FABIOLA JUSTE

(Fonte: Lattes)
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Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina
LIM/34 - Laboratório de Ciências da Reabilitação, Hospital das Clínicas, Faculdade de Medicina

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  • article
    Aspectos da fluência da fala em crianças com distúrbio específico de linguagem
    (2014) ANDRADE, Cláudia Regina Furquim de; BEFI-LOPES, Debora Maria; JUSTE, Fabíola Staróbole; CÁCERES-ASSENÇO, Ana Manhani; FORTUNATO-TAVARES, Talita Maria
    Purpose The present study aimed to assess specific aspects of speech fluency in children with specific language impairment (SLI). This included examining the typology of speech disruption and rate (in words and syllables per minute), across different age groups. Methods A total of 50 children, aged 3 to 7 years old, presenting with nonverbal IQ and hearing thresholds within normal limits (without the presence of stuttering) participated in the study. Children were divided into two groups: G1 (SLI) included 25 children (7 girls and 18 boys) and G2 (typical development) included 25 children matched on age and gender with G1. Each child was shown a figure and asked to discuss what s/he liked about the figure. Each speech sample included 200 fluent syllables or 100 fluent words. Results Between-group analyses demonstrated that children aged 3 to 4 years old in G1 had lower speech rate than their age-matched peers from G2. Within-group analyses revealed no differences in disruption typologies between age groups in G1 participants. In contrast, hesitation was the most frequent typology for 4- to 5-year-old G2 children, whereas hesitation and word repetition typologies were observed in 6- to 7-year-old G2 children. Conclusion Children with suspected SLI between the ages of 3 to 4 years old showed a reduction in word and syllable production. Hesitation-type speech disruptions were prominently used by typically developing children, regardless of age, and were not observed in SLI children.
  • article 7 Citação(ões) na Scopus
    Comparison of different speech tasks among adults who stutter and adults who do not stutter
    (2016) RITTO, Ana Paula; COSTA, Julia Biancalana; JUSTE, Fabiola Starobole; ANDRADE, Claudia Regina Furquim de
    OBJECTIVES: In this study, we compared the performance of both fluent speakers and people who stutter in three different speaking situations: monologue speech, oral reading and choral reading. This study follows the assumption that the neuromotor control of speech can be influenced by external auditory stimuli in both speakers who stutter and speakers who do not stutter. METHOD: Seventeen adults who stutter and seventeen adults who do not stutter were assessed in three speaking tasks: monologue, oral reading (solo reading aloud) and choral reading (reading in unison with the evaluator). Speech fluency and rate were measured for each task. RESULTS: The participants who stuttered had a lower frequency of stuttering during choral reading than during monologue and oral reading. CONCLUSIONS: According to the dual premotor system model, choral speech enhanced fluency by providing external cues for the timing of each syllable compensating for deficient internal cues.
  • article 2 Citação(ões) na Scopus
    Self-perception of people who stutter regarding their experiences and results of stuttering treatments
    (2014) ANDRADE, Claudia Regina Furquim de; CUNHA, Maria Claudia; JUSTE, Fabiola Staróbole; RITTO, Ana Paula; ALMEIDA, Beatriz Paiva Bueno de
    Purpose: To investigate the opinion about stuttering treatments in people who stutter, based on their answers to two open questions. Methods: The participants were 40 adults of both genders, with self-reported stuttering. During the first phase of the research, we contacted two Brazilian nongovernmental organizations: the Brazilian Stuttering Association (ABRAGAGUEIRA) and the Brazilian Fluency Institute (IBF). These associations agreed to participate and were responsible for sending the research questions to their members via electronic mail. The first contact with the participants elucidated the purpose and method of our research and, after obtaining informed consent from participants, the two questions were sent. The research questions involved their opinion about cure, treatments to which the participants had been submitted, and their outcome. Results: After analysis, the answers obtained indicated that people who stutter believe in a cure for stuttering; that the ideal therapy would be the one that led to the disappearance of the symptoms; and the most frequently reported professional to treat the disorder is the speech-language pathologist. The results also indicated that although most of the participants had undergone speech-language treatment for stuttering, neither significant improvements were observed nor satisfaction was positive. Conclusion: The results indicate that the answers presented by the participants were not based on scientific knowledge about the disorder but on their wish that ""something could happen"" to make stuttering ""disappear."" Although in this study we did not investigate the type of treatment to which the patients were submitted, the results suggest that the factors that contribute to an effective treatment are contentious.
  • article 13 Citação(ões) na Scopus
    Acoustic analyses of diadochokinesis in fluent and stuttering children
    (2012) JUSTE, Fabiola Starobole; RONDON, Silmara; SASSI, Fernanda Chiarion; RITTO, Ana Paula; COLALTO, Claudia Aparecida; ANDRADE, Claudia Regina Furquim de
    OBJECTIVES: The purpose of the study was to acoustically compare the performance of children who do and do not stutter on diadochokinesis tasks in terms of syllable duration, syllable periods, and peak intensity. METHODS: In this case-control study, acoustical analyses were performed on 26 children who stutter and 20 aged-matched normally fluent children (both groups stratified into preschoolers and school-aged children) during a diadochokinesis task: the repetition of articulatory segments through a task testing the ability to alternate movements. Speech fluency was assessed using the Fluency Profile and the Stuttering Severity Instrument. RESULTS: The children who stutter and those who do not did not significantly differ in terms of the acoustic patterns they produced in the diadochokinesis tasks. Significant differences were demonstrated between age groups independent of speech fluency. Overall, the preschoolers performed poorer. These results indicate that the observed differences are related to speech-motor age development and not to stuttering itself. CONCLUSIONS: Acoustic studies demonstrate that speech segment durations are most variable, both within and between subjects, during childhood and then gradually decrease to adult levels by the age of eleven to thirteen years. One possible explanation for the results of the present study is that children who stutter presented higher coefficients of variation to exploit the motor equivalence to achieve accurate sound production (i.e., the absence of speech disruptions).
  • article 9 Citação(ões) na Scopus
    Exchange of disfluency with age from function to content words in Brazilian Portuguese speakers who do and do not stutter
    (2012) JUSTE, Fabiola Staroble; SASSI, Fernanda Chiarion; ANDRADE, Claudia Regina Furquim de
    The purpose of this study was to investigate the exchange of disfluencies from function words to content words with age in Brazilian Portuguese speakers who do and do not stutter. Ninety stuttering individuals and 90 controls, native speakers of Brazilian Portuguese, were divided into three age groups (children, adolescents and adults). The study method involved analyzing the occurrence of stuttering on content and function words based on spontaneous speech samples. Results indicated that children tend to be more disfluent on function words. With the increase in age, teenagers and adults who stutter presented a higher number of disfluencies on content words. These findings support the current literature, indicating that with the aging process, there is an exchange of disfluencies from function to content words. This shift in the disfluency pattern may account for a more advanced type of stuttering. The study also demonstrated that disfluencies in Portuguese speakers follow the same pattern of shifting from function to content words with age as for English speakers.
  • article 2 Citação(ões) na Scopus
    Effects of the presence of a dog on the psychic content expression of a stuttering person: case report
    (2021) ICHITANI, Tatiane; FACCIN, Annelisa Bruna; COSTA, Julia Biancalana; JUST, Fabiola Starobole; ANDRADE, Claudia Regina Furquim de; CUNHA, Maria Claudia
    Stuttering has negative impacts on an individual's quality of life and is associated with higher risk of development of social and psychological problems. From this perspective, despite the diversity of etiological hypotheses for and treatments of stuttering, the interface between psychology and speech therapy in the approach to the biopsychic aspects involved in this clinical scenario stands out. Recent research indicates that the presence, specifically of dogs, can assist patients in symbolic elaboration of psychic content. From this perspective, the aim of this study is evaluate the effects of a dog's presence on the expression of the psychic content of a stuttering person, with the hypothesis that framing may reduce symptoms. The subject is M., female, 45 years old, married, without children, hairdressing assistant, with elementary school completed. She underwent the process of speech therapy in presence of a dog. A semidirected interview was conducted after this process. A co-therapist dog of Golden Retriever breed participated in all sessions. The relevant subjective content observed in the setting during the speech therapy process, which seems to have been mobilized by the framework established by the interaction among the therapist, the patient, and the dog, seems to demonstrate an association with the manifestation of disfluencies. The dog made physical contact with, supported, motivated and welcomed the subject in situations in which psychic conflicts were demonstrated. This clinical case study indicates that the dog's presence and interaction framework favored the reduction of stuttering symptoms, promoting welcoming environment that enabled the subject's psyche-soma integration.
  • article 6 Citação(ões) na Scopus
    Comparação da performance de fala em indivíduos gagos e fluentes
    (2017) COSTA, Julia Biancalana; RITTO, Ana Paula; JUSTE, Fabiola Staróbole; ANDRADE, Claudia Regina Furquim de
    ABSTRACT Purpose The aim of this study was to compare the speech performance of fluent speakers and individuals who stutter during spontaneous speech, automatic speech, and singing. Methods The study sample was composed of 34 adults, 17 individuals who stutter and 17 fluent controls, matched for gender and age. The speech performance of participants was compared by means of three tasks: monologue, automatic speech, and singing. The following aspects were assessed: total number of common disruptions and total number of stuttering-like disruptions. Results Statistically significant difference was observed only for the monologue task in both intra- and inter-group comparisons. Conclusion The outcomes of this study indicate that tasks of higher motor and melodic complexities, such as the monologue task, negatively affect the speech fluency of both fluent speakers and individuals who stutter.
  • article 0 Citação(ões) na Scopus
    Characterization of feeding skills and clinical markers of preterm newborns with gastroschisis in a neonatal therapy unit
    (2023) SASSI, Fernanda Chiarion; RITTO, Ana Paula; SASSI, Daniela Chiarion; ANSUINO, Ana Carla; MEDEIROS, Gisele Chagas de; JUSTE, Fabiola; BEFI-LOPES, Debora Maria; ANDRADE, Claudia Regina Furquim de
    Objective: To describe the clinical and feeding findings of premature infants with gastroschisis (GTQ) in a neonatal intensive care unit and compare them to preterm infants (NBs) without congenital anomalies. Methods: A retrospective case-control study was conducted with 50 premature NBs (25 with GTQ and 25 without comorbidities - control group). The NBs were compared regarding demographic and clinical data: risk of mortality and speechlanguage assessment (nonnutritive and nutritive sucking). Subsequently, a multiple logistic regression model was applied to determine the variables associated with the negative speech therapy outcome (speech therapy discharge after more than 7 days considering the first speech therapy evaluation). Results: The results of the first analysis indicated that there was a difference between the GTQ and the CG for the following variables: total time in days of hospitalization; use of mechanical ventilation (invasive x noninvasive); days of life on the date of the first speechlanguage assessment; use of alternative feeding route; and the GTQ group had worse results. The results of the multiple logistic regression indicated that the diagnosis of GTQ, the use of invasive mechanical ventilation, and the absence of adequate intraoral pressure during the first speech-language evaluation were risk factors for a negative speech-language outcome. Conclusion: The feeding skills of preterm infants with QTG are related to the severity of the condition (gastrointestinal tract complications), requiring longer hospitalization, use of invasive mechanical ventilation, prolonged use of alternative feeding route and requiring more speech therapy to start oral feeding.
  • article 2 Citação(ões) na Scopus
    Risk Factors for the Development of Persistent Stuttering: What Every Pediatrician Should Know
    (2022) COSTA, Julia Biancalana; RITTO, Ana Paula; JUSTE, Fabiola; SASSI, Fernanda Chiarion; ANDRADE, Claudia Regina Furquim de
    Early identification and adequate treatment of children who stutter is important, since it has an impact on speech development. Considering the importance of aiding pediatricians to recognize children at risk for developing persistent stuttering, the aim of the present study was to correlate speech fluency characteristics of children, whose parents reported stuttering behaviors, to the risk factors of persistent stuttering. The participants were 419 children aged 2:0 to 11:11 years, who were divided into two groups: children with stuttering complaints (CSC), composed of children whose parents reported the presence of stuttering behaviors; and children with no stuttering complaint (CNSCs), composed of children with no stuttering behaviors. Risk variables were gathered based on a questionnaire answered by parents involving the following variables: sex, presence of family history of stuttering, whether stuttering behaviors were observed for more than 12 months, whether stuttering behaviors began before 5 years of age, increased effort to speak (i.e., syllable and sound repetitions and fixed articulatory positions), negative family attitude towards the child's speech, and negative attitude towards the child's own speech. The diagnosis of stuttering was determined by a formal speech assessment by a pathologist (SLP). The risk analysis indicated that increased effort to speak, negative family attitude towards the child's speech, and complaints of stuttering for more than 12 months were associated with a higher risk of stuttering in children. Therefore, when pediatricians are faced with complaints about the presence of stuttering behaviors and these factors are present, they should immediately refer the patient to an SLP for specific assessment.
  • article 3 Citação(ões) na Scopus
    Clinical Trial for Stuttering Treatment: pilot study about dog participation in the therapy session
    (2019) COSTA, Julia Biancalana; ICHITANI, Tatiane; JUSTE, Fabiola Starobole; CUNHA, Maria Claudia; ANDRADE, Claudia Regina Furquim de
    Purpose: To verify the effect of dog intervention on the regular session of speech therapy for developmental stuttering in adults. Methods: The study involved young adults and adults with developmental stuttering. The study sample was composed of eight participants, six males and two tamales, ranging in age from 16 to 45 years. Participants were divided into two groups: G1 - those who underwent treatment for stuttering with the presence of a dog-therapist in the therapy room and G2 - those who underwent treatment for stuttering without the presence of the dog therapist. We included a control group, G3, composed of fluent participants, matched in age and sex to G1 and G2 to control the natural variability of speech fluency. Results: Comparative results between the groups indicated that the group that performed the treatment without the presence of the clog achieved better performance, evolution and efficacy rates. Conclusion: for the population in this study. the dog intervention on speech therapy did not improve treatment.