Programa de Pós-graduação em Ciências da Reabilitação, Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo - USP - São Paulo (SP), Brasil.
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo - USP - São Paulo (SP), Brasil.
Codas. 2021 Oct 22;34(2):e20200264. doi: 10.1590/2317-1782/20212020264. eCollection 2021.
To present a treatment clinical trial, involving three types of treatment for chronic developmental stuttering (CDS), to verify whether they present indicators and sufficient information to establish an effective and safe benefit-risk relationship.
The study included 252 children between 2 and 12 years old, who underwent assessment and treatment for CDS. Among the selected children, 93 met the established inclusion criteria. After obtaining the scores for the risk of CDS (Protocol for the Risk of Developmental Stuttering), all children were assessed according to their fluency profile and the severity level of stuttering. The children underwent treatment for CDS Green, Yellow and Red Programs. The treatment chosen for each child was based on the analysis of the risk for CDS.
All therapeutic programs presented positive results in the post-treatment assessment considering the analyzed parameters, with the exception of word repetition, sound prolongation at the end of words, and intrusion of sounds/word segments.
The tested therapeutic programs - green, yellow, and red - were efficient for most of the participants. The direct intervention used in the Red Program was highly efficient in promoting fluent speech. This result suggests that for most of the patients with a higher risk of developing the chronic form of stuttering, the use of specific fluency promotion techniques is indicated.
介绍一项治疗临床试验,涉及三种治疗慢性发展性口吃(CDS)的方法,以验证它们是否具有表明有效和安全的获益-风险关系的指标和足够的信息。
该研究纳入了 252 名 2 至 12 岁的儿童,他们接受了 CDS 的评估和治疗。在选定的儿童中,有 93 名符合既定纳入标准。在获得 CDS 风险评分(发育性口吃风险方案)后,根据儿童的流畅度特征和口吃严重程度对所有儿童进行评估。儿童接受 CDS 绿、黄、红方案的治疗。为每个儿童选择的治疗方案基于 CDS 风险分析。
所有治疗方案在治疗后评估中在分析的参数方面均呈现出积极的结果,除了单词重复、单词结尾的声音延长和声音/单词片段的插入。
测试的治疗方案——绿、黄、红——对大多数参与者都是有效的。红方案中使用的直接干预措施在促进流畅言语方面非常有效。这一结果表明,对于大多数具有较高发展为慢性口吃风险的患者,应使用特定的促进流畅性的技术。