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不同治疗方法对语音障碍的治疗效果。

Therapy effectiveness for phonological disorders with different therapeutic approaches.

作者信息

Keske-Soares Márcia, Brancalioni Ana Rita, Marini Caroline, Pagliarin Karina Carlesso, Ceron Marizete Ilha

机构信息

Universidade Católica do Rio Grande do Sul, Brasil.

出版信息

Pro Fono. 2008 Jul-Sep;20(3):153-9. doi: 10.1590/s0104-56872008000300003.

Abstract

BACKGROUND

phonological therapy.

AIM

to evaluate the effectiveness of three different therapy models regarding changes in the phonological system of subjects with different phonological disorder (PD) severity levels.

METHOD

the research group was composed by 66 subjects, 43 males and 23 females, with ages between 4:4 and 8:2 years, who were part of a school clinic database. All subjects were evaluated, before and after a period of 15 to 25 sessions of phonological therapy, using the Child's Phonological Assessment. Based on this assessment, the severity level of the PD was determined using the Percentage Consonants Correct - PCC, and by calculating the number of Non-Acquired Segments -NAS and the percentage of Acquired Segments (AS) after treatment. The subjects were treated using the following approaches: ABAB-Withdrawal and Multiple Probes, Modified Maximum Opposition and Modified Cycles Models. For the statistical analysis the T-Test was used with a significance level of 5%.

RESULTS

the statistical analysis indicated an increase in the PCC and in the percentage of AS, as well as a reduction in the number of NAS for all groups. These results were statistically significant for the majority of the groups.

CONCLUSION

the results indicate that the three therapy approaches were effective in the treatment of children with PD, and were effective in treating different severity levels. Besides that, most of the changes occurred in the phonological system of the groups with more severe PD.

摘要

背景

语音治疗。

目的

评估三种不同治疗模式对不同语音障碍(PD)严重程度的受试者语音系统变化的有效性。

方法

研究组由66名受试者组成,其中43名男性和23名女性,年龄在4岁4个月至8岁2个月之间,他们来自学校诊所数据库。在进行15至25次语音治疗前后,所有受试者均使用儿童语音评估进行评估。基于该评估,使用正确辅音百分比(PCC)确定PD的严重程度,并计算治疗后未习得音段(NAS)的数量和习得音段(AS)的百分比。受试者采用以下方法进行治疗:ABAB撤除法和多重探针法、改良最大对立法和改良循环模型法。统计分析采用T检验,显著性水平为5%。

结果

统计分析表明,所有组的PCC和AS百分比均有所增加,NAS数量减少。这些结果在大多数组中具有统计学意义。

结论

结果表明,这三种治疗方法对PD儿童的治疗有效,且对不同严重程度均有效。此外,大多数变化发生在PD更严重的组的语音系统中。

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