Aspectos fonológicos e auditivos em diferentes abordagens terapêuticas: ensaio clínico randomizado

Detalhes bibliográficos
Autor(a) principal: Simoni, Simone Nicolini de
Data de Publicação: 2017
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Manancial - Repositório Digital da UFSM
Texto Completo: http://repositorio.ufsm.br/handle/1/19099
Resumo: The objective of this research was to analyze and compare phonological aspects such as phonetic inventory, phonological system, severity of the speech sound disorders, altered distinctive traits and phonological processes, as well as phonological and phonoarticulatory awareness, besides the auditory aspects of the abilities and variables present in Long Auditory Evoked Potential Long. Comparisons of the phonological and auditory aspects were performed before and after the intensive period of treatment in children with speech sound disorders. Twenty-five therapy sessions were assigned. The children were randomly drawn among three groups. Group 1 - Placebo: This group received no specific treatment for speech deviations, only used the computer resource to play on a website. The Group 2-Cycles Traditional: the therapy used the Modified Cycles Model. And the Group 3-SIFALA ("Speech Intervention Software"): the therapy used the proposal of the Strata Model based on Stimulability and Segment Complexity that was developed in software format. The categorization of these groups obeys the methodological questions of a randomized clinical trial. The evaluation of the children and the treatment of one of the SIFALA group were carried out by the responsible researcher. The other two groups were treated by fellowship academics of the Speech Language Pathology program. The reassessment of all procedures was performed by speech language pathologists with experience in speech and hearing areas who did not have knowledge about the variables of the research, so it was categorized as a single-blind trial. After the treatment period, the data were compared by means of the statistical analysis that used as a criterion to estimate the effects in each therapy group using the linear regression model with mixed effects for the quantitative variables responses. Also was used the polytomic logistic model for ordinal qualitative variables. In addition, Chi-Square and Wilcoxon tests were used for analysis of the abilities and variables of Long Auditory Evoked Potential. A significance level of 0.05 was set for all tests. Most of the children treated presented gains in the phonological and auditory variables. The therapeutic models used fulfilled the objective of reorganization of the phonological system, being possible to point out as innovative and differentiated the model using software-SIFALA. Key Words: Children. Language. Speech Sound Disorders. Auditory Perception. Rehabilitation of Speech Sound Disorders.
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spelling Aspectos fonológicos e auditivos em diferentes abordagens terapêuticas: ensaio clínico randomizadoPhonological and hearing aspects in different therapeutic approaches: randomized clinical testCriançasLinguagemDesvio fonológicoPercepção auditivaReabilitação dos desvios de falaChildrenLanguageSpeech sound disordersAuditory perceptionRehabilitation of speech sound disordersCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIAThe objective of this research was to analyze and compare phonological aspects such as phonetic inventory, phonological system, severity of the speech sound disorders, altered distinctive traits and phonological processes, as well as phonological and phonoarticulatory awareness, besides the auditory aspects of the abilities and variables present in Long Auditory Evoked Potential Long. Comparisons of the phonological and auditory aspects were performed before and after the intensive period of treatment in children with speech sound disorders. Twenty-five therapy sessions were assigned. The children were randomly drawn among three groups. Group 1 - Placebo: This group received no specific treatment for speech deviations, only used the computer resource to play on a website. The Group 2-Cycles Traditional: the therapy used the Modified Cycles Model. And the Group 3-SIFALA ("Speech Intervention Software"): the therapy used the proposal of the Strata Model based on Stimulability and Segment Complexity that was developed in software format. The categorization of these groups obeys the methodological questions of a randomized clinical trial. The evaluation of the children and the treatment of one of the SIFALA group were carried out by the responsible researcher. The other two groups were treated by fellowship academics of the Speech Language Pathology program. The reassessment of all procedures was performed by speech language pathologists with experience in speech and hearing areas who did not have knowledge about the variables of the research, so it was categorized as a single-blind trial. After the treatment period, the data were compared by means of the statistical analysis that used as a criterion to estimate the effects in each therapy group using the linear regression model with mixed effects for the quantitative variables responses. Also was used the polytomic logistic model for ordinal qualitative variables. In addition, Chi-Square and Wilcoxon tests were used for analysis of the abilities and variables of Long Auditory Evoked Potential. A significance level of 0.05 was set for all tests. Most of the children treated presented gains in the phonological and auditory variables. The therapeutic models used fulfilled the objective of reorganization of the phonological system, being possible to point out as innovative and differentiated the model using software-SIFALA. Key Words: Children. Language. Speech Sound Disorders. Auditory Perception. Rehabilitation of Speech Sound Disorders.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESO objetivo desta pesquisa é analisar e comparar as variáveis fonológicas como inventário fonético, sistema fonológico, gravidade do desvio fonológico, traços distintivos alterados e processos fonológicos, bem como consciência fonológica e consciência fonoarticulatória, além dos aspectos auditivos e das habilidades presentes no Potencial Evocado Auditivo de Longa Latência. As comparações dos aspectos fonológicos e auditivos foram realizadas pré e pós período de tratamento fonológico intensivo de crianças que apresentavam desvio fonológico. Foram destinadas 25 sessões de terapia para cada criança. As mesmas foram distribuídas de forma aleatória entre três grupos. O grupo 1, Placebo, não recebeu nenhum tratamento específico para os desvios de fala, apenas utilizou o recurso do computador para jogar em um website. No grupo 2, Ciclos-Tradicional, foi utilizado o Modelo de Ciclos Modificado. O grupo 3, SIFALA, utilizou a proposta do Modelo de Estratos por Estimulabilidade e Complexidade dos Segmentos, que foi desenvolvido em formato de software e nomeado Software de Intervenção de Fala − SIFALA. A categorização desses grupos obedece às questões metodológicas de um ensaio clínico randomizado. A avaliação das crianças e o tratamento do grupo SIFALA foram realizados pela pesquisadora responsável. Os outros dois grupos foram tratados por acadêmicas de iniciação científica do Curso de Fonoaudiologia da UFSM. A reavaliação de todos os procedimentos foi executada por fonoaudiólogas com experiência nas áreas de fala e audição que não possuíam conhecimento a respeito das variáveis da pesquisa, o que categoriza este ensaio como simples-cego. Após o período de tratamento, comparou-se os dados por meio da análise estatística, utilizando como critério estimar os efeitos, em cada grupo de terapia, por meio do modelo de regressão linear com efeitos mistos para as variáveis com respostas quantitativas. Também foi utilizado o modelo logístico politômico para as variáveis qualitativas ordinais, entre outros testes, que validaram estes dois modelos. Entre eles estão os testes Exato de Fisher, Shaphiro-Wilk e Levene T, para amostras correlacionadas, e Análise de Variância. Foram utilizados, ainda, o teste Qui-Quadrado e o teste de Wilcoxon para análise das habilidades e variáveis do Potencial Evocado Auditivo de Longa Latência. Para todos os testes, foi fixado o nível de significância de 0,05. A maioria das crianças tratadas apresentou evoluções nas variáveis fonológicas e auditivas. Os modelos terapêuticos utilizados cumpriram com o objetivo do tratamento fonológico, podendo-se apontar como inovador e diferenciado o modelo utilizando software – SIFALA.Universidade Federal de Santa MariaBrasilFonoaudiologiaUFSMPrograma de Pós-Graduação em Distúrbios da Comunicação HumanaCentro de Ciências da SaúdeKeske-Soares, Marciahttp://lattes.cnpq.br/2993790524055307Brancalioni, Ana Ritahttp://lattes.cnpq.br/9539857141611400Ceron, Marizete Ilhahttp://lattes.cnpq.br/5947087394553944Giacchini, Vanessahttp://lattes.cnpq.br/6048293980778096Simoni, Simone Nicolini de2019-12-04T19:53:18Z2019-12-04T19:53:18Z2017-07-04info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://repositorio.ufsm.br/handle/1/19099porAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSM2022-06-28T14:00:55Zoai:repositorio.ufsm.br:1/19099Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2022-06-28T14:00:55Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false
dc.title.none.fl_str_mv Aspectos fonológicos e auditivos em diferentes abordagens terapêuticas: ensaio clínico randomizado
Phonological and hearing aspects in different therapeutic approaches: randomized clinical test
title Aspectos fonológicos e auditivos em diferentes abordagens terapêuticas: ensaio clínico randomizado
spellingShingle Aspectos fonológicos e auditivos em diferentes abordagens terapêuticas: ensaio clínico randomizado
Simoni, Simone Nicolini de
Crianças
Linguagem
Desvio fonológico
Percepção auditiva
Reabilitação dos desvios de fala
Children
Language
Speech sound disorders
Auditory perception
Rehabilitation of speech sound disorders
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
title_short Aspectos fonológicos e auditivos em diferentes abordagens terapêuticas: ensaio clínico randomizado
title_full Aspectos fonológicos e auditivos em diferentes abordagens terapêuticas: ensaio clínico randomizado
title_fullStr Aspectos fonológicos e auditivos em diferentes abordagens terapêuticas: ensaio clínico randomizado
title_full_unstemmed Aspectos fonológicos e auditivos em diferentes abordagens terapêuticas: ensaio clínico randomizado
title_sort Aspectos fonológicos e auditivos em diferentes abordagens terapêuticas: ensaio clínico randomizado
author Simoni, Simone Nicolini de
author_facet Simoni, Simone Nicolini de
author_role author
dc.contributor.none.fl_str_mv Keske-Soares, Marcia
http://lattes.cnpq.br/2993790524055307
Brancalioni, Ana Rita
http://lattes.cnpq.br/9539857141611400
Ceron, Marizete Ilha
http://lattes.cnpq.br/5947087394553944
Giacchini, Vanessa
http://lattes.cnpq.br/6048293980778096
dc.contributor.author.fl_str_mv Simoni, Simone Nicolini de
dc.subject.por.fl_str_mv Crianças
Linguagem
Desvio fonológico
Percepção auditiva
Reabilitação dos desvios de fala
Children
Language
Speech sound disorders
Auditory perception
Rehabilitation of speech sound disorders
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
topic Crianças
Linguagem
Desvio fonológico
Percepção auditiva
Reabilitação dos desvios de fala
Children
Language
Speech sound disorders
Auditory perception
Rehabilitation of speech sound disorders
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
description The objective of this research was to analyze and compare phonological aspects such as phonetic inventory, phonological system, severity of the speech sound disorders, altered distinctive traits and phonological processes, as well as phonological and phonoarticulatory awareness, besides the auditory aspects of the abilities and variables present in Long Auditory Evoked Potential Long. Comparisons of the phonological and auditory aspects were performed before and after the intensive period of treatment in children with speech sound disorders. Twenty-five therapy sessions were assigned. The children were randomly drawn among three groups. Group 1 - Placebo: This group received no specific treatment for speech deviations, only used the computer resource to play on a website. The Group 2-Cycles Traditional: the therapy used the Modified Cycles Model. And the Group 3-SIFALA ("Speech Intervention Software"): the therapy used the proposal of the Strata Model based on Stimulability and Segment Complexity that was developed in software format. The categorization of these groups obeys the methodological questions of a randomized clinical trial. The evaluation of the children and the treatment of one of the SIFALA group were carried out by the responsible researcher. The other two groups were treated by fellowship academics of the Speech Language Pathology program. The reassessment of all procedures was performed by speech language pathologists with experience in speech and hearing areas who did not have knowledge about the variables of the research, so it was categorized as a single-blind trial. After the treatment period, the data were compared by means of the statistical analysis that used as a criterion to estimate the effects in each therapy group using the linear regression model with mixed effects for the quantitative variables responses. Also was used the polytomic logistic model for ordinal qualitative variables. In addition, Chi-Square and Wilcoxon tests were used for analysis of the abilities and variables of Long Auditory Evoked Potential. A significance level of 0.05 was set for all tests. Most of the children treated presented gains in the phonological and auditory variables. The therapeutic models used fulfilled the objective of reorganization of the phonological system, being possible to point out as innovative and differentiated the model using software-SIFALA. Key Words: Children. Language. Speech Sound Disorders. Auditory Perception. Rehabilitation of Speech Sound Disorders.
publishDate 2017
dc.date.none.fl_str_mv 2017-07-04
2019-12-04T19:53:18Z
2019-12-04T19:53:18Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufsm.br/handle/1/19099
url http://repositorio.ufsm.br/handle/1/19099
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Santa Maria
Brasil
Fonoaudiologia
UFSM
Programa de Pós-Graduação em Distúrbios da Comunicação Humana
Centro de Ciências da Saúde
publisher.none.fl_str_mv Universidade Federal de Santa Maria
Brasil
Fonoaudiologia
UFSM
Programa de Pós-Graduação em Distúrbios da Comunicação Humana
Centro de Ciências da Saúde
dc.source.none.fl_str_mv reponame:Manancial - Repositório Digital da UFSM
instname:Universidade Federal de Santa Maria (UFSM)
instacron:UFSM
instname_str Universidade Federal de Santa Maria (UFSM)
instacron_str UFSM
institution UFSM
reponame_str Manancial - Repositório Digital da UFSM
collection Manancial - Repositório Digital da UFSM
repository.name.fl_str_mv Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)
repository.mail.fl_str_mv atendimento.sib@ufsm.br||tedebc@gmail.com
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