Int Arch Otorhinolaryngol 2013; 17(02): 189-195
DOI: 10.7162/S1809-97772013000200012
Original Article
Thieme Publicações Ltda Rio de Janeiro, Brazil

Advances in the treatment of children with phonological disorders

Marizete Ilha Ceron
1   Speech-Language Pathologist; Doctoral Student of Human Communication Disorders at Universidade Federal de Santa Maria (UFSM), Santa Maria / RS, Brazil; Master in Human Communication Disorders at UFSM.
,
Karina Carlesso Pagliarin
2   Speech-Language Pathologist ; Doctoral Student of Psychology with an emphasis on Human Cognition at Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre / RS, Brazil.
,
Márcia Keske-Soares
3   Speech-Language Pathologist; Doctor of Applied Linguistics at PUCRS. Professor associated with the Speech-Language Course and the Postgraduate Program in Human Communication Disorders at UFSM.
› Author Affiliations
Further Information

Publication History

10 January 2013

10 March 2013

Publication Date:
09 January 2014 (online)

Summary

Introduction: Treatment of phonological disorders considering extra-linguistic and linguistic variables are important to ensure that the alteration is resolved promptly and in the best manner as possible.

Aim: To analyze therapeutic advances (phonetic inventory, phonological system, and distinctive features) in children with phonological disorders by considering the therapeutic approach used, the severity of the phonological disorder, age, and the number of therapeutic sessions.

Methods: We conducted a case series study of 94 children aged 3 years, 9 months through 8 years, 5 months. The children were divided into groups based on the therapeutic approach used (Modified Cycles, Maximal Oppositions, ABAB-Withdrawal, and Multiple Probes), the severity of their phonological disorder, age, and the number of therapy sessions with each individual. Phonetic inventory, the phonological system, and the number of altered distinctive features were analyzed.

Results: The greater the number of therapy sessions, the greater the number of sounds acquired. The number of sounds present in the phonetic inventory and phonological system increased and the severity of the phonological disorder decreased with all of the therapeutic approaches studied. There was also a reduction in the incidence of altered distinctive features.

Conclusion: There was a favorable evolution in phonetic inventory and phonological system acquisitions as well as a reduction in the number of altered distinctive features for all 3 therapeutic models regardless of the severity of the phonological disorder, age, or number of sessions.

 
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