ABSTRACT
ObjectiveTo explore the diagnoses of diseases and functioning of speech fluency disorder, analyze the main assessment content, and construct framework of intervention solution based on International Classification of Diseases 11th Revision (ICD-11), International Classification of Functioning, Disability and Health (ICF) and International Classification of Health Interventions (ICHIβ-3). MethodsThe diagnoses of diseases and functioning was discussed with ICD-11 and ICF. The assessment tools were analyzed with ICF. A holistic intervention solution was constructed with ICF and ICHIβ-3. ResultsSpeech fluency disorder is classified as 6A01.1 developmental speech fluency disorder for ICD-11. The related diseases include 6A01.0 developmental speech sound disorder, 6A01.2 developmental language disorder, cerebral palsy, MA80.0 aphasia, MA80.1 dysphasia and MA80.2 dysarthria, etc. For ICF, the categories related to speech fluency disorder might be s3 structures invovled in voice and speech; b3 voice and speech functions, especially b330 fluency and rhythm of speech functions; d1 learning and applying knowledge, d3 communication, especially d330 speaking and d355 discussion, d7 interpersonal interactions and relationships, and d9 community, social and civic life. A holistic intervention solution for speech fluency disorder was developed, involving in body structure, body function, activities and participation, and environmental factors, including assessment, training and treatment, educational counseling, and psychological and social support, etc. ConclusionA framework of diagnosis, assessment and rehabilitation has been constructed for speech fluency disorder.
ABSTRACT
El estudio de la fluidez del habla, en distintas etapas del ciclo vital, es relevante porque contribuye tanto a la comprensión del desarrollo típico del habla como a la comprensión del habla patológica, lo que aporta al diagnóstico y al tratamiento. Los objetivos del trabajo son: a) determinar la presencia y distribución de las disfluencias en distintos grupos etarios y b) determinar si existe variación en la distribución de las disfluencias en relación con el género de los informantes. La muestra estuvo compuesta por 60 niños y adolescentes entre los 4.01 años y 15.0 años distribuidos en tres grupos. Los resultados indican que la prolongación de vocal fue la disfluencia más frecuente, mientras que la repetición de sílaba fue la menos presente en los grupos analizados. En el grupo de mujeres de menor edad hubo una cantidad significativamente alta de repetición de palabras. No se encontraron otras diferencias en relación con el género de los informantes. Finalmente, se discuten los resultados y algunas consideraciones relacionadas con la metodología en este tipo de investigaciones.
The study of fluency of speech, at different stages of the life cycle, is relevant in that it contributes both to the understanding of typical speech development and to the understanding of pathological speech, which is useful for diagnosis and treatment. The objectives of this work are a) to determine the presence and distribution of the disfluencies present in different age groups and b) to determine if there is variation in the distribution of disfluencies in relation to the gender of the informants. Thesample consisted of 60 children and adolescents between 4.01 years old and 15.0 years old distributed in three groups. The results indicate that vowel prolongation was the most frequent disfluency, while syllable repetition was the least present inthe groups analyzed. In the group of younger women, there was a significantly high amount of word repetition when comparing the presence of this disfluency in the other two groups. There were no more differences reported in relation to the gender ofthe informants. Finally, the results and some considerations related to the methodology in this type of research are discussed
Subject(s)
Humans , Male , Female , Child , Adolescent , Speech/physiology , Speech Disorders/physiopathology , Speech Disorders/epidemiology , Speech Production Measurement , Chile , Sex Factors , Age Factors , ComprehensionABSTRACT
Objective To analyze the characteristics of the speech fluency of preschool hearing-impaired children with hearing devices ,and to explore influence of different hearing devices, age, ender and intervention time on their speech fluency.Methods A total of 109 subjects of normal children and hearing-impaired children were induded in this study.They were divided into 3 groups, 30 of normal children , 28 of hearing-impaired children with hearing aids , 26 of hearing-impaired children with cochlear implants, 25 of hearing-impaired children with Cochlear implant and hearing aids.Their speech speed,pause,repetition,and prolongation in spontaneous language tasks by exploring the influence of factors such as hearing devices'' types,age, gender and intervention time difference to their speech fluency were studied.Results (1) The speed in normal children was significantly higher than those of in the other three groups(P0.05).The speech speed of children with hearing aids was higher than children with cochlear implants(P=0.045).Children with cochlear implant had more pauses than children with hearing aids(P=0.028).The speech speed of hearing-impaired children in 3.5~5 years old was lower than hearing-impaired children in 5.1~6.5 years old(P=0.042).The speech speed of hearing-impaired children who receive intervention less than 2.5 years, was higher than the children who receive intervention more than 2.5 years(P=0.002),while children who receive intervention less than 2.5 years had more pauses(P=0.047) and prolongations(P=0.002).Conclusion (1)Preschool hearing-impaired children''s speed is lower than the normal, and the times of pause and prolongation is more than the normal.(2) Different hearing devices and intervention time influence preschool hearing-impaired children''s verbal fluency, while gender have no effects.
ABSTRACT
El presente estudio se corresponde con un diseño de sujeto único, analiza los patrones de disfluencia en el corpus de habla, en diferentes tareas de lenguaje oral, en las condiciones de uso y no uso de la retroalimentación auditiva retardada (RAR), con el propósito de establecer su efecto en la frecuencia de aparición y tipo de disritmias. El estudio concluye el efecto positivo de la RAR, con un porcentaje de ganancia del 25% sobre los errores de fluidez, con variación dependiente del tipo de tarea de producción oral. Ello, a su vez, sugiere que el 75% de las disfluencias, o bien está vinculado con fallos superiores de encodificación o no son susceptibles a resolverse o compensarse mediante la RAR. Los autores discuten las repercusiones de estos hallazgos sobre la intervención terapéutica en tartamudez.
The present study corresponds to a single subject design, analyzes the patterns of stuttering in the speech corpus in various oral language tasks, under the conditions of use or non-use of Delayed Auditory Feedback (DAF), in order to establish the effect of the daf in the frequency of occurrence and type of dysrhythmia. The study concludes the positive effect of the DAF, with a rate of return of 25% on the errors of fluency, with variation depending on the type of oral production task. This in turn suggests that 75% of the disfluency or linked with top encode failures or not susceptible to resolve or compensated by the DAF. The authors discuss the implications of these findings for therapeutic intervention in stuttering.
O presente estudo se corresponde com uma criação de sujeito único, analisa os patrões de disfluência no corpus de fala, em diferentes tarefas de linguagem oral, nas condições de uso ou não uso da Retroalimentação Auditiva Retardada (RAR), com o propósito de estabelecer o efeito da RAR na frequência de aparição e tipo de disritmias. O estudo conclui o efeito positivo da RAR, com uma porcentagem de ganância dos 25% sobre os errores de fluidez, com variação dependente do tipo de tarefa de produção oral. Isso a sua vez sugere que o 75% das disfluências, ou está vinculado com falhas superiores de encodificação, ou não são suscetíveis a se resolver ou compensar mediante a RAR. Os autores discutem as repercussões destas descobertas sobre a intervenção terapêutica em tartamudez.