Effectiveness of a speech bulb combined with intensive speech therapy in hypernasal speakers with cleft palate (2017)
- Authors:
- USP affiliated authors: DUTKA, JENIFFER DE CASSIA RILLO - FOB ; KROOK, MARIA INES PEGORARO - FOB
- Unidade: FOB
- Subjects: FISSURA PALATINA; VOZ HIPERNASAL; FONOTERAPIA
- Language: Inglês
- Abstract: Objective: To evaluate the efficacy of the combination of a speech bulb with an intensivespeech therapy program in hypernasal patients with cleft palate. Methods: Twentyhypernasal speakers with cleft palate (12 females, mean age 28 years), who were wearingspeech bulbs underwent an intensive speech therapy program of 45 sessions over 3 weeks.Three experienced speech language pathologists rated the participants’ speech recordingsbefore and after therapy, with and without the speech bulb. Nasometric recordings and longterm averaged spectra were also analyzed using repeated-measures ANOVAs. Results: Thehypernasality ratings showed significant improvement after the speech therapy when patientswere also wearing the speech bulb [F(1,19)=15.97;p<0.05]. Without the speech bulb, speechtherapy by itself did not result in a significant improvement. With speech bulb, nasalancescores for oral sentences were significantly lower at the final session[F(1,19)=14.07,p<0,001], indicating an effect of speech therapy. Before and aftercomparisons of individual nasalance profiles demonstrated improvement in 13 participants,no progress in 4 participants and more severe hypernasality after therapy in 3 participants.Long-term averaged spectra corroborated the findings of the perceptual analysis. Based on afrequency of 300 Hz, there was a significant within-subject effect for with and withoutspeech bulb [F(1,18)=4.54, p<0.05] as well as for intake vs. final session[F(1,18)=7.14,p<0.05]. Conclusion: The speech bulb in combination with intensive speechtherapy resulted in improved oral-nasal balance for the majority of patients. More research isneeded to investigate long-term outcomes as well as individual patient factors contributing totherapy success.
- Imprenta:
- Publisher: Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo
- Publisher place: Bauru
- Date published: 2017
- Source:
- Título do periódico: Anais
- Conference titles: Simpósio Internacional de Fissuras Orofaciais e Anomalias Relacionadas
-
ABNT
FERREIRA, Gabriela Zuin et al. Effectiveness of a speech bulb combined with intensive speech therapy in hypernasal speakers with cleft palate. 2017, Anais.. Bauru: Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo, 2017. Disponível em: https://repositorio.usp.br/directbitstream/5ca724bd-8c3f-4341-8688-b8dec0d32e89/2940013.pdf. Acesso em: 24 abr. 2024. -
APA
Ferreira, G. Z., Bressmann, T., Marino, V. C. de C., Dutka, J. de C. R., & Pegoraro-Krook, M. I. (2017). Effectiveness of a speech bulb combined with intensive speech therapy in hypernasal speakers with cleft palate. In Anais. Bauru: Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo. Recuperado de https://repositorio.usp.br/directbitstream/5ca724bd-8c3f-4341-8688-b8dec0d32e89/2940013.pdf -
NLM
Ferreira GZ, Bressmann T, Marino VC de C, Dutka J de CR, Pegoraro-Krook MI. Effectiveness of a speech bulb combined with intensive speech therapy in hypernasal speakers with cleft palate [Internet]. Anais. 2017 ;[citado 2024 abr. 24 ] Available from: https://repositorio.usp.br/directbitstream/5ca724bd-8c3f-4341-8688-b8dec0d32e89/2940013.pdf -
Vancouver
Ferreira GZ, Bressmann T, Marino VC de C, Dutka J de CR, Pegoraro-Krook MI. Effectiveness of a speech bulb combined with intensive speech therapy in hypernasal speakers with cleft palate [Internet]. Anais. 2017 ;[citado 2024 abr. 24 ] Available from: https://repositorio.usp.br/directbitstream/5ca724bd-8c3f-4341-8688-b8dec0d32e89/2940013.pdf - Modalidades de avaliação da nasalidade na reabilitação de fala nas fissuras labiopalatinas
- Fonoterapia intensiva na síndrome Alcoólico Fetal: relato de caso
- Articulações compensatórias pré e pós palatoplastia primária
- Fonoterapia intensiva hospitalar: estudo de caso
- Nasalância na presença e ausência da fricativa faríngea
- Correlação entre tamanho do GAP velofaríngeo e ressonância
- Achados videofluoroscópicos após a palatoplastia primária em indivíduos com fissura labiopalatina
- Avaliação e tratamento das disfunções velofaríngeas
- Nasalância na presença e ausência da fricativa faríngea
- Nasalidade de fala em indivíduos com fissura labiopalatina após a palatoplastia primária pelas técnicas de Furlow e Von Langenbeck
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