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Narrative retells in Swedish school-aged children - a clinical pilot study. 瑞典学龄儿童的叙事复述——一项临床试点研究。
IF 1.1 4区 医学 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-04-01 DOI: 10.1080/14015439.2021.1966833
Elin Hällström, Jenny Myr, Anna Eva Hallin

Aim: The aim of this pilot study was to evaluate two new retelling tasks intended for clinical use in terms of language sample size, effects of picture support, and order of presentation.

Methods: Forty Swedish-speaking children in grades 4-6 participated in the study, 31 children with typical language development (TLD, mean age 11;1), and nine children with developmental language disorder (DLD, mean age 11;5). Two oral retells, one with and one without picture support, were analyzed with regards to productivity, syntactic complexity, basic Story Grammar (SG) units, and Internal Responses (IR).

Results: Results showed no systematic order effects in the TLD group, although this needs to be investigated further, and good inter-rater reliability. Both tasks elicited sufficiently large language samples, except from one participant with DLD whose samples were excluded from subsequent comparisons. When appropriate, data were analyzed with ANOVA (productivity, mean length of C-unit/MLCU), otherwise t-tests (TLD-group) or non-parametric tests (DLD-group) were used. As expected, retells from participants with DLD were shorter, with shorter MLCU and fewer SG units compared to the TLD group. There were also task effects: in the task with picture support, all participants had longer MLCU, and participants with TLD also showed a higher proportion of subordinate clauses, indicating that pictures may function as a support for syntactic complexity. The task without picture support, on the other hand, elicited more C-units indicated by a significant main effect, and more SG units, which was a significant effect in the TLD group.

Conclusions: >We conclude that both tasks might be useful for Swedish speech-language pathologists.

目的:本初步研究的目的是在语言样本量、图片支持效果和呈现顺序方面评估两种用于临床的新复述任务。方法:40名4-6年级瑞典语儿童,31名典型语言发育儿童(TLD,平均11岁)和9名发育性语言障碍儿童(DLD,平均11岁)参与研究。对两种口头复述,一种有图片支持,另一种没有图片支持,在生产力、句法复杂性、基本故事语法(SG)单位和内部反应(IR)方面进行了分析。结果:结果显示在TLD组中没有系统顺序效应,尽管这需要进一步研究,并且具有良好的评级间信度。两个任务都得到了足够大的语言样本,除了一个患有DLD的参与者,他的样本被排除在随后的比较之外。适当时,采用方差分析(生产率,C-unit/MLCU的平均长度)对数据进行分析,否则使用t检验(tld组)或非参数检验(dld组)。正如预期的那样,与TLD组相比,DLD参与者的复述时间更短,MLCU更短,SG单位更少。此外,还有任务效应:在有图片支持的任务中,所有参与者的MLCU都更长,有TLD的参与者的从句比例也更高,这表明图片可能对句法复杂性起到了支持作用。另一方面,没有图片支持的任务激发了更多的c单元,这表明主效应显著,并且更多的SG单元,这在TLD组中是显著的。结论:我们得出结论,这两项任务可能对瑞典语言病理学家有用。
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引用次数: 1
A survey of Swedish speech-language pathologists' practices regarding assessment of speech sound disorders. 瑞典语言病理学家在评估语音障碍方面的实践调查。
IF 1.1 4区 医学 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-04-01 DOI: 10.1080/14015439.2021.1977383
Carla Wikse Barrow, Karin Körner, Sofia Strömbergsson

Purpose: To explore Swedish clinical practice regarding assessment of suspected Speech Sound Disorders (SSD) in children.

Methods: A web-based questionnaire, regarding assessment of SSD in children 4;6-6;11 (years; months), was distributed to Swedish speech-language pathologists (SLPs) through social media and online forums. The questions concerned the frequency and manner of assessment for seven assessment components, chosen based on a review of international recommendations for SSD assessment.

Results: A total of 131 SLPs responded to the questionnaire. The results show that Swedish SSD assessment practices vary with regards to the frequency and manner of assessment for many components. Speech output is frequently assessed while speech perception, phonological awareness and oral-motor function are assessed less frequently. A variety of manners of assessment, for example, standardised tests, non-standardised material, and informal assessment procedures, such as observation, are utilized by respondents.

Conclusions: Swedish SSD assessment practices are variable. The present paper reveals areas for development within SLP practice and education programmes, and provides a new perspective on present praxis with regards to the assessment of suspected SSD in Sweden.

目的:探讨瑞典儿童疑似语音障碍(SSD)评估的临床实践。方法:采用基于网络的问卷调查方法,对4岁、6-6岁、11岁和11岁儿童的SSD进行评估。通过社交媒体和在线论坛分发给瑞典语言病理学家(slp)。这些问题涉及七个评估部分的评估频率和方式,这些评估部分是根据审查关于可持续发展战略评估的国际建议而选择的。结果:共有131名slp参与问卷调查。结果表明,瑞典的SSD评估实践在许多组件的评估频率和方式方面有所不同。语音输出经常被评估,而语音感知、语音意识和口腔运动功能的评估频率较低。答复者采用了各种评估方式,例如标准化测试、非标准化材料和非正式评估程序,例如观察。结论:瑞典SSD评估实践是可变的。本论文揭示了SLP实践和教育方案中的发展领域,并提供了关于瑞典疑似SSD评估的当前实践的新观点。
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引用次数: 1
Best ear hearing level, time factors and language outcome in Swedish children with mild and moderate hearing loss with hearing aids. 瑞典轻度和中度听力损失儿童使用助听器的最佳听力水平、时间因素和语言预后。
IF 1.1 4区 医学 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2022-12-01 Epub Date: 2021-07-21 DOI: 10.1080/14015439.2021.1951347
Birgitta Sahlén, Tina Ibertsson, Lena Asker-Árnason, Jonas Brännström, Kristina Hansson

Aim: The risk for language disorder is high in children with all levels of hearing loss (HL). Early identification and intervention should be as important for children with mild HL as for those with more severe HL. Despite new-born hearing screening, a recent survey of speech language therapist services in southern Sweden indicates that children with mild and moderate HL are severely neglected when it comes to language assessment and language intervention. In this study we explore associations between Best Ear Hearing Level (BEHL), time factors and language skills in Swedish children with HL with hearing aids (HA).

Method: Participants were 19 children with mild HL (BEHL 23-39) and 22 children with moderate HL (BEHL 40-70) aged 5-15 years. Information on age at diagnosis and at HA fitting were collected. The children performed a nonword repetition and a sentence comprehension task.

Results: The time elapsed between diagnosis and fitting with HA was longer for the children with mild HL.Participants with mild HL received their HA significantly later than children with moderate HL. No association between BEHL and the two language measures was found, and language skills were not better in children with mild than moderate HL. 17% of participants performed below cut-off for language disorder on both language measures.

Conclusion: Given the risk for long-term academic and social consequences of even mild HL delayed HA intervention for children with HLleads to serious concerns by families, clinicians, and pedagogues.

目的:不同程度的听力损失(HL)儿童出现语言障碍的风险都很高。对于患有轻度HL的儿童,早期识别和干预应与患有较严重HL的儿童一样重要。尽管有新生儿听力筛查,但最近瑞典南部的一项语言治疗师服务调查表明,在语言评估和语言干预方面,轻度和中度HL儿童严重被忽视。在这项研究中,我们探讨了瑞典HL儿童带助听器(HA)的最佳耳听水平(BEHL)、时间因素和语言技能之间的关系。方法:研究对象为19例轻度HL患儿(BEHL 23-39)和22例中度HL患儿(BEHL 40-70),年龄5-15岁。收集了诊断时的年龄和HA拟合的信息。孩子们完成了非单词重复和句子理解任务。结果:轻度HL患儿从诊断到适合HA的时间较长。轻度HL患者接受HA治疗的时间明显晚于中度HL患者。没有发现BEHL与两种语言测量之间的关联,并且轻度HL患儿的语言技能并不比中度HL患儿好。17%的参与者在两项语言测试中都表现出低于临界值的语言障碍。结论:考虑到即使是轻度HL的长期学术和社会后果的风险,延迟对患有HL的儿童进行HA干预引起了家庭、临床医生和教师的严重关注。
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引用次数: 1
A preliminary validation of a dynamic speech motor assessment for Swedish-speaking children with childhood apraxia of speech. 瑞典语儿童言语失用症动态言语运动评估的初步验证。
IF 1.1 4区 医学 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2022-12-01 Epub Date: 2021-07-06 DOI: 10.1080/14015439.2021.1943517
Susanne Rex, Anders Sand, Edythe Strand, Kristina Hansson, Anita McAllister

Objective: Children with speech sound disorders (SSDs) have difficulties affecting different levels of speech production. For treatment to be beneficial, it is important to differentiate between Childhood Apraxia of Speech (CAS) - a motor speech disorder with deficits in speech praxis - and other SSDs (nonCAS-SSD). We have previously developed a motor speech examination Dynamisk motorisk talbedömning (DYMTA). We aimed to evaluate DYMTAs reliability and validity in a small-scale sample to estimate DYMTAs usability in diagnostic settings.

Methods: Speech, language, and oral motor abilities were assessed in 45 children between 40 and 106 months. Intra- and inter-rater reliability of DYMTA were analyzed. Further, DYMTAs ability to validly discriminate between children with CAS and nonCAS-SSD was assessed.

Results: The intra-rater reliability for the scores of DYMTA was strong, with ICCs ranging from 0.97 to 1.0. DYMTA total score had strong inter-rater reliability as evidenced both by the agreement estimates (DYMTA-A: 0.91 and DYMTA-B: 0.87) and the ICCs (0.97 and 0.96). Inter-rater reliability was also strong for the separate subscores on agreement estimates and for all subscores on ICCs, except for the Prosody subscores. DYMTA accurately discriminated between children with CAS and nonCAS-SSD in this small sample with an AUC of 0.92 for DYMTA-A and 0.94 for DYMTA-B.

Conclusions: With its focus on speech movements, DYMTA could serve as a valuable addition to other tests when assessing children's speech motor performance. This first examination suggests that DYMTA may be both a reliable and valid tool in the diagnostic process of SSD.

目的:语音障碍儿童存在不同程度的言语产生障碍。为了使治疗有效,区分儿童语言失用症(CAS)——一种伴有语言实践缺陷的运动语言障碍——和其他ssd(非CAS- ssd)是很重要的。我们之前开发了一个运动语音检查Dynamisk motorisk talbedömning (DYMTA)。我们的目的是在小规模样本中评估DYMTAs的可靠性和有效性,以估计DYMTAs在诊断设置中的可用性。方法:对45例40 ~ 106月龄儿童的言语、语言和口腔运动能力进行评估。分析了DYMTA的内部可靠性和内部可靠性。此外,DYMTAs有效区分CAS和非CAS- ssd儿童的能力被评估。结果:DYMTA评分的评分内信度较强,ICCs范围为0.97 ~ 1.0。一致性估计(DYMTA- a: 0.91和DYMTA- b: 0.87)和ICCs(0.97和0.96)都证明了DYMTA总分具有很强的评分间信度。在一致性估计的单独子分数和ICCs的所有子分数中,除了韵律子分数外,评分者之间的信度也很强。在这个小样本中,DYMTA准确区分CAS和非CAS- ssd儿童,DYMTA- a的AUC为0.92,DYMTA- b的AUC为0.94。结论:DYMTA以言语运动为重点,在评估儿童言语运动表现时,可以作为其他测试的有价值的补充。这第一次检查表明DYMTA在SSD诊断过程中可能是一个可靠和有效的工具。
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引用次数: 1
Dysarthria treatment for Parkinson's disease: one-year follow-up of SPEAK OUT!® with the LOUD Crowd®. 构音障碍治疗帕金森病:SPEAK OUT的一年随访!与响亮的人群®。
IF 1.1 4区 医学 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2022-12-01 Epub Date: 2021-08-02 DOI: 10.1080/14015439.2021.1958001
Alison Behrman, Jennifer Cody, Shilpa Chitnis, Samantha Elandary

Introduction: SPEAK OUT! with The LOUD Crowd is a standardized speech therapy program typically consisting of 12 one-on-one treatments and ongoing weekly group maintenance sessions for patients with dysarthria due to Parkinson's disease (PD). It is based upon the hypothesis that increased attention to speech, which is a goal-directed motor activity, may compensate for the impairment in automatic sequential motor behaviors often demonstrated in patients with PD. We present results on the 1-year response to treatment.

Methods: Forty individuals with idiopathic PD received SPEAK OUT! delivered in 12 one-on-one 40-min treatment sessions 3 times per week for four consecutive weeks in addition to ongoing group maintenance sessions called The LOUD Crowd. Evaluations occurred 3 times at baseline, within one and six weeks after completion of the SPEAK OUT! sessions (N = 40) and 1-year later (N = 35). Assessments included mean speech intensity and intonation from reading and monolog, the voice quality acoustic measure called cepstral peak prominence (CPP), and scores on the voice-related quality of life questionnaire.

Results: The significant improvements achieved in all outcome measures from baseline to completion of SPEAK OUT! were maintained 1-year later. Participation throughout the year in regular group maintenance sessions (The LOUD Crowd) was positively correlated with level of improvement at 1 year for all measures except patient perception of voice.

Conclusions: These long-term data contribute evidence of the effectiveness of this speech therapy program for improving communication for individuals with PD and emphasize the importance of regular and ongoing group sessions to sustain therapeutic gains.

介绍:大声说出来!with The LOUD Crowd是一个标准化的语言治疗项目,通常由12个一对一的治疗和每周持续的小组维护会议组成,用于帕金森病(PD)引起的构音障碍患者。这是基于这样一种假设,即增加对言语的注意,这是一种目标导向的运动活动,可以补偿PD患者经常表现出的自动顺序运动行为的损害。我们提出了1年治疗反应的结果。方法:40例特发性PD患者接受SPEAK OUT!提供12次一对一的40分钟治疗,每周3次,连续4周,此外还有持续进行的名为“大声人群”的小组维护课程。在完成SPEAK OUT!后的1周和6周内,基线进行了3次评估。N = 40)和1年后(N = 35)。评估包括阅读和独白的平均语音强度和语调,称为倒谱峰值突出(CPP)的语音质量声学测量,以及与语音相关的生活质量问卷得分。结果:从基线到完成SPEAK OUT!维持了1年。全年定期参加小组维护会议(the LOUD Crowd)与1年后除患者声音感知外的所有措施的改善水平呈正相关。结论:这些长期数据证明了该语言治疗方案在改善PD患者沟通方面的有效性,并强调了定期和持续的小组会议对维持治疗效果的重要性。
{"title":"Dysarthria treatment for Parkinson's disease: one-year follow-up of SPEAK OUT!<sup>®</sup> with the LOUD Crowd<sup>®</sup>.","authors":"Alison Behrman,&nbsp;Jennifer Cody,&nbsp;Shilpa Chitnis,&nbsp;Samantha Elandary","doi":"10.1080/14015439.2021.1958001","DOIUrl":"https://doi.org/10.1080/14015439.2021.1958001","url":null,"abstract":"<p><strong>Introduction: </strong>SPEAK OUT! with The LOUD Crowd is a standardized speech therapy program typically consisting of 12 one-on-one treatments and ongoing weekly group maintenance sessions for patients with dysarthria due to Parkinson's disease (PD). It is based upon the hypothesis that increased attention to speech, which is a goal-directed motor activity, may compensate for the impairment in automatic sequential motor behaviors often demonstrated in patients with PD. We present results on the 1-year response to treatment.</p><p><strong>Methods: </strong>Forty individuals with idiopathic PD received SPEAK OUT! delivered in 12 one-on-one 40-min treatment sessions 3 times per week for four consecutive weeks in addition to ongoing group maintenance sessions called The LOUD Crowd. Evaluations occurred 3 times at baseline, within one and six weeks after completion of the SPEAK OUT! sessions (<i>N</i> = 40) and 1-year later (<i>N</i> = 35). Assessments included mean speech intensity and intonation from reading and monolog, the voice quality acoustic measure called cepstral peak prominence (CPP), and scores on the voice-related quality of life questionnaire.</p><p><strong>Results: </strong>The significant improvements achieved in all outcome measures from baseline to completion of SPEAK OUT! were maintained 1-year later. Participation throughout the year in regular group maintenance sessions (The LOUD Crowd) was positively correlated with level of improvement at 1 year for all measures except patient perception of voice.</p><p><strong>Conclusions: </strong>These long-term data contribute evidence of the effectiveness of this speech therapy program for improving communication for individuals with PD and emphasize the importance of regular and ongoing group sessions to sustain therapeutic gains.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":"47 4","pages":"271-278"},"PeriodicalIF":1.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14015439.2021.1958001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39267713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Stress and autonomic dysfunction symptoms related to voice in Brazilian university professors during the covid-19 pandemic. 2019冠状病毒病大流行期间巴西大学教授与声音相关的压力和自主神经功能障碍症状
IF 1.1 4区 医学 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2022-12-01 Epub Date: 2021-06-25 DOI: 10.1080/14015439.2021.1939413
Vanessa Veis Ribeiro, Kelly da Silva, Raphaela Barroso Guedes-Granzotti, Carla Patrícia Hernandez Alves Ribeiro César, Patrícia Pinatti Moreira, Nathalia Monteiro Santos, Rodrigo Dornelas

Objective: To analyze the association of autonomic dysfunction symptoms with stress in Brazilian university professors of the Speech Language-Pathology course during the Covid-19 pandemic.

Methods: Fifty-five Brazilian university professors participated in the study, with a mean age of 42 years and 10 months old (±8.75), 49 female and six male subjects. The evaluated outcomes were the symptoms of stress and self-assessment of autonomic dysfunction symptoms. The results were inferentially analyzed using binary logistic regression and chi-squared tests (p < .05).

Results: In 54.54% of the university professors presented stress, with a predominance of psychological symptoms and a higher frequency resistance phase. Stress was a risk factor for the high occurrence of autonomic dysfunction symptoms related (OR 5.841) and unrelated (OR 29.750) to voice. There was an association between the predominance of psychological symptoms and the higher occurrence of autonomic dysfunction symptoms related to voice (p < .001).

Conclusions: There was an association between autonomic dysfunction symptoms and stress in Brazilian university professors during the Covid-19 pandemic.

目的:分析新冠肺炎大流行期间巴西大学语言病理学课程教授自主神经功能障碍症状与压力的关系。方法:55名巴西大学教授参与研究,平均年龄42岁10个月(±8.75),女性49名,男性6名。评估结果为应激症状和自主神经功能障碍症状的自我评估。采用二元logistic回归和卡方检验对结果进行推理分析(p)结果:54.54%的大学教授表现出压力,以心理症状为主,抵抗期频率较高。应激是与声音相关(OR 5.841)和不相关(OR 29.750)的自主神经功能障碍症状高发生率的危险因素。结论:在2019冠状病毒病大流行期间,巴西大学教授的自主神经功能障碍症状与压力之间存在关联。
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引用次数: 1
Range of motion (ROM) in the lips and jaw during vowels assessed with 3D motion analysis in Swedish children with typical speech development and children with speech sound disorders. 用三维运动分析评估瑞典典型语言发育儿童和语音障碍儿童发元音时唇部和下颚的运动范围。
IF 1.1 4区 医学 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2022-12-01 Epub Date: 2021-03-04 DOI: 10.1080/14015439.2021.1890207
Åsa Mogren, Anita McAllister, Lotta Sjögreen

Purpose: The aim was to compare movement patterns of lips and jaw in lateral, vertical and anteroposterior directions during vowel production in children with typical speech development (TSD) and in children with speech sound disorders (SSD) persisting after the age of six.

Methods: A total of 93 children were included, 42 children with TSD (6:0-12:2 years, mean age 8:9 ± 1:5, 19 girls and 23 boys) and 51 children with SSD (6:0-16:7 years, mean age 8:5 ± 3:0, 14 girls and 37 boys). Range of motion (ROM) in lips and jaw in the vowels [a, ʊ, ɪ] produced in a syllable repetition task and median values in resting position were measured with a system for 3D motion analysis. The analysis was based on the coordinates for the mouth corners and the chin centre.

Results: There were significant differences between the groups on movements in lateral direction in both lips and jaw. Children with TSD had generally smaller and more, symmetrical movements in the lips and jaw, in all three dimensions compared to children with SSD. There were no significant differences between the groups in resting position.

Conclusion: Children with SSD persisting after the age of six years show more asymmetrical and more variable movement patterns in lips and jaw during vowel production compared with children with TSD in a simple syllable repetition task. Differences were more pronounced in lateral direction in both lips and jaw.

目的:比较典型语言发育(TSD)儿童和6岁后持续存在的语音障碍(SSD)儿童在发元音过程中唇颌在横向、纵向和前后方向上的运动模式。方法:共纳入93例患儿,其中TSD患儿42例(年龄6:0 ~ 12:2,平均年龄8:9±1:5,女孩19例,男孩23例),SSD患儿51例(年龄6:0 ~ 16:7,平均年龄8:5±3:0,女孩14例,男孩37例)。使用3D运动分析系统测量了重复音节任务中产生的元音[a, k, k]时嘴唇和下巴的运动范围(ROM)和静止位置的中位数。分析是基于嘴角和下巴中心的坐标。结果:两组患者唇颌侧向运动有显著性差异。与SSD儿童相比,TSD儿童在所有三个维度上的嘴唇和下巴运动通常更小,更对称。各组间休息体位差异无统计学意义。结论:6岁后持续存在的SSD儿童在元音生成过程中,嘴唇和下颚的运动模式比TSD儿童在简单的音节重复任务中表现出更多的不对称和变化。唇、颚侧向差异更明显。
{"title":"Range of motion (ROM) in the lips and jaw during vowels assessed with 3D motion analysis in Swedish children with typical speech development and children with speech sound disorders.","authors":"Åsa Mogren,&nbsp;Anita McAllister,&nbsp;Lotta Sjögreen","doi":"10.1080/14015439.2021.1890207","DOIUrl":"https://doi.org/10.1080/14015439.2021.1890207","url":null,"abstract":"<p><strong>Purpose: </strong>The aim was to compare movement patterns of lips and jaw in lateral, vertical and anteroposterior directions during vowel production in children with typical speech development (TSD) and in children with speech sound disorders (SSD) persisting after the age of six.</p><p><strong>Methods: </strong>A total of 93 children were included, 42 children with TSD (6:0-12:2 years, mean age 8:9 ± 1:5, 19 girls and 23 boys) and 51 children with SSD (6:0-16:7 years, mean age 8:5 ± 3:0, 14 girls and 37 boys). Range of motion (ROM) in lips and jaw in the vowels [a, ʊ, ɪ] produced in a syllable repetition task and median values in resting position were measured with a system for 3D motion analysis. The analysis was based on the coordinates for the mouth corners and the chin centre.</p><p><strong>Results: </strong>There were significant differences between the groups on movements in lateral direction in both lips and jaw. Children with TSD had generally smaller and more, symmetrical movements in the lips and jaw, in all three dimensions compared to children with SSD. There were no significant differences between the groups in resting position.</p><p><strong>Conclusion: </strong>Children with SSD persisting after the age of six years show more asymmetrical and more variable movement patterns in lips and jaw during vowel production compared with children with TSD in a simple syllable repetition task. Differences were more pronounced in lateral direction in both lips and jaw.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":"47 4","pages":"219-229"},"PeriodicalIF":1.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14015439.2021.1890207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25435820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Acoustic parameter changes after bariatric surgery. 减肥手术后声学参数的变化。
IF 1.1 4区 医学 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2022-12-01 Epub Date: 2021-07-02 DOI: 10.1080/14015439.2021.1945676
Fakih Cihat Eravci, Barış Doğu Yildiz, Kürşat Murat Özcan, Münevver Moran, Mustafa Çolak, Süleyman Emre Karakurt, Mehmet Fatih Karakuş, Aykut Ikinciogullari

Objective: To investigate the acoustic parameter changes after weight loss in bariatric surgery patients.

Materials and methods: This prospective, longitudinal study was conducted with 15 patients with planned bariatric surgery, who were evaluated pre-operatively and at 6 months post-operatively. Fundamental frequency (F0), Formant frequency (F1, F2, F3, and F4), Frequency perturbation (Jitter), Amplitude perturbation (Shimmer) and Noise-to-Harmonics Ratio (NHR) parameters were evaluated for /a/, /e/, /i/, /o/, and /u/ vowels. Changes in the acoustic analysis parameters for each vowel were compared. The study group was separated into two groups according to whether the Mallampati score had not changed (Group 1) or had decreased (Group 2) and changes in the formant frequencies were compared between these groups.

Results: A total of 15 patients with a median age of 40 ± 11 years completed the study. The median weight of the patients was 122 ± 14 kg pre-operatively and 80 ± 15 kg, post-operatively. BMI declined from 46 ± 4 to 31 ± 5 kg/m2. The Mallampati score decreased by one point in six patients and remained stable in nine. Of the acoustic voice analysis parameters of vowels, in general, fundamental frequency tended to decrease, and shimmer and jitter values tended to increase. Some of the formant frequencies were specifically affected by the weight loss and this showed statistical significance between Group 1 and Group 2.

Conclusion: The present study reveals that some specific voice characteristics might be affected by successful weight loss after bariatric surgery.HighlightsObesity reduces the size of the pharyngeal lumen at different levels.The supralaryngeal vocal tract size and configuration is a determinative factor in the features of the voice.Changes in the length and shape of the vocal tract, or height and position of the tongue can result in changes especially in formant frequencies in acoustic analysis.

目的:探讨减肥手术患者减重后声学参数的变化。材料和方法:本前瞻性、纵向研究对15例计划进行减肥手术的患者进行了术前和术后6个月的评估。对/a/、/e/、/i/、/o/和/u/元音的基频(F0)、共振峰频率(F1、F2、F3和F4)、频率扰动(Jitter)、幅度扰动(Shimmer)和噪声谐波比(NHR)参数进行了评估。比较了每个元音的声学分析参数的变化。根据Mallampati评分没有变化(1组)或下降(2组)将研究组分为两组,比较两组间形成峰频率的变化。结果:共有15例患者完成了研究,中位年龄为40±11岁。患者术前中位体重122±14 kg,术后中位体重80±15 kg。BMI由46±4 kg/m2降至31±5 kg/m2。6名患者的Mallampati评分下降1分,9名患者保持稳定。在元音的声学语音分析参数中,总体上基频有降低的趋势,闪烁和抖动值有增加的趋势。一些峰频率特别受到体重减轻的影响,这在第1组和第2组之间具有统计学意义。结论:本研究揭示了某些特定的声音特征可能会受到减肥手术后成功减肥的影响。肥胖在不同程度上减小咽腔的大小。喉上声道的大小和形态是声音特征的决定性因素。声道的长度和形状的变化,或者舌头的高度和位置的变化,都会导致声学分析中形成峰频率的变化。
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引用次数: 1
Receiver operating characteristic analysis of acoustic and electroglottographic parameters with different sustained vowels. 不同持续元音的声、电声门参数接收机工作特性分析。
IF 1.1 4区 医学 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2022-12-01 Epub Date: 2021-09-14 DOI: 10.1080/14015439.2021.1974934
Göksu Yılmaz, M Emrah Cangi, Kürşat Yelken

Objective: To examine the power of the parameters obtained from different sustained vowels used in acoustic and electroglottographic (EGG) voice evaluation protocols to discriminate between dysphonic and non-dysphonic voice quality.

Methods: Sixty non-dysphonic participants and 30 dysphonic participants were included in the study. In addition to the time domain amplitude and frequency perturbation parameters obtained from the sustained phonation of /ʌ/-/ɛ/-/i/-/u/ vowels, several frequency-domain spectral/cepstral parameters and EGG parameters were evaluated. The classification performance of the acoustic and electroglottographic measures was quantified using analysis and receiver operating characteristic (ROC) curve analysis.

Results: As a result of ROC analysis, the discriminative diagnostic performance (area under the curve, AUC) of the test for low-vowel (/ʌ/-/ɛ/) phonation was higher than values obtained from high-vowel (/i/-/u/) phonation. For /ʌ/ and /ɛ/ sustained vowels, the parameters exhibiting the highest discrimination were fundamental frequency standard deviation (fo/STD), cepstral peak prominence (CPP), relative average perturbation (RAP), pitch perturbation quotient (PPQ), and jitter percent (JITT). In the EGG parameters, on the other hand, average jitter and periodicity parameters obtained from front vowels (/ɛ/-/i/) were found to have higher AUC values compared to back vowels (/ʌ/-/u/).

Conclusions: In acoustic analyses, /ʌ/ and /ɛ/ sustained vowels give the highest diagnostic performance. In the electroglottographic evaluation, on the other hand, /ɛ/ and /i/ vowels, when the position of the tongue is forward, have better classification performance compared to /ʌ/ and /u/ vowels, when the position of the tongue is back.

目的:检验声学和声门电图(EGG)语音评估方案中不同持续元音参数对区分不发音和非不发音语音质量的作用。方法:选取60名非发音障碍患者和30名发音障碍患者作为研究对象。除了从/ / /-/ / / /-/i/-/u/元音持续发声中获得的时域振幅和频率扰动参数外,还评估了几个频域频谱/倒谱参数和EGG参数。采用分析和受试者工作特征(ROC)曲线分析对声学和声门电测量的分类性能进行量化。结果:通过ROC分析,低元音(/ / /-/ / / /)发音测试的判别诊断性能(曲线下面积,AUC)高于高元音(/i/-/u/)发音测试。对于/ / /和/ / /持续元音,辨别度最高的参数是基频标准差(fo/STD)、倒谱峰突出(CPP)、相对平均扰动(RAP)、音高扰动商(PPQ)和抖动率(JITT)。另一方面,在EGG参数中,从前元音(/ / /-/i/)获得的平均抖动和周期性参数的AUC值高于后元音(/ / /-/u/)。结论:在声学分析中,/ / /和/ / /的持续元音具有最高的诊断性能。另一方面,在声门电图评价中,当舌头位置向前时,/ / /和/i/元音比舌头位置向后时的/ / /和/u/元音具有更好的分类性能。
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引用次数: 2
Development and psychometric evaluation of a scale to measure telepractice among speech and language pathologists during COVID-19 pandemic. 2019冠状病毒病大流行期间语音和语言病理学家远程实践量表的开发和心理测量评估
IF 1.1 4区 医学 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2022-12-01 Epub Date: 2021-10-12 DOI: 10.1080/14015439.2021.1988144
Banafshe Mansuri, Seyed Abolfazl Tohidast, Mehran Choubineh, Rasool Bagheri, Hadi Azimi

Purpose: With the outbreak of the COVID-19 and the need for physical distancing, the provision of Speech-Language Pathology (SLP) services via telepractice has been essential. One of the first steps in this field is the need to study telepractice among Speech and Language Pathologists (SLPs). However, there is currently no specific instrument to measure telepractice in SLP to achieve this aim. The present study was conducted to develop and evaluate the psychometric properties of a questionnaire to investigate telepractice among SLPs during the COVID-19 pandemic.

Materials and methods: The study comprised of two stages: (1) development of the questionnaire according to an in-depth literature review and (2) evaluation of the validity and reliability of the questionnaire. The content validity of the instrument was determined by 10 experts in the field of SLP. To check the face validity of the questionnaire, 10 SLPs were interviewed and their opinions were incorporated in the questionnaire. A total of 221 SLPs completed the questionnaire to determine the construct validity and the internal consistency. To evaluate the test-retest reliability, 30 SLPs completed the questionnaire twice with two weeks of interval.

Results: The final version of the questionnaire comprised of three sections and 31 items. The Cronbach's alpha coefficients for different sections of the questionnaire ranged between 0.902 and 0.92 and the Intra-class Correlation coefficients of the sections were found to be between 0.9 and 0.96 in the test-retest reliability.

Conclusions: The questionnaire developed in the study is a valid and reliable scale to measure telepractice among SLPs for educational or research purposes.

目的:随着2019冠状病毒病的爆发和保持身体距离的需要,通过远程诊疗提供语音语言病理学(SLP)服务至关重要。该领域的第一步是需要研究语音和语言病理学家(slp)的远程实践。然而,目前没有具体的仪器来衡量远程实践在SLP实现这一目标。本研究旨在开发和评估问卷的心理测量特性,以调查COVID-19大流行期间slp的远程实践。材料和方法:本研究分为两个阶段:(1)根据深入的文献综述编制问卷;(2)评估问卷的效度和信度。仪器的内容效度由10位SLP领域的专家确定。为了检验问卷的面效度,我们采访了10位slp,并将他们的意见纳入问卷。共有221名slp完成问卷,以确定建构效度和内部一致性。为评估重测信度,30名小学生每隔两周完成两次问卷。结果:终版问卷由3个部分31个项目组成。问卷各部分的Cronbach’s alpha系数在0.902 ~ 0.92之间,各部分的Intra-class Correlation系数在重测信度上在0.9 ~ 0.96之间。结论:本研究所编制的问卷是一份有效且可靠的量表,可用于教育或研究之目的。
{"title":"Development and psychometric evaluation of a scale to measure telepractice among speech and language pathologists during COVID-19 pandemic.","authors":"Banafshe Mansuri,&nbsp;Seyed Abolfazl Tohidast,&nbsp;Mehran Choubineh,&nbsp;Rasool Bagheri,&nbsp;Hadi Azimi","doi":"10.1080/14015439.2021.1988144","DOIUrl":"https://doi.org/10.1080/14015439.2021.1988144","url":null,"abstract":"<p><strong>Purpose: </strong>With the outbreak of the COVID-19 and the need for physical distancing, the provision of Speech-Language Pathology (SLP) services <i>via</i> telepractice has been essential. One of the first steps in this field is the need to study telepractice among Speech and Language Pathologists (SLPs). However, there is currently no specific instrument to measure telepractice in SLP to achieve this aim. The present study was conducted to develop and evaluate the psychometric properties of a questionnaire to investigate telepractice among SLPs during the COVID-19 pandemic.</p><p><strong>Materials and methods: </strong>The study comprised of two stages: (1) development of the questionnaire according to an in-depth literature review and (2) evaluation of the validity and reliability of the questionnaire. The content validity of the instrument was determined by 10 experts in the field of SLP. To check the face validity of the questionnaire, 10 SLPs were interviewed and their opinions were incorporated in the questionnaire. A total of 221 SLPs completed the questionnaire to determine the construct validity and the internal consistency. To evaluate the test-retest reliability, 30 SLPs completed the questionnaire twice with two weeks of interval.</p><p><strong>Results: </strong>The final version of the questionnaire comprised of three sections and 31 items. The Cronbach's alpha coefficients for different sections of the questionnaire ranged between 0.902 and 0.92 and the Intra-class Correlation coefficients of the sections were found to be between 0.9 and 0.96 in the test-retest reliability.</p><p><strong>Conclusions: </strong>The questionnaire developed in the study is a valid and reliable scale to measure telepractice among SLPs for educational or research purposes.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":"47 4","pages":"292-298"},"PeriodicalIF":1.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39508499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
期刊
Logopedics Phoniatrics Vocology
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