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Phonological performance measured by speech severity indices compared with correlated factors
Haydée Fiszbein Wertzner1, Luciana Amaro, Daniela Evaristo Dos Santos Galea
1Department of Physiotherapy, Language-Speech-Hearing Sciences and Occupational Therapy, Universidade de São Paulo, Brazil. hfwertzn@usp.br
Sao Paulo Medical Journal = Revista Paulista De Medicina
|March 5, 2008
Summary
Children with upper respiratory issues and delayed speech development show more severe speech impairments. Early intervention and monitoring are crucial for phonological disorder management.
Area of Science:
- Speech-Language Pathology
- Pediatric Audiology
- Developmental Pediatrics
Background:
- Speech impairment is a common concern in phonologically disordered children.
- Several factors may influence the severity of speech disorders, necessitating further investigation.
Purpose of the Study:
- To compare speech impairment severity indices with correlated factors in phonologically disordered children.
- To analyze the relationship between speech production, developmental history, and audiological data.
Main Methods:
- An observational, analytical, cross-sectional study involving 50 phonologically disordered children (ages 4-11).
- Severity indices, including Percentage of Consonants Correct (PCC) and Process Density Index (PDI), were calculated.
- Correlations were drawn with anamnesis, audiological data, and developmental milestones using statistical tests (t-test, Spearman correlation).
Main Results:
- Higher chronological age at assessment correlated with higher PCC and lower PDI.
- Later age of speech onset was associated with lower PCC and higher PDI.
- Children with a history of upper respiratory issues exhibited significantly higher speech impairment indices (PCC and PDI).
- No significant differences were found based on otitis history, comprehension during assessment, or audiological abnormalities.
Conclusions:
- Upper respiratory history and delayed speech onset are significant indicators of more severe speech impairment in phonologically disordered children.
- These findings highlight the importance of considering a child's medical and developmental history in assessing and managing speech disorders.
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