The use of software in cases of speech sound disorders

Sotero, Laura Karolainy Barcelos; Pagliarin, Karina Carlesso

doi:10.1590/2317-1782/20182018008

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Case Report • CoDAS 30 (6) • 2018 • https://doi.org/10.1590/2317-1782/20182018008 linkcopy

The use of software in cases of speech sound disorders

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

To verify the effects of Speech Therapy focusing on phonological awareness and articulatory awareness in speech skills and in the literacy process of children with speech sound disorders. Seven children, aged between six and seven years old, male and female, and with speech disorders complaints participated in this study. These children were submitted to the following speech and language assessments: Children Phonological Assessment, Articulation Test, Articulatory Awareness Assessment, Phonological Awareness Testing by Oral Production and Word Writing Evaluation. Afterwards, they underwent speech and language therapy through the software “Pedro em uma noite assustadora”. The sessions took place once a week, lasting approximately 30 minutes each. At the end of eight sessions, the children were reassessed with the same instruments used in the initial assessment. Data were analyzed qualitatively and quantitatively. Based on the analysis of data obtained, improvement in speech, articulatory awareness and phonological awareness skills, and Spelling Hypothesis of all children was observed. It can be concluded that speech therapy focusing on phonological awareness and articulatory awareness skills based on specific software has influenced the organization of speech patterns and acquisition of written language in most subjects.

Keywords Software; Speech; Child; Speech Therapy; Speech-sound Disorders

Subjects	Pre-intervention severity of SSD	PCC-R	Pre-intervention Phonological processes	Post-intervention severity of SSD	R*PCC-R	Post-intervention phonological processes
S1	Mild	91%	RCC Omission of /s/ in MC	-	100%	No alterations
S2	Mild	92%	RCC with the phoneme /r/ Omission of /s/ in MC	-	100%	No alterations
S3	Mild-Moderate	77%	Omission of /r/ in MC, FC, MO Omission of /s/ in MC Semi-vocalization of /l/ and /λ/ Semi-vocalization of /r/ RCC /s/ fronting Voicing of /∫/	Mild	86%	Omission of /r/ in MC, FC, MO and IO Semi-vocalization of /λ/
S4	Mild-moderate	84%	Semi-vocalization of /r/ RCC /s/ fronting	Mild	94%	/s/ fronting Voicing of /s/
S5	Mild	94%	RCC Omission of /r/ in MC and FC	-	100%	No alterations
S6	Mild-Moderate	74%	RCC Omission of /r/ in MC and FC	Mild	86%	Semi-vocalization of /r/
S7	Mild-moderate	70%	Semi-vocalization of /λ/ Devoicing of /g/ and /z/ /s/ fronting Omission of /r/ in MC RCC	Mild-moderate	85%	RCC; Omission of /r/ in MC and FC /s/ fronting Semi-vocalization of /λ/ and /r/

Subjects	Pre-intervention	Post-intervention
S1	No articulatory alterations	No articulatory alterations
S2	No articulatory alterations	No articulatory alterations
S3	No articulatory alterations	No articulatory alterations
S4	Lateral lisp during /s/	Lateral lisp during /s/
S5	Frontal lisp during /s/	No articulatory alterations
S6	Frontal lisp during /s/	Frontal lisp during /s/
S7	Frontal lisp during /s/	No articulatory alterations

Subtest	Subjects	Pre-intervention score	Classification	Post-intervention score	Classification
Syllable Synthesis/4	S1	4	Moderate	4	Moderate
	S2	4	Moderate	4	Moderate
	S3	4	Moderate	4	Moderate
	S4	4	Moderate	4	Moderate
	S5	4	Moderate	4	Moderate
	S6	4	Moderate	4	Moderate
	S7	4	Moderate	4	Moderate
Phoneme Synthesis/4	S1	1	Moderate	1	Moderate
	S2	0	Low	0	Low
	S3	0	Low	0	Low
	S4	1	Moderate	2	Moderate
	S5	0	Low	2	Moderate
	S6	0	Low	2	Moderate
	S7	0	Low	0	Low
Rhyme/4	S1	2	Moderate	2	Moderate
	S2	2	Moderate	3	Moderate
	S3	1	Low	1	Low
	S4	2	Moderate	4	High
	S5	3	Moderate	4	High
	S6	3	Moderate	3	Moderate
	S7	0	Low	2	Moderate
Alliteration/4	S1	1	Low	1	Low
	S2	2	Moderate	2	Moderate
	S3	0	Low	1	Low
	S4	2	Moderate	2	Moderate
	S5	3	Moderate	2	Moderate
	S6	1	Low	0	Low
	S7	0	Low	0	Low
Syllable Segmentation/4	S1	4	Moderate	4	Moderate
	S2	4	Moderate	4	Moderate
	S3	0	Low	3	Moderate
	S4	4	Moderate	4	Moderate
	S5	4	Moderate	4	Moderate
	S6	4	Moderate	4	Moderate
	S7	4	Moderate	4	Moderate
Phoneme Segmentation/4	S1	0	Low	2	Moderate
	S2	0	Low	0	Low
	S3	0	Low	0	Low
	S4	1	Moderate	0	Low
	S5	0	Low	0	Low
	S6	0	Low	0	Low
	S7	0	Low	0	Low
Syllable Manipulation/4	S1	0	Low	0	Low
	S2	0	Low	1	Moderate
	S3	0	Low	1	Moderate
	S4	3	High	3	High
	S5	2	Moderate	3	High
	S6	1	Low	0	Low
	S7	0	Low	1	Moderate
Phoneme Manipulation/4	S1	0	Low	0	Low
	S2	0	Low	0	Low
	S3	0	Low	0	Low
	S4	0	Low	2	High
	S5	1	Moderate	2	Moderate
	S6	0	Low	2	Moderate
	S7	0	Low	0	Low
Syllable Transposition/4	S1	0	Low	0	Low
	S2	0	Low	0	Low
	S3	0	Low	0	Low
	S4	4	High	3	High
	S5	4	High	1	Moderate
	S6	0	Low	0	Low
	S7	0	Low	0	Low
Phoneme Transposition/4	S1	0	Low	0	Low
	S2	0	Low	0	Low
	S3	0	Low	0	Low
	S4	0	Low	0	Low
	S5	0	Low	0	Low
	S6	0	Low	0	Low
	S7	0	Low	0	Low
Total score/40	S1	12	Moderate	14	Moderate
	S2	12	Moderate	14	Moderate
	S3	05	Low	10	Low
	S4	21	Moderate	24	Moderate
	S5	21	Moderate	22	Moderate
	S6	13	Moderate	15	Moderate
	S7	08	Low	11	Low

Subjects	Task	Pre-intervention			Post-intervention			p*
Subjects	Task	Subtest scores	Total scores	Classification	Subtest scores	Total scores	Classification	p*
S1	Identification (1 and 3)	4/8	4/16	Low	8/8	11/16	Moderate	≤ 0.001
	Production (2 and 4)	0/8			3/8
	Phoneme-level processing (1 and 2)	3/8			6/8
	Word-level processing (3 and 4)	1/8			5/8
S2	Identification (1 and 3)	8/8	9/16	Low	8/8	12/16	Moderate	≤ 0.01
	Production (2 and 4)	1/8			4/8
	Phoneme-level processing (1 and 2)	5/8			7/8
	Word-level processing (3 and 4)	4/8			5/8
S3	Identification (1 and 3)	7/8	8/16	Low	6/8	10/16	Moderate	0.07
	Production (2 and 4)	1/8			4/8
	Phoneme-level processing (1 and 2)	5/8			5/8
	Word-level processing (3 and 4)	3/8			5/8
S4	Identification (1 and 3)	6/8	8/16	Low	7/8	12/16	Moderate	≤ 0.01
	Production (2 and 4)	2/8			5/8
	Phoneme-level processing (1 and 2)	6/8			7/8
	Word-level processing (3 and 4)	2/8			5/8
S5	Identification (1 and 3)	5/8	9/16	Low	8/8	12/16	Moderate	≤ 0.01
	Production (2 and 4)	4/8			4/8
	Phoneme-level processing (1 and 2)	5/8			6/8
	Word-level processing (3 and 4)	3/8			6/8
S6	Identification (1 and 3)	2/8	3/16	Low	4/8	8/16	Low	≤ 0.001
	Production (2 and 4)	1/8			4/8
	Phoneme-level processing (1 and 2)	2/8			4/8
	Word-level processing (3 and 4)	1/8			4/8
S7	Identification (1 and 3)	1/8	4/16	Low	7/8	11/16	Moderate	≤ 0.001
	Production (2 and 4)	3/8			4/8
	Phoneme-level processing (1 and 2)	3/8			7/8
	Word-level processing (3 and 4)	1/8			4/8

Test	Subjects	Classification
Test	Subjects	Pre-intervention	Post-intervention
Word Writing Test	S1	Syllabic	Syllabic-alphabetic
	S2	Pre-syllabic	Syllabic
	S3	Pre-syllabic	Pre-syllabic
	S4	Syllabic	Alphabetic
	S5	Syllabic	Alphabetic
	S6	Syllabic	Alphabetic
	S7	Pre-syllabic	Syllabic

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Sociedade Brasileira de Fonoaudiologia Al. Jaú, 684, 7º andar, 01420-002 São Paulo - SP Brasil, Tel./Fax 55 11 - 3873-4211 - São Paulo - SP - Brazil
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[1] Caption: SSD=speech sound disorders; R*= reassessment; MC = Medial coda; FC= Final coda; IO= Initial onset; MO= Medial onset; RCC= Reduction of consonant clusters