Eficácia da terapia para desvios fonológicos com diferentes modelos terapêuticos

Keske‐Soares, Márcia; Brancalioni, Ana Rita; Marini, Caroline; Pagliarin, Karina Carlesso; Ceron, Marizete Ilha

doi:10.1590/s0104-56872008000300003

Cited by 35 publications

(54 citation statements)

References 13 publications

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“…Other studies also reported the acquisition of sounds in the phonetic inventory after the therapy from different intervention phonological models [14][15][16]25 . According to the literature 10,30 , the use of a computer, as an intervention instrument is capable of favoring better results in relation to the development in the phonological system when compared to the standard therapy, since the specific software is a way to innovate the speech therapy in order to make it more appropriate to current interests of the child 10,29 .…”

Section: Discussionmentioning

confidence: 99%

“…All subjects were submitted to speech and hearing screening which included a speech and language assessment, in order to identify children with phonological disorders. The speech assessment was performed from spontaneous naming through thematic figures, used in other studies [8][9][10][13][14][15][16][17] .…”

Section: Case Reportmentioning

confidence: 99%

“…According to the literature, the treatment of more severe phonological systems, which present higher number of changed sounds, results in greater acquired segments 16 .…”

Section: S3mentioning

confidence: 99%

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Efeito do tratamento do desvio fonológico pelo modelo de estratos por estimulabilidade e complexidade dos segmentos com software de intervenção para fala (SIFALA)

Brancalioni

Keske‐Soares

2016

Rev. CEFAC

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RESUMO O tema desse artigo aborda o efeito que o Modelo de Estrato por Estimulabilidade e Complexidade e o uso do Software de Intervenção para Fala resulta no tratamento do desvio fonológico. Realizou-se estudo de caso de quatro sujeitos com idade entre 4:10 a 6:7, de ambos os gêneros, com desvio fonológico. Todos os sujeitos foram submetidos a avaliação da fonologia, estimulabilidade, sistema estomatognático e triagem auditiva. O Modelo terapêutico baseou-se em uma abordagem eclética, na qual diferentes modelos, procedimentos e estratégias foram unidos, adaptados e criados. Cada sujeito foi tratado por um dos quatro estratos propostos no Modelo. O uso do Software de Intervenção para Fala teve como finalidade despertar a motivação da criança a partir de um código interativo, animado e lúdico. Analisaram-se os dados da avaliação fonológica e o número de consoantes produzidas corretamente, pré e após período de terapia. Utilizou-se o teste Qui-Quadrado, ao nível de significância de 5% (p<0,05). Verificou-se mudança no sistema de sons para todos os sujeitos tratados, na qual segmentos foram estabelecidos no inventário fonético e adquiridos no sistema fonológico. Os sujeitos tratados por estratos direcionados para maior complexidade do Modelo Implicacional de Complexidade de Traços apresentaram melhor avanço terapêutico. Entretanto, devido ao número reduzido de sujeitos não é possível fazer afirmações quanto ao estrato de maior eficácia. Conclui-se que o Modelo e o uso do Software de Intervenção para Fala resultam efeito positivo, contribuindo com o planejamento e o tratamento do desvio fonológico. Contudo, há necessidade de realização de outros estudos com ampliação casuística para confirmação dos achados.

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Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

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Efeito do tratamento do desvio fonológico pelo modelo de estratos por estimulabilidade e complexidade dos segmentos com software de intervenção para fala (SIFALA)

Brancalioni

Keske‐Soares

2016

Rev. CEFAC

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“…Although they mention differences regarding the treatment duration, in the phonemes acquisition or in the increase of the Percentage of Correct Consonants (PCC) in cases of phonological disorder, some studies (7)(8)(9)(10) observe that the different models are efficient to treat the different severities of the phonological disorder. Besides, they reveal the importance of the speech language therapy, with phonological basis to the adjustment of the speech pattern of children with phonological disorders.…”

Section: Introductionmentioning

confidence: 99%

“…In general, researches in the area (6)(7)(8)(9)(10)(11)(12)(13)(14)(15) aimed at describing the improvements obtained through the treatment. However, it is important to understand the course of acquisition in which, even without therapy, the child with phonological disorder goes through with the purpose of supplying, or not, their speech difficulties as time passes, evidencing that the changes in the phonological systems, which are stagnant, may occur, without therapy.…”

Section: Introductionmentioning

confidence: 99%

Mudanças no sistema fonológico após terapia fonológica de abordagem contrastiva

Gubiani

Brancalioni

Keske‐Soares

2012

Rev. soc. bras. fonoaudiol.

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Purpose: To verify the changes in the deviant phonological system regarding phonemes acquisition and in the severity level of phonological disorders in subjects submitted to phonological therapy using the contrastive approach, in comparison to a group of subjects not submitted to intervention. Methods: Participants were 18 subjects aged between 4 years and 10 months and 7 years and 4 months, of both genders, with diagnosis of phonological disorder. Nine subjects treated by contrastive approach constituted the Experimental Group, and the other nine subjects, the Control Group (on the waiting list for phonological therapy). All subjects were assessed before and after the period of contrastive therapy applied only to the Experimental Group. Subjects in both groups were matched by age, severity level of the phonological disorder, number of absent sounds in the first phonological assessment, and period of time between the first and the second phonological assessment. In both assessments, the number of acquired sounds in the general phonological system was verified and the Percentage of Consonants Correct -Revised was calculated to determine the severity level of the phonological disorder. Data were statistically analyzed. Results: The Experimental Group acquired more sounds, which determined changes in the severity level of the phonological disorder. The differences found between groups were significant. Conclusion: The phonological therapy using the contrastive approach promotes changes in the phonological system that significantly influence the acquisition of sounds and the change of the severity level.

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Minimal, Maximal, or Multiple: Which Contrastive Intervention Approach to Use With Children With Speech Sound Disorders?

Storkel

2022

LSHSS

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Purpose: This tutorial contrasts a familiar and frequently used speech sound disorder (SSD) intervention approach, conventional minimal pair, with newer but less familiar and less frequently used variants that may be more effective: (a) maximal opposition and (b) multiple oppositions. Method: This tutorial provides a general description of each contrastive approach, focusing on the evidence base and a small number of critical elements that define the approach and make it unique from all other approaches. Hypothetical cases are used to illustrate how the approaches can be tailored to child needs and speech-language pathologist (SLP) expertise. Supplemental materials enhance the reader's skill in using these approaches in their practice with a minimal initial investment. Results: The reader will be able to identify which children with SSD are appropriate for conventional minimal pair, maximal opposition, or multiple oppositions approaches and will be able to plan intervention (i.e., select target sounds and contrasting words or nonwords, develop intervention activities, write goals, and determine intervention intensity) for each of these approaches. Conclusions: This tutorial highlights that using the conventional minimal pair approach should be restricted to children with a small number of errors (i.e., older children or children with mild SSD). There is an opportunity for SLPs to use newer, more efficacious approaches with younger children and children with more severe SSDs. The maximal opposition approach is well suited to children with multiple errors across multiple sound classes. The multiple oppositions approach specifically targets global phoneme collapses that impact intelligibility. Supplemental Material: https://doi.org/10.23641/asha.19178783

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Eficácia da terapia para desvios fonológicos com diferentes modelos terapêuticos

Abstract: the results indicate that the three therapy approaches were effective in the treatment of children with PD, and were effective in treating different severity levels. Besides that, most of the changes occurred in the phonological system of the groups with more severe PD.

Cited by 35 publications

References 13 publications

Efeito do tratamento do desvio fonológico pelo modelo de estratos por estimulabilidade e complexidade dos segmentos com software de intervenção para fala (SIFALA)

Efeito do tratamento do desvio fonológico pelo modelo de estratos por estimulabilidade e complexidade dos segmentos com software de intervenção para fala (SIFALA)

Mudanças no sistema fonológico após terapia fonológica de abordagem contrastiva

Minimal, Maximal, or Multiple: Which Contrastive Intervention Approach to Use With Children With Speech Sound Disorders?

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