Does the type of cleft have an impact on language results? Validation of the Nasalance test in French.

IF 2.2 3区 医学 Q2 Dentistry
Astrid Richard, Serena Brontoladi, Estelle Sanquer, Cécile Chapuis-Vandenbogaerde, Alexandra Bucur, Valérie Charpillet, Véronique Soupre, Arnaud Picard, Natacha Kadlub
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Abstract

Objectives: The nasometer is the most widely used tool for objective assessment of phonation in both research and clinical practice. French standards have been validated in cases of total cleft lip and palate. The objective of this research is to propose a second validation study on velopalatal clefts. The 15 most sensitive and specific items from the initial validation were selected to create a test that is suitable for use in a clinical setting. A secondary objective is to ascertain the impact of cleft type on nasometry.

Methods: A total of 39 participants with an isolated or non-isolated velopalatal cleft were recruited for the study. A speech therapist conducted a blinded subjective evaluation of phonation. The nasometric assessment was based on a corpus developed in collaboration with the CNRS Phonetics and Phonology Laboratory. The corpus is composed of items that are phonetically balanced.

Results: The obtained nasalance threshold values ranged from 11 to 40%. The study corroborated the existence of a voicing effect, whereby the articulation of voiced consonants was associated with a higher nasalance score. This effect, not previously observed in other studies, is specific to French phonetics. Participants with a velopalatal cleft exhibited higher nasalance scores compared to those with a total cleft.

Conclusion: By validating the most relevant stimuli, a French Nasalance Test can be established. With a view to harmonising assessment protocols, it would be appropriate to use the items from this test in subjective assessment.

裂隙类型对语言成绩有影响吗?法语鼻平衡测试的验证。
目的:鼻腔测量仪是研究和临床实践中最广泛使用的客观发音评估工具。法国标准已在全唇腭裂病例中得到验证。本研究的目的是对发育性腭裂进行第二次验证研究。我们从首次验证中选出了 15 个最敏感、最特异的项目,以创建一个适合在临床环境中使用的测试。次要目标是确定裂隙类型对鼻测量的影响:方法:共招募了 39 名患有孤立性或非孤立性发育性腭裂的参与者进行研究。语言治疗师对发音进行盲法主观评估。鼻音测量评估基于与法国国家科学研究中心语音学和音韵学实验室合作开发的语料库。该语料库由语音平衡的项目组成:结果:获得的鼻音平衡阈值在 11% 到 40% 之间。研究证实了发声效应的存在,即发声辅音的发音与较高的鼻音得分相关。这种效应以前未在其他研究中观察到,是法语语音学特有的。与完全唇裂的受试者相比,有脑下裂的受试者表现出更高的鼻音得分:结论:通过验证最相关的刺激物,可以建立法语鼻平衡测试。结论:通过验证最相关的刺激,可以建立一个法语鼻平衡测试,为了统一评估方案,在主观评估中使用该测试的项目是合适的。
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来源期刊
CiteScore
2.20
自引率
9.10%
发文量
305
期刊介绍: J Stomatol Oral Maxillofac Surg publishes research papers and techniques - (guest) editorials, original articles, reviews, technical notes, case reports, images, letters to the editor, guidelines - dedicated to enhancing surgical expertise in all fields relevant to oral and maxillofacial surgery: from plastic and reconstructive surgery of the face, oral surgery and medicine, … to dentofacial and maxillofacial orthopedics. Original articles include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. The journal is indexed in the main international databases and is accessible worldwide through the ScienceDirect and ClinicalKey Platforms.
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