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https://revistacefac.org.br/article/doi/10.1590/1982-0216/20232541823
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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

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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

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Submetido em:
09/03/2023

Aceito em:
07/08/2023

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