This study was conducted to determine the effectiveness of digital manipulation of thyroid cartilage for the management of stuttering in adult.There were three groups,Group A received Digital Manipulation of Thyroid cartilage (DMT),Group B received Fluency shaping Therapy(FST),Group C received combination of DMT,FST.
The purpose of speech therapy is to stop progression of stuttering while teaching the method to client how to cope efficiently his or her stuttering disorder. The goal of fluency shaping therapy to eliminate the severity of stuttering by adopting the specific pattern of speech production and also reduce negative reaction to stuttering by default). Digital manipulation of thyroid cartilage decreases tension in vocal fold and reduces severity of stuttering and improves production of speech. DMT reduces unnecessary amount of tension in vocal tract and participant speaks with relax respiration,phonation, articulation and facilitate more fluent.in DMT subject speaks in natural way rather than in specific method in every situation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
54
Digital manipulation of thyroid cartilage was applied to the anterior aspect of thyroid cartilage while using the thumb or finger and the patient was asked to speak. prolongation of vowel is 7 to 8 seconds, voice rest after each set is 10 second. total repetition is 60.
FST session comprised of speech techniques such as prolongation of sounds, easy onset, continuous phonation, light articulatory contact, in reading and conversation in three speaking situations (speaking with therapist, reading aloud, and free conversation Reading task was for 80 short phrases.
combination group intervention of DMT + FST
National Institute of Rehabilitation Medicine (NIRM)
Islamabad, Federal, Pakistan
Scale for Rating the severity of stuttering
0-No Stuttering 1. Very mild-stuttering . 2. Mild-stuttering. 3. Mild to moderate-stuttering. 4. Moderate -stuttering. 5. Moderate to severe stuttering 6. Severe-stuttering . 7 Very severe -stuttering .
Time frame: 12 weeks
Modified Erickson scale of communication attitude(24)
This 24-item scale distinguishes the extent to which a stuttering person's communication attitude deviates from normed attitudes. Statement require a true or false answer. Individual with mean score of 19.22 and range of 9-24 is consider as stutter. Individual with mean score of 9.4 and range of 1-21 is consider as non-stutter. The higher the score, the poorer the communication attitude.
Time frame: 12week
Assessment of Physiological Factors Associated with Stuttering
Clinician need to carefully observe whether these physiological factor are present or not present during stuttering. 0=not present 1= present
Time frame: 12 week
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