Andrade Laura Katarine Félix de, Dutka Jeniffer de Cássia Rillo, Ferreira Gabriela Zuin, Pinto Maria Daniela Borro, Pegoraro-Krook Maria Inês
Program in Rehabilitation Sciences, Hospital of Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, Brazil.
Department of Speech-Language Pathology and Audiology, Bauru School of Dentistry, University of São Paulo, Bauru - SP, Brazil.
Int Arch Otorhinolaryngol. 2022 Aug 10;27(1):e3-e9. doi: 10.1055/s-0041-1730300. eCollection 2023 Jan.
Compensatory articulations are speech disorders due to the attempt of the individual with cleft palate/velopharyngeal dysfunction to generate intraoral pressure to produce high-pressure consonants. Speech therapy is the indicated intervention for their correction, and an intensive speech therapy meets the facilitating conditions for the correction of glottal stop articulation, which is the most common compensatory articulation. To investigate the influence of an intensive speech therapy program (ISTP) to correct glottal stop articulation in the speech of individuals with cleft palate. Speech recordings of 37 operated cleft palate participants of both genders (mean age = 19 years old) were rated by 3 experienced speech/language pathologists. Their task was to rate the presence and absence of glottal stops in the 6 Brazilian Portuguese occlusive consonants (p, b, t, d, k, g) distributed within several places in 6 sentences. Out of the 325 pretherapy target consonants rated with glottal stop, 197 (61%) remained with this error, and 128 (39%) no longer presented it. The comparison of the pre- and posttherapy results showed: a) a statical significance for the p1, p2, p3, p4, t1, k1, k2 and d6 consonants (McNemar test; < 0.05); b) a statistical significance for the p consonant in relation to the k, b, d, g consonants and for the t consonant in relation to the b, d, and g consonants (chi-squared test; < 0.05) in the comparison of the proportion improvement among the 6 occlusive consonants. The ISTP influenced the correction of glottal stops in the speech of individuals with cleft palate.
代偿性发音是由于腭裂/腭咽功能不全患者试图产生口腔内压力以发出高压辅音而导致的言语障碍。言语治疗是纠正这些问题的指定干预措施，强化言语治疗满足了纠正声门塞音发音的促进条件，声门塞音是最常见的代偿性发音。 为了研究强化言语治疗方案（ISTP）对纠正腭裂患者言语中声门塞音发音的影响。 37名接受过腭裂手术的参与者（平均年龄19岁）的语音记录由3名经验丰富的言语/语言病理学家进行评分。他们的任务是对6个巴西葡萄牙语塞音（p、b、t、d、k、g）在6个句子中的不同位置出现声门塞音的情况进行评分。 在325个治疗前被评定有声门塞音的目标辅音中，197个（61%）仍存在该错误，128个（39%）不再出现该错误。治疗前后结果的比较显示：a）p1、p2、p3、p4、t1、k1、k2和d6辅音具有统计学意义（McNemar检验； <0.05）；b）在比较6个塞音的改善比例时p辅音相对于k、b、d、g辅音以及t辅音相对于b、d和g辅音具有统计学意义（卡方检验； <0.05）。 ISTP对腭裂患者言语中声门塞音的纠正有影响。
