

Master student: Danira Tavares Francisco
Dr. Haydée Fiszbein Wertzner
Dra. Luciana de Oliveira Pagan-Neves
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional da
Faculdade de Medicina da Universidade de São Paulo.


Speech and Language Pathology and
the Evidence Based Practice
Auxiliary intruments
for the
Intervention

Procedures used for
Auxiliary
intruments for the
typically
developing
children
Diagnosis

Speech
Sound
Disorders
(SSD)

Speech
USG

Phoneticphonologic
relation
Articulation
processes
in real time

Knowledgement applied to the
clinics

[s]
[z]
[S]
[Z]

Acquisition

Palatal fronting
and backing
disappear
• 3:6 yrs
• 4:6 yrs
Articulatory analysis
Speech USG
Visualization of the
tongue tip, the dorsum
and the root


To describe the tongue contour for
/s/ and /S/ in three different groups
of children with and without SSD


G2
Two children with SSD
without Palatal Fronting
G1
Two typically developing
children

Boy with 6:2 yrs
Girl with 5:9 yrs
Boy with 7:10 yrs
Girl with 8:3 yrs
Boy with 7:0 yrs
Girl with 7:2 yrs
Brazilian Portuguese speakers.
Picture Naming of the words /’avi/
(key) and /’sapu/ (frog): 5 times each

G3
Two children with SSD
with Palatal Fronting
Ultrasound imaging of the tongue
shape during the productions was
analyzed with AAA.


Ultrasound
Mindray 6600
(coupled to a computer using
na audio and video synch

Head
stabilization
(Scoobie, Wrench,
Linden, 2008)
Endocavitary transducer
Sagittal position

- List of words
- Trainning
Picture naming activity
/´sapu/ and /´avi/: 5 times


Articulate Assistant Advanced (AAA) software for analysis

Tongue contour traced based
on the frame from the midpoint
of the target consonant

Tongue
contours
were
manually traced for /s/ and //.

0
G2 - /S/
0
100
G3 - /S/
5
0
50
50
50
100
0
50
100
0
5
0
G2 - /s/
50
100
0
G3 - /s/
5
0
100
100
5
0
G1 - /s/
100
Legend: red line - girl´s production;
green line - boy´s production


100
100
G1 - /S/
50
100

50
100
0
Legend: orange line - girl´s production;
blue line - boy´s production
50
100
0

50
50
G2-girl
100
100
0
100
0
50
50
G1-girl
100
G3-boy
50
50
50
100
0
100

G2-boy
100
50
G3-girl
50
100
G1-boy
50
100

0
0
100
100
50
Legend: dashed lines – production of //;
continuous lines – production of /s/
50
100

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The analysis of the tongue
contour demonstrated important
results about the tongue contour
during the production of /s/ and
//. These evidences are
important for the selection of
the
most
appropriate
estrategies to the speech
intervention with children with
SSD.
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
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Acknowledgements:
e-mail:
[email protected]
[email protected]
[email protected]