Analysis of oral-nasal balance after intensive speech therapy combined with speech bulb in speakers with cleft palate and hypernasality
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.jcomdis.2019.105945 http://hdl.handle.net/11449/199470 |
Resumo: | Objective: To evaluate the efficacy of the combination of a speech bulb with an intensive speech therapy program in hypernasal participants with cleft palate. Methods: Twenty hypernasal speakers with cleft palate (12 females and 8 males, median age 28.45 years), who were wearing speech bulbs underwent an intensive speech therapy program of 45 sessions over 3 weeks. Three experienced speech-language pathologists rated the participants’ speech recordings before and after intensive speech therapy, with and without the speech bulb. Nasometric recordings and long-term averaged spectra were also analyzed using repeated-measures ANOVAs. Results: The ANOVA of the hypernasality ratings showed significant effects of therapy [F (1,19) = 15.97; p <.001], speech bulb [F(1,190 = 28.54, p <.001] and a therapy –speech bulb interaction effect [F(1.19) = 22.30, p < 0.001]. The most favorable listener ratings of hypernasality were obtained post-therapy when participants were wearing their speech bulbs. Without the speech bulb, intensive speech therapy by itself did not result in a significant improvement. With speech bulb, nasalance scores for high [F (1,19) = 14.07, p <.001] and low pressure [F (1,19) = 14.84, p <.001] sentences were significantly lower post-therapy, providing preliminary evidence that an intensive speech therapy program may enhance the effect of a speech bulb. Before and after comparisons of individual nasalance profiles demonstrated variable improvement in 15 participants, no progress in 2 participants and more severe hypernasality after therapy in 3 participants. Long-term averaged spectra corroborated the findings of the perceptual analysis. Based on a frequency bin from 201 to 300 Hz, there was a significant within-subject effect for with and without speech bulb [F(1, 18) = 4.54, p =.047] as well as for before vs. after session [F (1,18) = 7.14, p =.015]. Conclusion: The speech bulb in combination with intensive speech therapy resulted in improved oral-nasal balance for the majority of participants. More research is needed to investigate long-term outcomes as well as individual factors contributing to therapy success. |
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Analysis of oral-nasal balance after intensive speech therapy combined with speech bulb in speakers with cleft palate and hypernasalityNasometryResonanceSpectrographySpeech outcomesSpeech therapyObjective: To evaluate the efficacy of the combination of a speech bulb with an intensive speech therapy program in hypernasal participants with cleft palate. Methods: Twenty hypernasal speakers with cleft palate (12 females and 8 males, median age 28.45 years), who were wearing speech bulbs underwent an intensive speech therapy program of 45 sessions over 3 weeks. Three experienced speech-language pathologists rated the participants’ speech recordings before and after intensive speech therapy, with and without the speech bulb. Nasometric recordings and long-term averaged spectra were also analyzed using repeated-measures ANOVAs. Results: The ANOVA of the hypernasality ratings showed significant effects of therapy [F (1,19) = 15.97; p <.001], speech bulb [F(1,190 = 28.54, p <.001] and a therapy –speech bulb interaction effect [F(1.19) = 22.30, p < 0.001]. The most favorable listener ratings of hypernasality were obtained post-therapy when participants were wearing their speech bulbs. Without the speech bulb, intensive speech therapy by itself did not result in a significant improvement. With speech bulb, nasalance scores for high [F (1,19) = 14.07, p <.001] and low pressure [F (1,19) = 14.84, p <.001] sentences were significantly lower post-therapy, providing preliminary evidence that an intensive speech therapy program may enhance the effect of a speech bulb. Before and after comparisons of individual nasalance profiles demonstrated variable improvement in 15 participants, no progress in 2 participants and more severe hypernasality after therapy in 3 participants. Long-term averaged spectra corroborated the findings of the perceptual analysis. Based on a frequency bin from 201 to 300 Hz, there was a significant within-subject effect for with and without speech bulb [F(1, 18) = 4.54, p =.047] as well as for before vs. after session [F (1,18) = 7.14, p =.015]. Conclusion: The speech bulb in combination with intensive speech therapy resulted in improved oral-nasal balance for the majority of participants. More research is needed to investigate long-term outcomes as well as individual factors contributing to therapy success.Speech-Language and Audiology Department Faculdade de Odontologia de Bauru and Graduate Programs at the Universidade de São Paulo (USP), 9-75 Alameda Octávio Pinheiro BrisollaDepartment of Speech-Language Pathology University of Toronto (UofT), University Ave, 500Palatal Prosthesis Services Hospital for the Rehabilitation of Craniofacial Anomalies University of São Paulo (HRAC/USP), Rua Sílvio Marchione, 3-20, Vila UniversitáriaDepartment of Speech-Language Pathology and Audiology São Paulo State University (UNESP) Faculdade de Filosofia e Ciências, Campus de Marília, Av. Higino Muzzi Filho, 737Department of Speech-Language Pathology and Audiology São Paulo State University (UNESP) Faculdade de Filosofia e Ciências, Campus de Marília, Av. Higino Muzzi Filho, 737Universidade de São Paulo (USP)University of Toronto (UofT)Universidade Estadual Paulista (Unesp)Ferreira, Gabriela ZuinBressmann, Timde Cássia Rillo Dutka, JenniferWhitaker, Melina Evangelistade Boer, Gilliande Castro Marino, Viviane Cristina [UNESP]Pegoraro-Krook, Maria Inês2020-12-12T01:40:45Z2020-12-12T01:40:45Z2020-05-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.jcomdis.2019.105945Journal of Communication Disorders, v. 85.1873-79940021-9924http://hdl.handle.net/11449/19947010.1016/j.jcomdis.2019.1059452-s2.0-85073029634Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Communication Disordersinfo:eu-repo/semantics/openAccess2021-10-23T07:00:30Zoai:repositorio.unesp.br:11449/199470Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462021-10-23T07:00:30Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Analysis of oral-nasal balance after intensive speech therapy combined with speech bulb in speakers with cleft palate and hypernasality |
title |
Analysis of oral-nasal balance after intensive speech therapy combined with speech bulb in speakers with cleft palate and hypernasality |
spellingShingle |
Analysis of oral-nasal balance after intensive speech therapy combined with speech bulb in speakers with cleft palate and hypernasality Ferreira, Gabriela Zuin Nasometry Resonance Spectrography Speech outcomes Speech therapy |
title_short |
Analysis of oral-nasal balance after intensive speech therapy combined with speech bulb in speakers with cleft palate and hypernasality |
title_full |
Analysis of oral-nasal balance after intensive speech therapy combined with speech bulb in speakers with cleft palate and hypernasality |
title_fullStr |
Analysis of oral-nasal balance after intensive speech therapy combined with speech bulb in speakers with cleft palate and hypernasality |
title_full_unstemmed |
Analysis of oral-nasal balance after intensive speech therapy combined with speech bulb in speakers with cleft palate and hypernasality |
title_sort |
Analysis of oral-nasal balance after intensive speech therapy combined with speech bulb in speakers with cleft palate and hypernasality |
author |
Ferreira, Gabriela Zuin |
author_facet |
Ferreira, Gabriela Zuin Bressmann, Tim de Cássia Rillo Dutka, Jennifer Whitaker, Melina Evangelista de Boer, Gillian de Castro Marino, Viviane Cristina [UNESP] Pegoraro-Krook, Maria Inês |
author_role |
author |
author2 |
Bressmann, Tim de Cássia Rillo Dutka, Jennifer Whitaker, Melina Evangelista de Boer, Gillian de Castro Marino, Viviane Cristina [UNESP] Pegoraro-Krook, Maria Inês |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade de São Paulo (USP) University of Toronto (UofT) Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Ferreira, Gabriela Zuin Bressmann, Tim de Cássia Rillo Dutka, Jennifer Whitaker, Melina Evangelista de Boer, Gillian de Castro Marino, Viviane Cristina [UNESP] Pegoraro-Krook, Maria Inês |
dc.subject.por.fl_str_mv |
Nasometry Resonance Spectrography Speech outcomes Speech therapy |
topic |
Nasometry Resonance Spectrography Speech outcomes Speech therapy |
description |
Objective: To evaluate the efficacy of the combination of a speech bulb with an intensive speech therapy program in hypernasal participants with cleft palate. Methods: Twenty hypernasal speakers with cleft palate (12 females and 8 males, median age 28.45 years), who were wearing speech bulbs underwent an intensive speech therapy program of 45 sessions over 3 weeks. Three experienced speech-language pathologists rated the participants’ speech recordings before and after intensive speech therapy, with and without the speech bulb. Nasometric recordings and long-term averaged spectra were also analyzed using repeated-measures ANOVAs. Results: The ANOVA of the hypernasality ratings showed significant effects of therapy [F (1,19) = 15.97; p <.001], speech bulb [F(1,190 = 28.54, p <.001] and a therapy –speech bulb interaction effect [F(1.19) = 22.30, p < 0.001]. The most favorable listener ratings of hypernasality were obtained post-therapy when participants were wearing their speech bulbs. Without the speech bulb, intensive speech therapy by itself did not result in a significant improvement. With speech bulb, nasalance scores for high [F (1,19) = 14.07, p <.001] and low pressure [F (1,19) = 14.84, p <.001] sentences were significantly lower post-therapy, providing preliminary evidence that an intensive speech therapy program may enhance the effect of a speech bulb. Before and after comparisons of individual nasalance profiles demonstrated variable improvement in 15 participants, no progress in 2 participants and more severe hypernasality after therapy in 3 participants. Long-term averaged spectra corroborated the findings of the perceptual analysis. Based on a frequency bin from 201 to 300 Hz, there was a significant within-subject effect for with and without speech bulb [F(1, 18) = 4.54, p =.047] as well as for before vs. after session [F (1,18) = 7.14, p =.015]. Conclusion: The speech bulb in combination with intensive speech therapy resulted in improved oral-nasal balance for the majority of participants. More research is needed to investigate long-term outcomes as well as individual factors contributing to therapy success. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-12T01:40:45Z 2020-12-12T01:40:45Z 2020-05-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.jcomdis.2019.105945 Journal of Communication Disorders, v. 85. 1873-7994 0021-9924 http://hdl.handle.net/11449/199470 10.1016/j.jcomdis.2019.105945 2-s2.0-85073029634 |
url |
http://dx.doi.org/10.1016/j.jcomdis.2019.105945 http://hdl.handle.net/11449/199470 |
identifier_str_mv |
Journal of Communication Disorders, v. 85. 1873-7994 0021-9924 10.1016/j.jcomdis.2019.105945 2-s2.0-85073029634 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal of Communication Disorders |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1799964999890763776 |