RESUMEN
With recent changing trends in healthcare delivery and reimbursement, the focus on more efficient and cost-effective intervention has become increasingly important. A summary of desired clinician skills and responsibilities reported in the literature are presented along with information on structuring group intervention. Preliminary findings and a rationale for conducting speech therapy in a group environment with several adults who suffer are presented. In addition, findings and perceptions gleaned from the authors' experience in conducting group treatment with persons who stutter are also discussed.
Asunto(s)
Procesos de Grupo , Tartamudeo/terapia , Adulto , Humanos , LogopediaRESUMEN
The purpose of this study was to investigate the relationship between stuttering severity and treatment length to temporal measures of stutterers' perceptually fluent speech. Seventeen adult stutterers (4 mild, 8 moderate, and 5 severe) were divided into two treatment categories. One group with limited exposure to treatment (n = 7) consisted of stutterers who had completed 0-10 hr of treatment. Another group with an extensive period of treatment (n = 10) consisted of stutterers who had completed 47-212 hr of treatment. All subjects were asked to repeat a simple phrase and read a prose passage. Spectrographic measures of the stutterers' voice onset times, vowel, consonant, and phrase durations were obtained from perceptibly fluent productions of the isolated phrase and from a phrase extracted from the oral reading. Results showed that there were no significant differences among stuttering severity groups or the two groups with different lengths of treatment. These results suggest that changes in temporal measures of stutterers' fluency might occur through the process of treatment, but those changes are not related to stuttering severity or length of treatment.
Asunto(s)
Acústica del Lenguaje , Habla , Tartamudeo/terapia , Adolescente , Adulto , Humanos , Masculino , Logopedia/métodos , Tartamudeo/fisiopatología , Factores de TiempoRESUMEN
The purpose of this study was to compare stutterers' and nonstutterers' fluency during multiple productions of two dissimilar speech contexts. Twenty-two adult stutterers were matched within 1 year of age to 22 nonstutterers. Spectrographic analyses were performed on subjects' five consecutively fluent productions of a simple isolated phrase and a phrase extracted from an oral reading passage. Measures of fluent voice onset time (VOT), and vowel, consonant, and total phrase durations were calculated from the five repetitions of each phrase. From the isolated phrase, there were a total of five fluent durational measures (i.e., one VOT, two vowel, one consonant, & one phrase duration). For the phrase taken from the oral reading passage, six fluent measures were obtained (i.e., one VOT, three vowel, one consonant, & one phrase duration). Results demonstrated that only one of the five measurements taken during the isolated phrase condition was significantly different between the groups. Three of the six measures obtained from the phrase taken from the oral reading condition revealed significant between-group differences. No group differences were associated with the repetitions of either phrase for any of the dependent measures for both groups. These findings suggest that the length and complexity of the speech tasks used to obtain acoustic measures of stutterers' fluency play an important role in the discovery of differences between the fluency of the two groups.
Asunto(s)
Acústica del Lenguaje , Habla , Tartamudeo/fisiopatología , Adulto , Femenino , Humanos , Masculino , Fonética , Factores de TiempoRESUMEN
One of the major problems in hearing aid investigations is the definition of a physical model, e.g., what are the important variables and what are their functional relationships. This study describes statistical techniques which are useful in isolating those important variables and in assessing their degree of relationship.