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Trastornos del habla en personas con esclerosis múltiple y su repercusión en la calidad de vida 多发性硬化症患者的言语障碍及其对生活质量的影响
Q3 Nursing Pub Date : 2023-04-01 DOI: 10.1016/j.rlfa.2023.100302
Uxue Pérez Litago , Liliana Santamarina Rabanal , Daniel Pedregal Mallo , Luis López Fernández , César Antonio Álvarez Marcos

Introduction

Multiple sclerosis is a demyelinating disease of autoimmune origin that affects the central nervous system. Among the damages it causes are the alterations of speech, which compromises the communicative capacity of people with this disease, thus decreasing their quality of life.

Objective

To analyze how speech disorders of people with multiple sclerosis influence quality of life measures.

Material and method

45 people with multiple sclerosis participated, 31 (68.88%) with no speech alterations and 31 (68,88%) with them. A speech assessment protocol (PEH), and 2 quality of life test (QoL-Dys and FAMS) were applied to all the participants.

Results

There are no differences in the general quality of life between participants with and without speech alterations, but there are differences in the items related to the rates of sadness and depression; and in the specific quality of life test regarding speech.

Conclusions

People with multiple sclerosis show a reduction in maximum phonation time regardless of whether or not they have dysarthria. When this is present, their perception of their quality of life is more affected, especially with regard to the perceived reactions and the levels of sadness and depression.

引言多发性硬化症是一种自身免疫性脱髓鞘疾病,影响中枢神经系统。它造成的损害包括言语的改变,这损害了这种疾病患者的沟通能力,从而降低了他们的生活质量。目的分析多发性硬化症患者的言语障碍对生活质量的影响。材料和方法45名多发性硬化症患者参与,31人(68.88%)无言语改变,31人有言语改变(68.88%。语音评估协议(PEH)和2项生活质量测试(QoL-Dys和FAMS)应用于所有参与者。结果言语改变和不改变的受试者的总体生活质量没有差异,但与悲伤和抑郁发生率相关的项目存在差异;以及在关于语音的特定生活质量测试中。结论无论是否患有构音障碍,多发性硬化症患者的最长发声时间都会缩短。当这种情况出现时,他们对生活质量的感知会受到更大的影响,尤其是在感知到的反应以及悲伤和抑郁的程度方面。
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引用次数: 0
Procesamiento sintáctico en personas con enfermedad de Parkinson 帕金森氏症患者的句法加工
Q3 Nursing Pub Date : 2023-01-01 DOI: 10.1016/j.rlfa.2022.04.002
Daniela Lavanderos , María Francisca Alonso-Sánchez

Background and objective

Parkinson's disease is a neurodegenerative pathology produced by the Nigrostriatal system damage. For many years the motor systems of this alteration were studied, however in the last decade the efforts have focused on the cognitive symptoms, particularly the language. The objective of this investigation was to describe the characteristics of the syntactic process in people with Parkinson's disease with measures of precision and time of response.

Patients and method

Twenty four Parkinson disease subject were assessed with a syntactic comprehension experimental paradigm. At the end of each sentence a dichotomous comprehensive question was made.

Results

Significant differences were observed in response accuracy among the different types of sentences evaluated. The subjects present a lower success rate in sentences of greater syntactic complexity and use more time in wrong answers and in sentences with gender syntax inconsistencies versus simpler grammatical structures.

Conclusion

Parkinson disease subject shown higher impairment in the comprehension of complex sentences.

背景与目的帕金森病是一种由银屑病系统损伤引起的神经退行性病变。多年来,人们一直在研究这种变化的运动系统,但在过去的十年里,研究的重点是认知症状,尤其是语言。本研究的目的是描述帕金森病患者的句法过程特征,并测量反应的准确性和时间。患者和方法采用句法理解实验范式对24例帕金森病患者进行评价。在每句话的结尾都提出了一个分为两类的综合问题。结果不同类型的句子在回答准确性上存在显著差异。与更简单的语法结构相比,受试者在句法更复杂的句子中的成功率更低,在错误答案和性别句法不一致的句子中花费更多的时间。结论帕金森病受试者在复句理解方面存在较高的障碍。
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引用次数: 0
LA LOGOPEDIA EN LA AGENDA 2030 2030年议程中的标志
Q3 Nursing Pub Date : 2023-01-01 DOI: 10.1016/j.rlfa.2023.100301
Claudia Tatiana Escorcia Mora
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引用次数: 1
Quality of life, activity limitations, and participation restrictions in children 8–12 years old with speech-language-hearing complaints 8-12岁言语语言听力障碍儿童的生活质量、活动限制和参与限制
Q3 Nursing Pub Date : 2023-01-01 DOI: 10.1016/j.rlfa.2022.03.002
Ivana V.R. Teixeira , Marina G.S. Borges , Adriane M. Medeiros , Stela M.A. Lemos

Objective

To investigate the association between the quality of life, activity limitations, and participation restrictions in children that attended a speech-language-hearing assessment and diagnostic service.

Method

This is an observational, analytical, cross-sectional study with children and adolescents 8–12 years old who had been submitted to the speech-language-hearing assessment process, and with their parents/guardians. The Brazilian Economic Classification Criteria (Brazilian Criteria), the Pediatric Quality of Life Inventory 4.0 (PedsQL), and the International Classification of Functioning, Disability and Health (ICF) were employed; secondary data were collected as well. The data were analyzed with the distribution of frequency, measures of central tendency and dispersion, and the Shapiro–Wilk, Mann–Whitney, and Kruskal–Wallis tests.

Results

Of the 45 participants, 37 were males and 8 were females, mean age of 10.23 years (SD = 1.47 and median = 10.16). There was a statistical difference between child and parent PedsQL domains and sex, economic classification, and parental schooling. The correlation between their age and the PedsQL domains had a weak correlation with the Social domain. A statistically significant difference was verified between the parent PedsQL domains and the ICF categories referring to Self-care, Particular interpersonal relationships, and Education. The child PedsQL domains had statistically significant differences with categories referring to Receiving, Producing, and General interpersonal interactions.

Conclusion

In this study, the quality of life was associated with sociodemographic aspects and the ICF Activities and Participation component in children with speech-language-hearing complaints.

目的探讨参加言语-语言听力评估和诊断服务的儿童的生活质量、活动限制和参与限制之间的关系。方法这是一项观察性、分析性、横断面研究,对象是8-12岁的儿童和青少年,他们已接受言语-语言-听力评估程序,并与他们的父母/监护人一起进行。采用了巴西经济分类标准(巴西标准)、儿童生活质量清单4.0(PedsQL)和国际功能、残疾和健康分类(ICF);还收集了次要数据。使用频率分布、中心趋势和离散度测量以及Shapiro-Wilk、Mann-Whitney和Kruskal-Wallis检验对数据进行分析。结果45名参与者中,37人为男性,8人为女性,平均年龄10.23岁(SD=1.47,中位数=10.16)。儿童和父母PedsQL领域以及性别、经济分类和父母教育程度之间存在统计学差异。他们的年龄与PedsQL域之间的相关性与社会域之间的关联较弱。父母PedsQL领域和ICF类别在自我照顾、特殊人际关系和教育方面存在统计学显著差异。儿童PedsQL域在接收、产生和一般人际互动类别方面存在统计学上的显著差异。结论在本研究中,言语-语言-听力投诉儿童的生活质量与社会人口学方面以及ICF活动和参与成分有关。
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引用次数: 0
Evaluación fonoaudiológica clínica de la alimentación y la deglución en lactantes menores con hipoplasia 0 aplasia cóndilo – mandibular: Scoping review 儿童发育不良0型髁状突-下颌再生障碍喂养和吞咽的临床语音声学评估:范围审查
Q3 Nursing Pub Date : 2023-01-01 DOI: 10.1016/j.rlfa.2022.03.003
Jessica Alexandra Peña Ángel, Laura Daniela Pulido Forero, Rosa Mercedes Sampallo Pedroza

Introduction

Congenital craniofacial syndromes have been widely described due to their precursor nature of alterations in the cranio-cervico-mandibular system; specifically, condyle-mandibular malformations such as hypoplasia or aplasia of these structures, compromise one of the vital functions for humans, nutrition. In order to establish a clinical practice guide, guidelines that promote evidence-based speech therapy practice are proposed.

Patients and methods

A scoping review is carried out in the main biomedical databases, in search of scientific articles aimed at evaluating feeding and swallowing in newborn and young infants with condyle-mandibular hypoplasia and aplasia associated with craniofacial syndromes.

Results

Thirty-seven articles of a randomized clinical trial, case study, ecological study, meta-analysis, and systematic review were selected, this content is presented and organized using an evaluation format that seeks to obtain anatomical and functional information on newborn and young infants for the development of a clinical assessment.

Conclusions

A reduced amount and dissemination of speech therapy evidence is highlighted when applying the search parameters, finding that the specific evaluation criteria for this pathology do not differ greatly from those of the pediatric population in general.

先天性颅面综合征由于其颅颈下颌系统改变的前兆性质而被广泛描述;具体来说,髁突-下颌畸形,如这些结构的发育不全或发育不全,损害了人类的重要功能之一,即营养。为了建立临床实践指南,提出了促进循证言语治疗实践的指南。患者和方法在主要的生物医学数据库中进行范围审查,以寻找旨在评估患有髁突-下颌发育不全和发育不全并伴有颅面综合征的新生儿和幼儿的喂养和吞咽的科学文章。结果选择了37篇随机临床试验、病例研究、生态学研究、荟萃分析和系统综述的文章,这些内容采用评估格式进行呈现和组织,旨在获得新生儿和幼儿的解剖和功能信息,以进行临床评估。结论在应用搜索参数时,强调了言语治疗证据的数量和传播的减少,发现这种病理学的具体评估标准与一般儿童人群的评估标准没有太大差异。
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引用次数: 0
Influencia del uso vocal en el índice de incapacidad vocal. Estudio de 180 casos 声音使用对声音丧失指数的影响。180例研究
Q3 Nursing Pub Date : 2023-01-01 DOI: 10.1016/j.rlfa.2022.10.004
Mercedes Llorente-Santiago , Sara Prieto-González

Introduction

Singers are one of the groups of voice professionals with higher prevalence of vocal pathology due to their profession and lifestyle.

Method

Prospective ex post study was carried out to study the self-perception of vocal disability of 180 subjects (91 singers and 89 non-singers) using the Jacobson et al. (1998) Voice Handicap Index (VHI). The relationship of the test score and various risk factors has also been studied.

Results

Singers scored higher (21.49) than non-singers (17) on the VHI questionnaire. Regarding on sex, women reached higher scores (28.15) than men (12.33). Regarding on risk factors we have observed that smokers show significant higher scores (23.42) than non-smokers (15.30).

Conclusions

The subjects with more vocal use, in this case the singers, present higher scores on the VHI. That also occurs with women and smokers. These results are statistically significant only in the case of the variables smokes and sex.

引言歌手是嗓音专业人群中,由于他们的职业和生活方式,嗓音病理学患病率较高的群体之一。方法采用Jacobson et al.(1998)Voice Handiap Index(VHI),对180名受试者(91名歌手和89名非歌手)进行前瞻性研究。还研究了测试分数与各种风险因素的关系。结果歌手在VHI问卷中的得分(21.49)高于非歌手(17)。在性别方面,女性的得分(28.15)高于男性(12.33)。在风险因素方面,我们观察到吸烟者的得分(23.42)明显高于非吸烟者(15.30)。这种情况也发生在女性和吸烟者身上。这些结果只有在变量吸烟和性别的情况下才具有统计学意义。
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引用次数: 0
Trastorno del lenguaje y vocabulario receptivo en pacientes con esquizofrenia de edad avanzada 老年精神分裂症患者的语言障碍和接受性词汇
Q3 Nursing Pub Date : 2023-01-01 DOI: 10.1016/j.rlfa.2023.01.001
Alba Ayuso Lanchares , Carlota Botillo Martín , Emilio González Pablos , Carlos Martín Lorenzo

Objective

To study the characteristics of language and receptive vocabulary in 50 patients suffering from schizophrenia and 5 suffering from schizoaffective disorder, all with chronic evolution.

Method

A descriptive, correlational, and explanatory design with a quantitative data collection method was used, applying the Thought, Language and Communication (TLC) scale and the Peabody Test.

Results

The participants have a mean age of 61.47 years (σ = 8.00), they have been in the centre for an average of 19.47 years (σ = 10.29). Two dimensions of thought disorder are assessed with the TLC: hypoproductivity and verbal disengagement. Disconnectedness correlates positively with the Peabody and years of entry, whereas verbal underproduction correlates with years of entry and age. The Peabody correlates with the degree of education, and with years of entry, and TLC disconnection.

Conclusions

Participants present language impairment, particularly poor speech and verbal disconnection with scores ranging from mild to moderate. The more educated patients have a better understanding of vocabulary. Verbal underproduction is higher with older age and more years of admission. Disconnection is higher in patients with more years of admission. They present greater difficulties in understanding vocabulary as the years of admission increase, and when they have more difficulties in disconnection.

目的研究50例精神分裂症患者和5例精神分裂情感障碍患者的语言和接受性词汇特点。方法采用描述性、相关性和解释性设计,采用定量数据收集方法,应用思维、语言和沟通(TLC)量表和皮博迪测试。结果参与者的平均年龄为61.47岁(σ=8.00),他们在中心的平均时间为19.47年(σ=10.29)。TLC评估了思维障碍的两个维度:生产力低下和言语脱离。脱节与皮博迪和进入年龄呈正相关,而言语产出不足与进入年龄和年龄呈正相关。皮博迪与教育程度、入学年限和TLC脱节有关。结论受试者存在语言障碍,尤其是言语能力差和言语脱节,评分从轻度到中度不等。受教育程度越高的患者对词汇的理解就越好。年龄越大,入院年限越长,言语产出不足的情况就越严重。住院时间越长,断开连接的几率越高。随着入学年限的增加,当他们在断开联系方面遇到更多困难时,他们在理解词汇方面会遇到更大的困难。
{"title":"Trastorno del lenguaje y vocabulario receptivo en pacientes con esquizofrenia de edad avanzada","authors":"Alba Ayuso Lanchares ,&nbsp;Carlota Botillo Martín ,&nbsp;Emilio González Pablos ,&nbsp;Carlos Martín Lorenzo","doi":"10.1016/j.rlfa.2023.01.001","DOIUrl":"https://doi.org/10.1016/j.rlfa.2023.01.001","url":null,"abstract":"<div><h3>Objective</h3><p>To study the characteristics of language and receptive vocabulary in 50 patients suffering from schizophrenia and 5 suffering from schizoaffective disorder, all with chronic evolution.</p></div><div><h3>Method</h3><p>A descriptive, correlational, and explanatory design with a quantitative data collection method was used, applying the Thought, Language and Communication (TLC) scale and the Peabody Test.</p></div><div><h3>Results</h3><p>The participants have a mean age of 61.47<!--> <!-->years (σ<!--> <!-->=<!--> <!-->8.00), they have been in the centre for an average of 19.47<!--> <!-->years (σ<!--> <!-->=<!--> <!-->10.29). Two dimensions of thought disorder are assessed with the TLC: hypoproductivity and verbal disengagement. Disconnectedness correlates positively with the Peabody and years of entry, whereas verbal underproduction correlates with years of entry and age. The Peabody correlates with the degree of education, and with years of entry, and TLC disconnection.</p></div><div><h3>Conclusions</h3><p>Participants present language impairment, particularly poor speech and verbal disconnection with scores ranging from mild to moderate. The more educated patients have a better understanding of vocabulary. Verbal underproduction is higher with older age and more years of admission. Disconnection is higher in patients with more years of admission. They present greater difficulties in understanding vocabulary as the years of admission increase, and when they have more difficulties in disconnection.</p></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50194357","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: 0
Intervención logopédica en un caso de disfagia orofaríngea tras ictus isquémico bulbar combinando ejercicios motores, estimulación química y estimulación eléctrica neuromuscular 结合运动锻炼、化学刺激和神经肌肉电刺激对缺血性脑中风后口咽吞咽困难患者的言语干预
Q3 Nursing Pub Date : 2023-01-01 DOI: 10.1016/j.rlfa.2022.10.002
Elena Aranzazu Gras Cabrerizo , Alberto Rico Cuba , Mariana de Lourdes Maldonado Corral , Enrique Monerris García

Background

Oropharyngeal dysphagia is a prevalent disorder that produces serious complications for the health and quality of life of patients.

Objective

The objective of this work was to carry out a speech therapy intervention combining motor exercises, chemical stimulation and neuromuscular electrical stimulation for the rehabilitation of oropharyngeal dysphagia in a case of bulbar ischemic stroke.

Patients and methods

An intervention protocol combining motor exercises, chemical stimulation and neuromuscular electrical stimulation was developed and applied to a single patient, evaluating the result through a retrospective study.

Results

After 2 months of treatment and 45 sessions, the patient improved the sensitivity of the oropharynx, recovered smell and taste, reduced pharyngeal residue, progressed in oral tolerance to greater volumes of nectar consistency and began oral tolerance of liquid consistency.

Conclusions

This intervention could help improve oropharyngeal sensitivity and oral tolerance in patients with oropharyngeal dysphagia.

背景口咽吞咽困难是一种常见的疾病,对患者的健康和生活质量产生严重并发症。目的对1例延髓缺血性脑卒中患者口咽吞咽困难的康复进行运动锻炼、化学刺激和神经肌肉电刺激相结合的言语治疗干预。患者和方法制定了一项结合运动锻炼、化学刺激和神经肌肉电刺激的干预方案,并将其应用于一名患者,通过回顾性研究评估结果。结果经过2个月的治疗和45个疗程,患者改善了口咽的敏感性,恢复了嗅觉和味觉,减少了咽部残留物,口腔耐受性提高到更大的花蜜稠度,并开始了对液体稠度的口腔耐受。结论该干预措施有助于改善口咽吞咽困难患者的口咽敏感性和口腔耐受性。
{"title":"Intervención logopédica en un caso de disfagia orofaríngea tras ictus isquémico bulbar combinando ejercicios motores, estimulación química y estimulación eléctrica neuromuscular","authors":"Elena Aranzazu Gras Cabrerizo ,&nbsp;Alberto Rico Cuba ,&nbsp;Mariana de Lourdes Maldonado Corral ,&nbsp;Enrique Monerris García","doi":"10.1016/j.rlfa.2022.10.002","DOIUrl":"https://doi.org/10.1016/j.rlfa.2022.10.002","url":null,"abstract":"<div><h3>Background</h3><p>Oropharyngeal dysphagia is a prevalent disorder that produces serious complications for the health and quality of life of patients.</p></div><div><h3>Objective</h3><p>The objective of this work was to carry out a speech therapy intervention combining motor exercises, chemical stimulation and neuromuscular electrical stimulation for the rehabilitation of oropharyngeal dysphagia in a case of bulbar ischemic stroke.</p></div><div><h3>Patients and methods</h3><p>An intervention protocol combining motor exercises, chemical stimulation and neuromuscular electrical stimulation was developed and applied to a single patient, evaluating the result through a retrospective study.</p></div><div><h3>Results</h3><p>After 2 months of treatment and 45 sessions, the patient improved the sensitivity of the oropharynx, recovered smell and taste, reduced pharyngeal residue, progressed in oral tolerance to greater volumes of nectar consistency and began oral tolerance of liquid consistency.</p></div><div><h3>Conclusions</h3><p>This intervention could help improve oropharyngeal sensitivity and oral tolerance in patients with oropharyngeal dysphagia.</p></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50194026","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: 0
Construcción de mapas articulatorios para la detección automática de la enfermedad de Parkinson por medio de la voz 通过声音自动检测帕金森病的发音图构建
Q3 Nursing Pub Date : 2022-10-01 DOI: 10.1016/j.rlfa.2021.12.002
Surley Yansury Berrio-Zapata , Juan Rafael Orozco-Arroyave

Background and objectives

Recent studies have shown that speech analysis provides relevant information to support the diagnosis and monitoring of patients suffering from Parkinson's disease (PD). In this work a methodology is proposed to create articulatory maps based on articulatory and phonological information such that allow a clear and interpretable visualization of the results.

Materials and methods

A total of 100 speakers were recorded while reading a text with 36 words that includes all phonemes of the Colombian Spanish. Phonological features are extracted with two toolkits: PhonVoc and Phonet. Forced alignment is used to obtained the time-stamps per phoneme. Support vector machines and random forests are used to classify between PD patients and non-symptomatic subjects.

Results

Accuracies of up to 90% are observed when the phonological class «Vowels» is considered and also accuracies above 80% are found for «Nasals», «Voiceless ficatives» and «Voiced Stop». Articulatory maps are created based on Gaussian mixture models with the aim to enable the interpretation of results.

Conclusions

The proposed methodology is suitable for the automatic detection of PD and also to assess possible articulatory deficits in the production of specific phonological classes.

背景与目的近年来的研究表明,语音分析为帕金森病(PD)患者的诊断和监测提供了相关信息。在这项工作中,提出了一种方法来创建基于发音和语音信息的发音地图,这样可以使结果清晰和可解释的可视化。材料和方法总共有100名说话者在阅读一篇包含哥伦比亚西班牙语所有音素的36个单词的文章时被录音。语音特征提取使用两个工具包:PhonVoc和Phonet。采用强制对齐的方法获取每个音素的时间戳。使用支持向量机和随机森林对PD患者和无症状受试者进行分类。结果当考虑语音类“元音”时,准确率高达90%,而“鼻音”、“不发音的虚构词”和“浊音顿音”的准确率也在80%以上。衔接图是基于高斯混合模型创建的,目的是使结果能够解释。结论所提出的方法适用于PD的自动检测,也适用于评估在产生特定语音类别时可能出现的发音缺陷。
{"title":"Construcción de mapas articulatorios para la detección automática de la enfermedad de Parkinson por medio de la voz","authors":"Surley Yansury Berrio-Zapata ,&nbsp;Juan Rafael Orozco-Arroyave","doi":"10.1016/j.rlfa.2021.12.002","DOIUrl":"https://doi.org/10.1016/j.rlfa.2021.12.002","url":null,"abstract":"<div><h3>Background and objectives</h3><p>Recent studies have shown that speech analysis provides relevant information to support the diagnosis and monitoring of patients suffering from Parkinson's disease (PD). In this work a methodology is proposed to create articulatory maps based on articulatory and phonological information such that allow a clear and interpretable visualization of the results.</p></div><div><h3>Materials and methods</h3><p>A total of 100 speakers were recorded while reading a text with 36 words that includes all phonemes of the Colombian Spanish. Phonological features are extracted with two toolkits: PhonVoc and Phonet. Forced alignment is used to obtained the time-stamps per phoneme. Support vector machines and random forests are used to classify between PD patients and non-symptomatic subjects.</p></div><div><h3>Results</h3><p>Accuracies of up to 90% are observed when the phonological class «Vowels» is considered and also accuracies above 80% are found for «Nasals», «Voiceless ficatives» and «Voiced Stop». Articulatory maps are created based on Gaussian mixture models with the aim to enable the interpretation of results.</p></div><div><h3>Conclusions</h3><p>The proposed methodology is suitable for the automatic detection of PD and also to assess possible articulatory deficits in the production of specific phonological classes.</p></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137002642","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: 0
Enseñanza de funciones comunicativas orientadas a la interacción social en un caso de síndrome de Rett 以社会互动为导向的交际功能教学在一个雷特综合症的案例中
Q3 Nursing Pub Date : 2022-10-01 DOI: 10.1016/j.rlfa.2021.11.001
María Luisa Gómez Taibo, Sara Páramos Alonso

Background and aims

Choice making and requesting have traditionally been the focus of Augmentative and Alternative Communication (AAC) intervention in Rett syndrome (RS). However, scant literature exists about some other communication functions teaching. The aim of this study is to teach the social interaction function of communication using AAC symbols.

Materials and methods

A multiple baseline study was carried out to investigate to what extent a girl with Rett syndrome aged 11 would learn to communicate for social interaction making compliments, asking for favours, and protesting assertively selecting AAC symbols using an eye-gaze system. The intervention consisted of the creation of opportunities for learning these communication functions and the application of prompts. Baseline, intervention, and maintenance were all implemented within a special education classroom in a public school, with different people and different materials, from the very onset, to promote generalization.

Results

After intervention, the participant displayed the ability to make compliments («How pretty you are!»; «How nice you are!» and «I like your costume jewellery!»), to ask for favours («Let me see Dora the explorer»; «May I borrow your toy?»; «I would like to rest»), and to protest assertively («I don’t fancy it»; «Later the better» and «I’d rather do it later») without any prompting, learning generalization outside the learning contexts and sustained learning over time.

Conclusions

It is concluded that this communication intervention had the potential to improve social communication and assist in the development of social relationships between the participant and her peers, teachers, and therapists.

背景和目的选择和请求一直是Rett综合征(RS)辅助和替代沟通(AAC)干预的重点。然而,关于其他交际功能教学的文献却很少。本研究的目的在于教授使用AAC符号交流的社会互动功能。材料和方法进行了一项多基线研究,以调查11岁患有Rett综合征的女孩在多大程度上能够学会使用眼睛注视系统进行社交交流——赞美、请求帮助和自信地抗议。干预包括创造学习这些交流功能的机会和提示的应用。基线、干预和维护都是在一所公立学校的特殊教育教室里实施的,从一开始就有不同的人和不同的材料,以促进推广。结果干预后,参与者表现出了赞美的能力(“你真漂亮!”;“你真好!”和“我喜欢你的人造珠宝!”),请求帮助(“让我看看探险家朵拉”;“我可以借用你的玩具吗?”“我想休息”),以及果断地抗议(“我不喜欢”;“越晚越好”和“我宁愿晚一点做”),在没有任何提示的情况下,在学习环境之外学习概括,并随着时间的推移持续学习。结论该交流干预具有改善社会交流的潜力,并有助于参与者与同伴、教师和治疗师之间社会关系的发展。
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引用次数: 0
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Revista de Logopedia, Foniatria y Audiologia
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