CoDAS最新文献_第2页

Can hearing handicap be linked to frailty? A cross-sectional study.

IF 0.9

CoDAS Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20240107en

Ruana Danieli da Silva Campos, Henrique Pott, Marisa Silvana Zazzetta, Fabiana de Souza Orlandi, Sofia Cristina Iost Pavarini, Ariene Angelini Dos Santos-Orlandi, Isabela Thaís Machado de Jesus, Karina Gramani Say, Aline Cristina Martins Gratão, Letícia Pimenta Costa-Guarisco

{"title":"Can hearing handicap be linked to frailty? A cross-sectional study.","authors":"Ruana Danieli da Silva Campos, Henrique Pott, Marisa Silvana Zazzetta, Fabiana de Souza Orlandi, Sofia Cristina Iost Pavarini, Ariene Angelini Dos Santos-Orlandi, Isabela Thaís Machado de Jesus, Karina Gramani Say, Aline Cristina Martins Gratão, Letícia Pimenta Costa-Guarisco","doi":"10.1590/2317-1782/e20240107en","DOIUrl":"10.1590/2317-1782/e20240107en","url":null,"abstract":"Purpose: To investigate potential association between different types of frailty and hearing handicap in the older population.Methods: A study was conducted on frailty among older adults in the context of social vulnerability. The study involved 229 participants who underwent physical, cognitive, and social frailty assessments. Physical frailty was assessed using Fried's Frailty Phenotype, while cognitive frailty was characterized by the presence of physical frailty and cognitive decline. The Makizako index was used to assess social frailty, and the HHIE-S questionnaire was applied to quantify hearing handicap. Participation restrictions related to hearing difficulties were explored in relation to the three types of frailty using logistic regression.Results: Hearing handicap were found to be associated with physical, cognitive, and social frailties. However, in a multivariate binary logistic regression analysis, the emotional scale of HHIE-S was only a predictive factor for physical frailty, along with older age, lower education, and the presence of comorbidities. Age and the presence of comorbidities were the only associated explanatory variables for cognitive frailty. Social frailty was only associated with the presence of cognitive changes.Conclusion: Hearing loss-related participation restrictions can be a significant challenge for older adults. Those who also have an emotional impairment, caused by hearing loss, are even more vulnerable to becoming frail or pre-frail. It's important to prioritize the needs of this population and provide the necessary support to enhance their quality of life and prevent further decline.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20240107"},"PeriodicalIF":0.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of the immediate effect of the high-frequency oral oscillation exercise on individuals with and without vocal symptoms.

IF 0.9

CoDAS Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20240056pt

Miriã Isabela Dos Santos Dantas, Ana Cristina Côrtes Gama, Lorena Luiza Costa Rosa Nogueira, Renata Maria Moreira Moraes Furlan

{"title":"Analysis of the immediate effect of the high-frequency oral oscillation exercise on individuals with and without vocal symptoms.","authors":"Miriã Isabela Dos Santos Dantas, Ana Cristina Côrtes Gama, Lorena Luiza Costa Rosa Nogueira, Renata Maria Moreira Moraes Furlan","doi":"10.1590/2317-1782/e20240056pt","DOIUrl":"10.1590/2317-1782/e20240056pt","url":null,"abstract":"Purpose: to verify the immediate effects of high-frequency oral oscillation using the Classic Shaker®, on acoustic, perceptual-auditory and vocal self-perception measures, in adults with and without vocal complaints.Methods: 50 individuals were allocated into four groups - men with vocal symptoms, men without vocal symptoms, women with vocal symptoms and women without vocal symptoms. The participants completed the Vocal Symptoms Scale, the self-assessment of vocal discomfort, and were subjected to voice recording before and after performing the tested exercise, which consisted of blowing the Shaker® - Classic model - mouthpiece, while emitting the vowel U, for three minutes. The recordings were submitted to acoustic analysis and perceptual-auditory analysis. Paired T-test and Wilcoxon test were used, significance level of 5%.Results: after the exercise, there was a decrease in jitter in the groups of men with symptoms and in shimmer in men without symptoms. Women with symptoms showed an increase in fundamental frequency, harmonic-to-noise ratio, CPP, and CPPS values and a decrease in jitter; women without symptoms showed an increase in GNE. The perceptual-auditory evaluation did not indicate changes after carrying out the exercise. A reduction in vocal discomfort was observed in all groups after the exercise.Conclusion: The high-frequency oral oscillation exercise using the Shaker® was able to promote improvements in acoustic parameters and a reduction in self-reported vocal discomfort in the four groups evaluated.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20240056"},"PeriodicalIF":0.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Self-perception of vocal fatigue and insomnia severity in teachers.

IF 0.9

CoDAS Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20240067pt

Jaírle Laís Alves do Nascimento, Felipe Silva de Araujo, Vanessa Veis Ribeiro, Juliana Fernandes Godoy, Larissa Thaís Donalonso Siqueira

{"title":"Self-perception of vocal fatigue and insomnia severity in teachers.","authors":"Jaírle Laís Alves do Nascimento, Felipe Silva de Araujo, Vanessa Veis Ribeiro, Juliana Fernandes Godoy, Larissa Thaís Donalonso Siqueira","doi":"10.1590/2317-1782/e20240067pt","DOIUrl":"10.1590/2317-1782/e20240067pt","url":null,"abstract":"Purpose: To compare the self-perception of vocal fatigue and insomnia severity between teachers at risk and not at risk for dysphonia and between men and women.Method: The study included 120 female and 80 male teachers from various teaching levels. All participants completed self-assessment questionnaires on their working conditions, the Screening Index for Voice Disorder (SIVD), the Vocal Fatigue Index (VFI), and the Insomnia Severity Index (ISI). Teachers were grouped into those at risk (DG) and not at risk for dysphonia (NDG).Results: Both DG and NDG reported noise, stress, and dust in the work environment. These factors were more frequent in DG, which also scored above the cutoff for all VFI factors, while NDG scored high in Factor I and the total score but scored below the cutoff in Factor IV. Analysis per gender revealed no difference between DG and NDG among males, except for Factor IV. Among females, Factor IV scores were above the cutoff in DG. ISI indicated all participants had subthreshold insomnia.Conclusion: Teachers often had symptoms of vocal fatigue and subthreshold insomnia regardless of the risk for dysphonia. However, DG teachers had higher scores on both protocols. Also, DG females recovered from vocal fatigue symptoms after vocal rest, unlike their counterparts who were not at risk. Both DG and NDG males and females experienced vocal fatigue and limitations, but only those at risk recovered after vocal rest.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20240067"},"PeriodicalIF":0.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Voice handicap, vocal fatigue, and voice-related quality of life in patients with multiple sclerosis.

IF 0.9

CoDAS Pub Date : 2025-02-03 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20230320pt

Raí Dos Santos Santiago, Jaya Miranda Carvalho de Araújo, Márcia Helena Cassago Nascimento, Carolina Fiorin Anhoque, Alana Tagarro Neves, Gabriel Trevizani Depolli, Bruno Batitucci Castrillo, Paula Zago Melo Dias, Regina Eliza Albano Vanzo, Carla Carvalho Nascimento, Valerio Garrone Barauna, Lívia Carla de Melo Rodrigues

{"title":"Voice handicap, vocal fatigue, and voice-related quality of life in patients with multiple sclerosis.","authors":"Raí Dos Santos Santiago, Jaya Miranda Carvalho de Araújo, Márcia Helena Cassago Nascimento, Carolina Fiorin Anhoque, Alana Tagarro Neves, Gabriel Trevizani Depolli, Bruno Batitucci Castrillo, Paula Zago Melo Dias, Regina Eliza Albano Vanzo, Carla Carvalho Nascimento, Valerio Garrone Barauna, Lívia Carla de Melo Rodrigues","doi":"10.1590/2317-1782/e20230320pt","DOIUrl":"10.1590/2317-1782/e20230320pt","url":null,"abstract":"Purpose: to describe sociodemographic characteristics of individuals with multiple sclerosis and correlate and compare vocal fatigue, voice handicap, and voice-related quality of life of individuals with and without the disease.Methods: Cross-sectional, quantitative study with 52 volunteers with multiple sclerosis and 52 control volunteers, matched by sex, age, and education level. Sociodemographic and clinical data were collected through a questionnaire and medical record analysis. Participants responded to the reduced Voice Handicap Index (VHI-10), Vocal Fatigue Index (VFI), and Voice-Related Quality of Life (V-RQOL). Correlational and comparative analyses were performed, with a 5% significance level (p < 0.05).Results: There was a greater predominance of females diagnosed with multiple sclerosis, with a mean age of 40 years, who graduated from high school, and with a relapsing-remitting disease course. Voice handicap was positively correlated with vocal fatigue, and voice handicap and vocal fatigue were negatively correlated with voice-related quality of life in both groups. Participants with multiple sclerosis exceeded the VHI-10 and VFI cutoff scores and were below the V-RQOL cutoff score.Conclusion: There was a prevalence of the disease in young, educated females with relapsing-remitting disease. The greater the voice handicap and/or vocal fatigue, the lower the voice-related quality of life in both groups. However, people with multiple sclerosis self-reported greater voice handicap and vocal fatigue and poorer voice-related quality of life.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20230320"},"PeriodicalIF":0.9,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Script Voz - clinical case simulator of adults with behavioral dysphonia: planning and content creation.

IF 0.9

CoDAS Pub Date : 2025-02-03 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20240075pt

Lorena Luiza Costa Rosa Nogueira, Sandro Renato Dias, Anna Alice de Figueirêdo Almeida, Renata Rangel Azevedo, Ana Cristina Côrtes Gama

{"title":"Script Voz - clinical case simulator of adults with behavioral dysphonia: planning and content creation.","authors":"Lorena Luiza Costa Rosa Nogueira, Sandro Renato Dias, Anna Alice de Figueirêdo Almeida, Renata Rangel Azevedo, Ana Cristina Côrtes Gama","doi":"10.1590/2317-1782/e20240075pt","DOIUrl":"10.1590/2317-1782/e20240075pt","url":null,"abstract":"Purpose: To present the preliminary results of the development of a web platform aimed at training clinical reasoning aimed at the speech therapy approach to patients with behavioral dysphonia.Methods: Methodological study that describes the tool development stages. The contents were defined by consensus from a panel of experts. The project will comply with the stages of planning, platform development, content creation, usability evaluation and user acceptance, redefinition of the tool and determination of charges. This article presents the processes and results of the first three stages.Results: Called Script Voz, the web platform will initially include six clinical cases of behavioral dysphonia. The user can select one clinical case at a time, and must be guided sequentially through the assessment, diagnosis, and therapeutic planning stages of the case. To do so, you must choose the answer(s) you deem appropriate to each of the ten questions proposed for each clinical case. Procedure guides for assessment, diagnosis and therapeutic planning focused on clinical cases that will make up the tool are presented, highlighting their processes.Conclusion: Script Voz will be freely accessible. The procedural guides provided here will guide data collection, manifestation diagnosis and therapeutic planning focused on the clinical cases that will make up the tool. The questions and feedback that will guide the user experience are still in the final stages of preparation. The tool will use real clinical cases and arguments anchored in the clinical reasoning of experienced professionals.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20240075"},"PeriodicalIF":0.9,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vestibulocochlear system and quality of life in musicians: a study on the effects of auditory exposure.

IF 0.9

CoDAS Pub Date : 2025-02-03 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20240010pt

Magali Scheuer, Bianca Nunes Pimentel, Priscilla Dos Santos Martins, Hélinton Goulart Moreira, Valdete Alves Valentins Dos Santos Filha

{"title":"Vestibulocochlear system and quality of life in musicians: a study on the effects of auditory exposure.","authors":"Magali Scheuer, Bianca Nunes Pimentel, Priscilla Dos Santos Martins, Hélinton Goulart Moreira, Valdete Alves Valentins Dos Santos Filha","doi":"10.1590/2317-1782/e20240010pt","DOIUrl":"10.1590/2317-1782/e20240010pt","url":null,"abstract":"Purpose: To evaluate and compare the effects of sound exposure on the vestibulocochlear system and the quality of life among musicians.Methods: Fifty-six individuals participated, including 28 musicians and 28 non-musicians, aged 18 to 45 years, of both genders. Participants underwent medical history assessment, basic audiological evaluation, vestibular evoked myogenic potential (VEMP), and exclusively, WHOQOL-Bref questionnaire.Results: Professional and enthusiast musicians participated, showing increased auditory thresholds at 3 and 4 kHz frequencies and considerably satisfactory quality of life. There was significance in cervical VEMP latencies and the latency of the P15 wave in the left ocular VEMP of the study group compared to the control group. VEMP demonstrated larger waves bilaterally in men compared to women.Conclusion: It was concluded that sound exposure, within tolerance limits in terms of time and intensity, was capable of providing auditory, vestibular, and quality of life benefits for musicians.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20240010"},"PeriodicalIF":0.9,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of modulated masking on electrophysiological and behavioral measures.

IF 0.9

CoDAS Pub Date : 2025-02-03 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20230339pt

Mônyka Ferreira Borges Rocha, Karina Paes Advíncula, Danielle Samara Bandeira Duarte, Pedro de Lemos Menezes

{"title":"Effect of modulated masking on electrophysiological and behavioral measures.","authors":"Mônyka Ferreira Borges Rocha, Karina Paes Advíncula, Danielle Samara Bandeira Duarte, Pedro de Lemos Menezes","doi":"10.1590/2317-1782/e20230339pt","DOIUrl":"10.1590/2317-1782/e20230339pt","url":null,"abstract":"Purpose: To analyze the Benefit of Modulated Masking (BMM) in electrophysiological and behavioral measurements in young and adult normal-hearing individuals.Methods: Observational and cross-sectional analytical study, with a final research sample consisted of 40 participants, 20 individuals aged 18 to 30 years (young adults) and 20 individuals aged 31 to 50 years (adults), to carry out behavioral assessment (Sentence recognition test in the presence of stable and modulated noise) and electrophysiological (Cortical Auditory Evoked Potential) for BMM investigation. The results were analyzed using the paired t-test and ANOVA for repeated measures, applied by the Bonferroni post-hoc test (p-value <0.05).Results: Less interference from modulated noise was identified in the latency and amplitude measurements of cortical components, generating a significant reduction in P1 latency and an increase in P2 amplitude in both groups of participants. Stable noise generated higher electrophysiological and behavioral thresholds compared to modulated noise. A greater magnitude of BMM was observed in the young-adult group.Conclusion: In both groups of participants, less interference from modulated noise was identified in the encoding time of the neural auditory response and in the process of neural discrimination of speech. Furthermore, behavioral and electrophysiological thresholds were typically higher in stable noise when compared to modulated noise, pointing to a correspondence between BMM measurements between hearing domains. The magnitude of the higher BMM in the young-adult group, especially in the electrophysiological domain, suggests a greater temporal resolution ability in younger individuals.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20230339"},"PeriodicalIF":0.9,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mastication and electrical activation in the masseter and anterior temporalis muscles of children and adolescents with osteogenesis imperfecta.

IF 0.9

CoDAS Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20240052en

Andressa Colares da Costa Otavio, Mariana Vicereki Trescastro, Hilton Justino da Silva, Erissandra Gomes, Têmis Maria Félix

{"title":"Mastication and electrical activation in the masseter and anterior temporalis muscles of children and adolescents with osteogenesis imperfecta.","authors":"Andressa Colares da Costa Otavio, Mariana Vicereki Trescastro, Hilton Justino da Silva, Erissandra Gomes, Têmis Maria Félix","doi":"10.1590/2317-1782/e20240052en","DOIUrl":"10.1590/2317-1782/e20240052en","url":null,"abstract":"Purpose: to characterize mastication and electrical activation of the masseter and anterior temporalis muscles in children and adolescents with osteogenesis imperfecta (OI), and relate results to guided occlusion and occlusal interference.Methods: This observational, analytical cross-sectional study included 22 subjects divided into mild OI (MOI) (type 1) (n=15) and moderate-to-severe OI (MSOI) (types 3, 4, and 5) (n=7) groups. The Orofacial Myofunctional Evaluation with Scores (OMES) form was used to evaluate the clinical aspects of mastication. Surface electromyography was performed on the masseter and anterior temporalis muscles at rest for 10 seconds and during maximum intercuspation, spontaneous chewing, and instructed chewing on the right and left sides. Additionally, the activation index and muscle symmetry were measured.Results: a preferentially unilateral chewing pattern was observed in 12 (54.5%) participants. Masticatory patterns did not influence electrical activation during any of the tasks, nor did occlusal guidance during maximum intercuspation or mastication. The percentage of muscle activation during maximal intercuspation approached half of the total activation during spontaneous chewing. In muscle activation indices, the MSOI group presented more atypical scores, while the MOI group scores seemed to be in line with reference values. The symmetry indices seemed to correspond to reference values, but the standard deviation and minimum and maximum values pointed to asymmetric results.Conclusion: This study found that the OI population presented muscle imbalances, but the results did not allow us to define one pattern of change.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20240052"},"PeriodicalIF":0.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlation between risk factors that influence the development of children's language. 影响儿童语言发展的风险因素之间的相关性。

IF 0.9

CoDAS Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20240131en

Marianna Momoe Nanakuma Matsumoto, Heloisa Adhmann Ferreira, Isabelly Bueno Araujo, Daniela Cardilli-Dias, Daniela Regina Molini-Avejonas

{"title":"Correlation between risk factors that influence the development of children's language.","authors":"Marianna Momoe Nanakuma Matsumoto, Heloisa Adhmann Ferreira, Isabelly Bueno Araujo, Daniela Cardilli-Dias, Daniela Regina Molini-Avejonas","doi":"10.1590/2317-1782/e20240131en","DOIUrl":"10.1590/2317-1782/e20240131en","url":null,"abstract":"Purpose: To identify the most significant risk factors for child development through the application of two risk protocols, namely, the Protocol for the Identification of Risk Factors for Language and Speech Disorders (PIFRAL) and the Language Development Protocol (PDL).Methods: A retrospective study was carried out with 194 children aged 0 to 5 years and 11 months who were participants of primary health care (PHC) in the municipality of São Paulo, Brazil, from 2016 to 2020. The database was thoroughly analyzed using R software, and the most relevant risk factors were correlated through statistical analysis, generating altered and unaltered PDL results. Altered PDL results in the presence of one or more altered axes.Results: Of the 194 participants, 62.4% had altered PDLs, and the risk factors that were most common in this group were male gender; being white; having a family socioeconomic level of upper middle, lower middle or low class; having a level of education up to high school; having a child with an altered temperament and having a mother with an altered temperament.Conclusion: This research has achieved its goals, first, by correlating the PIFRAL and PDL protocols and second, by showing some of the risk factors for child development and their implications for language acquisition.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20240131"},"PeriodicalIF":0.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Classification of speech nasality of individuals with cleft lip and palate with distinct ordinal scales. 用不同的序量表对唇腭裂患者的语言鼻音进行分类。

IF 0.9

CoDAS Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20240044pt

Gisele Fonseca do Carmo, Jeniffer de Cássia Rillo Dutka, Flora Taube Manicardi, Beatriz Campanine Geremias, Maria Inês Pegoraro-Krook, Viviane Cristina de Castro Marino

{"title":"Classification of speech nasality of individuals with cleft lip and palate with distinct ordinal scales.","authors":"Gisele Fonseca do Carmo, Jeniffer de Cássia Rillo Dutka, Flora Taube Manicardi, Beatriz Campanine Geremias, Maria Inês Pegoraro-Krook, Viviane Cristina de Castro Marino","doi":"10.1590/2317-1782/e20240044pt","DOIUrl":"10.1590/2317-1782/e20240044pt","url":null,"abstract":"Purpose: To investigate whether there is a difference in the classification of speech hypernasality by inexperienced listeners using different ordinal scales; to verify the agreement of the listeners in the analyses when using these scales; and to verify whether the order in which the scales are presented influences the results.Methods: Twenty Speech-Language Pathology students classified the degrees of hypernasality of 40 (oral) samples from patients with cleft lip and palate. Ten performed the classifications using a 4-point scale (absent, mild, moderate, and severe) and, after two weeks, using a 3-point scale (absent, slightly hypernasal, and very hypernasal). Other ten students performed the same classifications, but in reverse order. The classifications were made remotely and documented on a form.Results: The average percentage of correct responses by the students, in relation to the gold standard, was significantly higher for the 3-point scale. There was no significant interaction between the order of presentation and the scale for the percentage of correct classifications. The students' agreement with the gold standard assessment was fair (3-point scale) and moderate (4-point scale). The mean percentage of agreement of the intra-rater analyses was significantly higher for the 3-point scale. There was no significant interaction between presentation order and scale for the percentage of intra-rater classifications. The Kappa coefficient index showed more favorable intra-rater agreement for the reduced scale.Conclusion: The reduced scale favored the classification of speech hypernasality by listeners and can be considered an important strategy to favor the initial evaluations of students in Speech Therapy during their training.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20240044"},"PeriodicalIF":0.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0