%,腭裂组为0.73%,完全性唇腭裂组为零。唇裂类型与母乳喂养之间存在显著关联。结论:纯母乳喂养只存在于一小部分唇裂和/或腭裂婴儿的总样本中,而在不完全性唇裂婴儿中是常见的。
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引用次数: 7
Aportes desde la investigación formativa a la producción en Fonoaudiología: el caso de una universidad colombiana 从形成性研究到语言病理学生产的贡献:以哥伦比亚大学为例
Pub Date : 2011-12-01 DOI: 10.1590/S1516-80342011000400003
Nora Aneth Pava-Ripoll, C. P. Villamizar, Adriana Reyes Torres
PURPOSE: This research identified intellectual production regarding the subject disability, developed at the Speech, Language and Hearing Sciences program at the Universidad del Valle, Colombia, during 1996-2008, establishing relationships between historical developments of the disability concept and focusing on its social approach models and its relationship with the work of this discipline. METHODS: Descriptive study that included all theses that were found in the academic program during the evaluation period (n=98). The theoretical study of the documents included six variables: disability model, intervention components, fields of activity, performance areas of the discipline, study type, and population. RESULTS: The rehabilitation model of disability (53%) prevailed over the social models (32%), although the later have increased in recent years. The subject areas found were language (32%), professional issues (24%), speech (20%), communication (13%), and hearing (11%). The intervention component of habilitation/rehabilitation (41%) prevailed over the promotion and prevention (33%), and there was a strong positivist tendency (65%) and a timid position for hermeneutical approaches (21%). Forty three percent of the population emphasized the occupational role. CONCLUSION: It was found a greater number of theses framed in the rehabilitation model, but the results showed the consolidation of a research culture towards the social models of disability in recent years. It is evidenced that Speech, Language and Hearing Sciences seeks the rehabilitation of communicative and linguistic processes of subjects, with an upward path in the direction of potentiating social and cultural variables.
目的:本研究确定了1996年至2008年期间哥伦比亚瓦莱大学言语、语言和听力科学项目关于残疾主题的智力生产,建立了残疾概念历史发展之间的关系,并重点关注其社会方法模型及其与该学科工作的关系。方法:采用描述性研究,纳入评估期间在学术项目中发现的所有论文(n=98)。文献的理论研究包括六个变量:残疾模型、干预成分、活动领域、学科的表现领域、研究类型和人口。结果:残障康复模式(53%)优于社会康复模式(32%),尽管后者近年来有所增加。发现的学科领域是语言(32%)、专业问题(24%)、言语(20%)、沟通(13%)和听力(11%)。适应/康复的干预成分(41%)高于促进和预防成分(33%),实证主义倾向强(65%),解释学方法胆小(21%)。43%的人强调了职业角色。结论:以康复模型为框架的论文数量较多,但这表明近年来对残疾社会模型的研究文化正在巩固。有证据表明,言语、语言和听力科学寻求恢复主体的交际和语言过程,在增强社会和文化变量的方向上有一条向上的道路。
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引用次数: 3
Correlação entre ansiedade e performance comunicativa 焦虑与交际表现的相关性
Pub Date : 2011-12-01 DOI: 10.1590/S1516-80342011000400004
A. A. Almeida, Mara Behlau, J. R. Leite
PURPOSE: To investigate the possible existing correlations between trait anxiety, state anxiety, and vocal parameters. METHODS: Participants were 24 adult subjects, 12 men and 12 women, with ages between 19 and 42 years, with no psychiatric history. The score in the State-Trait Anxiety Inventory (STAI), especially the STAI-Trait, enabled the division of participants into two groups: low anxiety (LA) and high anxiety (HA). Psychological parameters (STAI) and vocal parameters (self-assessment through the vocal signs and symptoms questionnaire and the Voice-Related Quality of Life - V-RQoL protocol; perceptual, auditory and visual assessment of vocal behavior with the description of voice, speech and body parameters; and acoustic analysis). The sustained production o the vowel /a/, counting numbers, and a discourse regarding the subjects' greatest anxiety moments constituted the analyzed material. RESULTS: The higher the trait anxiety indicated by STAI, the greater the evidence of anxiety in connected speech and discourse; the higher the vocal pitch, the greater the impairment in speech articulation, coordination between breathing and speech, body movement and facial expression. The higher the state anxiety, the greater the evidence of anxiety in various parameters of the speech, with imbalance in vocal resonance, alterations in the modulation and articulation of speech and in facial expression. CONCLUSION: The trait and state of anxiety differentiated the communicative behavior of individuals, involving changes in the body, speech and voice.
目的:探讨特质焦虑、状态焦虑与声音参数之间可能存在的相关性。方法:参与者为24名成年受试者,12男12女,年龄在19 - 42岁之间,无精神病史。状态-特质焦虑量表(State-Trait Anxiety Inventory, STAI)的得分,尤其是STAI- trait的得分,使得被试可以分为低焦虑(LA)和高焦虑(HA)两组。心理参数(STAI)和声音参数(通过声音体征和症状问卷和声音相关生活质量- V-RQoL方案进行自我评估);用声音、言语和身体参数的描述对发声行为进行知觉、听觉和视觉评价;以及声学分析)。持续产生的元音/a/,数数字,以及关于主体最焦虑时刻的话语构成了分析的材料。结果:STAI表征的特质焦虑越高,关联言语和话语焦虑的证据越大;音调越高,说话的清晰度、呼吸和说话的协调性、身体运动和面部表情的损害越大。状态焦虑越高,言语各参数焦虑的证据越大,声音共振不平衡,言语的调节和发音改变,面部表情改变。结论:焦虑的特征和状态区分了个体的交际行为,包括身体、言语和声音的变化。
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引用次数: 39
期刊
Revista Da Sociedade Brasileira De Fonoaudiologia
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