Filatova Y.O., Aksenova A.O. Study of Speech Fluency and Fluency Disorders in Preschool Children: Domestic and Foreign Approaches
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Abstract
The relevance of the topic of the article. An analysis of the indicators of irregularity in a child’s speech, speech disorders, and the existing methods of their measurement shows that disturbances in the fluency of speech in preschool children are mainly associated with evolutionary stuttering. There are no methods of objective assessment of fluency of speech and its disorders in stuttering in the Russian literature and speech therapy practice, while abroad there are different models of categorization of indicators of speech irregularity and various objective methods of measuring fluency of speech in children with normal conditions and with stuttering are used.
The aim of the research. The study of physiological and pathological indicators of speech irregularity of preschool children with stuttering and without speech disorders for the differential diagnosis of normal and deviating speech development is the aim of the study.
Description of the research progress. The study involved 35 children aged 4,5–6,5 years: 16 children without speech disorders and 19 children with stuttering of varying severity. The fluency / irregularity of speech was assessed using technology for assessing the indicators of speech irregularity (Vanderbilt technology) based on the analysis of two representative speech samples of 100 words each (a conversation and a story based on a series of plot pictures): the total percentage of speech irregularity, the percentage of physiological and pathological indicators of speech irregularity were calculated, the dominant types of speech irregularity in both groups were identified.
The results of the study. A significant difference was revealed in physiological and pathological indicators of speech irregularity in preschoolers with normal conditions and with stuttering. The article provides evidence of the connection of mainly pathological indicators of speech irregularity with stuttering, and physiological indicators - with normal speech development. In preschoolers with stuttering, a direct relationship was found between the overall percentage of speech irregularity and the severity of stuttering. In the group of children without speech disorders, preschoolers with a risk factor for stuttering were identified, for whose parent’s recommendations on a protective general and speech regime were developed.
Conclusion. The results of the experimental study demonstrate the advisability of including Vanderbilt’s technology in a comprehensive examination of the speech of a preschool child. The specific nature and frequency of manifestation of indicators of speech irregularity in preschool children make important diagnostic information about the typical / atypical development of speech irregularity.
References
1. Bakker K. (2009). Computerized Scoring of Stuttering Severity (CSSS-2.0) [computer software]. Austin, TX: Pro-Ed.
2. Beljakova L.I. (2012). Sistemnyj podhod k analizu patogeneticheskih mehanizmov zaikanija [The System Approach to the Analysis of the Pathogenetic Mechanisms of Stuttering]. In Yu.O. Filatova (Ed.), Teoreticheskie problemy narushenij plavnosti rechi: kollektivnaja monografija [Theoretical Issues of Fluency Disorders]. M.: Nacional’nyj knizhnyj centr, 15–33.
3. Beljakova L.I., Aslanova S.R. (2003). Harakteristika pokazatelej neplavnosti rechi u doshkol’nikov [Characteristic of speech disfluencies in preschool children]. In Yu. O. Garkusha (Ed.), Rebenok. Rannee vyjavlenie otklonenij v razvitii rechi i ih preodolenie [Child. Determination of Early Speech and Language Disorders and Their Treatment]. (2-e izd., ispr). Moscow: MPSI; Voronezh: MODJeK, 69–75.
4. Beljakova L.I., D`yakova E.A. (2019). Logopedija: Zaikanie [Stuttering]. 2-e izd. Moscow: Izdatel’skij centr «Akademija».
5. Beljakova L.I., Filatova, Y.O. (2008). Mexanizm rechedvigatel`nogo akta v svete logopedicheskogo analiza [Mechanism of Speech-Motor Act from the Logopaedics Analysis View]. In T. N. Ushakova (Ed.), Rech` rebenka: Problemy` i resheniya [Child Speech: Problems and Solutions]. Moscow: Institut Psihologii RAN, 40–54.
6. Campbell J., Hill D. (1987). Systematic disfluency analysis: Accountability for differential evaluation and treatment. Mini-seminar presented to the Annual Convention of the American Speech-Language– Hearing Association, New Orleans, LA.
7. Conture E.G. (2001). Stuttering: Its Nature, Diagnosis and Treatment. Needham Heights, MA: Allyn and Bacon.
8. Curlee R.F. (2007). Identification and case selection guidelines foe early childhood stuttering. In E. Conture & R. Curlee (Eds.), Stuttering and related disorders of fluency (3rd ed.). New York/Stuttgart: Thieme.
9. Filatova Yu.O. (2009). Formirovanie ritmicheskoj organizacii rechejazykovoj funkcii v ontogeneze [Formation of Rhythmic Organization of Speech-Language Function in Ontogenesis]. Prepodavatel’ XXI vek. 2–1, 187–192.
10. Filatova Yu.O. (2012). Ritm rechi i dvizhenij u detej: teoreticheskie i prikladny`e problemy` logopedii: Monografiya [Speech and Motor Rhythm at Children: Theoretical and Applied Problems of Logopaedics: Monograph]. Moscow: MPGU.
11. Filatova Yu.O. (2018). Ontogenez i dizontogenez plavnosti rechi u detej [Ontogenesis and Dysontogenesis of Speech Fluency in Children]. Defektologiya, 5, 33–42.
12. Gillam, R.B., Logan, K.J., Pearson, N.A. (2009). Test of Childhood Stuttering (TOCS). PRO-Ed.
13. Gregory H.H. (1986). Stuttering: Differential Evaluation and Therapy // Pro-Ed Studies in Communicative Disorders. Pro Ed.
14. Johnson W. (1955). A study of the onset and development of stuttering. In W. Johnson & R.R. Leutenegger (Eds.), Stuttering in children and adults (pp. 37 – 73). Minneapolis, MN: University of Minnesota.
15. Ntorou K., DeFranco E.O., Conture E., & Walden T. (2020). A parent-report scale of behavioral inhibition: Validation and application to preschool-age children who do and do not stutter // Journal of Fluency Disorders. DOI: 10.1016/j.jfludis.2020.105748
16. Riley G.D. (1994). Stuttering severity instrument for children and adults (SSI-3) (3rd edition). Austin, TX: Pro-Ed.
17. Riley G.D. (2009). Stuttering severity instrument for children and adults (SSI-4) (4th edition). Austin, TX: Pro-Ed.
18. Rustin L., Botterill W., Kelman E. (1997). Assessment and therapy for young dysfluent children: Family interaction (pp. 30 – 36). London: Whurr.
19. Starkweather C.W. (2002). The development of fluency in normal children. In: Stuttering therapy: Prevention and intervention with children. Memphis, TN: Stuttering Foundation of America.
20. Tumanova V., Conture Ed.G., Warren L.E., Walden T.A. (2014). Speech disfluencies of preschool children who do and do not stutter. Journal of Communication Disorders. 49, 25–41.
21. Vash rebenok zaikaetsja? Rukovodstvo dlja raboty s roditeljami [If Your Child Stutters: A Cuide for Parents] (2018). L.A. Nabokova, Ju.A. Robinova, Yu.O. Filatova (Translation) / Nauch. red. Yu.O. Filatova. Mjscow: MPGU.
22. Yaruss J.S., Newman R.M., Flora T. (1999). Language and disfluency in nonstuttering children’s conversational speech. Journal of Fluency Disorders, 24, 185–209.
23. Zackheim C.T., Conture E.G. (2003). Childhood stuttering and speech disfluencies in relation to children’s mean length of utterance: a preliminary study // Journal of Fluency Disorders. 28, 115–142.