Influence of speech stimuli in the auditory perceptual identification of hypernasality in individuals with cleft lip and palate
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/2317-1782/20202019269 http://hdl.handle.net/11449/207903 |
Resumo: | Purpose: To investigate the influence of speech stimuli in the auditory perceptual identification of hypernasality in individuals with Cleft Lip and Palate (CLP). Methods: Speech samples from 80 individuals with operated unilateral CLP, ages ranged from nine to 17 years (the mean age of: 12y7m), both genders, were edited for this study. Samples were recorded over the production of nine different speech stimuli, including counting and short sentences characterized by oral sounds, one loaded with low pressure consonants and seven loaded with high pressure consonants. Three speech-language pathologists rated the presence or absence of hypernasality while analyzing 864 recordings (80 individuals X 9 stimuli + 144 repeated recordings, for measuring the intra-rater agreement). Intra-rater and inter-rater indexes of agreement were established for all nine stimulus conditions. The indexes of inter-rater agreement were compared using the Z test (p<0.005), with samples comprising significant indexes of agreement interpreted as better stimuli for identifying the hypernasality in these individuals. Results: Intra-rater agreement for high pressure stimuli with voiced consonants were significantly lower than indexes for other stimuli. Inter-rater agreement between each pair of SLPs ranged from 0.11 (plosive voicing stimuli) to 0.57 (12 short sentences, one of each high pressure consonant). The values of mean inter-rater agreement between all SLPs was 0.47 indicating moderate agreement for identifying hypernasal speech. Conclusion: Speech recordings obtained over the production of longer speech samples including 12 short sentences, for instance one for each high pressure consonant, may favor inter-rater agreement for identifying hypernasality. |
id |
UNSP_b834c76754d567ac0aed2a575f1fa3a0 |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/207903 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Influence of speech stimuli in the auditory perceptual identification of hypernasality in individuals with cleft lip and palateInfluência de estímulos de fala na identificação perceptivo-auditiva da hipernasalidade em indivíduos com fissura labiopalatinaCleft PalateResonanceSpeechSpeech DisordersSpeech PerceptionVelopharyngeal InsufficiencyPurpose: To investigate the influence of speech stimuli in the auditory perceptual identification of hypernasality in individuals with Cleft Lip and Palate (CLP). Methods: Speech samples from 80 individuals with operated unilateral CLP, ages ranged from nine to 17 years (the mean age of: 12y7m), both genders, were edited for this study. Samples were recorded over the production of nine different speech stimuli, including counting and short sentences characterized by oral sounds, one loaded with low pressure consonants and seven loaded with high pressure consonants. Three speech-language pathologists rated the presence or absence of hypernasality while analyzing 864 recordings (80 individuals X 9 stimuli + 144 repeated recordings, for measuring the intra-rater agreement). Intra-rater and inter-rater indexes of agreement were established for all nine stimulus conditions. The indexes of inter-rater agreement were compared using the Z test (p<0.005), with samples comprising significant indexes of agreement interpreted as better stimuli for identifying the hypernasality in these individuals. Results: Intra-rater agreement for high pressure stimuli with voiced consonants were significantly lower than indexes for other stimuli. Inter-rater agreement between each pair of SLPs ranged from 0.11 (plosive voicing stimuli) to 0.57 (12 short sentences, one of each high pressure consonant). The values of mean inter-rater agreement between all SLPs was 0.47 indicating moderate agreement for identifying hypernasal speech. Conclusion: Speech recordings obtained over the production of longer speech samples including 12 short sentences, for instance one for each high pressure consonant, may favor inter-rater agreement for identifying hypernasality.Objetivo: Investigar a influência de estímulos de fala distintos na identificação perceptivo-auditiva da hipernasalidade em indivíduos com fissura labiopalatina operada (FLP). Método: Foram editadas amostras de fala gravadas em áudio de 80 indivíduos com FLP unilateral operada, de ambos os sexos, com idades entre 9 e 17 anos (média=12 anos e 7 meses). As amostras foram gravadas durante a produção de 9 estímulos de fala distintos: contagem de números e conjuntos de frase orais, sendo 1 constituído por consoantes de baixa pressão e 7 constituídos por consoantes de alta pressão. Três fonoaudiólogas identificaram a presença ou ausência da hipernasalidade ao analisarem 864 gravações (80 indivíduos X 9 estímulos + 144 gravações repetidas para análise de concordância intra-avaliador). Os índices de concordância intra e interavaliadores foram estabelecidos para todos os 9 estímulos de fala e comparados entre si por meio do Teste Z, com nível de significância de 5%, com maiores índices de concordância interpretados como melhores estímulos para identificação da hipernasalidade. Resultados: Índices de concordância intra-avaliadores de estímulos de fala vozeados foram significativamente menores do que outros estímulos. Índices de concordância entre os pares de fonoaudiólogas variaram de 0,11 (concordância estímulos plosivos vozeados) a 0,57 (12 frases, uma com cada consoante de alta pressão), com média de 0,47 entre as três avaliadoras, indicando concordância moderada para identificação da hipernasalidade. Conclusão: Gravações de fala obtidas durante a produção de estímulos mais longos, incluindo 12 frases, uma com cada consoante de pressão, podem favorecer a concordância interavaliador na identificação da hipernasalidade.Universidade Estadual Paulista “Júlio de Mesquita Filho” UNESPHospital de Reabilitação de Anomalias Craniofaciais Universidade de São Paulo USPDepartamento de Fonoaudiologia Faculdade de Odontologia de Bauru Universidade de São Paulo USPUniversidade Estadual Paulista “Júlio de Mesquita Filho” UNESPUniversidade Estadual Paulista (Unesp)Universidade de São Paulo (USP)de Castro Marino, Viviane Cristina [UNESP]de Cassia Rillo Dutka, JenifferManicardi, Flora Taube [UNESP]Gifalli, GiovanaSilva, Patrick PedreiraPegoraro-Krook, Maria Ines2021-06-25T11:02:58Z2021-06-25T11:02:58Z2020-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1-9application/pdfhttp://dx.doi.org/10.1590/2317-1782/20202019269CODAS, v. 32, n. 6, p. 1-9, 2020.2317-1782http://hdl.handle.net/11449/20790310.1590/2317-1782/20202019269S2317-178220200006003132-s2.0-85098607017S2317-17822020000600313.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengporCODASinfo:eu-repo/semantics/openAccess2023-12-17T06:23:38Zoai:repositorio.unesp.br:11449/207903Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-12-17T06:23:38Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Influence of speech stimuli in the auditory perceptual identification of hypernasality in individuals with cleft lip and palate Influência de estímulos de fala na identificação perceptivo-auditiva da hipernasalidade em indivíduos com fissura labiopalatina |
title |
Influence of speech stimuli in the auditory perceptual identification of hypernasality in individuals with cleft lip and palate |
spellingShingle |
Influence of speech stimuli in the auditory perceptual identification of hypernasality in individuals with cleft lip and palate de Castro Marino, Viviane Cristina [UNESP] Cleft Palate Resonance Speech Speech Disorders Speech Perception Velopharyngeal Insufficiency |
title_short |
Influence of speech stimuli in the auditory perceptual identification of hypernasality in individuals with cleft lip and palate |
title_full |
Influence of speech stimuli in the auditory perceptual identification of hypernasality in individuals with cleft lip and palate |
title_fullStr |
Influence of speech stimuli in the auditory perceptual identification of hypernasality in individuals with cleft lip and palate |
title_full_unstemmed |
Influence of speech stimuli in the auditory perceptual identification of hypernasality in individuals with cleft lip and palate |
title_sort |
Influence of speech stimuli in the auditory perceptual identification of hypernasality in individuals with cleft lip and palate |
author |
de Castro Marino, Viviane Cristina [UNESP] |
author_facet |
de Castro Marino, Viviane Cristina [UNESP] de Cassia Rillo Dutka, Jeniffer Manicardi, Flora Taube [UNESP] Gifalli, Giovana Silva, Patrick Pedreira Pegoraro-Krook, Maria Ines |
author_role |
author |
author2 |
de Cassia Rillo Dutka, Jeniffer Manicardi, Flora Taube [UNESP] Gifalli, Giovana Silva, Patrick Pedreira Pegoraro-Krook, Maria Ines |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Universidade de São Paulo (USP) |
dc.contributor.author.fl_str_mv |
de Castro Marino, Viviane Cristina [UNESP] de Cassia Rillo Dutka, Jeniffer Manicardi, Flora Taube [UNESP] Gifalli, Giovana Silva, Patrick Pedreira Pegoraro-Krook, Maria Ines |
dc.subject.por.fl_str_mv |
Cleft Palate Resonance Speech Speech Disorders Speech Perception Velopharyngeal Insufficiency |
topic |
Cleft Palate Resonance Speech Speech Disorders Speech Perception Velopharyngeal Insufficiency |
description |
Purpose: To investigate the influence of speech stimuli in the auditory perceptual identification of hypernasality in individuals with Cleft Lip and Palate (CLP). Methods: Speech samples from 80 individuals with operated unilateral CLP, ages ranged from nine to 17 years (the mean age of: 12y7m), both genders, were edited for this study. Samples were recorded over the production of nine different speech stimuli, including counting and short sentences characterized by oral sounds, one loaded with low pressure consonants and seven loaded with high pressure consonants. Three speech-language pathologists rated the presence or absence of hypernasality while analyzing 864 recordings (80 individuals X 9 stimuli + 144 repeated recordings, for measuring the intra-rater agreement). Intra-rater and inter-rater indexes of agreement were established for all nine stimulus conditions. The indexes of inter-rater agreement were compared using the Z test (p<0.005), with samples comprising significant indexes of agreement interpreted as better stimuli for identifying the hypernasality in these individuals. Results: Intra-rater agreement for high pressure stimuli with voiced consonants were significantly lower than indexes for other stimuli. Inter-rater agreement between each pair of SLPs ranged from 0.11 (plosive voicing stimuli) to 0.57 (12 short sentences, one of each high pressure consonant). The values of mean inter-rater agreement between all SLPs was 0.47 indicating moderate agreement for identifying hypernasal speech. Conclusion: Speech recordings obtained over the production of longer speech samples including 12 short sentences, for instance one for each high pressure consonant, may favor inter-rater agreement for identifying hypernasality. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 2021-06-25T11:02:58Z 2021-06-25T11:02:58Z |
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/10.1590/2317-1782/20202019269 CODAS, v. 32, n. 6, p. 1-9, 2020. 2317-1782 http://hdl.handle.net/11449/207903 10.1590/2317-1782/20202019269 S2317-17822020000600313 2-s2.0-85098607017 S2317-17822020000600313.pdf |
url |
http://dx.doi.org/10.1590/2317-1782/20202019269 http://hdl.handle.net/11449/207903 |
identifier_str_mv |
CODAS, v. 32, n. 6, p. 1-9, 2020. 2317-1782 10.1590/2317-1782/20202019269 S2317-17822020000600313 2-s2.0-85098607017 S2317-17822020000600313.pdf |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
CODAS |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1-9 application/pdf |
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 |
|
_version_ |
1799965320003190784 |