Apraxia de fala em crianças de 4 a 7 anos diagnosticadas no Transtorno do Espectro Autista: avaliação de quatro pacientes

• Autor(a) principal: Martins, Fernanda Cristina Reis Merli
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/21262
• topic: Apraxia; Transtornos do espectro do autismo; Crianças autistas; Apraxia; Autism spectrum disorders; Autistic children; CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA

Objectives: Assessment of oral and verbal praxias in four 4 to 7-year-old children diagnosed in Autistic Spectrum Disorder. Method: This research is an exploratory study on the evaluation of praxias in four autistic children. Oral Praxias: First, the responses presented to verbal commands are observed, and, in case of no response, performance of movement by imitation is tried. For the verbal praxias, a situation of playful interaction with the child for the recording was developed.Results: Evaluation of Oral Praxias: the assesment of praxias voiced had its worst performance presented by the youngest child, and the absence of achievement lies on two motor acts. The assessment of oral-facial praxias presented the worst performance for the youngest child. Praxias assessment with increased difficulty action being imitation the privileged way recognized by everyone in the children’s achievement. In praxias assessment involving parallel movements, Child One presents the worst result, performing one movement only, the simplest in the series. Child Three uses imitation for most achievements and finally, Child Four does not perform two movements, precisely those involving sounds. Verbal Praxias Assessments: In general the main features presented were breathy and monotonous voice, heightened pitch and intersected speech with alternations in rhythm. Every participant involved in the research showed a strong tendency to centralize the sounds in their emission. The prosody is altered in two cases, the youngest child still uses a very childish prosody, Child Two, in its turn, alters the vocal tone. Conclusion: The praxic configuration condition verified in each patient points to disorders that seem to be linked to superior processes of motor planning, called apraxia. This research has made it possible to present data that show that these children present a co-occurrence of alterations: autism and apraxia. However, these findings do not confirm a direct connection of such co-occurrence in all children with ASD