Intensive treatment of speech disorders in robin sequence: a case report
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | CoDAS |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822017000500400 |
Resumo: | ABSTRACT Purpose To describe the speech of a patient with Pierre Robin Sequence (PRS) and severe speech disorders before and after participating in an Intensive Speech Therapy Program (ISTP). Methods The ISTP consisted of two daily sessions of therapy over a 36-week period, resulting in a total of 360 therapy sessions. The sessions included the phases of establishment, generalization, and maintenance. A combination of strategies, such as modified contrast therapy and speech sound perception training, were used to elicit adequate place of articulation. The ISTP addressed correction of place of production of oral consonants and maximization of movement of the pharyngeal walls with a speech bulb reduction program. Therapy targets were addressed at the phonetic level with a gradual increase in the complexity of the productions hierarchically (e.g., syllables, words, phrases, conversation) while simultaneously addressing the velopharyngeal hypodynamism with speech bulb reductions. Results Re-evaluation after the ISTP revealed normal speech resonance and articulation with the speech bulb. Nasoendoscopic assessment indicated consistent velopharyngeal closure for all oral sounds with the speech bulb in place. Conclusion Intensive speech therapy, combined with the use of the speech bulb, yielded positive outcomes in the rehabilitation of a clinical case with severe speech disorders associated with velopharyngeal dysfunction in Pierre Robin Sequence. |
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Intensive treatment of speech disorders in robin sequence: a case reportPierre Robin SequenceSpeechVelopharyngeal DysfunctionCleft PalateSpeech BulbSpeech TherapyABSTRACT Purpose To describe the speech of a patient with Pierre Robin Sequence (PRS) and severe speech disorders before and after participating in an Intensive Speech Therapy Program (ISTP). Methods The ISTP consisted of two daily sessions of therapy over a 36-week period, resulting in a total of 360 therapy sessions. The sessions included the phases of establishment, generalization, and maintenance. A combination of strategies, such as modified contrast therapy and speech sound perception training, were used to elicit adequate place of articulation. The ISTP addressed correction of place of production of oral consonants and maximization of movement of the pharyngeal walls with a speech bulb reduction program. Therapy targets were addressed at the phonetic level with a gradual increase in the complexity of the productions hierarchically (e.g., syllables, words, phrases, conversation) while simultaneously addressing the velopharyngeal hypodynamism with speech bulb reductions. Results Re-evaluation after the ISTP revealed normal speech resonance and articulation with the speech bulb. Nasoendoscopic assessment indicated consistent velopharyngeal closure for all oral sounds with the speech bulb in place. Conclusion Intensive speech therapy, combined with the use of the speech bulb, yielded positive outcomes in the rehabilitation of a clinical case with severe speech disorders associated with velopharyngeal dysfunction in Pierre Robin Sequence.Sociedade Brasileira de Fonoaudiologia2017-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822017000500400CoDAS v.29 n.5 2017reponame:CoDASinstname:Sociedade Brasileira de Fonoaudiologia (SBFA)instacron:SBFA10.1590/2317-1782/20172016084info:eu-repo/semantics/openAccessPinto,Maria Daniela BorroPegoraro-Krook,Maria InêsAndrade,Laura Katarine Félix deCorrea,Ana Paula CarvalhoRosa-Lugo,Linda IrisDutka,Jeniffer de Cássia Rilloeng2017-10-31T00:00:00Zoai:scielo:S2317-17822017000500400Revistahttps://www.codas.org.br/ONGhttps://old.scielo.br/oai/scielo-oai.phpcodas@editoracubo.com.br||revista@codas.org.br2317-17822317-1782opendoar:2017-10-31T00:00CoDAS - Sociedade Brasileira de Fonoaudiologia (SBFA)false |
dc.title.none.fl_str_mv |
Intensive treatment of speech disorders in robin sequence: a case report |
title |
Intensive treatment of speech disorders in robin sequence: a case report |
spellingShingle |
Intensive treatment of speech disorders in robin sequence: a case report Pinto,Maria Daniela Borro Pierre Robin Sequence Speech Velopharyngeal Dysfunction Cleft Palate Speech Bulb Speech Therapy |
title_short |
Intensive treatment of speech disorders in robin sequence: a case report |
title_full |
Intensive treatment of speech disorders in robin sequence: a case report |
title_fullStr |
Intensive treatment of speech disorders in robin sequence: a case report |
title_full_unstemmed |
Intensive treatment of speech disorders in robin sequence: a case report |
title_sort |
Intensive treatment of speech disorders in robin sequence: a case report |
author |
Pinto,Maria Daniela Borro |
author_facet |
Pinto,Maria Daniela Borro Pegoraro-Krook,Maria Inês Andrade,Laura Katarine Félix de Correa,Ana Paula Carvalho Rosa-Lugo,Linda Iris Dutka,Jeniffer de Cássia Rillo |
author_role |
author |
author2 |
Pegoraro-Krook,Maria Inês Andrade,Laura Katarine Félix de Correa,Ana Paula Carvalho Rosa-Lugo,Linda Iris Dutka,Jeniffer de Cássia Rillo |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Pinto,Maria Daniela Borro Pegoraro-Krook,Maria Inês Andrade,Laura Katarine Félix de Correa,Ana Paula Carvalho Rosa-Lugo,Linda Iris Dutka,Jeniffer de Cássia Rillo |
dc.subject.por.fl_str_mv |
Pierre Robin Sequence Speech Velopharyngeal Dysfunction Cleft Palate Speech Bulb Speech Therapy |
topic |
Pierre Robin Sequence Speech Velopharyngeal Dysfunction Cleft Palate Speech Bulb Speech Therapy |
description |
ABSTRACT Purpose To describe the speech of a patient with Pierre Robin Sequence (PRS) and severe speech disorders before and after participating in an Intensive Speech Therapy Program (ISTP). Methods The ISTP consisted of two daily sessions of therapy over a 36-week period, resulting in a total of 360 therapy sessions. The sessions included the phases of establishment, generalization, and maintenance. A combination of strategies, such as modified contrast therapy and speech sound perception training, were used to elicit adequate place of articulation. The ISTP addressed correction of place of production of oral consonants and maximization of movement of the pharyngeal walls with a speech bulb reduction program. Therapy targets were addressed at the phonetic level with a gradual increase in the complexity of the productions hierarchically (e.g., syllables, words, phrases, conversation) while simultaneously addressing the velopharyngeal hypodynamism with speech bulb reductions. Results Re-evaluation after the ISTP revealed normal speech resonance and articulation with the speech bulb. Nasoendoscopic assessment indicated consistent velopharyngeal closure for all oral sounds with the speech bulb in place. Conclusion Intensive speech therapy, combined with the use of the speech bulb, yielded positive outcomes in the rehabilitation of a clinical case with severe speech disorders associated with velopharyngeal dysfunction in Pierre Robin Sequence. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822017000500400 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822017000500400 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/2317-1782/20172016084 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Fonoaudiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Fonoaudiologia |
dc.source.none.fl_str_mv |
CoDAS v.29 n.5 2017 reponame:CoDAS instname:Sociedade Brasileira de Fonoaudiologia (SBFA) instacron:SBFA |
instname_str |
Sociedade Brasileira de Fonoaudiologia (SBFA) |
instacron_str |
SBFA |
institution |
SBFA |
reponame_str |
CoDAS |
collection |
CoDAS |
repository.name.fl_str_mv |
CoDAS - Sociedade Brasileira de Fonoaudiologia (SBFA) |
repository.mail.fl_str_mv |
codas@editoracubo.com.br||revista@codas.org.br |
_version_ |
1752122442028941312 |