Intensive treatment of speech disorders in robin sequence: a case report
ABSTRACT Purpose To describe the speech of a patient with Pierre Robin Sequence (PRS) and severe speech disorders before and after participating in an Intensive Speech Therapy Program (ISTP). Methods The ISTP consisted of two daily sessions of therapy over a 36-week period, resulting in a total of...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Fonoaudiologia
2017-10-01
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| Series: | CoDAS |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822017000500400&lng=en&tlng=en |
| _version_ | 1818308105277014016 |
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| author | Maria Daniela Borro Pinto Maria Inês Pegoraro-Krook Laura Katarine Félix de Andrade Ana Paula Carvalho Correa Linda Iris Rosa-Lugo Jeniffer de Cássia Rillo Dutka |
| author_facet | Maria Daniela Borro Pinto Maria Inês Pegoraro-Krook Laura Katarine Félix de Andrade Ana Paula Carvalho Correa Linda Iris Rosa-Lugo Jeniffer de Cássia Rillo Dutka |
| author_sort | Maria Daniela Borro Pinto |
| collection | DOAJ |
| description | ABSTRACT Purpose To describe the speech of a patient with Pierre Robin Sequence (PRS) and severe speech disorders before and after participating in an Intensive Speech Therapy Program (ISTP). Methods The ISTP consisted of two daily sessions of therapy over a 36-week period, resulting in a total of 360 therapy sessions. The sessions included the phases of establishment, generalization, and maintenance. A combination of strategies, such as modified contrast therapy and speech sound perception training, were used to elicit adequate place of articulation. The ISTP addressed correction of place of production of oral consonants and maximization of movement of the pharyngeal walls with a speech bulb reduction program. Therapy targets were addressed at the phonetic level with a gradual increase in the complexity of the productions hierarchically (e.g., syllables, words, phrases, conversation) while simultaneously addressing the velopharyngeal hypodynamism with speech bulb reductions. Results Re-evaluation after the ISTP revealed normal speech resonance and articulation with the speech bulb. Nasoendoscopic assessment indicated consistent velopharyngeal closure for all oral sounds with the speech bulb in place. Conclusion Intensive speech therapy, combined with the use of the speech bulb, yielded positive outcomes in the rehabilitation of a clinical case with severe speech disorders associated with velopharyngeal dysfunction in Pierre Robin Sequence. |
| first_indexed | 2024-12-13T07:08:59Z |
| format | Article |
| id | doaj.art-5a8035def90949bf8145e2c7dea559e9 |
| institution | Directory Open Access Journal |
| issn | 2317-1782 |
| language | English |
| last_indexed | 2024-12-13T07:08:59Z |
| publishDate | 2017-10-01 |
| publisher | Sociedade Brasileira de Fonoaudiologia |
| record_format | Article |
| series | CoDAS |
| spelling | doaj.art-5a8035def90949bf8145e2c7dea559e92022-12-21T23:55:42ZengSociedade Brasileira de FonoaudiologiaCoDAS2317-17822017-10-0129510.1590/2317-1782/20172016084S2317-17822017000500400Intensive treatment of speech disorders in robin sequence: a case reportMaria Daniela Borro PintoMaria Inês Pegoraro-KrookLaura Katarine Félix de AndradeAna Paula Carvalho CorreaLinda Iris Rosa-LugoJeniffer de Cássia Rillo DutkaABSTRACT Purpose To describe the speech of a patient with Pierre Robin Sequence (PRS) and severe speech disorders before and after participating in an Intensive Speech Therapy Program (ISTP). Methods The ISTP consisted of two daily sessions of therapy over a 36-week period, resulting in a total of 360 therapy sessions. The sessions included the phases of establishment, generalization, and maintenance. A combination of strategies, such as modified contrast therapy and speech sound perception training, were used to elicit adequate place of articulation. The ISTP addressed correction of place of production of oral consonants and maximization of movement of the pharyngeal walls with a speech bulb reduction program. Therapy targets were addressed at the phonetic level with a gradual increase in the complexity of the productions hierarchically (e.g., syllables, words, phrases, conversation) while simultaneously addressing the velopharyngeal hypodynamism with speech bulb reductions. Results Re-evaluation after the ISTP revealed normal speech resonance and articulation with the speech bulb. Nasoendoscopic assessment indicated consistent velopharyngeal closure for all oral sounds with the speech bulb in place. Conclusion Intensive speech therapy, combined with the use of the speech bulb, yielded positive outcomes in the rehabilitation of a clinical case with severe speech disorders associated with velopharyngeal dysfunction in Pierre Robin Sequence.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822017000500400&lng=en&tlng=enPierre Robin SequenceSpeechVelopharyngeal DysfunctionCleft PalateSpeech BulbSpeech Therapy |
| spellingShingle | Maria Daniela Borro Pinto Maria Inês Pegoraro-Krook Laura Katarine Félix de Andrade Ana Paula Carvalho Correa Linda Iris Rosa-Lugo Jeniffer de Cássia Rillo Dutka Intensive treatment of speech disorders in robin sequence: a case report CoDAS Pierre Robin Sequence Speech Velopharyngeal Dysfunction Cleft Palate Speech Bulb Speech Therapy |
| title | Intensive treatment of speech disorders in robin sequence: a case report |
| title_full | Intensive treatment of speech disorders in robin sequence: a case report |
| title_fullStr | Intensive treatment of speech disorders in robin sequence: a case report |
| title_full_unstemmed | Intensive treatment of speech disorders in robin sequence: a case report |
| title_short | Intensive treatment of speech disorders in robin sequence: a case report |
| title_sort | intensive treatment of speech disorders in robin sequence a case report |
| topic | Pierre Robin Sequence Speech Velopharyngeal Dysfunction Cleft Palate Speech Bulb Speech Therapy |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822017000500400&lng=en&tlng=en |
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