Posture, Tongue Position and Pronunciation
The Relationship Between Posture, Tongue Position and Hebrew Sibilant Consonants Pronunciation, and the Effect of Muscle Strengthening Program in Children and Teenagers
Background: The main speech organ that affects the pronunciation of the various vowels is the tongue. The relationships between posture and voice, and between the position of the tongue at rest and posture, have been proven, but the relationship between pronunciation and posture has not yet been proven. The rationale for examining this relationship is that the imbalance and differing loads in poor neck and head posture cause different muscular arrangements of the muscles that support the jaw, tongue, and neck, which will thus affect pronunciation.
Objectives: To examine the relationship between posture, tongue position, and the correct pronunciation in subjects with and without pronunciation disorders. In addition, to examine the effect of a muscle strengthening program on these characteristics.
Methods: The study will include two parts. The first part will be a cross-sectional study using a questionnaire to examine speech therapists' perceptions of the relationship and importance of posture and pronunciation. The second part will include a prospective interventional clinical study to examine the relationship between tongue position at rest and pronunciation, posture, and muscle strength. In addition, the effect of adding muscle-strengthening training to conventional pronunciation therapy on the process of acquiring correct pronunciation will be examined.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
This study will examine the relationship between posture, tongue position, and correct pronunciation in subjects with and without pronunciation disorders. In addition, we will examine the effect of a muscle-strengthening program on these characteristics.
The first part will include an online questionnaire to examine speech therapists' perceptions of the relationship and importance of posture in speech therapy treatment.
The second part will include a prospective interventional clinical study with participants with and without pronunciation disorders. The evaluation measures will include: assessment of the pronunciation by a speech therapist, assessment of posture (mobile app), assessment of tongue position at rest and during pronunciation (observation and ultrasound), measurement of neck and upper limb muscle strength (manual dynamometer), tongue strength (digital measuring spoon), jaw closing muscle strength (Byte), breathing, and swallowing (observation).
The study group with pronunciation disorder will be divided into 2 groups: the intervention group will receive an exercise program to strengthen the neck and upper-limb muscles in addition to regular speech therapy treatments. The control group will receive the regular speech therapy treatments. The evaluation measures will be reviewed again at the end of the treatment series (up to 10 treatments).
Type d'étude
Inscription (Estimé)
Phase
- N'est pas applicable
Contacts et emplacements
Coordonnées de l'étude
- Nom: Gali Dar, PhD
- Numéro de téléphone: +972505662054
- E-mail: gdar@univ.haifa.ac.il
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Enfant
Accepte les volontaires sains
La description
Inclusion Criteria:
- People with normal hearing
- with and without pronunciation disorders
Exclusion Criteria:
- Children and teenagers who study in special education settings,
- children and teenagers with phonological disorders at the prosodic or segmental level,
- children and teenagers whose parents are under the impression that they do not hear well.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: excercise
will receive speech therapy treatment and, in addition, exercises for the neck and upper extremities.
|
speech therapy treatment and strengthening exercise
|
|
Comparateur actif: Control
will receive regular speech therapy treatment according to their disorder
|
regular treatment to enhance good pronunciation
|
|
Aucune intervention: healthy control
healthy control for baseline comparison, no treatment
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Treatment success
Délai: at completion of intervention - up to 10 weeks
|
number of treatments until good pronunciation is achieved
|
at completion of intervention - up to 10 weeks
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
neck muscle strength
Délai: baseline, at completion of intervention - - up to 10 weeks
|
flexion and side flexion neck muscle strength via hand held dynamometer.
Recorded in kilograms of force (kgf)
|
baseline, at completion of intervention - - up to 10 weeks
|
|
Tongue strength
Délai: base line, at completion of intervention - - up to 10 weeks
|
Tongue strength will be assessed using a digital measuring spoon.
Measurements will be recorded in g/cm2
|
base line, at completion of intervention - - up to 10 weeks
|
|
Jaw closing strength
Délai: base line, at completion of intervention- - up to 10 weeks
|
jaw closing strength via Byte device
|
base line, at completion of intervention- - up to 10 weeks
|
|
Tongue thickness
Délai: base line, at completion of intervention- - up to 10 weeks
|
Tongue thickness will be measured using ultrasonography.
Measurements will be recorded in millimeters (cm).
|
base line, at completion of intervention- - up to 10 weeks
|
Collaborateurs et enquêteurs
Parrainer
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 237/26
Plan pour les données individuelles des participants (IPD)
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Informations sur les médicaments et les dispositifs, documents d'étude
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