Study and respective instrument |
Protocol for Identification of Risk Factors for Language and Speech Disorder |
Lingual Frenulum Assessment Protocol for Babies: relationship between anatomical and functional aspects |
Screening Instrument for Developmental Stuttering (IRGD): Content Preparation and Validation |
Myofunctional Assessment Protocol with Expanded Scores (OMES-E INFANTS) |
MMBGR protocol-infants and preschoolers: Instructional and orofacial myofunctional clinical history |
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(PIFRAL) |
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Design, sample |
Descriptive, prospective N = 170 children and |
Cross-sectional N = 100 babies, evaluated by 2 |
Observational, analytical and transversal. |
Validation study. |
Validation, descriptive and cross-sectional study |
their guardians, who attended a teaching clinic. |
speech therapists specializing in OM. |
Content validation performed. |
Content validation performed. |
N= 10 speech-language pathologists specializing in OM |
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N = 10 fluency specialist speech therapists. |
N = 10 speech therapists specialized in OM and with experience in infants. |
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Study objectives |
Identify the child's risk factors that may be associated with speech-language disorders. |
Check which characteristics of the lingual frenulum |
To develop a screening instrument to identify the risk for developmental stuttering in preschool children. |
Adapt and validate the content and appearance of the Orofacial Myofunctional Assessment Protocol |
Present the “Instructor” and the Orofacial Myofunctional Clinical History Protocol that make up the MMBGR Protocol - infants and preschoolers, highlighting the process of adaptation and content validation |
influence the sucking and swallowing functions in term babies and to propose adjustments in the previous protocol by Martinelli et al. (2012)(2626 Munhoz Gaiva MA, Coutinho Monteschio C, Souza Moreira M, Marques Salge A. Avaliação do crescimento e desenvolvimento infantil na consulta de enfermagem. Av Enferm. 2018 Jan 1;36(1). http://dx.doi.org/10.15446/av.enferm.v36n1.62150. http://dx.doi.org/10.15446/av.enferm.v36...
)
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with Expanded Scores (OMES-E) for infants from 6 months to 24 months of age. |
Content covered in the clinical history |
Sociodemographic and family data; |
Identification data, family history and health problems; Breastfeeding data: time and pattern of breastfeeding. |
Identification data; Development |
Identification and clinical data; history of |
Identification data; Chief Complaint and Other Complaints; Family history; Complications; |
Information on the prenatal, perinatal and postnatal periods; Child's temperament. |
general and communication; linguistic aspects, |
food and parafunctional habits. |
Motor development and difficulties; Health problems; Breathing problems; Sleep; treatments; |
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speech and psychosocial motors. |
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Breast-feeding; |
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Feeding - introduction and current feeding; Chewing; Deglutition; Habits - oral, biting and posture; He speaks; Communication; |
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Hearing; Voice and additional information. |
Study results |
Identifies risk factors for language alteration. |
It defines characteristics indicative of alteration of the lingual frenulum in babies, adapting the previous protocol. |
It proposes risk classification for stuttering based on psychometric measures. |
It defines items that address the structural features that, together with the clinical examination, can better assess the orofacial myofunctional system. |
It gathers data from the previous history, extrinsic aspects inherent to the subject, providing the professional with data that contemplate a clinical reasoning prior to the clinical examination. |
Risk rating |
It considers as risk factors: male gender, only child, family history, complications during pregnancy, |
It assigns scores, considering the scores obtained in the clinical history part. |
The instrument does not replace the speech-language pathology assessment and children identified at risk for developmental stuttering should be referred for evaluation and diagnosis by a speech-language pathologist. |
It has no risk rating. |
Não possui classificação de risco. |
prematurity, |
deleterious oral habits and long postnatal hospitalizations. |
Limitations according to the authors |
They do not cite limitations in the study. |
They do not cite limitations in the study. |
Limitations inherent to validation. |
Limitations inherent to validation. |
Limitations inherent to validation, Studies must be proposed for the other stages of the validation process. |
Future studies should be proposed for the other stages of the validation process. |
Additional studies will be needed for construct and criterion validity, as well as accuracy. |