FABIOLA JUSTE
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina
LIM/34 - Laboratório de Ciências da Reabilitação, Hospital das Clínicas, Faculdade de Medicina
LIM/34 - Laboratório de Ciências da Reabilitação, Hospital das Clínicas, Faculdade de Medicina
6 resultados
Resultados de Busca
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- 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 deOBJECTIVES: 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.
- 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 deOBJECTIVES: 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).
- 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 dePurpose: 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.
- Speech Disfluency Types of Fluent and Stuttering Individuals: Age Effects(2011) JUSTE, Fabiola Starobole; ANDRADE, Claudia Regina Furquim deObjective: The purpose of the present study was to quantify and compare the typology of speech disruptions presented by stuttering and fluent Brazilian Portuguese-speaking children, adolescents and adults. Subjects and Methods: Participants were 150 individuals, with ages between 4.0 and 49.11 years, who were divided into six groups: children who stutter (n = 25), children who do not stutter (n = 25), adolescents who stutter (n = 25), adolescents who do not stutter (n = 25), adults who stutter (n = 25) and adults who do not stutter (n = 25). For each participant, the frequency of stuttering-like disfluencies (SLD) and other disfluencies was calculated based on the video recordings of spontaneous speech samples. Results: The results obtained for SLD were significant when comparing stuttering and fluent individuals. In children who stutter, adolescents who stutter, and adults who stutter, a higher frequency of SLD was found. Other disfluencies did not differentiate the groups. Conclusion: The age factor did not qualify quantitatively any of the groups, but indicated qualitative differences (in terms of the type of speech disfluencies) between groups. The results revealed similarities when compared with studies carried out in different languages.
- Frequency of speech disruptions in Parkinson's Disease and developmental stuttering: A comparison among speech tasks(2018) JUSTE, Fabiola Starobole; SASSI, Fernanda Chiarion; COSTA, Julia Biancalana; ANDRADE, Claudia Regina Furquim deObjective To analyze the frequency of speech disruptions across different speech tasks, comparing the performance of individuals with Parkinson's Disease (PD) and DS. Method Participants were 20 people with PD, 20 people with DS and 40 fluent individuals. Speech samples were recorded during monologue speech, choral and solo oral reading. Transcriptions of 200 fluent syllables were performed to identify stuttering-like disfluencies (SLDs) and other disfluencies (ODs). Results People with PD presented significantly less speech disruptions when compared to people with DS, but significantly more speech disruptions than the control group. Stuttering-like disfluencies ocurred more frequently during monologue speech and solo oral reading for both PD and DS, whereas the control group did not present difference between these tasks. Conclusion The stuttering pattern presented by people with PD is different from what is usually described as being neurogenic stuttering.
- Randomized clinical trial: the use of SpeechEasy (R) in stuttering treatment(2016) RITTO, Ana Paula; JUSTE, Fabiola Starobole; STUART, Andrew; KALINOWSKI, Joseph; ANDRADE, Claudia Regina Furquim deBackgroundNumerous studies have demonstrated the benefit of devices delivering altered auditory feedback (AAF) as a therapeutic alternative for those who stutter. AimsThe effectiveness of a device delivering AAF (SpeechEasy (R)) was compared with behavioural techniques in the treatment of stuttering in a randomized clinical trial. Methods & ProceduresTwo groups of adults who stutter participated: group 1 consisted of 10 men and one woman aged 21-42 years (mean = 30.0). Group 2 consisted of six men and one woman aged 20-50 years (mean = 35.6). Participants in group 1 were fit with a SpeechEasy (R) device and were not given any additional training (i.e., supplementary fluency enhancing techniques). Participants used the device daily for 6 months. Participants in group 2 received treatment in the form of a 12-week fluency promotion protocol with techniques based on both fluency shaping and stuttering modification. Outcomes & ResultsThere were no statistically significant differences (p > .05) between groups in participants' stuttered syllables following treatment. That is, both therapeutic protocols achieved approximately 40% reduction in number of stuttered syllables from baseline measures, with no significant relapse after 3 or 6 months post-treatment. Conclusions & ImplicationsThe results suggest that the SpeechEasy (R) device can be a viable option for the treatment of stuttering.