Efeito do treinamento auditivo nas habilidades auditivas e de fala em crianças com transtornos dos sons da fala
Effect of hearing training on hearing and speech skills in children with speech sound disorders
Cristiane Dellinghausen Valim; Márcia Keske-Soares; Eliara Pinto Vieira Biaggio
Resumo
Palavras-chave
Abstract
Purpose to measure the effect of Brief Computerized Auditory Training (Brief-CAT) on behavioral auditory and speech skills in children with Speech Sound Disorder (SSD).
Methods 14 children, aged 6 and 9, diagnosed with SSD participated. All children presented one or more altered auditory skills in the behavioral assessment of Central Auditory Processing (CAP). They underwent six sessions of Brief-CAT. CAP's behavioral auditory skills and speech were assessed and a questionnaire was administered pre and post Brief-CAT. Inferential analysis was carried out.
Results Brief-CAT had an effect on the background figure ability for verbal sounds. The CAP tests individually showed an evolution in the number of subjects who changed their profile from “altered” to “normal”, even if not all of them had normalized the assessment. Prior speech therapy and the type of SSD had no impact on CAP results after Brief CAT. The questionnaire sustained the same results after intervention. Combining speech therapy with Brief-CAT offered greater potential for improving the phonological system (reducing absent sounds, increasing acquired sounds, and lowering SSD severity). Children with phonological disorders exhibited enhanced speech outcomes with combined Brief-CAT compared to those with motor speech disorders.
Conclusion Brief-CAT proved effective in enhancing figure-background auditory abilities in children with SSD. Associating speech therapy with Brief-CAT should be the preferred therapeutic approach as it provides greater progress. The type of SSD influenced the speech performance of children undergoing Brief-CAT.
Keywords
References
1 Shriberg LD, Kwiatkowski J, Mabie HL. Estimates of the prevalence of motor speech disorders in children with idiopathic speech delay. Clin Linguist Phon. 2019;33(8):679-706.
2 Zhao TC, Boorom O, Kuhl PK, Gordon R. Infants’ neural speech discrimination predicts individual differences in grammar ability at 6 years of age and their risk of developing speech-language disorders. Dev Cogn Neurosci. 2021;48:100949.
3 Keske-Soares M, Uberti LB, Gubiani MB, Gubiani MB, Ceron MI, Pagliarin KC. Performance of children with speech sound disorders in the dynamic evaluation of motor speech skills. CoDAS. 2018;30(2):e20170037. http://doi.org/10.1590/2317-1782/20182017037. PMid:29791618.
4 Bowen C. The speech sound disorders umbrella [Internet]. 2023 [citado em 2023 Out 20]. Disponível em:
5 Dodd B. Differential diagnosis of pediatric speech sound disorder. Curr Dev Disord Rep. 2014;1(3):189-96.
6 Alencar PBA, Lucas PA, Bortoli E, Bernert LM, Rodrigues LP, Branco-Barreiro FCA. Acoustically controlled auditory training in children with speech disfluency: a case report. Rev CEFAC. 2020;22(6):e5420.
7 Berti LC, Assis MF, Cremasco E, Cardoso ACV. Speech production and speech perception in children with speech sound disorder. Clin Linguist Phon. 2022;36(2-3):183-202. http://doi.org/10.1080/02699206.2021.1948609. PMid:34279164.
8 Berti LC, Guilherme J, Esperandino C, Oliveira A. Relationship between speech production and perception in children with Speech Sound Disorders. J Port Linguist. 2020;19(13):1-13.
9 Brasil PD, Schochat E. Efficacy of auditory training using the Programa de Escuta no Ruído (PER) software in students with auditory processing disorders and poor school performance. CoDAS. 2018;30(5):e20170227. PMid:30184006.
10 Jain CH, Priya MB, Joshi K. Relationship between temporal processing and phonological awareness in children with speech sound disorders. Clin Linguist Phon. 2020;34(6):566-75.
11 Nalom AFO, Schochat E. Performance of public and private school students in auditory processing, receptive vocabulary, and reading comprehension. CoDAS. 2020;32(6):e20190193.
12 Souza MA, Passaglio NJS, Lemos SMA. Language and auditory processing disorders: literature review. Rev CEFAC. 2016;18(2):513-9. http://doi.org/10.1590/1982-0216201618216215.
13 Vilela N, Sanches SGG, Carvallo RMM. Development of auditory perception in preschool children. Int J Pediatr Otorhinolaryngol. 2020;129:109777.
14 Pereira LD, Carvalho RMM, Frota S, Durante AS, coordenadores. Fórum: Diagnóstico Audiológico - 2016. Recomendações e valores de referência para o protocolo de avaliação do PAC: comportamental e eletrofisiológica. In: Anais do 31° Encontro Internacional de Audiologia [Internet]; 2016; São Paulo. São Paulo: Academia Brasileira de Audiologia; 2016. p. 1-2 [citado em 2023 Abr 25]. Disponível em:
15 BSA: British Society Audiology. Position Statement and Practice Guidance: Auditory Processing Disorder (APD) [Internet]. 2018 [citado em 2023 Maio 7]. Disponível em:
16 CFF: Conselho Federal de Fonoaudiologia. Guia de Orientação Avaliação e Intervenção no Processamento Auditivo Central [Internet]. 2020 [citado em 2023 Maio 7]. Disponível em:
17 Boaz AM, Biaggio EPV. Computer-based auditory training: different type of performance analysis. Audiol Commun Res. 2019;24:e1942. http://doi.org/10.1590/2317-6431-2017-1942.
18 Banumat JC. A systematic review of auditory processing abilities in children with speech sound disorders. J Hear Sci. 2023;13(2):9-15.
19 Murphy CFB, Pagan-Neves LO, Wertzner HF, Schochat E. Children with speech sound disorder: comparing a non-linguistic auditory approach with a phonological intervention approach to improve phonological skills. Front Psycho. 2015;6:64. http://doi.org/10.3389/fpsyg.2015.00064.
20 Marchetti PT, Dalcin LM, Balen SA, Mezzomo CL. Comparison between isolated phonological therapy and when associated to computerized auditory training in the rehabilitation of phonological disorders in children. Distúrb Comun. 2021;33(3):545-56.
21 Melo Â, Mezzomo CL, Garcia MV, Biaggio EPV. Computerized auditory training in students: electrophysiological and subjective analysis of therapeutic effectiveness. Int Arch Otorhinolaryngol. 2018;22(1):23-32.
22 Northern JL, Downs MP. Audição na infância. 5. ed. Rio de Janeiro: Guanabara Koogan; 2005.
23 WHO: World Health Organization. Basic ear and hearing care resource [Internet]. Geneva: WHO; 2020 [citado em 2023 Jun 11]. Disponível em:
24 Ceron MI, Gubiani MB, Oliveira CR, Keske-Soares M. Phonological Assessment Instrument (INFONO): a pilot study. CoDAS. 2020;32(4):e20190105.
25 Seabra AG, Trevisan BT, Capovilla FC. Teste infantil de nomeação. In Seabra AG, Dias NM, organizadores. Avaliação neuropsicológica cognitiva: Linguagem oral. São Paulo: Memnon Edições Científicas Ltda; 2012. v. 2, p.54-86.
26 Capovilla FC, Negrão VB, Damázio M. Teste de vocabulário auditivo e teste de vocabulário expressivo: Validado e normatizado para o desenvolvimento da compreensão e da produção da fala dos 18 meses aos 6 anos. São Paulo: Memnon; 2011.
27 Gubiani MB, Pagliarin KC, McCauley RJ, Keske-Soares M. Dynamic evaluation of motor speech skill: adaptation for Brazilian Portuguese. J Commun Disord. 2021;93:106114.
28 Felício CM, Ferreira CLP. Protocol of orofacial myofunctional evaluation with scores (AMIOFE). Int J Pediatr Otorhinolaryngol. 2008;72(3):367-75.
29 Shriberg LD, Austin D, Lewis BA, McSweeny JL, Wilson DL. The percentage of consonants correct (PCC) metric: extensions and reliability data. J Speech Lang Hear Res. 1997;40(4):708-22.
30 Shriberg LD, Kwiatkowsk J. Phonological disorders III: a procedure for assessing severity of involvement. J Speech Hear Disord. 1982;47(3):256-70.
31 Wren Y, Miller LL, Peters TJ, Emond A, Roulstone S. Prevalence and Predictors of persistent speech sound disorder at eight years old: findings from a population Cohort Study. J Speech Lang Hear Res. 2016;59(4):647-73.
32 Pereira LD, Schochat E. Processamento auditivo central: manual de avaliação. São Paulo: Lovise; 1997.
33 Keith RW. RGDT: Random Gap Detection Test. St. Louis: Auditec; 2000.
34 Dias KZ, Yokoyama CH, Pinheiro MMC, Junior JB, Pereira LD, O’hara B. The Auditory Processing Domains Questionnaire (APDQ): Brazilian–Portuguese version. Rev Bras Otorrinolaringol (Engl Ed). 2022;88(6):823-40.
35 Alvarez A, Sanchez ML, Guedes MC. Escuta Ativa: Avaliação e Treinamento Auditivo Neurocognitivo [Internet]. Pato Branco: CTS Informática; 2010 [citado em 2023 Abr 25]. Disponível em:
36 Cruz-Santos A, Vendruscolo V, Cardoso FB. Acompanhamento de crianças com transtorno do processamento auditivo central através de telerreabilitação. Rev Contexto & Saúde. 2022;22(46):e13330.
37 Sobreira ACO, Gil D. Scale of Auditory Behaviors in the monitoring of acoustically controlled auditory training. Rev CEFAC. 2021;23(1):e2720.
38 Sharma M, Purdy SC, Kelly AS. A randomized control trial of interventions in school-aged children with auditory processing disorders. Int J Audiol. 2012;51(7):506-18.
39 Filippini R, Brito NFS, Neves-Lobo IF, Schochat E. Maintenance of auditory abilities after auditory training. Audiol Commun Res. 2014;19(2):112-6. http://doi.org/10.1590/S2317-64312014000200003.
40 Martins JS, Pinheiro MMC, Blasi HF. A utilização de um software infantil na terapia fonoaudiológica de distúrbio do processamento auditivo central. Rev Soc Bras Fonoaudiol. 2008;13(4):398-404.
41 Melo A, Mezzomo CL, Garcia MV, Biaggio EPV. Effects of computerized auditory training in children with auditory processing disorder and typical and atypical phonological system. Audiol Commun Res. 2016;21:e1683.
42 Comerlatto AAJ, Silva MP, Balen SA. A software for auditory rehabilitation of central auditory processing disorder children. Rev Neurocienc. 2010;18:454-62.
43 Santos JLF, Parreira LMMV, Leite CD. Habilidades de ordenação e resolução temporal em crianças com desvio fonológico. Rev CEFAC. 2010;12(3):371-6.
44 Guzek A, Iwanicka-Pronicka K. Auditory discrimination: a missing piece of speech and language development: a study on 6-9-year-old children with auditory processing disorder. Brain Sci. 2023;13(4):606.
45 Murphy CFB, Schochat E. Effect of non-linguistic auditory training on phonological and reading skills. Folia Phoniatr Logop. 2011;63(3):147-53.
46 Engel AC, Bueno CD, Sleifer P. Music training and auditory processing skills in children: a systematic review. Audiol Commun Res. 2019;24:e2116.
47 Baker E, Williams AL, McLeod S, McCauley R. Elements of phonological interventions for children with speech sound disorders: the development of a taxonomy. Am J Speech Lang Pathol. 2018;27(3):1.
48 ASHA: American Speech-Language-Hearing Association. (Central) auditory processing disorders: the role of the audiologist: position statement. [Internet]. Rockville: ASHA; 2005 [citado em 2023 Abr 25]. Disponível em:
49 Keske-Soares M, Pagliarin KC, Ceron MI. Phonological therapy considering the linguistic variables. Rev Soc Bras Fonoaudiol. 2009;14(2):261-6.
50 Prezas RF, Magnus LC, Hodson BW. (In) interventions for speech sound disorders in children (communication and language intervention). Baltimore: Brookes Publishing; 2023.
51 Tyler AA, Edwards ML, Saxman JH. Clinical application of two phonologically based treatment procedures. J Speech Hear Disord. 1987;52(4):393-409.
52 Bagetti T, Mota HB, Keske-Soares M. Modelo de oposições máximas modificado: uma proposta de tratamento para o desvio fonológico. Rev Soc Bras Fonoaudiol. 2005;10(1):36-42.
53 Gierut JA. Maximal opposition approach to phonological treatment. J Speech Hear Disord. 1989;54(1):9-19.
54 Pagliarin K. A abordagem contrastiva na terapia fonológica em diferentes gravidades do desvio fonológico. Rev Soc Bras Fonoaudiol. 2009;14(4):570.
55 Weiner F. Treatment of phonological disability using the method of meaningful minimal contrast: two case studies. J Speech Hear Disord. 1981;46(1):97-103.
56 Maas E, Robin DA, Hula SNA, Freedman SE, Wulf G, Ballard KJ, et al. Principles of motor learning in treatment of motor speech disorders. Principles of motor learning in treatment of motor speech disorders. Am J Speech Lang Pathol. 2008;17(3):277-98.
57 Strand EA, Debertine P. The efficacy of integral stimulation intervention with developmental apraxia of speech. J Med Speech-Lang Pathol. 2000;8:295-300.
58 Dale PS, Hayden DA. Treating speech subsystems in childhood apraxia of speech with tactual input: the PROMPT approach. Am J Speech Lang Pathol. 2013;22(4):644-61.
59 Ballard KJ, Robin DA, McCabe P, McDonald J. A treatment for dysprosody in childhood apraxia of speech. J Speech Lang Hear Res. 2010;53(5):1227-45.
60 Murray E, McCabe P, Ballard KJ. A randomized controlled trial for children with childhood apraxia of speech comparing Rapid Syllable Transition Treatment and the Nuffield Dyspraxia Programme–Third Edition. J Speech Lang Hear Res. 2015;58(3):669-86.
61 Thomas DC, McCabe P, Ballard KJ, Lincoln M. Telehealth delivery of Rapid Syllable Transitions (ReST) treatment for childhood apraxia of speech. Int J Lang Commun Disord. 2016;51(6):654-71.
Submitted date:
01/30/2024
Accepted date:
08/09/2024
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