Revista de Logopedia, Foniatria y Audiologia最新文献

{"title":"Perspectivas clínicas, bioéticas y psicosociales en la toma de decisiones para la gastrostomía endoscópica percutánea en personas con enfermedades neurodegenerativas","authors":"Sara Tapia-Saavedra ,&nbsp;Paulina Matus-Rosas ,&nbsp;Valeria López-Inzunza ,&nbsp;Javiera Rivera-López ,&nbsp;Tamara Carrasco-Fierro","doi":"10.1016/j.rlfa.2025.100542","DOIUrl":"10.1016/j.rlfa.2025.100542","url":null,"abstract":"<div><h3>Background and objective</h3><div>Dysphagia in individuals with neurodegenerative diseases presents clinical and ethical challenges when deciding whether to implement percutaneous endoscopic gastrostomy (PEG). Speech-language pathologists (SLPs) play a crucial role in this process, assessing not only the severity of dysphagia and the underlying pathology but also bioethical and psychosocial factors. Previous studies have indicated that this decision is not based solely on clinical criteria but integrates multiple dimensions. This study aims to explore the clinical, bioethical, and psychosocial perceptions of SLPs regarding decision-making in the indication of PEG in individuals with neurodegenerative diseases.</div></div><div><h3>Patients or materials and methods</h3><div>A qualitative study was conducted using semi-structured interviews with 10<!--> <!-->SLPs experienced in managing dysphagia in neurodegenerative diseases. Content analysis was applied to identify emerging patterns in decision-making, categorizing findings into five key dimensions: diagnostic and prognostic considerations, clinical swallowing assessment, social and healthcare context, decision-making process, and the role of the SLP in the indication of PEG.</div></div><div><h3>Results</h3><div>Decision-making regarding PEG is not solely dependent on clinical assessment but also considers the individual's autonomy, advance directives, perceived quality of life, and socio-family context. Ethical dilemmas related to disease progression and family involvement were identified. Additionally, SLPs emphasized the need for greater training in bioethics and communication to effectively address these challenges.</div></div><div><h3>Conclusions</h3><div>This study highlights the importance of an interdisciplinary approach to PEG indication, balancing clinical, ethical, and psychosocial factors. Strengthening training in bioethics and communication, along with the development of policies that ensure equitable access to specialized resources, is recommended.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 4","pages":"Article 100542"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144489479","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":"Estrategias logopédicas utilizadas con niños con implante coclear durante una actividad de conversación","authors":"Daniela Mieres,&nbsp;Cristina Cambra","doi":"10.1016/j.rlfa.2025.100531","DOIUrl":"10.1016/j.rlfa.2025.100531","url":null,"abstract":"<div><h3>Background and objective</h3><div>The study of speech-language pathologist (SLP) strategies with students with cochlear implants (CI) to promote language development has been scarcely explored, unlike the study of maternal strategies with their children and SLP strategies used with students with language disorders.</div><div>The objective of this study is to explore the strategies used by SLPs with children with CI during a conversation activity.</div></div><div><h3>Materials and method</h3><div>The sample consists of 7 SLPs interacting with 25 students with CI (13 girls and 12 boys) aged 5 to 7<!--> <!-->years. Twelve questions from the conversation subtest of the PADIL protocol were formulated, and the strategies used by the SLP were analysed based on the children's errors and considering the possible influence of auditory age.</div></div><div><h3>Results</h3><div>It is noted that the most frequent SLP strategies were adapted repetition, identical repetition, and semantic aids. These three strategies were used to a greater extent to repair comprehension errors, non-responses, and failures to adhere to the maxim of quantity.</div></div><div><h3>Conclusions</h3><div>This study confirms that SLP use a wide variety of resources to elicit an appropriate response from children with CI and support their participation in conversation. The practical applications of this study highlight the importance of diversifying interaction contexts so that infants can practice their conversational skills in different communicative situations.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 4","pages":"Article 100531"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312968","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":"Beneficios del uso de sistema de micrófono remoto en el hogar: una revisión panorámica","authors":"María José Quintana Llanquileo ,&nbsp;Yosseline Ortega Martínez ,&nbsp;Carolina Mansilla Turra","doi":"10.1016/j.rlfa.2025.100541","DOIUrl":"10.1016/j.rlfa.2025.100541","url":null,"abstract":"<div><h3>Introduction</h3><div>Remote microphones are devices that improve the signal-to-noise ratio in unfavorable acoustic environments. Although there is evidence of its effectiveness in school settings, there is a lack of information about the communicative benefits and access to speech at home.</div></div><div><h3>Objective</h3><div>Determine the benefits of using a remote microphone at home in the child and adolescent population.</div></div><div><h3>Method</h3><div>A panoramic review was carried out in EBSCO, PubMed, Scopus, and Web of Science databases, using specific search terms. Of the 77 articles found, 5 met the inclusion criteria.</div></div><div><h3>Results</h3><div>Improvements in receptive speech and a 42% loss of acoustic information were found when not using the device at home. Parents highlight benefits in vocabulary acquisition and attention in noisy environments.</div></div><div><h3>Conclusion</h3><div>Using remote microphones at home is promising and further research is recommended.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 4","pages":"Article 100541"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263781","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":"Factores asociados con el estrés en madres con hijos con trastorno de desarrollo del lenguaje: un estudio piloto","authors":"Gabriela Portillo Menéndez ,&nbsp;Ana Muiño Tato ,&nbsp;Pilar Pozo Cabanillas","doi":"10.1016/j.rlfa.2025.100540","DOIUrl":"10.1016/j.rlfa.2025.100540","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Family wellbeing plays a critical role in the prognosis of children with Developmental Language Disorder (DLD). Research indicates that stress levels in mothers of children with DLD are high. This research study aims to identify the key factors related to the level of stress in mothers of children with DLD, according to the double ABCX model of parental stress (McCubbin &amp; Patterson, 1983).</div></div><div><h3>Methods and instruments</h3><div>The sample consisted of 31 mothers of children diagnosed with DLD living in Spain. Participants completed an online questionnaire and scales assessing the study variables. Descriptive and predictive analyses were carried out.</div></div><div><h3>Results</h3><div>The predictive model accounted for 49% of the variance in maternal stress. The most significant predictor was the parenting sense of competence, followed by perceived social support and the child's emotional difficulties.</div></div><div><h3>Conclusions</h3><div>Based on the findings, potential guidelines are proposed to enhance professional interventions aimed at supporting mothers of children with DLD.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 4","pages":"Article 100540"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263780","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":"Augmentative and alternative communication as language development","authors":"Stephen von Tetzchner","doi":"10.1016/j.rlfa.2025.100535","DOIUrl":"10.1016/j.rlfa.2025.100535","url":null,"abstract":"<div><h3>Background and aims</h3><div>Some children with motor impairments, intellectual disabilities, autism spectrum disorder or severe developmental speech or language disorder have severe difficulties in developing spoken language and some never develop intelligible speech. They need augmentative and alternative communication (AAC) in the form of manual signs or communication aids with graphic symbols to supplement or substitute for limited or no intelligible speech and achieve an optimal language development; for them the role of AAC is to complement or fill the functions of speech. The aim of this paper is to discuss AAC as an atypical form of language development, the elements and processes involved in development of AAC, and the importance of learning from observing the untaught strategies children apply in everyday use of AAC.</div></div><div><h3>Materials and methods</h3><div>Recent literature was examined and reflections based on the author's own AAC expertise were made to analyze the state of the art regarding AAC as an atypical form of language development. Vocabulary, grammar, conversation, narratives, and expository discourse are among the topics reviewed.</div></div><div><h3>Results</h3><div>Studies have demonstrated that these children can learn to use AAC to express needs, thoughts, feelings and so forth, but compared to the large scientific literature on typical language development, research on AAC appears narrow in scope.</div></div><div><h3>Conclusions</h3><div>Many core aspects of language development are rarely addressed in AAC research, implying that essential parts of the foundation for supporting language development with AAC are lacking.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 4","pages":"Article 100535"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254701","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":"La subordinación conceptual en niños hispanohablantes con y sin trastorno del espectro autista","authors":"Carola Alvarado,&nbsp;Priscila Pizarro,&nbsp;Dafne Román,&nbsp;Maryam Reinares","doi":"10.1016/j.rlfa.2025.100537","DOIUrl":"10.1016/j.rlfa.2025.100537","url":null,"abstract":"<div><div>Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by long-lasting and significant difficulties in communication and social interaction. Longitudinal studies show that those children who present deficiencies in verbal and non-verbal linguistic skills are at greater risk of having unfavorable outcomes in adult life. Within this framework, grammatical complexity constitutes a key element in this process, since it implies not only a structural domain of the system, but also a functional one.</div></div><div><h3>Objective</h3><div>To analyze linguistic complexity through conceptual subordination and its forms of coding in the oral production of Spanish-speaking children with typical development (TD) and ASD.</div></div><div><h3>Method</h3><div>Cross-sectional mixed approach study with descriptive, non-experimental design. The sample was made up of 19 who attended regular educational establishments with a school integration program: TD group (n<!--> <!-->=<!--> <!-->11), ASD group (n<!--> <!-->=<!--> <!-->8). The measurement was conducted through the Subordinate Clause Production Test.</div></div><div><h3>Results</h3><div>The results allow us to conclude that there are no significant differences in the production of conceptual subordination and in the forms of coding between both groups. However, significant differences were evident in two qualitative categories: ungrammaticality and misuse of visual stimuli with a greater presence in the ASD group.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 4","pages":"Article 100537"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144223253","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":"Validación de la prueba oral de inferencias en escolares de educación primaria","authors":"Andrea Salvador-Carrillo ,&nbsp;Juan Cruz Ripoll Salceda ,&nbsp;Gerardo Aguado Alonso","doi":"10.1016/j.rlfa.2025.100536","DOIUrl":"10.1016/j.rlfa.2025.100536","url":null,"abstract":"<div><h3>Background</h3><div>Inferential ability is one of the most relevant skills that contribute to the complex process of reading comprehension. Therefore, it is important to have a test to evaluate it and assist students with low performance in this skill.</div></div><div><h3>Objective</h3><div>This study aimed to validate the Oral Inference Test (OIT), which considers 4 of the 5 types of pragmatic inferences with a didactic orientation.</div></div><div><h3>Methods</h3><div>The sample consisted of 213 students in 4<!--> <!-->th, 5<!--> <!-->th, and 6<!--> <!-->th grade, 104 boys and 109 girls, from three schools in Lima and Piura, Peru. The test was administered collectively, and the items were read aloud by the examiner.</div></div><div><h3>Results</h3><div>The OIT showed adequate internal consistency, which was not altered by the removal of any item. Construct validity was assessed using exploratory factor analysis, suggesting a seven-factor model. The correlations of the POI with other reading comprehension tests were moderate, indicating good criterion validity.</div></div><div><h3>Conclusions</h3><div>The OIT proved to be a valid and reliable tool for assessing inferential comprehension in primary school students. The absence of decoding influence in this test facilitates its application. Further studies with larger and more diverse samples are recommended to confirm the applicability and optimization of this test in different educational contexts.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 3","pages":"Article 100536"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204904","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":"Pragmatic and socioemotional competence in adolescents with DLD: An analysis of their interdependence","authors":"Iria Botana Lois,&nbsp;Mónica Quetglas Valenzuela,&nbsp;Mónica Vilameá Pérez","doi":"10.1016/j.rlfa.2025.100534","DOIUrl":"10.1016/j.rlfa.2025.100534","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Adolescence is a complex period of development, as it involves crucial challenges and changes at the cognitive, linguistic, and socio-emotional levels. In the context of Developmental Language Disorder (DLD), it is common for difficulties to increase in the face of new demands and challenges. The aim of this study is to determine the extent to which DLD typical linguistic limitations are associated with impairments in pragmatic and socio-emotional competence in adolescence, and whether one influences the other.</div></div><div><h3>Materials and methods</h3><div>Based on the work of Andrés-Roqueta and Conti-Ramsden and colleagues, the CCC-2 and SDQ parent versions were administered to a sample of 18 adolescents aged 10 and 18 years old, 9 of them with DLD and the other 9 with typical development.</div></div><div><h3>Results</h3><div>Significant differences were identified between the two groups, both in pragmatic and socio-emotional difficulties, while no differences were found in prosociality.</div></div><div><h3>Conclusions</h3><div>It was verified that deficits in pragmatics in adolescents with DLD are related to difficulties at a social and emotional level by hindering the development and maintenance of social relationships and by negatively affecting the expectation of self-efficacy and socio-emotional welfare. Consequently, it is concluded that speech therapy intervention for language and communication disorders must include the functional use of language in various contexts from an early age, as it will allow the development of satisfactory relationships and protection against exclusion, which will improve well-being in adolescence and long term.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 3","pages":"Article 100534"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204903","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":"Efecto de la terapia miofuncional orofacial en la apnea obstructiva del sueño: revisión sistemática","authors":"Andrea Marcela Medina-Rodríguez,&nbsp;Rosa Virgina Mora-Guerra","doi":"10.1016/j.rlfa.2025.100533","DOIUrl":"10.1016/j.rlfa.2025.100533","url":null,"abstract":"<div><div>Obstructive sleep apnea (OSA) occurs when the upper airway collapses during sleep. In recent years, myofunctional exercises have emerged as a promising alternative for its treatment. This study reviewed clinical trials published between 2006 and 2023 to evaluate their effectiveness in adults with OSA. Out of 1,217 analyzed articles, six met the inclusion criteria. Participants ranged from 19 to 85 years old, and diagnostic methods included polysomnography, the apnea-hypopnea index, the Epworth Sleepiness Scale, BMI, and neck circumference. The results showed that speech therapy significantly reduces OSA severity, improving the apnea hypopnea index, neck circumference, and daytime symptoms, with a reference p-value (&lt;.05). In conclusion, myofunctional exercises targeting orofacial muscles and functions such as breathing, chewing, and swallowing represent an effective alternative for managing OSA and promoting adherence to CPAP devices.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 4","pages":"Article 100533"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144205157","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":"Masticación de alimentos duros y precisión articulatoria en niños de 6 a 8 años: resultados preliminares","authors":"Alba Lucas-Pedro,&nbsp;Josep Vila-Rovira","doi":"10.1016/j.rlfa.2025.100532","DOIUrl":"10.1016/j.rlfa.2025.100532","url":null,"abstract":"<div><h3>Background</h3><div>Articulatory precision (AP) refers to the accuracy with which the speech structures achieve their intended goals. In typical development there may be slight articulatory imprecision. Studies on this subject are limited, and the development of AP remains unclear. We aimed to investigate whether there is an association between the hardness of the foods consumed and the development of AP.</div></div><div><h3>Materials and methods</h3><div>This study examined the relationship between the introduction of solid foods, masticatory ability (MA) for hard solids and beef, avoidant behaviors toward hard foods, and AP. Forty-two typically developing Spanish-speaking children, aged between 6<!--> <!-->and 8<!--> <!-->years, participated. Family interviews were conducted to gather information about the participants’ food history and behaviors related to food hardness, and AP was assessed perceptually.</div></div><div><h3>Results</h3><div>Significant associations were found between food history, masticatory skills, and avoidant behaviors related to food hardness. A significant relationship was also observed between the introduction of food and MA for beef with AP. No significant associations were found between MA for hard solids, avoidant behaviors, and AP.</div></div><div><h3>Conclusions</h3><div>Participants with delayed food introduction present poorer MA and greater rejection of hard foods. The results suggest an association between MA when chewing meat and AP, that is, individuals with lower ability to chew meat show poorer PA. The results are exploratory; further studies are needed to complement them.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 4","pages":"Article 100532"},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195319","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}