Relationship between the stuttering severity index and speech rate
Keywords:
Stuttering, Speech, Rate, DiagnosisAbstract
CONTEXT: The speech rate is one of the parameters considered when investigating speech fluency and is an important variable in the assessment of individuals with communication complaints. OBJECTIVE: To correlate the stuttering severity index with one of the indices used for assessing fluency/ speech rate. DESIGN: Cross-sectional study. SETTING: Fluency and Fluency Disorders Investigation Laboratory, Faculdade de Medicina da Universidade de São Paulo. PARTICIPANTS: Seventy adults with stuttering diagnosis. MAIN MEASUREMENTS: A speech sample from each participant containing at least 200 fluent syllables was videotaped and analyzed according to a stuttering severity index test and speech rate parameters. RESULTS: The results obtained in this study indicate that the stuttering severity and the speech rate present significant variation, i.e., the more severe the stuttering is, the lower the speech rate in words and syllables per minute. DISCUSSION AND CONCLUSION: The results suggest that speech rate is an important indicator of fluency levels and should be incorporated in the assessment and treatment of stuttering. This study represents a first attempt to identify the possible subtypes of developmental stuttering. DEFINITION: Objective tests that quantify diseases are important in their diagnosis, treatment and prognosis.
Downloads
References
Starkweather CW, Givens-Ackerman J. Stuttering. Austin: Pro- Ed; 1997.
Andrade CRF. Processamento da fala - aspectos da fluência. Pró- Fono 2000;12(1):69-71.
Block S, Killen D. Speech rates of Australian English-speaking children and adults. Austral J Human Commun Disord 1996;24(1):39-44.
Walker JF, Archibald LM, Cherniak SR, Fish VG. Articulation rate in 3 and 5-year-old children. J Speech Hear Res 1992;35(1):4-13.
Hall KD, Amir O, Yairi E. A longitudinal investigation of speak- ing rate in preschool children who stutter. J Speech Lang Hear Res 1999;42(6):1367-77.
Zackiewicz DV. Avaliação quantitativa e qualitativa das disfluências em indivíduos gagos e fluentes. Dissertação de Mestrado. Fisiopatologia Experimental. Faculdade de Medicina da Universidade de São Paulo; 1999.
Riley GDA. Stuttering Severity Instrument for children and adults. Austin: Pro-Ed; 1994.
Andrade CRF. Protocolo para avaliação da fluência da fala. Pró- fono 2000;12(2):131-4.
Perkins WH, Kent RD, Curlee RF. A theory of neuropsycholinguistic function in stuttering. J Speech Hear Res 1991;34(4):734-52.
Zackiewicz DV, Andrade CRF. Seis parâmetros da fluência. Revista da Sociedade Brasileira de Fonoaudiologia 2000;7:59-64.
Bakker K. Instrumentation for the assessment and treatment of stuttering. In: Curlee RF, Siegel GM, organizers. Nature and treatment of stuttering. Boston: Allyn & Bacon 1997;377-97.
Bloodstein O. Early stuttering as a type of language difficulty. J Fluency Disord 2002;27:163-7.
Bosshardt HJ. Effects of concurrent cognitive processing on the fluency of word repetition: comparison between persons who do and do not stutter. J Fluency Disord 2002;27:93-114.
Caruso AJ, Abbs JH, Gracco VL. Kinematic analysis of multi- ple movement coordination during speech in stutterers. Brain 1988;111(Pt 2):439-56.
Conture EG, Colton RH, Gleason JR. Selected temporal as- pects of coordination during fluent speech of young stutterers. J Speech Hear Res 1988;31(4):640-53.
Postma A, Kolk H, Povel DJ. Speech planning and execution in stutterers. J Fluency Disord 1990;15:49-59.
Perkins WH. What is Stuttering? J Speech Hear Disord 1990;55(3):370-82.
Conture EG. Stuttering: its nature, diagnosis, and treatment. Needham Heights: Allyn & Bacon; 2000.p.452.
Felsenfeld S, Kirk KM, Zhu G, et al. A study of the genetic and environmental etiology of stuttering in a selected twin sample. Behav Genet 2000;30(5):359-66.
Perkins WH. Stuttering: a matter of bad timing. Science 2001;294(5543):786.
Perkins WH. Anomalous anatomy of speech-language areas in adults with persistent developmental stuttering. Neurology 2002;58(2):332-3.
Pool KD, Devous MD, Freeman FJ, Watson BC, Finitzo T. Regional cerebral blood flow in developmental stutteress. Arch Neurol 1991;48(5):509-12.
Watson BC, Freeman FJ, Devous MD, Chapman SB, Finitzo T, Pool KD. Linguistic performance and regional cerebral blood flow in persons who stutter. J Speech Hear Res 1994;37(6):1221-8.
Wu JC, Maguire G, Riley G, et al. A positron emission tomog- raphy [18 F] deoxyglucose study of developmental stuttering. Neuroreport 1995;6(3):501-5.
Fox PT, Ingham RJ, Ingham JC, et al. A PET study of the neu- ral system of stuttering. Nature 1996;382(6587):158-61.
Ingham RJ, Fox PT, Ingham JC, et al. Functional lesion inves- tigation of developmental stuttering with positron emission to- mography. J Speech Hear Res 1996;39(6):1208-27.
Braun AR, Varga M, Stager S, et al. Altered patterns of cerebral activity during speech and language production in developmen- tal stuttering: An H2(15) O positron emission tomography study. Brain 1997;120(Pt 5):761-84.
Kroll RM, De Nil LF. Neural basis of stuttering and its treat- ment. Memphis: SFA Newsletter; 2000.p.2.
Sandak R, Fiez JA. Stuttering: a view from neuroimaging. Lan- cet 2000;356(9228):445-6.
Foundas AL. Are brains of people who stutter different? Mem- phis: SFA Newsletter 2001;1-2.
Bloodstein O. A handbook on stuttering. Chicago: National Seal Society; 1995.p.353.
Perkins WH. Stuttering and sciences. San Diego: Singular; 1996.
Conture EG. Treatment efficacy: stuttering. J Speech Hear Res 1996;39(5):S18-26.
Cooper EB, Cooper CS. The impact of identifying preferred treatment outcomes on conceptualizing, assessing, and treating chronic stuttering. In: Online Conference International Stut- tering Awareness Day (CD ROM). Mankato, ISAD, 1998.
Venkatagiri HS. Clinical measurement of rate of reading and discourse in young adults. J Fluency Disord 1999;24:209-29.
Perkins WH. Replacement of stuttering with normal speech. II. Clinical procedures. J Speech Hear Disord 1973;38(3):295-303.
Perkins WH. Measurements and maintenance of fluency. In: Borger B, ed. Maintenance of fluency. New York: Elsevier 1981.p.370-82.
Costello JM, Hurst MR. An analysis of the relationship among stuttering behaviors. J Speech Hear Res 1981;24(2):247-56.
Cooper EB. Research needs in stuttering: roadblocks and fu- ture directions. Rockville: ASHA Report; 1999.p.2-3.
Cordes AK, Ingham RJ. Time-interval measurement of stutter- ing: effects of interval duration. J Speech Hear Res 1994;37(4):779-88.
Cordes AK, Ingham RJ. Judgements of stuttered and nonstuttered intervals by recognized authorities in stuttering research. J Speech Hear Res 1995;38(1):33-41.
Felsenfeld S. Finding susceptibility genes for developmental disorders of speech: the long and winding road. J Commun Disord 2002;35:329-45.