Speaking Time Behavior of the Stutterer Before and After Speech Therapy

1958 ◽  
Vol 1 (1) ◽  
pp. 48-51 ◽  
Author(s):  
William D. Trotter ◽  
Louisa Brown
Keyword(s):  
Speech Therapy ◽  
Time Behavior ◽  
Before And After

Cirugía de feminización de voz con técnica glotoplastia de Wendler en Barranquilla, Colombia. Voice feminization surgery with Wendler glottoplasty technique in Barranquilla, Colombia.

2018 ◽  
Vol 45 (4) ◽  
pp. 247-253 ◽  
Author(s):  
Antonio J. Ballestas ◽  
Samir A. Ballestas ◽  
Rocio Cuello
Keyword(s):  
Fundamental Frequency ◽  
Speech Therapy ◽  
Vocal Cords ◽  
Maximum Phonation Time ◽  
Study Materials ◽  
Before And After ◽  
Upper Face ◽  
Expert Surgeon ◽  
Frequency Maximum ◽  
Male To Female

Introducción: La glotoplastia de Wendler es la técnica que en la actualidad ofrece mejores resultados entre los diferentes tipos de cirugías para la feminización de la voz. Objetivo: Describir nuestra experiencia con la Glotoplastia de Wendler durante el proceso de feminización de la voz de mujeres transgénero. Diseño: Pseudoexperimental (antes-después) Materiales y Métodos: 36 pacientes transexuales en proceso de transformación de hombre a mujer se sometieron a cirugía y rehabilitación con terapias de voz con el equipo de VOICEFEM - Voice Feminization Colombia. La técnica utilizada consiste en la creación de una sinequia de las cuerdas vocales (CCVV) previa desepitelización de la cara interna del tercio anterior de las mismas, 2 puntos de sutura con Vicryl 4/0 y vaporización con electrocauterio en la región lateral de la cara superior de las CCVV y utilización de goma biológica en la sinequia creada. La medición de la frecuencia fundamental, el tiempo máximo de fonación, y la realización del cuestionario TSEQ, se llevaron a cabo antes y después de la cirugía. Resultados: Se obtuvo un aumento de la Frecuencia fundamental promedio de 112Hz(P<0.05) a los 6 meses posteriores al procedimiento quirúrgico y una disminución de cerca de 30 puntos en los resultados del cuestionario TSEQ. Conclusión: La glotoplastia de Wendler, llevada a cabo por cirujanos con experiencia en este campo, ofrece resultados favorables con aumentos significativos de la frecuencia fundamental a mediano plazo y debe estar necesariamente asociada al manejo postquirúrgico con terapias de voz, para obtener el desenlace óptimo esperado.Introduction: Wendler’s Glottoplasty is the technique that offers the best resultsamong the different types of voice feminization surgeries. Male to Female Transgender patients have in this technique the last step for their successful transformation. Objective: To describe our experience in carrying out Wendler’s glottoplasty during the process of feminization of the voice of transgender women. Design: Pseudoexperimental (before-after) study. Materials and methods: In 36 Male to Female Transgender patients, Wendler’s glottoplasty was conducted by VOICEFEM - Voice Feminization Colombia’s team, with further speech therapy rehabilitation. This technique consists of the creation of a synechia of the vocal cords which is carried out after the de-epithelization of the vocal cords on the inner face of its anterior third, 2 stitches with Vicryl 4/0 and vaporization with electrocautery in the lateral region of vocal cords upper face, and the use of biological glue in the created synechia. The measurement of the Fundamental Frequency, Maximum Phonation time, and the completion of the TSEQ questionnaire were carried out before and after the surgery. Results: There was an increase of 112 Hz in the average of Fundamental Frequency(P<0.05) 6 months after the surgery, and a decrease of approximately 30 points in the TSEQ questionnaire results. Conclusion: Wendler’s Glottoplasty conducted by an expert surgeon, provides positive results with a significant increase for fundamental frequency in the medium term, and it is imperative to do also voice therapy rehabilitation posterior to the procedure in order to obtain the expected optimal outcome.

scholarly journals Cortical Reorganization after Rehabilitation in a Patient with Conduction Aphasia Using High-Density EEG

2020 ◽  
Vol 10 (15) ◽  
pp. 5281
Author(s):  
Caterina Formica ◽  
Simona De Salvo ◽  
Katia Micchìa ◽  
Fabio La Foresta ◽  
Serena Dattola ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Speech Therapy ◽  
Language Disorder ◽  
High Density ◽  
Cortical Reorganization ◽  
Rehabilitative Treatment ◽  
Left Brain ◽  
Cortical Responses ◽  
Before And After ◽  
Conduction Aphasia

Conduction aphasia is a language disorder occurred after a left-brain injury. It is characterized by fluent speech production, reading, writing and normal comprehension, while speech repetition is impaired. The aim of this study is to investigate the cortical responses, induced by language activities, in a sub-acute stroke patient affected by conduction aphasia before and after an intensive speech therapy training. The patient was examined by using High-Density Electroencephalogram (HD-EEG) examination, while was performing language tasks. the patient was evaluated at baseline and after two months after rehabilitative treatment. Our results showed that an intensive rehabilitative process, in sub-acute stroke, could be useful for a good outcome of language deficits. HD-EEG results showed that left parieto-temporol-frontal areas were more activated after 2 months of rehabilitation training compared with baseline. Our results provided evidence that an intensive rehabilitation process could contribute to an inter- and intra-hemispheric reorganization.

scholarly journals Management of Ankyloglossia and Breastfeeding Difficulties in the Newborn: Breastfeeding Sessions, Myofunctional Therapy, and Frenotomy

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Elvira Ferrés-Amat ◽  
Tomasa Pastor-Vera ◽  
Paula Rodríguez-Alessi ◽  
Eduard Ferrés-Amat ◽  
Javier Mareque-Bueno ◽  
...  
Keyword(s):  
Weight Gain ◽  
Speech Therapy ◽  
Surgical Intervention ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Myofunctional Therapy ◽  
Before And After ◽  
The Subject ◽  
Poor Weight Gain ◽  
Stimulation Of

The problems of suction in newborns give rise to multiple consequences for both the mother and the newborn. The objective of this paper is to present a case of ankyloglossia (“tongue-tie”) and the suction problems that were treated by a multidisciplinary team. The subject is a 17-day-old male patient, with ankyloglossia and suction problems during breastfeeding (pain in the breastfeeding mother, poor weight gain, and long breastfeeds). The patient followed the circuit established in our centre between the services of Oral and Maxillofacial Surgery and Breastfeeding and Speech Therapy and Orofacial Rehabilitation (CELERE). The evolution following the breastfeeding sessions, the myofunctional stimulation, and the lingual frenotomy was very favourable, thereby solving the suction problems that the newborn presented. All our patients receive breastfeeding sessions and myofunctional therapy as treatment. We know that a frenotomy is not always necessary and we believe that the stimulation of sucking before and after the surgical intervention is important in order to improve the final result.

scholarly journals Quality of life in tongue cancer treated patients before and after speech therapy: a randomized clinical trial

2020 ◽  
Author(s):  
Jordana Balbinot ◽  
Caroline Santana Real ◽  
Cecília Corte de Melo ◽  
Sílvia Dornelles ◽  
Sady Selaimen da Costa
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Speech Therapy ◽  
Tongue Cancer ◽  
Before And After

Impact of speech therapy on the improvement of voice quality in patients with unilateral vocal fold paralysis

2018 ◽  
Vol 7 (4) ◽  
pp. 1-7
Author(s):  
Anna Kuligowska ◽  
Barbara Jamróz ◽  
Joanna Chmielewska ◽  
Katarzyna Jędra ◽  
Tomasz Czernicki ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Speech Therapy ◽  
Acoustic Analysis ◽  
Vocal Tract ◽  
Voice Quality ◽  
Maximum Phonation Time ◽  
Before And After ◽  
Vocal Fold Palsy ◽  
The Voice

Aim of study: Evaluation of the speech therapy on voice quality in patients with unilateral vocal fold palsy. Material and methods: The study group included 11 patients, 8 women and 3 men, in age between 16 to 72 years, with unilateral vocal fold palsy, diagnosed in ENT Department of Warsaw Medical University between 2017-2018. Each person completed questionnaires: the voice disability self-assessment scale (VHI), the voice-based quality of life (VRQoL) scale, the vocal tract discomfort scale (VTD). All questionnaires were completed twice, before and after the voice therapy. In addition, the acoustic analysis of the voice, the assessment of the maximum phonation time and the breathing tract were performed twice in each patient. Each of the patients had a voice rehabilitation consisting of a series of 10 meetings. Results: Statistical analysis of the results of maximum phonation time, the self-assessment of voice disability, the quality of life depending on the voice, discomfort of the vocal tract voice acoustic analysis showed statistically significant differences in the results before and after rehabilitation (p <0.005). In addition, the improvement of the respiratory tract was observed in the majority of patients. Conclusions: Speech therapy significantly affects the voice quality of patients with unilateral laryngeal nerve palsy.

scholarly journals Video Game Rehabilitation of Velopharyngeal Dysfunction: A Case Series

2017 ◽  
Vol 60 (6S) ◽  
pp. 1800-1809 ◽  
Author(s):  
Gabriel J. Cler ◽  
Talia Mittelman ◽  
Maia N. Braden ◽  
Geralyn Harvey Woodnorth ◽  
Cara E. Stepp
Keyword(s):  
Video Games ◽  
Real Time ◽  
Video Game ◽  
Interactive Video ◽  
Speech Therapy ◽  
Case Series ◽  
Speech Disorders ◽  
Aural Rehabilitation ◽  
Before And After ◽  
At Home

Purpose Video games provide a promising platform for rehabilitation of speech disorders. Although video games have been used to train speech perception in foreign language learners and have been proposed for aural rehabilitation, their use in speech therapy has been limited thus far. We present feasibility results from at-home use in a case series of children with velopharyngeal dysfunction (VPD) using an interactive video game that provided real-time biofeedback to facilitate appropriate nasalization. Method Five participants were recruited across a range of ages, VPD severities, and VPD etiologies. Participants completed multiple weeks of individual game play with a video game that provides feedback on nasalization measured via nasal accelerometry. Nasalization was assessed before and after training by using nasometry, aerodynamic measures, and expert perceptual judgments. Results Four participants used the game at home or school, with the remaining participant unwilling to have the nasal accelerometer secured to his nasal skin, perhaps due to his young age. The remaining participants showed a tendency toward decreased nasalization after training, particularly for the words explicitly trained in the video game. Conclusion Results suggest that video game–based systems may provide a useful rehabilitation platform for providing real-time feedback of speech nasalization in VPD. Supplemental Material https://doi.org/10.23641/asha.5116828

scholarly journals Adenoamigdalectomia: comparação das funções orofaciais em crianças antes e depois cirurgia / Adenotonsillectomy: comparison of orofacial functions in before and after surgery children

2019 ◽  
Vol 64 (1) ◽  
pp. 40
Author(s):  
Adriana Rahal Rebouças de Carvalho ◽  
Luana De Aguiar Gonçalves
Keyword(s):  
Outpatient Clinic ◽  
Speech Therapy ◽  
Statistical Significance ◽  
Statistical Test ◽  
Sao Paulo ◽  
São Paulo ◽  
Nominal Data ◽  
Assessment Protocol ◽  
Before And After ◽  
Therapy Clinic

Introdução: As alterações nas diversas funções orofaciais, como respiração, mastigação, deglutição, fala e voz tem sido cada vez mais comum de encontrarmos em crianças. Respiradores orais são mais propícios a esse tipo de alteração, e, muitas vezes, é necessário realizar amigdalectomia, adenoidectomia ou ambas. Muitos são os casos em que não há melhora das funções orofaciais mesmo após a cirurgia. Objetivo: avaliar as diferenças nas funções: respiração, mastigação e deglutição, na postura e nas estruturas orofaciais em crianças antes e depois de realizar adenoamigdalectomia. Método: realizou-se em oito crianças, avaliação clínica, por meio do protocolo de Avaliação em Motricidade Orofacial da Clínica de Fonoaudiologia da Faculdade de Ciências Médicas da Santa Casa de São Paulo. A primeira avaliação aconteceu um dia antes da cirurgia no Ambulatório de Otorrinolaringologia da Instituição (Faculdade de Ciências Médicas da Santa Casa de São Paulo) e a segunda 20 dias após a cirurgia, na data em que a criança retornou com o otorrinolaringologista, no mesmo local. O teste estatístico utilizado para análise de dados nominais pareados foi o McNemar. Resultados: apesar dos resultados não terem sido estatisticamente significantes, houve melhora nos aspectos como mobilidade de lábios, língua e bochechas, e tônus de lábios, língua e bochechas depois da cirurgia. Nas funções de respiração e deglutição obtivemos uma diferença discreta entre o antes e depois da cirurgia, entretanto, a função de mastigação permaneceu a mesma. Conclusão: conclui-se que as funções orofaciais de respiração, mastigação e deglutição, além da postura e das estruturas orofaciais não apresentaram significância estatística quando comparadas antes e depois da cirurgia de adenoamigdalectomia. Mesmo assim foi observado melhora depois da cirurgia na respiração e deglutição, assim como nos aspectos de mobilidade de lábios, língua e bochechas; tônus de lábios, língua e bochechas. Descritores: Respiração Bucal, Mastigação, Deglutição, Fonoaudiologia, CriançaAbstractIntroduction: Changes in various orofacial functions, such as breathing, chewing, swallowing, speech and voice, have been increasingly common in children. Oral breathers are more amenable to this type of alteration, and tonsillectomy, adenoidectomy, or both are often necessary. There are many cases in which there is no improvement in orofacial functions even after surgery. Objective: to evaluate the differences in functions: breathing, chewing and swallowing, posture and orofacial structures in children before and after performing adenotonsillectomy. Method: it was performed in 8 children, clinical evaluation, by means of the Orofacial Motricity Assessment protocol of the Speech Therapy Clinic of Faculdade de Ciências Médicas da Santa Casa de São Paulo. The first evaluation occurred one day before the surgery in the Otorhinolaryngology Outpatient Clinic of Faculdade de Ciências Médicas da Santa Casa de São Paulo and the second 20 days after surgery, on the date the child returned with the otorhinolaryngologist, in the same place. Results: Eight children were evaluated using the McNemar test, a statistical test used for paired nominal data. The results were not statistically significant. However, there was improvement in aspects such as mobility of lips, tongue and cheeks, and tonus of lips, tongue and cheeks. In the functions of breathing and swallowing we obtained a small pre and post surgical difference, however, the chewing function remained the same. Conclusion: it was concluded that the orofacial functions of breathing, chewing and swallowing, besides posture and orofacial structures did not present statistical significance when compared before and after the adenotonsillectomy surgery. Even so, improvement after surgery on breathing and swallowing was observed, as well as mobility aspects of the lips, tongue and cheeks; tonus of lips, tongue and cheeks.Keywords: Mouth breathing; Mastication; Deglutition; Speech, language and hearing science; Child 

IMPROVEMENT OF CONNECTED SPEECH FOR ADOLESCENTS WITH LANGUAGE DISORDERS

2017 ◽  
pp. 83
Author(s):  
Marija Vasalauskiene ◽  
Svetlana Ušča
Keyword(s):  
Physical Activity ◽  
Speech Therapy ◽  
Language Disorders ◽  
Learning Approaches ◽  
Connected Speech ◽  
Pedagogical Tools ◽  
Social And Emotional ◽  
Before And After ◽  
Correction Program ◽  
Speech Correction

The development of connected speech is one of the more difficult areas to improve for pupils with language disorders. The paper presents the characteristics and approbation results of the program that is worked out for the development of connected speech for 10-11 year old adolescents and designed within the framework of social and emotional learning approaches. The program includes not only speech therapy exercises for the development of connected speech, but also physical exercises for the development of coordination, including balance.The aim of the paper is to draw teachers' attention to the connection between pupils' physical activity and learning achievements and physical activity integration opportunities in teaching and corrective work.Within the framework of the research, a theory-based correction program for the development of connected speech for 10-11 year old adolescents with language disorders and criteria for determining the level of connected speech were developed. In order to verify the effectiveness of the program, the obtained data were compared before and after the program's approbation: 1) the level of adolescents' connected speech; 2) the measurements with the balance testing device BIOSWAY. The software SPSS 22.0 was used for the data analysis.It has been concluded that regular activities for the development of general coordination is one of the pedagogical tools in connected speech correction and development work.

Improving patients experience in a neuro-rehabilitation unit using tablet computers

2016 ◽  
Vol 4 (2) ◽  
pp. 289 ◽  
Author(s):  
Pria Suchak ◽  
Khalid Ameer ◽  
Jane Gaylard ◽  
Julie Newman ◽  
Khalid Ali
Keyword(s):  
Interactive Video ◽  
Speech Therapy ◽  
Video Gaming ◽  
Tablet Computers ◽  
Rehabilitation Team ◽  
Meaningful Activity ◽  
Therapeutic Uses ◽  
Before And After ◽  
Patients Experience ◽  
E Mail

Rationale, aims and objectives: Patients in stroke rehabilitation units spend considerable time unengaged in therapeutic or meaningful activity, feeling bored with suboptimal engagement in rehabilitation. Systematic reviews have shown that novel interventions such as interactive video gaming result in improved motor function and cognitive performance. The objective of this study was to evaluate the feasibility of introducing “tablet computers - iPads” in hospital rehabilitation programmes and their impact on patients’ boredom and overall satisfaction. In addition, acceptance and familiarity of the multidisciplinary members of the neuro-rehabilitation team with iPads were explored.Methods: A £10,000 fund was secured from Health Education England, UK to buy 10 iPads. A loan scheme was implemented to regulate iPad use. Information technology and governance issues were agreed with the hospital trust to ensure safety, accountability and confidentiality. Members of the multidisciplinary team offered training and education to patients on iPad use. Questionnaires were used before iPad use to assess patients and staff views on iPads. After iPad use patients and staff completed another questionnaire and were interviewed about which specific applications were used, boredom levels before and after use, and overall satisfaction.Results: Nine patients (7 males) used the iPads (8 strokes and 1 traumatic brain injury), with an average age of 59 (19-79) years. Staff used several applications in physiotherapy and speech therapy and found some applications such as memory games and puzzles particularly helpful. In addition to therapeutic uses, patients used iPads for internet searches, e-mail, Facebook, Skype and games. Eighty-nine percent of patients were satisfied with the iPad experience and 100% reported less boredom or between better and the same boredom compared to baseline.Conclusions: iPad use is feasible and beneficial to patients and welcomed by staff in neuro-rehabilitation units.

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