Analysis of oral-nasal balance after intensive speech therapy combined with speech bulb in speakers with cleft palate and hypernasality

Registro completo de metadados
MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.contributorUniversity of Toronto (UofT)-
Autor(es): dc.contributorUniversidade Estadual Paulista (Unesp)-
Autor(es): dc.creatorFerreira, Gabriela Zuin-
Autor(es): dc.creatorBressmann, Tim-
Autor(es): dc.creatorde Cássia Rillo Dutka, Jennifer-
Autor(es): dc.creatorWhitaker, Melina Evangelista-
Autor(es): dc.creatorde Boer, Gillian-
Autor(es): dc.creatorde Castro Marino, Viviane Cristina [UNESP]-
Autor(es): dc.creatorPegoraro-Krook, Maria Inês-
Data de aceite: dc.date.accessioned2022-02-22T00:27:27Z-
Data de disponibilização: dc.date.available2022-02-22T00:27:27Z-
Data de envio: dc.date.issued2020-12-11-
Data de envio: dc.date.issued2020-12-11-
Data de envio: dc.date.issued2020-05-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/j.jcomdis.2019.105945-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/199470-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/199470-
Descrição: dc.descriptionObjective: To evaluate the efficacy of the combination of a speech bulb with an intensive speech therapy program in hypernasal participants with cleft palate. Methods: Twenty hypernasal speakers with cleft palate (12 females and 8 males, median age 28.45 years), who were wearing speech bulbs underwent an intensive speech therapy program of 45 sessions over 3 weeks. Three experienced speech-language pathologists rated the participants’ speech recordings before and after intensive speech therapy, with and without the speech bulb. Nasometric recordings and long-term averaged spectra were also analyzed using repeated-measures ANOVAs. Results: The ANOVA of the hypernasality ratings showed significant effects of therapy [F (1,19) = 15.97; p <.001], speech bulb [F(1,190 = 28.54, p <.001] and a therapy –speech bulb interaction effect [F(1.19) = 22.30, p < 0.001]. The most favorable listener ratings of hypernasality were obtained post-therapy when participants were wearing their speech bulbs. Without the speech bulb, intensive speech therapy by itself did not result in a significant improvement. With speech bulb, nasalance scores for high [F (1,19) = 14.07, p <.001] and low pressure [F (1,19) = 14.84, p <.001] sentences were significantly lower post-therapy, providing preliminary evidence that an intensive speech therapy program may enhance the effect of a speech bulb. Before and after comparisons of individual nasalance profiles demonstrated variable improvement in 15 participants, no progress in 2 participants and more severe hypernasality after therapy in 3 participants. Long-term averaged spectra corroborated the findings of the perceptual analysis. Based on a frequency bin from 201 to 300 Hz, there was a significant within-subject effect for with and without speech bulb [F(1, 18) = 4.54, p =.047] as well as for before vs. after session [F (1,18) = 7.14, p =.015]. Conclusion: The speech bulb in combination with intensive speech therapy resulted in improved oral-nasal balance for the majority of participants. More research is needed to investigate long-term outcomes as well as individual factors contributing to therapy success.-
Descrição: dc.descriptionSpeech-Language and Audiology Department Faculdade de Odontologia de Bauru and Graduate Programs at the Universidade de São Paulo (USP), 9-75 Alameda Octávio Pinheiro Brisolla-
Descrição: dc.descriptionDepartment of Speech-Language Pathology University of Toronto (UofT), University Ave, 500-
Descrição: dc.descriptionPalatal Prosthesis Services Hospital for the Rehabilitation of Craniofacial Anomalies University of São Paulo (HRAC/USP), Rua Sílvio Marchione, 3-20, Vila Universitária-
Descrição: dc.descriptionDepartment of Speech-Language Pathology and Audiology São Paulo State University (UNESP) Faculdade de Filosofia e Ciências, Campus de Marília, Av. Higino Muzzi Filho, 737-
Descrição: dc.descriptionDepartment of Speech-Language Pathology and Audiology São Paulo State University (UNESP) Faculdade de Filosofia e Ciências, Campus de Marília, Av. Higino Muzzi Filho, 737-
Idioma: dc.languageen-
Relação: dc.relationJournal of Communication Disorders-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectNasometry-
Palavras-chave: dc.subjectResonance-
Palavras-chave: dc.subjectSpectrography-
Palavras-chave: dc.subjectSpeech outcomes-
Palavras-chave: dc.subjectSpeech therapy-
Título: dc.titleAnalysis of oral-nasal balance after intensive speech therapy combined with speech bulb in speakers with cleft palate and hypernasality-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

Não existem arquivos associados a este item.