CoDAS最新文献

{"title":"Linguistic-cognitive intervention in a case of early-onset Alzheimer's disease.","authors":"Beatriz Andrade de Souza, Maria Isabel D'Ávila Freitas","doi":"10.1590/2317-1782/e20250126pt","DOIUrl":"10.1590/2317-1782/e20250126pt","url":null,"abstract":"<p><p>Early-Onset Alzheimer's Disease (EOAD) is an atypical variant of dementia that usually presents with impairments in language, visuospatial abilities, executive functions, or complex motor skills, with an early onset before the age of 65. This case study investigates the effect of a weekly language-cognitive intervention program in a patient with EOAD, diagnosed at the age of 58. The following protocols were applied for assessment before, during, and after the intervention: the Addenbrooke's Cognitive Examination - Revised (ACE-R), the Arizona Battery for Communication Disorders of Dementia (ABCD), and the Boston Naming Test (BNT). This case study demonstrated that the language-cognitive intervention had a beneficial effect in maintaining linguistic expression abilities, despite the expected progression of a neurodegenerative disease.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 3","pages":"e20250126"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13288443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151815","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}

{"title":"Fiberoptic endoscopic evaluation of swallowing: where should we go from here?","authors":"Thaís Coelho Alves, Suely Mayumi Motonaga Onofri, Roberta Gonçalves da Silva","doi":"10.1590/2317-1782/e20250350en","DOIUrl":"10.1590/2317-1782/e20250350en","url":null,"abstract":"","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 4","pages":"e20250350"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151780","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}

{"title":"Assessing pragmatic abilities of small children with and without ASD diagnosis.","authors":"Ingrid Ya I Sun, Thais Helena Ferreira Santos, Fernanda Dreux Miranda Fernandes","doi":"10.1590/2317-1782/e20250083pt","DOIUrl":"10.1590/2317-1782/e20250083pt","url":null,"abstract":"<p><strong>Purpose: </strong>DSM 5 indicates social communication deficit as one of the necessary criteria for the diagnosis of autism spectrum disorder. However, the pragmatic assessment of language is not as commonly considered as the formal aspects of language. The presented guide aims to consider communicative elements that include nonverbal aspects of language and the intentionality of communicative acts to identify the first signs of pragmatic alteration.</p><p><strong>Methods: </strong>The ROLPP (Observation Script of Language from a Pragmatic Perspective) is an observation script for socio-cognitive and pre-verbal language skills and communication necessary for language development preceding speech and part of the pragmatic language construct. The protocol was applied to children aged 18 to 36 months, consisting of 11 children with suspected ASD and discarded diagnosis, and 11 children with confirmed ASD diagnosis. A descriptive level of 5% (p <0.05) was considered statistically significant.</p><p><strong>Results: </strong>The results indicate that Participants with a confirmed diagnosis of ASD had higher scores than those in whom the diagnosis was discarded. Children with a confirmed diagnosis tended to score higher on the ROLPP overall (p <0.001), highlighting the impact of pragmatic language disorders in children with ASD, even at preschool age.</p><p><strong>Conclusion: </strong>These preliminary results indicate the possibility of identifying signs of disorders or pragmatic difficulties even before 36 months of age, with low application costs, including for use by professionals with little experience or contact with developmental disorders such as ASD.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 2","pages":"e20250083"},"PeriodicalIF":0.9,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296829","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}

{"title":"Validation of the Central Auditory Processing Self-Perception Questionnaire (QAPAC) applied to students, parents, and teachers.","authors":"Beatriz Lopes Tambascia, Nádia Giulian de Carvalho, Maria Francisca Colella-Santos, Maria Isabel Ramos do Amaral","doi":"10.1590/2317-1782/e20250121pt","DOIUrl":"10.1590/2317-1782/e20250121pt","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the performance of children with and without academic difficulties, as well as that of their parents and teachers, on the Central Auditory Processing Self-Perception Questionnaire (QAPAC), and to assess the sensitivity and specificity of the questionnaire for the diagnosis of Central Auditory Processing Disorder (CAPD).</p><p><strong>Methods: </strong>A total of 257 children from a public school, aged between six and ten years, without diagnoses of cognitive impairments or neurodevelopmental disorders, participated in the study. Stage 1, conducted at the school, included peripheral hearing screening and the administration of the QAPAC. Stage 2, conducted at the Institution's laboratory, involved basic audiological evaluation and behavioral assessment of central auditory processing (CAP), as well as administration of the QAPAC to parents and distribution of the teacher version to educators. At the end of data collection, the sample was divided into group 1 (G1) - 171 children without complaints and/or academic difficulties, and group 2 (G2) - 86 children with academic difficulties. The mean scores were compared within and between groups. Based on G1 performance, receiver operating characteristic (ROC) curve analysis was performed to determine cutoff points for normal performance, risk, and high risk of CAPD.</p><p><strong>Results: </strong>G1 showed significantly better performance than G2 on all three versions of the QAPAC (p<0.005). In G2, teachers reported worse scores compared to the children (p<0.001). The cutoff points established for CAPD risk were 44.5 for children's responses and 42.5 for teachers, considering the best balance between sensitivity and specificity.</p><p><strong>Conclusion: </strong>Children with academic difficulties showed poorer performance on the QAPAC, regardless of the respondent. The sensitivity and specificity values support the use of QAPAC as a valid screening tool for central auditory processing.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 3","pages":"e20250121"},"PeriodicalIF":0.9,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13193188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147975409","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}

{"title":"Labyrinth scale in the differential diagnosis between autism spectrum disorder and language disorder.","authors":"Tainá Rossato Benfica, Milena Pondé, Gustavo Marcelino Siquara, Ana Paula Ramos de Souza","doi":"10.1590/2317-1782/e20250212pt","DOIUrl":"10.1590/2317-1782/e20250212pt","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the contribution of the Labyrinth Scale in the differential diagnosis of children with Autism Spectrum Disorder (ASD) and Language Disorder (LD) aged between 2 and 4 years.</p><p><strong>Methods: </strong>The sample consisted of 38 children diagnosed with LD, 48 with ASD, and 28 with Typical Development (TD). The LD group, evaluated in private clinics and school clinics, consisted of children with language delays confirmed by the Dimensional Inventory of Child Development Assessment (IDADI), as well as speech-language pathology evaluation with instruments such as the Language Development Assessment (LDA), ABFW, among others. They were also evaluated using the Labyrinth Scale. Those responsible signed the Free and Informed Consent Term (FICT). Statistical analysis was performed using JASP software, version 0.15, one-way ANOVA test, and Scheffé post hoc tests.</p><p><strong>Results: </strong>Differentiated scores were demonstrated between the LD, ASD, and TD groups both in general terms and in the subscales of the Labyrinth Scale.</p><p><strong>Conclusion: </strong>The Labyrinth Scale allowed differentiating the LD, ASD, and TD groups, showing that the instrument has specificity to perform the differential diagnosis.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 3","pages":"e20250212"},"PeriodicalIF":0.9,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13193194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976444","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}

{"title":"Aerodynamic measurements in singers at usual, low, and high frequencies.","authors":"Dâmaris Poliana Lacerda Vieira, Viviane Souza Bicalho Bacelete, Bárbara Pereira Lopes, Patrícia de Freitas Lopes Genilhú, Ana Cristina Côrtes Gama","doi":"10.1590/2317-1782/e20250325pt","DOIUrl":"10.1590/2317-1782/e20250325pt","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze aerodynamic measurements at habitual, low, and high frequencies in male and female singers without vocal changes.</p><p><strong>Methods: </strong>This is a cross-sectional, analytical, observational study with 30 male and 30 female singers, aged 19 to 48 years. Aerodynamic parameters such as air pressure, expired and voiced airflow, expiratory volume, power and aerodynamic resistance, acoustic impedance, and aerodynamic efficiency were measured by emitting the syllable /pá/ seven consecutive times at usual intensity and usual, low, and high frequencies.</p><p><strong>Results: </strong>Modifications in aerodynamic measurements during the emission of different vocal frequencies were more evident in male singers. They had higher values ​​of peak air pressure, aerodynamic resistance, acoustic impedance, and aerodynamic efficiency in high-pitched emissions, while female singers had higher values ​​of aerodynamic efficiency in usual emissions, followed by high-pitched emissions.</p><p><strong>Conclusion: </strong>The variation in fundamental frequency of the voice causes greater changes in aerodynamic parameters in male singers. Female singers had higher values ​​of aerodynamic efficiency in usual voice production.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 3","pages":"e20250325"},"PeriodicalIF":0.9,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13193190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147948839","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}

{"title":"Fundamental frequency measures in the comparison of habitual and disguised voices.","authors":"Amanda de Castro Matheus, Denise de Oliveira Carneiro Berejuk, Eliane Cristina Pereira, Perla do Nascimento Martins, Ana Paula Dassie-Leite","doi":"10.1590/2317-1782/e20250251pt","DOIUrl":"10.1590/2317-1782/e20250251pt","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the stability of measures of fundamental frequency of voice by comparing samples of habitual and disguised speech.</p><p><strong>Methods: </strong>This observational, analytical, cross-sectional study analyzed a voice bank of 40 people of both sexes (20 men and 20 women), aged 19 to 58 years. They read a passage in both habitual and disguised speech. The types of disguises were analyzed by three expert voice judges. The study used the PRAAT® acoustic analysis software to extract the mean f0, median f0, minimum f0, maximum f0, and base f0 (fb) from the complete reading in both situations, using pre-determined procedures. The data were tabulated and statistically analyzed.</p><p><strong>Results: </strong>The fb, maximum f0, and minimum f0 values were similar in habitual and disguised speech among speakers of both sexes, whereas the mean f0 and median f0 differed between the two situations.</p><p><strong>Conclusion: </strong>In general, the measures of fb, minimum f0, and maximum f0 were more stable in disguised speech, which may suggest future usefulness in intraindividual comparisons. The speakers' various types of adjustments to disguise their voices did not significantly alter the measures of fb, maximum f0, and minimum f0 in the comparison between habitual and disguised speech.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 4","pages":"e20250251"},"PeriodicalIF":0.9,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13193189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949768","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}

{"title":"COVID-19-related voice disorders: a scoping review.","authors":"Aline de Souza Silva, Rodrigo Dornelas, José Roberto Lapa E Silva","doi":"10.1590/2317-1782/e20250243pt","DOIUrl":"10.1590/2317-1782/e20250243pt","url":null,"abstract":"<p><strong>Purpose: </strong>To map the available evidence on voice changes in non-intubated adults diagnosed with mild to moderate COVID-19.</p><p><strong>Research strategies: </strong>Scoping review conducted according to PRISMA-ScR guidelines, including studies published between 2019 and 2025. Systematic searches were performed in the MEDLINE (PubMed), EMBASE, LILACS, Scopus, Web of Science, and Cochrane Library databases and in grey literature sources (Google Scholar, MedRxiv, and ProQuest). Controlled descriptors and free terms related to COVID-19 and voice disorders were combined using Boolean operators.</p><p><strong>Selection criteria: </strong>The review included studies with adults (18-65 years) with a confirmed diagnosis of mild to moderate COVID-19 and excluded studies with individuals undergoing endotracheal intubation and with a previous history of voice disorders or respiratory comorbidities. The selection was performed by two independent reviewers.</p><p><strong>Data analysis: </strong>The data were extracted and analyzed descriptively and quantitatively, considering study characteristics, vocal assessment methods, and main outcomes.</p><p><strong>Results: </strong>Of the 35,497 records identified, 19 studies met the inclusion criteria. The most frequent voice disorders were dysphonia, hoarseness, reduction in maximum phonation time, and changes in acoustic measures such as jitter, shimmer, and harmonic-to-noise ratio. Associated symptoms included vocal fatigue, cough, dyspnea, and laryngeal discomfort, as well as a negative impact on voice-related quality of life.</p><p><strong>Conclusion: </strong>Mild to moderate COVID-19 can lead to clinically relevant vocal impairments, reinforcing the need for speech-language-hearing follow-up and research to support vocal assessment and rehabilitation protocols in the post-infection period.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 3","pages":"e20250243"},"PeriodicalIF":0.9,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13193193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147948782","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}

{"title":"The use of the Labyrinth Scale in the differential diagnosis of children aged 2 to 4 with a history of psychological distress, autism and different language outcomes.","authors":"Tainá Rossato Benfica, Fernanda Nunes Franco, Gustavo Marcelino Siquara, Milena Pondé, Ana Paula Ramos de Souza","doi":"10.1590/2317-1782/e20250152pt","DOIUrl":"10.1590/2317-1782/e20250152pt","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the diagnostic utility of the Autism Diagnostic Labyrinth Scale to differentiate children with Autism Spectrum Disorder (ASD) from children with language disorders or delay and those with typical development in the 2 to 4 age range.</p><p><strong>Methods: </strong>29 children aged 2 to 4 years were evaluated using the Labyrinth Scale, with and without a history of psychological distress, identified as having Typical Development (TD), Delayed Language Acquisition (DLA), Developmental Language Disorder (DLD), or ASD. Totals and subscale scores for social interaction, verbal and nonverbal communication, restricted and repetitive behaviors, and gestures were statistically compared to differentiate between groups.</p><p><strong>Results: </strong>there were statistically significant differences in total scores and across all four subscales of the Labyrinth Scale between the ASD group and the other clinical groups evaluated (TD, DLA, and DLD) (p < 0.001). The Verbal Communication subscale also demonstrated specific ability to significantly distinguish the LAD group from the DLD group (p<0.001).</p><p><strong>Conclusion: </strong>The Labyrinth Scale proved to be useful in clearly differentiating children with ASD from those with DLD, LAD, and typical development, suggesting strong clinical potential of the instrument for early differential diagnosis among these clinical conditions.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 2","pages":"e20250152"},"PeriodicalIF":0.9,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13192452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949923","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}

{"title":"DEGLUTO: initial validity evidence of a clinical swallowing assessment tool for adults.","authors":"Jadson Stheferson Dutra Alves, Leandro de Araújo Pernambuco, Hipólito Virgilio Magalhães Junior","doi":"10.1590/2317-1782/e20250153pt","DOIUrl":"10.1590/2317-1782/e20250153pt","url":null,"abstract":"<p><strong>Purpose: </strong>To develop and verify content validity evidence of DEGLUTO, a clinical swallowing assessment instrument for adults.</p><p><strong>Methods: </strong>A cross-sectional methodological study. The first phase validated the content using the Delphi method with 13 judges, analyzing 28 items and using CVI, CVC, and Kappa for agreement. The second phase evaluated response processes by applying the instrument to 210 adult and elderly patients by ten speech therapists, analyzing application time, acceptability, and inter-rater agreement.</p><p><strong>Results: </strong>In content validation, seven items were removed and twenty-one reformulated, resulting in 21 items with a mean CVI > 0.90 and substantial to almost perfect agreement. In response processes, a mean application time of 15 minutes, good acceptability, and high agreement on most items were observed. One item was excluded, consolidating the final version with 20 items.</p><p><strong>Conclusion: </strong>DEGLUTO presented robust initial validity evidence, demonstrating clinical applicability, clarity, and theoretical adequacy, qualifying it as a promising tool for the assessment of oropharyngeal dysphagia in clinical practice.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 3","pages":"e20250153"},"PeriodicalIF":0.9,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13193195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949726","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}