Revista CEFAC
https://revistacefac.org.br/article/doi/10.1590/1982-0216/20232541823
Revista CEFAC
Artigos de Revisão

Auditory-perceptual training for the assessment of hypernasality in cleft palate speakers: an integrative literature review

Treinamento perceptivo-auditivo para a avaliação da hipernasalidade de fala em indivíduos com fissura labiopalatina: uma revisão integrativa da literatura

Flora Taube Manicardi; Gisele Fonseca do Carmo; Beatriz Campanine Geremias; Sofia Sampaio Pimentel; Jeniffer de Cássia Rillo Dutka; Viviane Cristina de Castro Marino

Downloads: 0
Views: 13

Abstract

Purpose: to describe the auditory-perceptual training for the assessment of hypernasality in individuals with cleft lip and palate.

Methods: an integrative literature review in the databases Virtual Health Library, SciELO, and PubMed, aimed to answer the following guiding question: 1) What are the characteristics of auditory-perceptual training to assess hypernasality in individuals with cleft lip and palate? Articles in Portuguese and English, available in full access, without the restriction of the publication date, which presented programs of training for speech hypernasality, unprecedented, adapted, or replicated, were included. The pursuit of descriptors, selection, extraction, and synthesis of data was performed by three independent evaluators.

Literature Review: 10 articles were included in this study, based on established criteria. Five articles investigated the effectiveness of training on speech analysis by listeners, regardless of experience level. Another five articles pertained to training when validating speech assessment protocols. Consensus analyses and reference samples were the most used training reported. Perceptual rating of phrases, using the equal appearance scale and in person training, was the most reported one.

Conclusions: the auditory-perceptual training of listeners to identify hypernasality showed variability in the proposed strategies, particularly when proposed for non-experienced listeners. The difficulty in maintaining acquired skills in the long term is pointed out.

Keywords

Cleft Palate; Velopharyngeal Insufficiency; Speech; Speech Disorders; Mentoring

Resumo

Objetivo: descrever as características dos treinamentos perceptivo-auditivos para a avaliação da hipernasalidade em indivíduos com fissura labiopalatina.

Métodos: revisão integrativa de literatura nas bases de dados Biblioteca Virtual da Saúde, SciELO e PubMed que visou responder a seguinte pergunta norteadora “Quais são as características dos treinamentos perceptivos-auditivos para avaliação da hipernasalidade em indivíduos com fissura labiopalatina?”. Foram incluídos artigos em português e inglês, disponíveis na íntegra, sem restrição de data de publicação, que apresentassem programas de treinamento para hipernasalidade, inéditos, adaptados ou replicados. A busca dos descritores, seleção, extração e síntese dos dados foram feitas por três avaliadores independentes.

Revisão da Literatura: foram incluídos dez artigos com base nos critérios estabelecidos. Cinco artigos investigaram o efeito do treinamento na análise perceptiva de ouvintes, com ou sem experiência. Outros cinco utilizaram treinamentos de fonoaudiólogos, ao validar protocolos de avaliação da fala. Análises consensuais e amostras de referências foram os treinamentos mais empregados. Julgamentos perceptivos de frases, usando escala de intervalos iguais, em modalidade presencial foram os mais descritos.

Conclusão: treinamentos perceptivo-auditivos para identificação da hipernasalidade variaram, particularmente, em sua duração e ouvintes incluídos. A dificuldade em manter habilidades adquiridas a longo prazo é apontada. 

Palavras-chave

Fissura Palatina; Insuficiência Velofaríngea; Fala; Distúrbios Da Fala; Tutoria

Referências

1. Zajac DJ, Vallino LD. Speech and resonance characteristics. In: Zajac DJ, Vallino LD. Evaluation and management of cleft lip and palate: a developmental perspective. San Diego: Plural; 2017. p.193-226.

2. Kummer AW. Management of velopharyngeal insufficiency: the evolution of care and the current state of the art. J. cleft lip palate craniofacial anomalies. 2019;6(2):65-72. https://doi.org/10.4103/jclpca.jclpca_10_19.

3. Baylis AL, Munson B, Moller KT. Perceptions of audible nasal emission in speakers with cleft palate: a comparative study of listener judgments. Cleft Palate Craniofac J. 2011;48(4):399-411. http://dx.doi.org/10.1597/09-201. PMID:20572776.

4. Kummer AW. Speech evaluation for patients with cleft palate. Clin Plast Surg. 2014:41(2):241-51. https://doi.org/10.1016/j.cps.2013.12.004. PMID:24607192.

5. Eadie TL, Baylor CR. The effect of perceptual training on inexperienced listeners' judgments of dysphonic voice. J. Voice. 2006;20(4):527-44. http://dx.doi.org/10.1016/j.jvoice.2005.08.007. PMID:16324823.

6. Howard S, Lohmander A. Cleft palate speech: assessment and intervention. Nova Jersey: John Wiley & Sons; 2011.

7. Keuning KH, Wieneke GH, Dejonckere PH. The intrajudge reliability of the perceptual rating of cleft palate speech before and after pharyngeal flap surgery: the effect of judges and speech samples. Cleft Palate Craniofac J. 1999;36(4):328-33. https://doi.org/10.1597/1545-1569_1999_036_0328_tirotp_2.3.co_2. PMID:10426599.

8. Yamashita RP, Borg E, Granqvist S, Lohmander A. Reliability of hypernasality rating: comparison of 3 different methods for perceptual assessment. Cleft Palate Craniofac J. 2018;55(8):1060-71. https://doi.org/10.1177/1055665618767116. PMID:29634363.

9. Marino VC de C, Dutka J de CR, Manicardi FT, Gifalli G, Silva PP, Pegoraro-Krook MI. Influence of speech stimuli in the auditory perceptual identification of hypernasality in individuals with cleft lip and palate. CoDAS. 2020;32(6):e20190269. https://doi.org/10.1590/2317-1782/20202019269. PMID:33331425.

10. Lee A, Potts S, Bressmann T. Speech-language therapy students' auditory-perceptual judgements of simulated concurrent hypernasality and articulation disorders. Clin Linguist Phon. 2020;34(5):479-92. https://doi.org/10.1080/02699206.2019.1655666. PMID:31429313.

11. Imatomi S. Effects of breathy voice source on ratings of hypernasality. Cleft Palate Craniofac J. 2005;42(6):641-8. https://doi.org/10.1597/03-146.1. PMID:16241176.

12. Kent RD. Hearing and believing some limits to the auditory-perceptual assessment of speech and voice disorders. Am J Speech Lang Pathol. 1996;5(3):7-23. http://dx.doi.org/10.1044/1058-0360.0503.07.

13. Lohmander A, Klintö K, Schalling E, Portela AS, Johansson K, McAllister A. Students take charge of learning - using e-learning in perceptual assessment in speech-language pathology. Scand. J. Educ. Res. 2021;65(3):468-80. http://dx.doi.org/10.1080/00313831.2020.1716064.

14. Oliveira ACASF, Scarmagnani RH, Fukushiro AP, Yamashita RP. The influence of listener training on the perceptual assessment of hypernasality. CoDAS. 2016;28(2):141-8. http://dx.doi.org/10.1590/2317-1782/20162015163. PMID:27191877.

15. Ahl R, Harding-Bell A. Comparing methodologies in a series of speech outcome studies: challenges and lessons learned. Cleft Palate Craniofac J. 2018;55(1):35-44. https://doi.org/10.1177/1055665617718546. PMID:34162055.

16. Lee A, Whitehill TL, Ciocca V. Effect of listener training on perceptual judgement of hypernasality. Clin Linguist Phon. 2009;23(5):319-34. http://dx.doi.org/10.1080/02699200802688596. PMID:19399664.

17. Chapman KL, Baylis A, Trost-Cardamone J, Cordero KN, Dixon A, Dobbelsteyn C et al. The Americleft Speech Project: a training and reliability study. Cleft Palate Craniofac J. 2016;53(1):93-108. http://dx.doi.org/10.1597/14-027. PMID:25531738.

18. Butts SC, Truong A, Forde C, Stefanov DG, Marrinan E. Perceptual assessment of velopharyngeal dysfunction by otolaryngology residents. Otolaryngol Head Neck Surg. 2016;155(6):1034-9. https://doi.org/10.1177/0194599816662247. PMID:27484234.

19. Walden PR, Khayumov J. The use of auditory-perceptual training as a research method: a summary review. J Voice. 2020;36(3):322-34. https://doi.org/10.1016/j.jvoice.2020.06.032. PMID:32747174.

20. Bruneel L, Danhieux A, Van Lierde K. Training speech pathology students in the perceptual evaluation of speech in patients with cleft palate: reliability results and the students' perspective. Int. J. Pediatr. Otorhinolaryngol. 2022;157:111145. https://doi.org/10.1016/j.ijporl.2022.111145. PMID:35468487.

21. John A, Sell D, Sweeney T, Harding-Bell A, Williams A. The Cleft Audit Protocol for Speech-Augmented: a validated and reliable measure for auditing cleft speech. Cleft Palate Craniofac J. 2006;43(3):272-88. https://doi.org/10.1597/04-141.1. PMID:16681400.

22. Sell D, John A, Harding-Bell A, Sweeney T, Hegarty F, Freeman J. Cleft Audit Protocol for Speech (CAPS-A): a comprehensive training package for speech analysis. Int J Lang Commun Disord. 2009;44(4):529-48. https://doi.org/10.1080/13682820802196815. PMID:18821108.

23. Spruijt NE, Beenakker M, Verbeek M, Heinze ZCM, Breugem CC, Mink van der Molen AB. Reliability of the Dutch Cleft Speech Evaluation Test and Conversion to the Proposed Universal Scale. J. Craniofac. Surg. 2018;29(2):390-5. https://doi.org/10.1097/SCS.0000000000004261. PMID:29381632.

24. Bruneel L, Alighieri C, D'haeseleer E, Kissel I, Adriaansen A, Sseremba D et al. Reliability results of perceptual ratings of resonance, nasal airflow and speech acceptability in patients with cleft palate by Ugandan speech-language pathologists following a two-day workshop. Int. J. Pediatr. Otorhinolaryngol. 2020;136:110191. https://doi.org/10.1016/j.ijporl.2020.110191. PMID:32593063.

25. Chan KM, Yiu EM. A comparison of two perceptual voice evaluation training programs for naive listeners. J Voice. 2006;20(2):229-41. https://doi.org/10.1016/j.jvoice.2005.03.007. PMID:16139475.

26. Baylis AL, Chapman K, Whitehill TR. Validity and reability of visual scaling for assessment of hypernasality and audible nasal emission in children with repaired cleft palate. Cleft Palate Craniofac J. 2015;52(6):660-70. https://doi.org/10.1597/14-040. PMID:25322442.

27. Stevens SS. Perceptual magnitude and its measurement. In: Carterette C, Friedman MP, editors. Handbook of perception: psychophysical judgment and measurement. New York: Academic Press; 1974. p.22-40.
 


Submetido em:
09/03/2023

Aceito em:
07/08/2023

65bd4729a9539530d64adbe4 cefac Articles
Links & Downloads

Revista CEFAC

Share this page
Page Sections