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.
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Intervenção / Tratamento
Descrição detalhada
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).
Tipo de estudo
Inscrição (Estimado)
Estágio
- Não aplicável
Contactos e Locais
Contato de estudo
- Nome: Gali Dar, PhD
- Número de telefone: +972505662054
- E-mail: gdar@univ.haifa.ac.il
Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Filho
Aceita Voluntários Saudáveis
Descrição
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.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Solteiro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Experimental: excercise
will receive speech therapy treatment and, in addition, exercises for the neck and upper extremities.
|
speech therapy treatment and strengthening exercise
|
|
Comparador Ativo: Control
will receive regular speech therapy treatment according to their disorder
|
regular treatment to enhance good pronunciation
|
|
Sem intervenção: healthy control
healthy control for baseline comparison, no treatment
|
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Treatment success
Prazo: at completion of intervention - up to 10 weeks
|
number of treatments until good pronunciation is achieved
|
at completion of intervention - up to 10 weeks
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
neck muscle strength
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
|
Colaboradores e Investigadores
Patrocinador
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Estimado)
Conclusão Primária (Estimado)
Conclusão do estudo (Estimado)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- 237/26
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