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Métodos Terapêuticos e Terapias MTCI
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1.
J Speech Lang Hear Res ; 62(10): 3752-3762, 2019 10 25.
Artigo em Inglês | MEDLINE | ID: mdl-31639320

RESUMO

Purpose This study explored the role of auditory feedback in the regulation of oral-nasal balance in speakers of Brazilian Portuguese. Method Twenty typical speakers of Brazilian Portuguese (10 male, 10 female) wore a Nasometer headset and headphones while continuously repeating stimuli with oral and nasal sounds. Oral-nasal balance was quantified with nasalance scores. The signals from 2 additional oral and nasal microphones were played back to the participants through the headphones. The relative loudness of the nasal channel in the mix was gradually changed, so that the speakers heard themselves as more or less nasal. Results A repeated-measures analysis of variance of the mean nasalance scores of the stimuli at baseline, minimum, and maximum nasal feedback conditions demonstrated significant effects of nasal feedback condition (p < .0001) and stimuli (p < .0001). Post hoc analyses demonstrated that the mean nasalance scores were lowest for the maximum nasal feedback condition. The scores of the minimum nasal feedback condition were significantly higher than 2 of 3 baseline feedback conditions. The speaking amplitude of the participants did not change between the nasal feedback conditions. Conclusions Increased nasal signal level feedback led to a compensatory adjustment in the opposite direction, confirming that oral-nasal balance is regulated by auditory feedback. However, reduced nasal signal level feedback resulted in a compensatory response that was lower in magnitude. This suggests that, even in Brazilian Portuguese, a language with phonetic and phonological vowel nasalization, decreased nasality was not perceived as critically as increased nasality by the speakers.


Assuntos
Retroalimentação Sensorial/fisiologia , Medida da Produção da Fala , Fala/fisiologia , Qualidade da Voz/fisiologia , Estimulação Acústica , Adulto , Análise de Variância , Brasil , Feminino , Humanos , Idioma , Masculino , Boca/fisiologia , Nariz/fisiologia , Fonética , Adulto Jovem
2.
Clin Linguist Phon ; 30(3-5): 345-62, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26979162

RESUMO

Outcomes of articulation therapy for rhotic errors are usually assessed perceptually. However, our understanding of associated changes of tongue movement is limited. This study described perceptual, durational and tongue displacement changes over 10 sessions of articulation therapy for /ɹ/ in six children. Four of the participants also received ultrasound biofeedback of their tongue shape. Speech and tongue movement were recorded pre-therapy, after 5 sessions, in the final session and at a one month follow-up. Perceptually, listeners perceived improvement and classified more productions as /ɹ/ in the final and follow-up assessments. The durations of VɹV syllables at the midway point of the therapy were longer. Cumulative tongue displacement increased in the final session. The average standard deviation was significantly higher in the middle and final assessments. The duration and tongue displacement measures illustrated how articulation therapy affected tongue movement and may be useful for outcomes research about articulation therapy.


Assuntos
Transtornos da Articulação/terapia , Língua/fisiologia , Transtornos da Articulação/fisiopatologia , Biorretroalimentação Psicológica/métodos , Criança , Feminino , Humanos , Masculino , Fala , Ultrassonografia
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