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Search Results: 1 - 10 of 8034 matches for " Helena Bolli; "
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Ocorrência das estratégias de reparo para os fonemas plosivos, considerando o grau do desvio fonológico Occurrence of repair strategies for the stops considering the severity of the phonological disorder
Aline Berticelli,Helena Bolli Mota
Revista CEFAC , 2012, DOI: 10.1590/s1516-18462012005000027
Abstract: OBJETIVO: verificar a ocorrência ou n o de estratégias de reparo para os fonemas /b/, /d/, /k/ e /g/ e a rela o destas estratégias com a gravidade do desvio fonológico. MéTODO: selecionados 54 sujeitos com diagnóstico de desvio fonológico que apresentavam estratégias de reparo para as consoantes plosivas /b/, /d/, /k/ e /g/ nas posi es de onset inicial e/ou medial, com emprego de 40% em seu sistema fonológico. Os dados foram submetidos à análise estatística por meio do programa Statistical Analysis System, vers o 8.02, utilizando-se o Teste Exato de Fisher. O nível de significancia adotado para os testes estatísticos foi de 5% (p< 0.05). RESULTADOS: verifica-se diferen a estatisticamente significativa para o /b/ com maior frequência de dessonoriza o nas crian as com desvio moderadamente-grave e desvio grave, e de posterioriza o, sendo utilizadas duas ou mais estratégias pelas crian as com desvio grave. Diferen a estatisticamente significativa para o /d/ com maior frequência de posterioriza o nos sujeitos com desvio leve, de dessonoriza o e duas ou mais estratégias naqueles com desvio moderadamente-grave e a dessonoriza o por aqueles com desvio grave. CONCLUS O: quanto mais complexos em termos de aquisi o e produ o s o os fonemas plosivos, mais estratégias de reparo s o utilizadas. E ainda, quanto maior o grau do desvio fonológico, maior é a quantidade de vezes que este recurso é usado, demonstrando que a crian a possui um menor conhecimento fonológico. PURPOSE: to check the occurrence of repair strategies for the phonemes /b/, /d/, /k/ e /g/ and their relation to the severity of phonological disorder. METHOD: 54 subjects were selected with a diagnosis of phonological disorder who had repair strategies for the stops / b /, / d /, / k / and / g / in the onset positions (initial and / or medial), with 40% of employment in their phonological systems. Data were statistically analyzed using the Statistical Analysis System program, version 8.02, and using the Fisher Test. The level of significance was 5% (p< 0.05). RESULTS: there was a significant difference for / b / with greater frequency of devoicing in children from moderate-severe and severe degrees, and backing and use of two or more strategies in the severe degree. Statistically significant difference for /d/ with greater frequency of backing in the subjects with mild degree, of devoicing and use of two or more strategies in patients with moderate-severe degree, and devoicing in those with severe degree. CONCLUSION: the more complex in terms of acquisition and production are the stops, most rep
Investiga??o e análise do reflexo acústico contralateral em crian?as com desvio fonológico
Attoni, Tiago Mendon?a;Mota, Helena Bolli;
Brazilian Journal of Otorhinolaryngology , 2010, DOI: 10.1590/S1808-86942010000200014
Abstract: much has been studied on the role of the acoustic reflex in the communication process. aim: to examine the responses of the contralateral acoustic reflex in children with normal hearing and phonological disorders. to investigate the relationship of the level of severity of phonological disorder. to measure the chances of it affecting all the frequencies tested. materials and methods: the study was based on the analysis of medical charts from 70 children with phonological disorders, and 24 females and 46 males, aged between 5 and 7 years. audiological tests were analyzed to exclude children with hearing loss, evaluation of the contralateral acoustic reflex and the level of severity of phonological disorder. study design: prospective. results: all children showed change in the contralateral acoustic reflex. there was no significant relationship between the level of severity of phonological disorders and changes in the acoustic reflex for both genders. female children showed no statistically significant value in the relationship between the frequencies, except at 500 hz. male children had more significant relationship in the association between changes in frequencies tested. conclusion: it is believed that children with phonological disorders exhibit changes in the contralateral acoustic reflex.
Alongamento vocálico e apagamento em coda medial nos desvios fonológicos
Maldonade, Irani Rodrigues;Mota, Helena Bolli;
Pró-Fono Revista de Atualiza??o Científica , 2010, DOI: 10.1590/S0104-56872010000100012
Abstract: background: phonological disorders. aim: to verify the occurrence of vocalic lengthening, through acoustic analysis, in a group of 16 children (8 boys and 8 girls) with evolutive phonological disorders (epd), who did not present in their speech /r/ and /s/ medial codas; to verify the occurrence percentage of lengthening and omission strategies in the two types of coda. method: recordings of 16 children obtained through the presentation of a picture album representing the 18 pairs of words that contrast the syllabic structures (c)vc and cv. after transcribing the recordings, the pairs of words were submitted to acoustical analysis using praat, version 4.4.16. vowel duration was measured in both types of syllables. statistical analysis was performed and the significance test (q-square) was applied considering p<0.05. results: although lengthening was not perceptually detected, it occurred in 93.75% of the analyzed samples. the q-square test indicated that the occurrence of lengthening is highly significant. regarding the /r/ coda, results indicated 95.52% of lengthenings and 4.48% of omissions. for the /s/ coda, results indicated 12.5% of lengthenings and 87.5% of omissions. no significant statistical difference was observed between genders. conclusion: acoustic analysis identified both vocalic lengthening and omission. vocalic lengthening was more frequent in the /r/ coda; omission was more frequent in the /s/ coda. the child who presents lengthening seems to have the knowledge of the structure (c)vc and, therefore, is closer to the production of the target-phoneme.
Propostas terapêuticas para os desvios fonológicos: diferentes solu??es para o mesmo problema
Wiethan, Fernanda Marafiga;Mota, Helena Bolli;
Revista CEFAC , 2011, DOI: 10.1590/S1516-18462011005000003
Abstract: background: focus on studies conducted over the last ten years on therapy for phonological disorders. purpose: to analyze the national and international studies on phonology, conducted from the year 2000, in order to check their contributions for the clinical treatments, while identifying new opportunities in research. conclusion: all analyzed studies bring out contributions that can be adopted as tools for the speech clinic. the therapist should pay attention to the fact that different children respond differently to the different approaches, so that therefore, caution should be taken clinician in treatment planning. the report suggests research possibilities and aspects that could be more widely used in the scientific work. however, no studies were found indicating the average number of sessions required in order to determine the discharge in speech pathology cases, and global approaches, that could solve all the issues that may be delayed in these children, such as auditory processing, working memory, phonemic discrimination, phonological awareness and written language development.
Ambientes linguísticos para a produ??o das fricativas /z/, /∫/e /?/: variabilidades na aquisi??o fonológica de seis sujeitos
Wiethan, Fernanda Marafiga;Mota, Helena Bolli;
Revista CEFAC , 2012, DOI: 10.1590/S1516-18462011005000111
Abstract: background: routes of phonological acquisition in children treated with favorable environments in contrast with unfavorable and neutral environments for production of /z/, /∫/and /?/in phonological therapy. procedures: six children with phonological disorder aged between 4:7 and 7:8 were selected to take part in the study. they were properly authorized by their parents. there were speech-language and complementary evaluations in order to diagnose the phonological disorder. the subjects were matched according to the severity of the phonological disorder, gender, age and aspects of the phonological system in relation to the altered phonemes. half of the children were treated with words in which the phonemes /z/, /∫/and /?/ were in favorable environments and the other half with unfavorable and neutral environments. there were eight sessions and, after that, new evaluations were made in order to describe and qualitatively compare the routes of phonological acquisition in the said subjects through the implicational model of features complexity. results: the results indicated a small advantage in the therapeutic evolution of two subjects treated with favorable environments, in relation to their matches. however, children treated with unfavorable and neutral environments obtained more positive results than their matches. conclusion: the favorable environments for production of fricatives /z/, /∫/and /?/ did not determine the therapeutic success, but positively influenced the phonological evolution in the subjects in the study.
Os caminhos da fonoaudiologia no Sistema único de Saúde - SUS
Moreira, Mirna Dorneles;Mota, Helena Bolli;
Revista CEFAC , 2009, DOI: 10.1590/S1516-18462009000300021
Abstract: background: the ways of the speech-language therapy in the unique system of health - sus. purpose: to accomplish a brief report about the health questions evolution in brazil and speech-language therapy service evolution in the public system, in addition to carry through a quick analysis on the concern of research in this area. conclusion: speech-language therapy service has been presenting significant advances in the unique system of health. since its insertion in sus, between the decades of 70 and 80, many conceptions and practices have been reevaluated. however, it is necessary to have acquaintance on this step so that we can make it to advance each time more. we believe that this service deserves important attention from the actions of public health and that scientific evidences are necessary in order to prove the significance of this work.
Emprego de estratégias de reparo para os fonemas fricativos no desvio fonológico
Wiethan, Fernanda Marafiga;Mota, Helena Bolli;
Revista da Sociedade Brasileira de Fonoaudiologia , 2012, DOI: 10.1590/S1516-80342012000100007
Abstract: purpose: to verify and compare the occurrence of repair strategies used in the fricative consonants of brazilian portuguese, and to analyze the strategies applied for each fricative according to the severity of phonological disorders. methods: participants were 87 subjects of both genders, with ages between 4 years and 8 years and 11 months. all children used repair strategies involving at least one of the fricative consonants (/f/, /v/, /s/, /z/, , ), with minimal occurrence of 40%. data are from the phonological assessments conducted before phonological therapy, and the severity of phonological disorders was determined by the percentage of consonants correct - revised. data were statistically analyzed. results: there was progression in the use of repair strategies according to the production complexity of the phoneme. repair strategies were found in all severities of phonological disorders, and the strategies that most affect speech intelligibility were found in more severe degrees. conclusion: the more complex the fricative, the more repair strategies are used, and the more severe the phonological disorder, the more occurrences these strategies have.
Propostas terapêuticas para os desvios fonológicos: diferentes solu es para o mesmo problema Treatment proposals for speech disorders: different solutions for the same problem
Fernanda Marafiga Wiethan,Helena Bolli Mota
Revista CEFAC , 2011,
Abstract: TEMA: enfoque das pesquisas realizadas nos últimos dez anos sobre terapia para os desvios fonológicos. OBJETIVO: realizar análise dos estudos em terapia fonológica, nacionais e internacionais, publicados a partir do ano de 2000, a fim de verificar as contribui es destes para a clínica fonoaudiológica, além de apontar novas possibilidades em pesquisa. CONCLUS O: todas as pesquisas trazem contribui es que podem ser adotadas como recursos na clínica fonoaudiológica. No entanto, n o foram encontrados estudos apontando o número médio de sess es necessárias para determina o da alta fonoaudiológica nos casos de desvio fonológico, bem como abordagens globais, que dessem conta de todos os aspectos que podem estar defasados nessas crian as, como processamento auditivo, memória de trabalho, discrimina o fonêmica, altera es de consciência fonológica e desenvolvimento da linguagem escrita. BACKGROUND: focus on studies conducted over the last ten years on therapy for phonological disorders. PURPOSE: to analyze the national and international studies on phonology, conducted from the year 2000, in order to check their contributions for the clinical treatments, while identifying new opportunities in research. CONCLUSION: all analyzed studies bring out contributions that can be adopted as tools for the speech clinic. The therapist should pay attention to the fact that different children respond differently to the different approaches, so that therefore, caution should be taken clinician in treatment planning. The report suggests research possibilities and aspects that could be more widely used in the scientific work. However, no studies were found indicating the average number of sessions required in order to determine the discharge in speech pathology cases, and global approaches, that could solve all the issues that may be delayed in these children, such as auditory processing, working memory, phonemic discrimination, phonological awareness and written language development.
Ambientes linguísticos para a produ o das fricativas /z/, /∫/e / /: variabilidades na aquisi o fonológica de seis sujeitos Linguistic environments for the production of the fricatives /z/, /∫/and / /: variability in the phonological acquisition of six subjects
Fernanda Marafiga Wiethan,Helena Bolli Mota
Revista CEFAC , 2013,
Abstract: TEMA: percursos de aquisi o fonológica de crian as tratadas com ambientes favoráveis em oposi o aos ambientes pouco favoráveis e neutros para a produ o de /z/, /∫/e / /na terapia fonológica. PROCEDIMENTOS: foram selecionadas seis crian as com desvio fonológico e idades entre 4:7 e 7:8 para participarem do estudo. As mesmas estavam devidamente autorizadas por seus responsáveis. Foram realizadas avalia es fonoaudiológicas e complementares para diagnóstico do desvio fonológico. Os sujeitos foram pareados de acordo com a gravidade do desvio fonológico, sexo, faixa etária e aspectos do sistema fonológico em rela o aos fonemas alterados. Metade das crian as foi tratada com palavras em que os fonemas /z/, /∫/e / /encontravam-se em ambientes favoráveis e a outra metade com ambientes pouco favoráveis e neutros. Foram realizadas oito sess es e, após estas, novas avalia es foram realizadas para descrever e comparar qualitativamente os percursos de aquisi o fonológica dos sujeitos por meio do Modelo Implicacional de Complexidade de Tra os. RESULTADOS: os resultados indicaram discreta vantagem na evolu o terapêutica de dois sujeitos tratados com ambientes favoráveis, em rela o a seus pares. Porém, uma crian a tratada com ambientes pouco-favoráveis e neutros, obteve resultados mais positivos do que seu par. CONCUS O: os ambientes favoráveis à produ o das fricativas /z/, /∫/e / / n o determinaram o sucesso terapêutico, porém influenciaram positivamente a evolu o fonológica dos sujeitos do estudo. BACKGROUND: routes of phonological acquisition in children treated with favorable environments in contrast with unfavorable and neutral environments for production of /z/, /∫/and / /in phonological therapy. PROCEDURES: six children with phonological disorder aged between 4:7 and 7:8 were selected to take part in the study. They were properly authorized by their parents. There were speech-language and complementary evaluations in order to diagnose the phonological disorder. The subjects were matched according to the severity of the phonological disorder, gender, age and aspects of the phonological system in relation to the altered phonemes. Half of the children were treated with words in which the phonemes /z/, /∫/and / / were in favorable environments and the other half with unfavorable and neutral environments. There were eight sessions and, after that, new evaluations were made in order to describe and qualitatively compare the routes of phonological acquisition in the said subjects through the Implicational Model of Features Complexity. RESULTS: the results indi
Ambientes favoráveis para a produ o de /z/, /∫/ e / /: análise e compara o das mudan as ocorridas no sistema fonológico Favorable environments for producing /z/, /∫/ and / /: Analysis and comparison of changes occurred in the phonological system
Fernanda Marafiga Wiethan,Helena Bolli Mota
Revista CEFAC , 2013,
Abstract: OBJETIVO: verificar os efeitos da terapia fonológica, utilizando o modelo de Ciclos Modificado, e comparar a evolu o de dois grupos de crian as com desvio fonológico, um em cujo tratamento foram utilizadas palavras-alvo com contextos fonológicos favoráveis e outro em que foram utilizados os contextos pouco favoráveis e neutros, na aquisi o das fricativas /z/, /∫/ e / /. MéTODO: os sujeitos foram seis crian as com desvio fonológico e idades entre 4:7 e 7:8, devidamente autorizados a participarem da pesquisa. Os mesmos foram avaliados por meio de exames fonoaudiológicos e complementares para diagnosticar o desvio fonológico. Metade das crian as foi tratada com palavras em que os fonemas /z/, /∫/ e / / encontravam-se em ambientes favoráveis e a outra metade com ambientes pouco favoráveis e neutros. Foram realizadas oito sess es e, após estas, nova avalia o de fala foi realizada. Foram analisadas as seguintes variáveis: mudan as ocorridas no sistema fonológico e no percentual de consoantes corretas-revisado. Para a análise dos dados aplicou-se o Teste de Wilcoxon (p<0,05). RESULTADOS: a evolu o terapêutica foi estatisticamente significante para todos os sujeitos na maioria das variáveis, porém na compara o entre os grupos favorável e pouco favorável e neutro n o foi observada diferen a estatisticamente significante. CONCLUS O: a terapia resultou em evolu o nos sistemas fonológicos de todos os sujeitos, porém a utiliza o de palavras-alvo com ambientes fonológicos favoráveis n o determina melhor evolu o terapêutica. PURPOSE: to check the effects of phonological therapy using the Modified Cycles Model, and to compare the evolution of two groups of children with phonological disorder, one in which target-words with favorable phonological contexts were used in the treatment, and another one in which unfavorable and neutral contexts were used, in the acquisition of the fricatives /z/, /∫/ and / /. METHOD: the subjects were six children with phonological disorder aged between 4:7 and 7:8 year old, authorized to take part in the research. They were evaluated in speech-language and complementary exams in order to diagnose the phonological disorder. Half of the children were treated with words where the phonemes /z/, /∫/ and / / were in favorable environments and the other half with the phonemes in unfavorable and neutral environments. There were eight sessions and, after that, a new speech evaluation was performed. The following variables were analyzed: changes in the phonological system and in the percentage of consonants correct-revised. Wilcoxon Test (p<0
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