Folia Phoniatrica et Logopaedica最新文献

{"title":"Do Sex Hormones Influence Mean Duration of Babbling in 5-Month-Old Infants?","authors":"Anja Quast, Volker Hesse","doi":"10.1159/000545166","DOIUrl":"10.1159/000545166","url":null,"abstract":"<p><strong>Introduction: </strong>Minipuberty is a period in early infancy, in which the hypothalamic-pituitary-gonadal axis is activated, leading to a secretion of bioactive estradiol and testosterone. It is assumed to affect brain development and, as a result, vocal characteristics. While studies have found hormonal influences on fundamental frequency and articulatory characteristics in infants' crying and babbling, temporal characteristics have not been studied so far. The aim of this study was therefore, as a first step, to investigate the potential influence of sex hormones on the mean duration of babbling vocalizations.</p><p><strong>Methods: </strong>Blood samples were taken from 16 infants at 4, 8, and 20 weeks and sex hormone concentrations were measured. The duration of individual infant vocalizations was analyzed from recordings of marginal babbling. A hierarchical, multiple regression approach was used to investigate associations between mean duration and bioactive hormone levels (estradiol [E2], testosterone [T]).</p><p><strong>Results: </strong>While no estradiol effects were found, the mean duration of an infant's babbling at 20 weeks showed a significant negative association with the corresponding bioactive testosterone concentration in the same infant at the same age (p = 0.003).</p><p><strong>Conclusion: </strong>The results bolster the assumption that it is not sex per se, which seem to determine prelinguistic development. A better understanding of minipubertal influences is essential both for our understanding of gender-specific brain physiological mechanisms and for the resulting language performance.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"149-157"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Construct Validity of the Arabic Eating Assessment Tool in Patients with COVID-19.","authors":"Ahmed Mohamed Zayed, Maii Saad, Omayma Afsah, Tamer Abou-Elsaad","doi":"10.1159/000546123","DOIUrl":"10.1159/000546123","url":null,"abstract":"<p><strong>Introduction: </strong>Construct validity represents the degree to which a tool assesses the construct that it is proposed to determine. The present study aimed to evaluate the construct validity of the Arabic version of the Eating Assessment Tool (A-EAT-10) questionnaire to determine its informative value and justify its use in clinical practice and research.</p><p><strong>Methods: </strong>A retrospective study was accomplished on 124 adult hospitalized COVID-19 patients with oropharyngeal dysphagia as evidenced by screening tools A-EAT-10 and Yale swallow protocol (YSP). Eighty of these 124 patients were evaluated by fiberoptic endoscopic evaluation of swallowing (FEES).</p><p><strong>Results: </strong>The A-EAT-10 questionnaire shows high construct validity, evidenced by exploratory factor analysis and its significant positive correlation with the YSP and validated FEES scales.</p><p><strong>Conclusion: </strong>A-EAT-10 verified its applicability in both research and clinical applications.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"50-59"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Longitudinal Investigation of Oral Inferential Comprehension in French-Speaking Preschoolers: Results from the ELLAN Study.","authors":"Pamela Filiatrault-Veilleux, Jayda Yoxall, Chantal Desmarais, Audette Sylvestre","doi":"10.1159/000546353","DOIUrl":"10.1159/000546353","url":null,"abstract":"<p><strong>Introduction: </strong>Inferential comprehension is a complex language skill fundamental for social competence and reading comprehension. Evidence from the literature demonstrates that this ability develops early in a child's life. Using a longitudinal design, this study aimed to describe the early developmental trajectory of oral inferential comprehension ability in young typically developing French-speaking children from 3;6 to 5;6 years of age.</p><p><strong>Methods: </strong>A narrative-based oral inferential comprehension task was administered to a group of typically developing children (n = 79) at 3;6, 4;6, and 5;6 years old; as part of the Early Longitudinal Language and Neglect [ELLAN] study. A total of 19 inferential questions were classified into six types of causal inferences targeting the comprehension of story grammar elements.</p><p><strong>Results: </strong>Inferential comprehension total scores showed significant improvement across all three time points, with the most significant increase between 3;6 and 4;6 years of age. At 3;6 years old, questions about the problem of the story, goal, and characters' internal responses were better answered compared to questions about the attempts to solve the problem, predictions, and the story's resolution. By 5;6 years of age, no ceiling effects were observed for any of the inference types, indicating ongoing development of inferential comprehension ability.</p><p><strong>Conclusion: </strong>Such longitudinal data documenting a developmental sequence of early oral inferential comprehension supports the importance of initiating assessments and interventions of this complex skill from an early age, especially from 3;6 to 4;6 years old, a period marked by significant growth.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"21-33"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parents' Emotions and Perspectives Regarding Their Children's Speech and Language Disorders.","authors":"Fenise Selin Karali, Dilber Kaçar Kütükçü, Samet Tosun, Sena Aydın Kahraman, Çağdaş Karsan","doi":"10.1159/000546370","DOIUrl":"10.1159/000546370","url":null,"abstract":"<p><strong>Introduction: </strong>The social stigma experienced by parents of children with speech and language impairments is a significant concern, since it can profoundly affect the welfare and assistance provided to both the parents and their children. This study aimed to investigate the emotions and perspectives of parents regarding their children's speech and language challenges, using a survey methodology.</p><p><strong>Methods: </strong>This is a comparative and descriptive study that includes 376 participants who have a child diagnosed with a speech and language disorder. A survey designed to assess perceived stigma was implemented to accumulate data. A comparison was conducted using Kruskal-Wallis and correlation analysis.</p><p><strong>Results: </strong>Parents with children with autism experienced the greatest level of perceived stigma, followed by parents of children with Down syndrome. Parents of children with speech sound disorders obtained the lowest scores in terms of perceived stigma. There were no significant differences observed in the education level of parents, therapy duration of their child, age, and perceived stigma scores.</p><p><strong>Conclusion: </strong>Speech and language therapists must comprehend the stigma that families feel and encounter. To address this stigma, it is crucial to provide parents' options such as self-help groups or activities and resources that promote stigma awareness. Also, speech and language therapists who work with these populations should enhance their understanding of stigma.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"1-9"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pitch Discrimination, Music Abilities, and Emotional Speech Perception in School-Aged Children with Cochlear Implant.","authors":"Lucia D Apos Alatri, Tiziana Di Cesare, Felicia Zagari, Angelo Tizio, Francesco Minioto, Giorgia Mari, Daniela Rodolico, Gabriella Cadoni, Walter Di Nardo","doi":"10.1159/000545863","DOIUrl":"10.1159/000545863","url":null,"abstract":"<p><strong>Introduction: </strong>The objective of the study was to analyze complex auditory skills (music abilities and emotional speech perception) in children with cochlear implant (CI) compared to normal-hearing controls.</p><p><strong>Methods: </strong>This was a prospective case-control study. A total of 30 controls and 28 children (7-14 years) with congenital severe-to-profound hearing loss (HL) with unilateral or bilateral CI underwent the pitch discrimination test (PDT), the songs identification test (SIT), and the melodies identification test (MIT) to measure music abilities; the speaker and gender discrimination and emotions identification auditory test (SDEIAT) to evaluate socioemotional speech perception.</p><p><strong>Results: </strong>Controls had significantly higher PDT, MIT, and SDEIAT scores than CI recipients (p < 0.05). Patients with asymmetrical HL and bimodal stimulation (CI and hearing aid) had significantly better MIT scores than unilateral (p = 0.007) and bilateral CIs (p = 0.013). In the bilateral CI group, patients with a history of sequential implantation had significant lower scores in melodic recognition than simultaneous CI (p = 0.005). Pitch discrimination was not related to the age of patients or to music exposure time. An inverse relationship existed between musical abilities and age of cochlear implantation (Pearson's R = -0.62), with better results before 24 months (p = 0.039). Controls and CI users recognized the gender of the speakers equally; bimodal stimulation identified complex emotions significantly better than the other groups (p < 0.05). SDEIAT was statistically related to SIT (Pearson's R = 0.59), PDT (Pearson's R = 0.67), and age of implantation (Pearson's R = -0.54) with better result the lower the age of surgery.</p><p><strong>Conclusion: </strong>The close relationship between emotional speech perception, music abilities, and pitch discrimination confirmed the importance to improve complex linguistic auditory tasks that are rarely examined in clinical practice but fundamental for social interactions in children affected by congenital HL.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"34-49"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Voice Evaluation of Patients with Chronic Rhinosinusitis and Nasal Polyposis: A Case Series and Review of the Literature.","authors":"Abdul-Latif Hamdan, Jad Hosri, Yara Yammine, Jonathan Abou Chaar, Lana Ghzayel, Zeina Maria Semaan, Nader Nawfal, Zeina Korban","doi":"10.1159/000545538","DOIUrl":"10.1159/000545538","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic rhinosinusitis (CRS) is a common disabling condition that affects 5-12% of the general population. The impact of CRS on voice has garnered interest due to the increasing number of individuals relying on their voice professionally. Previous studies have shown inconsistent results due to heterogeneous study groups and varying outcome measures. The objective of this study was to investigate the voice characteristics of a large homogenous group of patients with chronic rhinosinusitis and nasal polyposis (CRSwNP) and normal laryngeal examination.</p><p><strong>Methods: </strong>Adult patients presenting to the rhinology clinic of a tertiary referral center between March 2023 and March 2024 with a diagnosis of CRSwNP and normal laryngeal examination were recruited. Subjects matched by age and gender and with no history of CRSwNP and normal laryngeal examination were recruited as controls. Primary voice outcome measures consisted of the Voice Handicap Index-10 (VHI-10) and acoustic/aerodynamic parameters including percent shimmer, percent jitter, noise-to-harmonic ratio, voice turbulence index, and maximum phonation time.</p><p><strong>Results: </strong>A total of 58 patients were included and divided into a study group (n = 29 cases) and a control group (n = 29). There was a statistically significant difference in the mean VHI-10 score of the study group compared to the control group (8.14 ± 4.01 vs. 2.79 ± 2.73, p < 0.001). Moreover, there was a moderate to strong correlation between the VHI-10 score and the SNOT-22 score (r = 0.612; p < 0.001). There was no significant difference in any of the acoustic and aerodynamic parameters between the study group and control group (p > 0.05).</p><p><strong>Conclusion: </strong>Patients with CRSwNP are more likely to have vocal symptoms that impact their quality of life in comparison to controls. Early recognition of these vocal symptoms should prompt early treatment to avoid any structural or functional voice disorders.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"171-178"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Smart Preterm Breather: Variation of Cry Duration by Laryngeal Constriction Phenomena.","authors":"Lea Melber, Johannes Wirbelauer, Tabea Kottmann","doi":"10.1159/000543944","DOIUrl":"10.1159/000543944","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Human neonates are born with some control over their larynx, which is essential for breathing, swallowing and phonation. Laryngeal constriction phenomena were observed during not provoked crying of full-term infants. As preterm infants show alterations in lung development and functionality, the aim of the present study was to examine whether these infants generate laryngeal constriction phenomena during the first week of life.</p><p><strong>Methods: </strong>Cry vocalizations (n = 562) of 11 healthy, preterm infants (6 females) were analyzed visually (frequency spectrograms and oscillograms) and auditorily. The analyses of the occurrence of laryngeal constriction phenomena and the duration of vocalization were conducted using the open-source software PRAAT.</p><p><strong>Results: </strong>Constriction phenomena were found in the crying of all preterm infants. No significant sex differences were observed. There was a significant correlation between the occurrence of laryngeal constriction phenomena and gestational age (r = -0.81). Vocalizations containing constriction phenomena were significantly longer than those without constrictions.</p><p><strong>Conclusion: </strong>The study showed laryngeal constrictions as a regular phenomenon in cry vocalizations of preterm infants during their first week of life. They seemed to be mainly used as a respiratory mechanism to increase end-expiratory lung volume and to improve alveolar gas exchange.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"108-117"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distress Affects Melodic Complexity in Infants' Crying.","authors":"Lauren G Lee, Michael P Robb, Kathleen Wermke, Philip J Schluter","doi":"10.1159/000546232","DOIUrl":"10.1159/000546232","url":null,"abstract":"<p><strong>Introduction: </strong>Cry melody serves as a platform for the eventual development of expressive language. Complex melodic structures exist in the naturally occurring discomfort cries of healthy term infants as young as 2 months of age. To date, no study has analyzed the influence of distress on complexity of cry melody. The purpose of this study was to determine whether the distress cries produced across a group of infants contained a comparable amount of the complexity as previously reported for discomfort cries at that age.</p><p><strong>Methods: </strong>A group of 11 healthy 2-month-old infants served as participants for the study. Distress cries were collected from each infant and were analyzed acoustically. The complex melodies occurring within the overall crying episode of each infant were determined.</p><p><strong>Results: </strong>Findings indicated a low occurrence of complex melody in distress cries at the age of 2 months compared to past reports for same-aged infants producing non-distress spontaneous cries. Cries judged to be reflective of low distress were generally found to have a more complex melody.</p><p><strong>Conclusion: </strong>Collectively, the present study supports the hypothesis that the complexity of cry melody is reduced in distress-elicited crying.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"133-139"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rhythmicity in Newborn Cry: From an Amplitude Modulation Perspective.","authors":"Yufang Ruan, Peter Wermke, Nai Ding, Li Ma, Hongyu Chang, Linjun Zhang, Youyi Liu, Hua Shu","doi":"10.1159/000545207","DOIUrl":"10.1159/000545207","url":null,"abstract":"<p><strong>Introduction: </strong>Newborn cries exhibit a richness of melody and rhythmicity, yet their rhythmic features have been less studied.</p><p><strong>Methods: </strong>In this study, we analyzed the amplitude modulation of 1,884 cries from 30 Chinese newborns.</p><p><strong>Results: </strong>The group-averaged amplitude modulation spectrum revealed an evident increase in energy between 0.5 and 8 Hz, peaking around 2 Hz. The peak frequency for an individual child averaged at around 3 Hz (SD = 1.3 Hz), with the majority lying below 5 Hz.</p><p><strong>Conclusion: </strong>This study is the first to demonstrate that newborn cries contain increased energy in slower rate amplitude modulation frequencies associated with prosodic feet and syllabic rhythms in speech, underscoring the important role of rhythmic information in early language acquisition.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"140-148"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lung Function, Voice, and Quality of Life in Post-COVID-19 Syndrome: A Follow-Up Study.","authors":"Juliana Alves Souza, Adriane Schmidt Pasqualoto, Denis Altieri De Oliveira Moraes, Carla Aparecida Cielo","doi":"10.1159/000546258","DOIUrl":"10.1159/000546258","url":null,"abstract":"<p><strong>Introduction: </strong>COVID-19 sequelae may persist for years, particularly in individuals who experienced critical illness. This longitudinal study aimed to assess lung function, voice, and their correlation in post-COVID-19 syndrome (PCS) patients after intensive care discharge and evaluate the impact on general and voice-related quality of life (V-RQoL).</p><p><strong>Methods: </strong>Among the 284 patients who survived hospitalization at the University Hospital, 48 met the inclusion and exclusion criteria and participated in the study. Evaluations were conducted at an average of 4 and 8 months post-discharge and included assessments of dyspnea (modified Medical Research Council [mMRC] scale), spirometry, inspiratory (MIP), and expiratory (MEP) muscle strength, the 6-minute walk test (6MWT), maximum phonation time (MPT), sound pressure level (SPL), overall degree of dysphonia, general quality of life (Short Form Health Survey [SF-36]), and V-RQoL.</p><p><strong>Results: </strong>There was a reduction in mMRC, and an increase in MIP, MEP, 6MWT, MPT, and usual and minimum SPL. Women still exhibited reduced MPT, and both sexes had persistent dysphonia. A negative correlation was found between mMRC and MPT, and a positive correlation was found between 6MWT and MPT. Some SF-36 domains and the physical score of the V-RQoL for women remained reduced.</p><p><strong>Conclusions: </strong>Eight months after COVID-19, there was an improvement in pulmonary function and MPT, but an increase in usual and minimum SPL and persistent dysphonia. These findings highlight the need for further research into persistent dysphonia as a significant aspect of PCS.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"1-17"},"PeriodicalIF":1.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}