Revista de Logopedia, Foniatria y Audiologia最新文献

{"title":"Assessment of spoken language comprehension in persons with complex communication needs","authors":"Johanna Josephina Geytenbeek","doi":"10.1016/j.rlfa.2025.100524","DOIUrl":"10.1016/j.rlfa.2025.100524","url":null,"abstract":"<div><h3>Objectives</h3><div>Implementation of the Computer-Based instrument for Low motor Language Testing (C-BiLLT), a tailored language assessment for persons with complex communication needs (CCN). The assessment makes it possible to tailor the communication interventions for persons individually, thereby ensuring that they have access to Augmented and Alternative Communication (AAC) to express themselves in a form and format that mirrors their comprehension and enhance their participation with their family and other communication partners. Being able to express oneself is fundamental for mental health, participation and learning.</div></div><div><h3>Research population</h3><div>Persons with speech and motor disorders.</div></div><div><h3>Outcome measures</h3><div>Implementation of the C-BiLLT, a newly developed and innovative instrument to assess spoken language comprehension skills in persons with CCN.</div></div><div><h3>Relevance</h3><div>The use of the C-BiLLT will empower speech and language therapists, psychologist, other professionals and parents to plan and evaluate <em>the best practice</em> to enhance the communication and mental health in persons with complex communication needs.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 3","pages":"Article 100524"},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783134","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":"Efectos de las intervenciones mediadas por los pares en la comunicación de los menores que usan Comunicación Aumentativa y Alternativa asistida: una revisión sistemática","authors":"Ruth Candela Ramírez","doi":"10.1016/j.rlfa.2025.100527","DOIUrl":"10.1016/j.rlfa.2025.100527","url":null,"abstract":"<div><div>This systematic review aims to analyze the effects of peer-mediated interventions on the communication of children with Complex Communication Needs (CCN) using Augmentative and Alternative Communication (AAC), assess the strengths and weaknesses of the evidence, and reflect on the implications for practice. All studies published between 1980 and 2024 involving peers of children using AAC published in different databases were analyzed, and 37 papers (162 participants) were identified. All studies established benefits for some of the participants. The most frequent components of the interventions were peer-centered strategies and included both high-tech and low-tech AAC. The results help plan AAC instruction for children with NCC. However, more research is needed to help clarify both the efficacy and components of these interventions.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 3","pages":"Article 100527"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759237","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":"Enhancing communication and behavioral skills in Spanish-speaking children with autism spectrum disorder using SymboTalk and EC+: A pilot study","authors":"Antonio Javier Zurita Díaz,&nbsp;Marina Calleja Reina","doi":"10.1016/j.rlfa.2025.100526","DOIUrl":"10.1016/j.rlfa.2025.100526","url":null,"abstract":"<div><h3>Introduction</h3><div>Autism spectrum disorder (ASD) is a neurological condition that impacts receptive and expressive communication as well as behavior. In this context, augmentative and alternative communication (AAC) strategies are increasingly integrated with information and communication technologies (ICT). ICT supports have significantly advanced AAC interventions, incorporating tools, software, and digital apps to facilitate information processing in educational and therapeutic settings. Despite the benefits, the wide range of these supports raises concerns about proper usage and optimal alignment with specific needs.</div></div><div><h3>Method</h3><div>This pilot study evaluated the impact of an intervention with two different AAC with assistance (AAC+a) on 40 participants with ASD Level 3 within a Spanish-speaking context: communication board from the SymboTalk platform and list-form from the multimodal EC+ app. These supports were implemented using the aided augmented input strategy, an intervention methodology that utilizes these supports to facilitate functional communication by combining visual and oral input.</div></div><div><h3>Results</h3><div>After 16 weeks, significant improvements in expressive and receptive communication were observed using the communication board support, although the other resource also proved to be a favorable support for the intervention. No differences were found between groups in behavioral outcomes and modes of communication.</div></div><div><h3>Conclusions</h3><div>The results highlight the effectiveness of these supports, emphasizing the importance of teaching communication skills and implementing this strategy in a Spanish-speaking context. This consideration is crucial given the unique characteristics of this context and its potential impact on children with ASD and complex communication needs.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 3","pages":"Article 100526"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705016","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":"Revisión de conceptos, prácticas, paradigmas y evidencias en comunicación aumentativa","authors":"Marc Coronas Puig-Pallarols","doi":"10.1016/j.rlfa.2025.100523","DOIUrl":"10.1016/j.rlfa.2025.100523","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Augmentative communication (AC) is a field that has experienced significant advances in recent decades, although practices and concepts not always aligned with scientific evidence persist. This study aims to review key concepts, emerging paradigms, and the most innovative practices in AC, identifying their strengths and limitations. It also examines the challenges posed by the proliferation of poorly rigorous information and emphasizes the need to implement Evidence-Based Practice (EBP) to enhance the quality of interventions.</div></div><div><h3>Materials and methods</h3><div>A narrative review of recent scientific literature was conducted, complemented by reflections based on professional experience, to analyze relevant concepts, methods, and approaches in AC. The topics reviewed include Assisted Natural Language, Core Vocabularies, Robust Systems, Motor Planning, Presumption of Competence, and Gestalt Language Processing.</div></div><div><h3>Results</h3><div>The analysis shows that some current trends in AC lack solid empirical support, which may affect the quality of interventions. However, evidence-based strategies, such as Assisted Language Modeling, have proven effective in enhancing users’ linguistic development.</div></div><div><h3>Conclusions</h3><div>The findings highlight that EBP is essential to ensure ethical and effective interventions. Strengthening professional training and supporting families are recommended as key pillars to optimize AC practices.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 2","pages":"Article 100523"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636752","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":"Una aplicación mHealth para autoinforme de síntomas de disfonía: e-VoiSS","authors":"Antonio Velandrino Nicolás ,&nbsp;María Parra Villazala ,&nbsp;María José Sánchez Roca ,&nbsp;Elena Nieto Garrido ,&nbsp;Francisco Cabello Luque ,&nbsp;Judit Álvarez Gómez","doi":"10.1016/j.rlfa.2025.100516","DOIUrl":"10.1016/j.rlfa.2025.100516","url":null,"abstract":"<div><h3>Introduction</h3><div>The global assessment of voice requires not only objective measures but also self-reported information. Numerous self-report scales have been developed in paper-and-pencil format to measure different aspects of voice-related quality of life. Currently, the mHealth approach advocates for the use of new technologies at all stages of healthcare intervention. This study has developed an Android application for the Voice Symtomps Scale (VoiSS) scale. It is intended for voice professionals and aims to facilitate its application in clinical contexts for the assessment of potential symptoms of dysphonia. Additionally, the application has been evaluated by experts to ensure its proper utility and suitability for the evaluative purpose.</div></div><div><h3>Method</h3><div>The MIT App Inventor 2 tool was used for programming and images were designed using the online platform Canva, employing the Design Science Research Methodology (DSRM) criteria. Furthermore, a group of experts evaluated the application's feasibility and usability using a questionnaire based on the criteria proposed in the MARS and Enlight usability scales, specifically tailored for this study.</div></div><div><h3>Results</h3><div>The initial version of the e-VoiSS application was developed, including the psychometrically validated version of the VoiSS scale for Spanish. The experts rated various aspects of the application above 4 points on average (out of 5). Some of their suggested proposals were incorporated.</div></div><div><h3>Conclusions</h3><div>The e-Voiss app provides voice professionals with a tool for assessing vocal symptoms. Developed from the validated paper-and-pencil version of the VoiSS scale in Spanish and evaluated by a group of experts, it is an easy and quick-to-use application for clinical and research contexts.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 2","pages":"Article 100516"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474725","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":"Self-perception of oropharyngeal cancer patients regarding the impacts of chemoradiotherapy treatments on swallowing and voice functions","authors":"Daniela Vieira ,&nbsp;Sérgio Barreira ,&nbsp;Mário Dinis-Ribeiro ,&nbsp;Eurico Monteiro","doi":"10.1016/j.rlfa.2025.100518","DOIUrl":"10.1016/j.rlfa.2025.100518","url":null,"abstract":"<div><h3>Objective</h3><div>Understanding the effects of chemoradiotherapy (CRT) on the swallowing and voice functions of oropharyngeal cancer patients based on their reported perceptions, and how these are related to clinical and sociodemographic variables.</div></div><div><h3>Methods</h3><div>Thirty-eight oropharyngeal cancer patients treated exclusively with CRT were included. Patients’ perceptions were assessed using the EORTC QLQ-C30, H&amp;N43, VHI-9i, and SWAL-QOL questionnaires. Descriptive, correlational, and inferential analyses were performed.</div></div><div><h3>Results</h3><div>The results from the QLQ-H&amp;N43, SWAL-QOL, and VHI-9i revealed the existence of functional changes after CRT treatments that agreed with the results of clinical evaluations. Patients’ perceptions were associated with clinical variables such as FOIS, feeding route, solid-food consistency, and liquid consistency. Having undergone tracheostomy or having dysphagia or dysphonia was associated with poorer QLQ-C30, QLQ-H&amp;N43, SWAL-QOL, and VHI-9i scores. In contrast, having undergone speech therapy was associated with having a better QoL as assessed by the QLQ-C30, QLQ-H&amp;N43, and SWAL-QOL. Statistical analysis revealed correlations between scores from the QLQ-H&amp;N43, SWAL-QOL, and VHI-9i, and scores from the QLQ-C30 with QLQ-H&amp;N43 and SWAL-QOL. Statistically significant associations were found between the questionnaires scores and some sociodemographic variables (age, sex, and educational level).</div></div><div><h3>Conclusion</h3><div>Scores from generic QoL and specific symptom questionnaires were correlated with swallowing and voice function in oropharyngeal cancer patients. In cases with unfavourable scores, patients could benefit from early referral for the assessment of swallowing and voice functions to improve their QoL. The results of this study further indicate that there are certain clinical characteristics that, when present, should initiate this same course of action.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 2","pages":"Article 100518"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143436916","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":"Speech-in-noise recognition using a hearing test in Spanish: Data from a normal-hearing population","authors":"Marlene Rodríguez-Ferreiro ,&nbsp;Victoria Marrero-Aguiar ,&nbsp;Montserrat Durán-Bouza","doi":"10.1016/j.rlfa.2025.100515","DOIUrl":"10.1016/j.rlfa.2025.100515","url":null,"abstract":"<div><h3>Background and objective</h3><div>The Speech in Noise Test in Spanish (Prueba Auditiva de Habla en Ruido en Español, PAHRE) is a recently developed test not only measures speech reception thresholds in noise but also assesses the decline in intelligibility across various signal-to-noise ratio values.</div><div>The primary objective of this study was to evaluate the speech-in-noise recognition ability of normal-hearing subjects using this speech-in-noise test in Spanish. The relationship between age and speech recognition in environments with background is assessed, as well as the possible benefits of the Lombard effect for rehabilitation.</div></div><div><h3>Material and methods</h3><div>A total of 143 normal-hearing participants were categorized into five age groups (18–39, 40–49, 50–59, 60–69, &gt;70 years). The participants underwent a comprehensive 30-min hearing assessment, which included a battery of audiological tests, with a particular focus on the Speech in Noise Test in Spanish.</div></div><div><h3>Results</h3><div>The results enabled the establishment of psychometric functions illustrating decreases in intelligibility across various signal-to-noise ratio values. Furthermore, reference values for speech-in-noise recognition thresholds were delineated for each age group.</div></div><div><h3>Conclusion</h3><div>The findings underscored the efficacy of test in assessing signal-to-noise ratio loss within the Spanish-speaking population, facilitating the comparison of age-related declines in speech-in-noise recognition. The results also highlight the potential advantages of incorporating the Lombard effect into speech-in-noise tests.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 2","pages":"Article 100515"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422652","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":"Encuesta sobre salud vocal en cantantes. Síntomas, hábitos y conocimiento de higiene vocal","authors":"Mercedes Llorente Santiago,&nbsp;Irene Sánchez Gómez","doi":"10.1016/j.rlfa.2025.100514","DOIUrl":"10.1016/j.rlfa.2025.100514","url":null,"abstract":"<div><h3>Backgrounds and objective</h3><div>Singers depend greatly on their voice and any impairment of the phonatory system can harm their vocal health, well-being and professional performance. The main objective of this study is to analyze differences between singers with and without vocal pathology in terms of vocal symptoms, vocal hygiene-related behaviors, and knowledge of factors involved in vocal health.</div></div><div><h3>Materials and method</h3><div>To carry out this research, a sample of 43 singers has been collected and different aspects have been analyzed through an ad-hoc survey.</div></div><div><h3>Results</h3><div>The results show that vocal symptoms such as “difficulty reaching high notes” (62.8%), “loss of vocal flexibility” (58.1%) and “dryness in the throat” (55.8%) were those most frequently experienced by singers. Respondents with vocal pathology (VP) presented the symptoms “dryness in the throat”, “loss of flexibility” and “vocal fatigue” with a significantly higher frequency than singers without vocal pathology (NVP). A high percentage of participants with VP identified aspects such as emotional stress (83.3%) and speaking during laryngitis (87.5%) as harmful to their voice, but more than half were unaware of the negative effect of throat clearing, whispering and reflux.</div></div><div><h3>Conclusions</h3><div>It can be concluded that the vocal health of singers is characterized by a high prevalence of vocal symptoms and limited knowledge about vocal hygiene.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 2","pages":"Article 100514"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143396085","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":"Análisis comparativo de los modos y funciones comunicativas en personas con enfermedades minoritarias: los casos de Syngap1 y de X frágil","authors":"Marina Calleja Reina ,&nbsp;Antonio Javier Zurita Díaz ,&nbsp;María Sotillo Méndez","doi":"10.1016/j.rlfa.2024.100512","DOIUrl":"10.1016/j.rlfa.2024.100512","url":null,"abstract":"<div><h3>Background and aim</h3><div>Rare or minority diseases, with a prevalence of 1 per 2,000 inhabitants, can often cause complex communication needs and intellectual disabilities. The aim of this study is to compare the expressive communicative profiles in 2<!--> <!-->groups of people with 2<!--> <!-->rare disease diagnoses: Syngap1 syndrome and Fragile X syndrome.</div></div><div><h3>Participants and method</h3><div>Information was collected from 13 participants (7 with Syngap1: 2 boys and 5 girls, mean age 10.27 years; 6 with fragile minority.</div></div><div><h3>Results</h3><div>No significant differences were found in communicative modes or functions, except in non-verbal communication, where people with a Syngap1 diagnosis made greater use of vocalizations and gestures. The only difference in communicative functions was affirmation or denial, which was more frequent in the fragile X group.</div></div><div><h3>Conclusion</h3><div>Both groups have complex communication needs, although the fragile X group shows greater ability in the use of language.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 2","pages":"Article 100512"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143396084","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":"La voz en la atrofia muscular espinal. Una revisión no sistemática","authors":"Celia Alba de la Torre","doi":"10.1016/j.rlfa.2025.100513","DOIUrl":"10.1016/j.rlfa.2025.100513","url":null,"abstract":"<div><div>Spinal muscular atrophy is a recessive autosomal neuromuscular disease that causes degeneration of alpha motor neurons in the spinal cord and dysfunction of the neuromuscular junction, which causes a progressive muscular weakness and hypotonia affecting the limbs, axial musculature, and respiratory musculature. It can also concur with bulbar dysfunction, which affects the glossopharyngeal, vagus, accessory and hypoglossal nerves. In such cases, it can cause dysphagia, dysarthria, flaccid paralysis, atrophy and fasciculation of the muscles innervated by said cranial nerves. Regarding vocal function, there are few works that describe it thoroughly. The goal of this work is to put forward a state of the art about what is known about voice in SMA. A non-systematic review of works mentioning voice in SMA has been carried out against the databases of PubMed, ScienceDirect and Google Scholar. The features of voice in SMA found in the articles are: vocal weakness, low intensity, velar and pharyngeal hypotonia, nasality, wet voice, and bilateral cordal palsy. It is necessary to carry over a more detailed assessment of vocal conditions in SMA patients in order to complete current knowledge about the natural history of the disease, and in order to objectify the progress of said patients in clinical trials.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 1","pages":"Article 100513"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386379","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}