Ultrasonography of tongue movements in the assessment and therapy of anterior lisp
a case study
DOI:
https://doi.org/10.23925/2176-2724.2021v33i4p729-740Keywords:
Articulatory disorder, Speech therapy, Orofacial Motricity, Language, UltrasonographyAbstract
Introduction: lisping is a type of speech disorder resulting from changes in orofacial structures. The auditory-perceptual methods of speech-language assessment can raise doubts as to the nature of the disorder and, therefore, instrumental assessments are recommended to obtain a more accurate diagnosis. Ultrasonography of tongue movements allows real-time visualization of tongue movement during speech and may contribute to speech therapy as visual biofeedback. Objectives: To describe the articulatory gestures of fricatives /s/, /z/, /ʃ/ e /Ʒ/ before and after speech therapy with visual ultrasound biofeedback in a child with anterior lisp. Methods: Several aspects of the speech of an eight-year-old girl with previous lisp were evaluated, and ultrasound images were collected before and after 05 therapy sessions using ultrasound as instrumental biofeedback. The images of the tongue in the production of sounds /s, z, ʃ, Ʒ/ were compared before and after the speech therapy intervention. Results: Before treatment, the patient anteriorized without raising the tip of the tongue in /s/ and /z/; in /ʃ/ and /Ʒ/ there was anteriorization of the articulation point, but without interposition. After speech therapy, he adjusted the articulation point and acquired tongue tip elevation in /s/ and /z/ and presented greater tongue constriction in /ʃ/ and /Ʒ/. Conclusion: Ultrasonography proved to be important for the diagnosis and description of the previous lisp, and its use as biofeedback allowed a significant improvement in articulatory production due to its self-monitoring during speech, in a short period of care.
Downloads
Metrics
References
Costa PP, Mezzomo CL, Keske-Soares M. Verificação da eficiência da abordagem terapêutica miofuncional em casos de desvio fonológico, fonético e fonético-fonológico. Rev CEFAC 2011; 15: 1703–1711.
Marchesan IQ. Motricidade oral: visão clínica do trabalho fonoaudiológico integrado com outras especialidades. São Paulo, SP: Pancast, 1993.
Leite AF, Silva SB, Britto ATB de O e, et al. Caracterização do ceceio em pacientes de um Centro Clínico de Fonoaudiologia. Rev da Soc Bras Fonoaudiol 2008; 13: 30–36.
American Speech-Language-Hearing Association (ASHA). Speech Sound Disorders-Articulation and Phonology, https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589935321§ion=Overview (2007).
Martinelli RL de C, Fornaro ÉF, Oliveira CJM de, et al. Correlações entre alterações de fala, respiração oral, dentição e oclusão. Rev CEFAC 2010; 13: 17–26.
Rahal A et al. Manual de Motricidade Orofacial. 1st ed. São Paulo, SP: Pulso editorial, 2014.
Albano EC. Gesto e suas bordas: esboço de fonologia acústico articulatória do português brasileiro. Mercado de Letras/ALB, 2001.
Dodd B. Differential Diagnosis of Pediatric Speech Sound Disorder. Curr Dev Disord Reports 2014; 1: 189–196.
Marchesan, I. Q.; Martinelli RLC. Fala: Reflexões sobre a Prática Clínica. In: Tratado de Motricidade Orofacial. São Paulo, SP: Pulso, 2019.
Savastano R, Jardini R. Adequação / Reeducação Da Forma / Função Da Musculatura. 2007.
Preston JL, Leece MC, Storto J. Tutorial: Speech motor chaining treatment for school-age children with speech sound disorders. Lang Speech Hear Serv Sch 2019; 50: 343–355.
Bernhardt M, Bacsfalvi P, Adler-Bock M, et al. Ultrasound as visual feedback in speech habilitation: Exploring consultative use in rural British Columbia, Canada. Clin Linguist Phonetics 2008; 22: 149–162.
Bacsfalvi P, Bernhardt BM. Long-term outcomes of speech therapy for seven adolescents with visual feedback technologies: Ultrasound and electropalatography. Clin Linguist Phonetics 2011; 25: 1034–1043.
Modha G, Bernhardt BM, Church R, et al. Case study using ultrasound to treat /Modifier letter small turned r/. Int J Lang Commun Disord 2008; 43: 323–329.
Gick B. The use of ultrasound for linguistic phonetic fieldwork. J Int Phon Assoc, 2002, pp. 32(2): 113–21.
Zharkova N. Using ultrasound to quantify tongue shape and movement characteristics. Cleft Palate-Craniofacial J 2013; 50: 76–81.
Ceron MI. Instrumento de Avaliação Fonológica (INFONO): estudo piloto. CoDAS 32 (4) • 2020 • https://doi.org/10.1590/2317-1782/20202019105
Seabra, A. G., Trevisan, B. T., & Capovilla FC. Teste infantil de nomeação. In: Avaliação neuropsicológica cognitiva: Linguagem oral. São Paulo, SP: Memnon, 2012, pp. 54–86.
Caprovilla FC, Negrão VB, Damazio M. O teste de Vocabulário Auditivo e o Teste de vocabulário Expressivo. In: Teste de Vocabulário Auditivo e Teste de Vocabulário Expressivo. São Paulo, SP: Memnon Edições Científicas Ltda, 2011, pp. 413–46.
Seabra, A. G., & Capovilla FC. Prova de consciência fonológica por produção oral. In: A. G. Seabra & N. M. Dias (Orgs.) (ed) Avaliação neuropsicológica cognitiva: Linguagem oral. São Paulo, SP: Memnon, 2012, pp. 117–122.
Seabra AG, Capovilla FC. Teste de Discriminação Fonológica. In: Seabra AG, Dias NM (eds) Avaliação neuropsicológica cognitiva: Linguagem oral. São Paulo, SP: Memnon Edições Científicas Ltda, 2013, pp. 31–42.
Felício CM de, Ferreira CLP. Protocol of orofacial myofunctional evaluation with scores. Int J Pediatr Otorhinolaryngol 2008; 72: 367–375.
Portalete CR, Fernandes EG, Pagliarin KC. Preparation of a protocol for instrumental assessment of speech (PRAINF) based on psychometric and linguistic criteria. Codas 2018; 30: 1–8.
Francisco DT. Contorno de língua na produção do /s/ e /∫/ na fala de adulto e crianças com e sem transtorno fonológico. 2015; 165.
Silva AHP. As fronteiras entre Fonética e Fonologia e a alofonia dos róticos iniciais em PB: dados de dois informantes do sul do país. 2002; 202.
Skelton SL, Richard JT. Application of a motor learning treatment for speech sound disorders in small groups. Percept Mot Skills 2016; 122: 840–854.
Sugden E, Lloyd S, Lam J, et al. Systematic review of ultrasound visual biofeedback in intervention for speech sound disorders. Int J Lang Commun Disord 2019; 54: 705–728.
Preston JL, McCabe P, Rivera-Campos A, et al. Ultrasound Visual Feedback Treatment and Practice Variability for Residual Speech Sound Errors. J Speech, Lang Hear Res 2014; 57: 2102–2115.
Hitchcock ER, Mcallister Byun T. Enhancing generalisation in biofeedback intervention using the challenge point framework: A case study. Clin Linguist Phon 2015; 29: 59–75.
Foss MC, Whitehead B, Paterson M, et al. Ultrasound as a Visual Feedback Aid for the Hearing-Impaired. J Diagnostic Med Sonogr 1990; 6: 80–86.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Katiane Correa Machado, Caroline Rodrigues Portalete, Letícia Hermes, Márcia Keske-Soares
This work is licensed under a Creative Commons Attribution 4.0 International License.
