Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)最新文献

{"title":"Speech Perception and Phonological Awareness Skills in Thai-Speaking Children with Speech Sound Disorders.","authors":"Ketnipa Ratanakul, Wendy Cohen, Dwight C K Tse, Joanne Cleland","doi":"10.1159/000552670","DOIUrl":"10.1159/000552670","url":null,"abstract":"<p><strong>Introduction: </strong>Children with speech sound disorders (SSDs) may have difficulties with speech perception and/or phonological awareness. Research on this area remains limited in children who speak tonal languages, such as Thai. This study aimed to investigate whether Thai-speaking preschool children with SSD show difficulties in speech perception and phonological awareness compared to age-matched typically developing (TD) children. The study also examined the relationships among age, speech production, vocabulary abilities, and speech perception and phonological awareness within both SSD and TD groups.</p><p><strong>Methods: </strong>A total of 76 Thai-speaking children (SSD n = 32, TD n = 44) in kindergarten levels 2-3, aged 4;0-6;6 years, participated in this study. All children completed speech and vocabulary assessments, as well as speech perception and phonological awareness experiments. The speech perception experiment included two tasks: (1) phonemic discrimination and (2) lexical and phonetic judgement. The phonological awareness experiment included three tasks: (1) initial phoneme identification, (2) rime awareness, and (3) lexical tone awareness.</p><p><strong>Results: </strong>Children with SSD did not perform differently from their TD peers when controlling for age and receptive vocabulary. Age predicted performance on phonemic discrimination and rime awareness in the SSD group, and on lexical and phonetic judgement and rime awareness in the TD group. Receptive vocabulary predicted only rime awareness in the SSD group. Speech production, as measured by percentage consonants correct, was not a significant predictor of performance in either group.</p><p><strong>Conclusion: </strong>The findings provide new evidence on speech perception and phonological awareness performance in Thai-speaking children. Children with SSD did not show difficulties in speech perception or phonological awareness in this study, which may be explained by the mild-to-moderate severity of SSD in these children. This study highlights the need to develop standardised Thai articulation and phonological assessments to facilitate more precise classification of children into specific SSD subtypes in future studies.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-18"},"PeriodicalIF":0.7,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059348","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":"Development and Content Validation of Stuttering Screening Tool for Preschool Children.","authors":"Jasper Priences Vedanayagam, Santosh Maruthy","doi":"10.1159/000552646","DOIUrl":"10.1159/000552646","url":null,"abstract":"<p><strong>Introduction: </strong>Early identification of stuttering is crucial to minimising its impact. Therefore, accessible screening tools for parents and preschool teachers are needed. However, there is a lack of such test materials for identifying stuttering in preschool children. Hence, the current study aimed to develop and validate a stuttering screening tool for parents and teachers of preschool children who stutter.</p><p><strong>Methods: </strong>A thorough literature review and a focused group discussion led to the initial development of the tool in English. Six judges validated the content at the item level. As we aimed to develop a screening tool primarily for parents and preschool teachers in South India, the tool was translated into Kannada and Tamil (two major South Indian languages) using an opaque semantic translation method. Eleven judges participated in the second content validation process, which included item-level analysis and discussions. Quantitative and qualitative analyses were conducted based on judges' feedback. The final version underwent pilot testing with parents of children who do and do not stutter.</p><p><strong>Results: </strong>The first version showed adequate item-level validity, with an internal consistency of 0.78. The translated tool achieved excellent validity and universal agreement from 11 judges, with an internal consistency of 0.91. Qualitative analysis led to necessary modifications. Further, pilot testing confirmed good understandability and applicability by parents of children who do and do not stutter.</p><p><strong>Conclusion: </strong>The stuttering screening tool demonstrated strong validity and consistency in Kannada and Tamil languages. It can serve as a reliable screening tool for early identification of stuttering by parents and teachers. In the next phase, we will assess its sensitivity and specificity.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-13"},"PeriodicalIF":0.7,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148020379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Classification of Speech Sound Disorders in French-Speaking Children.","authors":"Margaret Kehoe","doi":"10.1159/000552486","DOIUrl":"10.1159/000552486","url":null,"abstract":"<p><strong>Introduction: </strong>No study has validated English-based classification systems of speech sound disorders (SSDs) with French-speaking children. This study aimed to determine whether SSDs in French-speaking children could be classified into three groups: motor speech, phonological (or speech delay), and articulation (or speech errors), and whether the phonological group could be further divided into phonological delay, consistent phonological disorder, and inconsistent phonological disorder, as proposed in current classification systems.</p><p><strong>Method: </strong>Participants included 59 children with SSD and 40 children with typical development, aged 4 to 8 years. They were administered a battery of tasks that targeted phonological and motor speech aspects of production. Focusing primarily on three motor speech tasks (intra-word variability, diadochokinetic [DDK] rate, and an oral-motor examination), the study examined whether participants exhibited difficulty across all three tasks (consistent with a motor speech disorder), displayed difficulty on the intra-word variability task (inconsistent phonological disorder), or did not exhibit difficulty with any of these three tasks (phonology group). In the case of participants classified in the phonology group, their transcription data were examined to determine whether their errors were usual (phonological delay), unusual (phonological disorder), or restricted to difficulty with /s/ and /r/ (articulation).</p><p><strong>Results: </strong>Categorization using strict criteria was unsuccessful leading to alternative approaches to categorization. Focusing primarily on two tasks, DDK and intra-word variability, there was support for a motor speech group (n = 15), an inconsistent phonological group (n = 18), and a phonological delay group (n = 26). One participant was classified as having an articulation disorder, and no participant was classified as having a consistent phonological disorder.</p><p><strong>Conclusion: </strong>Findings with French-speaking children provide mixed support for current SSD classification systems. Results were consistent with alternative categorizations of SSD that posit three groupings (motor speech, inconsistent phonological, and phonological) or with studies that document a continuum of severity on the phonological-motor speech continuum.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-21"},"PeriodicalIF":0.7,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147990505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence and Communication Sciences and Disorders: A Bidirectional Frontier.","authors":"Itai Dattner","doi":"10.1159/000552551","DOIUrl":"10.1159/000552551","url":null,"abstract":"<p><p>This paper explores the bidirectional interplay between artificial intelligence (AI) and communication sciences and disorders (CSDs). It begins by defining essential terminology and foundational concepts, followed by a discussion of key ethical considerations in the development and deployment of AI technologies. Current AI research in CSD is then reviewed, with particular attention to multimodal approaches that integrate linguistic and nonverbal behavioral cues, such as motion. The paper further illustrates how insights from CSD - and the clinical expertise of speech-language pathologists - can inform the design of AI systems, making them more inclusive, interpretable, and responsive to the diversity of communication disorders. Extending this discussion, we introduce the concept of a CSD digital twin: a computational framework capable of analyzing and simulating communication processes in real time to support precision diagnostics, personalized intervention, scientific discovery, and public health planning. Finally, we highlight the importance of cultivating AI literacy - particularly statistical thinking - as a core professional competency for both researchers and clinicians in the AI era. Ultimately, this work envisions a shared framework for advancing research and clinical practice, fostering a data-driven foundation for innovation, discovery, and evidence-based progress in the field of CSDs.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-12"},"PeriodicalIF":0.7,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147978557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is One Language Enough? Assessing Overt Stuttering Severity in Bilingual Children.","authors":"Selma Saad Merouwe, Raymond Bertram, Kurt Eggers","doi":"10.1159/000552443","DOIUrl":"10.1159/000552443","url":null,"abstract":"<p><strong>Introduction: </strong>Little is known about how overt stuttering severity varies across the two languages of bilingual children who stutter (CWS). Most existing studies have focused on adults or relied solely on disfluency frequency measures. This study addressed this gap by examining overt stuttering severity in early bilingual CWS with extensive nondominant (L2) exposure using the Stuttering Severity Instrument (SSI-4), to determine whether assessment in one or both languages is necessary. The potential influence of sample type (spontaneous vs. narrative) on stuttering severity was also explored.</p><p><strong>Methods: </strong>Participants were twenty-two bilingual Lebanese CWS aged 4;06-7;06. Language dominance was determined via parental questionnaires. Each child produced spontaneous and narrative speech samples in both their dominant language (L1) and L2, which were analyzed using the SSI-4 framework.</p><p><strong>Results: </strong>No significant differences emerged between L1 and L2 in overall SSI-4 scores. Also, no difference between the languages was found in the overall scores for spontaneous and narrative samples. However, when focusing on a single component of stuttering, namely, stuttering frequency, spontaneous speech samples yielded a higher number of stuttering events in L2 than in L1.</p><p><strong>Conclusion: </strong>The absence of cross-linguistic differences in overall stuttering severity suggests that, for early bilinguals with high L2 exposure, assessing overt stuttering severity in one language may be sufficient. Nevertheless, including both spontaneous and narrative speech samples remains important as differences may surface when only one sample type is analyzed.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-14"},"PeriodicalIF":0.7,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Initial Validation of Phonation Quotient for Connected Speech: A Low-Cost, Indirect Aerodynamic Measure of Phonatory Airflow.","authors":"James A Curtis, Leyla E Jimenez, Isabel M Aberin-Angulo, Ariana Seidman","doi":"10.1159/000552368","DOIUrl":"10.1159/000552368","url":null,"abstract":"<p><strong>Introduction: </strong>The phonation quotient derived from a sustained vowel (PQ-SV) is a valid, low-cost estimate of phonatory airflow but may not reflect the aerodynamic demands of connected speech. This study introduces the phonation quotient for connected speech (PQ-CS), a novel extension of PQ-SV, and evaluates its initial validity by examining (1) the relationship between PQ-CS and directly measured airflow during connected speech; (2) physiologic relationships among PQ-CS component measures; and (3) whether PQ-CS or PQ-SV demonstrates stronger associations with airflow across connected speech and sustained vowel tasks.</p><p><strong>Methods: </strong>Thirty adults without structural laryngeal pathology completed vital capacity maneuvers; comfortably spoken and maximum phonation of a sustained vowel (/a/); and comfortably spoken and maximum phonation of continuously repeated productions of the voiced sentence \"We were away a year ago.\" Time, volume, and airflow were measured using the Phonatory Aerodynamic System. PQ-CS and PQ-SV were calculated as vital capacity divided by maximum phonation time for the connected speech and sustained vowel tasks, respectively. Associations were evaluated using simple linear regression and Pearson correlation coefficients.</p><p><strong>Results: </strong>PQ-CS demonstrated significant positive associations with mean flow rate during both the maximum phonation connected speech task (r = 0.57) and the comfortably spoken connected speech task (r = 0.41). PQ-CS component measures exhibited expected physiologic relationships, including strong associations between vital capacity and phonation volume (r = 0.62) and a negative association between task duration and mean flow rate (r = -0.37). Across connected speech tasks, PQ-CS showed stronger associations with airflow than PQ-SV. In contrast, PQ-SV demonstrated the strongest association with airflow during maximum sustained vowel phonation, whereas PQ-CS showed a stronger association during comfortably sustained vowel production.</p><p><strong>Conclusion: </strong>PQ-CS is a valid, physiologically grounded, and clinically feasible indirect measure of phonatory airflow during connected speech. Together, PQ-CS and PQ-SV provide complementary aerodynamic information that may enhance clinical voice assessment when specialized equipment is unavailable.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-11"},"PeriodicalIF":0.7,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13331465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147849121","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":"Speech Sound Acquisition in Urdu-Speaking Children.","authors":"Saira Ambreen, Carol K S To","doi":"10.1159/000552321","DOIUrl":"10.1159/000552321","url":null,"abstract":"<p><strong>Introduction: </strong>Developmental norms of speech sound acquisition provide a foundation for studying atypical development. Only a few studies have examined speech sound acquisition in Urdu, and these have primarily focused on consonant development and phonological processes. This study explored the acquisition of both consonants and vowels in children.</p><p><strong>Methods: </strong>Speech samples were collected from 208 Urdu-speaking children aged between 2.7 and 6.0 years using the Urdu Speech Assessment Test. Analyses examined the age of phoneme emergence, acquisition, and mastery, as well as phoneme accuracy.</p><p><strong>Results: </strong>Findings indicated that the acquisition and mastery of Urdu phonemes extended beyond the age of 6.0 years. The youngest group achieved 56.17 percentage of consonants correct and 74.56 percentage of vowels correct, while the oldest group scored 73.27 and 80.44, respectively.</p><p><strong>Conclusion: </strong>This study provides normative data that can serve as a reference for Urdu speech sound assessment. The developmental trajectory revealed both universal trends and language-specific features, including the late acquisition of uvular stop and palatal and velar fricatives.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-15"},"PeriodicalIF":0.7,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13379206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825478","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":"Respiratory-Swallow Training and Variable Practice in Parkinson's Disease: A Clinical Trial Pilot Study.","authors":"James A Curtis, James C Borders, Brianna Kiefer, Roy N Alcalay, Richard Magill, Lori Quinn, Lisa Edmonds, Sonja Molfenter, Michelle S Troche","doi":"10.1159/000552197","DOIUrl":"10.1159/000552197","url":null,"abstract":"<p><strong>Introduction: </strong>Dysphagia in people with Parkinson's disease (PwPD) is closely linked to impairments in respiratory-swallow coordination. Respiratory-swallow training (RST) is a promising, mechanism-based intervention for dysphagia, but, to date, only a single-subject study has examined RST in PwPD. As an early-stage next step in refining RST for PwPD, this clinical trial pilot study aimed to: (1) explore the preliminary associations between exhale-swallow-exhale (EX-EX) RST and swallowing safety, swallowing efficiency, and respiratory phase patterning; and (2) explore differences in practice structure (constant vs. variable practice) on RST-related motor learning outcomes.</p><p><strong>Methods: </strong>PwPD completed pre-RST assessments, four once-weekly sessions of RST targeting only the EX-EX pattern, and post-RST assessments. Participants were randomized to constant practice or variable practice training conditions. Outcomes were measured using nasal airflow, respiratory inductive plethysmography, submental surface electromyography, and flexible endoscopic evaluation of swallowing. Multilevel statistical models were used to evaluate changes in EX-EX usage, pharyngeal residue, penetration, and aspiration.</p><p><strong>Results: </strong>Twelve PwPD completed all study phases, yielding an analysis of 1,565 swallows. In this pilot sample, EX-EX usage was higher post-RST compared to pre-RST (p < 0.05), with EX-EX usage observed to be higher at 1-month follow-up in the variable practice group compared to the constant practice group (p < 0.05). Additionally, pharyngeal residue, laryngeal vestibule residue, vocal fold residue, and Penetration-Aspiration Scale scores were lower post-RST compared to pre-RST (p < 0.05).</p><p><strong>Conclusion: </strong>This clinical trial pilot study provides preliminary evidence that RST may be associated with increased EX-EX usage, swallowing safety, and swallowing efficiency in PwPD. Preliminary evidence also suggests that variable practice may enhance retention and generalization of EX-EX usage, warranting further evaluation. Findings from this study will be used to inform refinement of RST for PwPD and the design of future confirmatory randomized clinical trials.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-18"},"PeriodicalIF":0.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13313620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794661","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":"Normative Values for the Spanish Version of the VHI-10.","authors":"Antonio Velandrino Nicolás, Francisco Cabello Luque, Judit Álvarez-Gómez","doi":"10.1159/000552107","DOIUrl":"10.1159/000552107","url":null,"abstract":"<p><strong>Introduction: </strong>The goal of the study was to establish normative values for the Voice Handicap Index Scale, in its short form of only 10 items (VHI-10) in a sample without voice problems from a large area of southeastern Spain.</p><p><strong>Method: </strong>The sample consisted of 709 adults, aged 18 to 92 years, of whom 361 were women and 348 were men. Inclusion criteria were to be native Spanish speakers, to be over 18 years of age or older, to be able to complete the VHI-10 independently, and to not have suffered a formally diagnosed voice disorder before or at the moment of the study.</p><p><strong>Results: </strong>The normative values obtained for the VHI-10 scale were a mean score of 4.70 and a standard deviation of 2.91. The cut-off threshold was established at a score of 10.5. Percentile values were also calculated.</p><p><strong>Conclusion: </strong>The current study presents normative values for the VHI-10 scale that have not previously been available in Spain. It is expected that these values can be used as a reference to detect possible voice disorders and to grade vocal disorders.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-8"},"PeriodicalIF":0.7,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Swallowing Function in Older Adults: An Association with the Process of Frailty, Functioning, and Clinical and Sociodemographic Aspects.","authors":"Thaline Moura de Oliveira, Stela Maris Aguiar Lemos, Aline Mansueto Mourão","doi":"10.1159/000552235","DOIUrl":"10.1159/000552235","url":null,"abstract":"<p><strong>Introduction: </strong>Dysphagia and frailty are highly prevalent in older adults and are associated with adverse outcomes. However, the distinction between presbyphagia and pathological dysphagia remains unclear, making assessment difficult. This study aims to verify the association between older adults' swallowing function and the frailty process, global and oral intake functioning, comorbidities, and sociodemographic aspects.</p><p><strong>Method: </strong>This is an observational, analytical, cross-sectional study with a non-probabilistic sample of 100 older adults in the process of frailty, treated at a referral center for older adults in the national health system. Data were collected using the following instruments: Clinical-Functional Vulnerability Index-20 (IVCF-20), Functional Independence Measure (FIM), Charlson Comorbidity Index, Functional Oral Intake Scale (FOIS), Orofacial Myofunctional Evaluation Protocol with Scores for Older People (OMES-O), and Oropharyngeal Dysphagia Screening in Older Adults (RaDI). The study classified swallowing function based on the OMES-O and RaDI and performed descriptive, bivariate, and multivariate analyses.</p><p><strong>Results: </strong>Only the score in the \"mobility\" section of the IVCF-20 remained associated with the outcome in the final model. For dysphagia, each one-point increase in the mobility score was associated with a 40.5% increase in the odds of dysphagia.</p><p><strong>Conclusion: </strong>Poorer performance in the mobility domain of the IVCF-20 was independently associated with higher odds of dysphagia. Speech-language-hearing pathologists working with this population must have a comprehensive understanding of their physical and functional needs.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-12"},"PeriodicalIF":0.7,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}