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A speech and language therapist’s work with a patient with damaged right hemisphere
EN
This article is about the mechanisms of learning and using a suprasegmental structure of language in social interactions, in order to provide information about emotions. The issue is discussed in the context of the biological and social standards. It is also related to the possibility of using emotional prosody by persons with different speech disorders: caused by perceptual efficiency deficits (for example in hearing loss) and executive efficiency deficits (in dysarthria in cerebral palsy).
EN
The paper presents a description of speech disorders, in particular those concerning phoneme realization. The author provides a review of different methods in describing speech defects with regard to phoneme realization and she points out to pros and cons of these methods. She also formulates her own proposal for the description of speech impediments taking into account all phonetic categories.
EN
The article highlights the theoretical analysis of the issue of usage of passive phonation theory in correctional and speech therapy work with children at the present stage of development of integration processes in education. It is stated in the article that the possession of speech in the preschool age children in the conditions of the dysontogenesis is slow and peculiar. At each step of development they have difficulties in the assimilation of those or other units of speech. During the presentation of material, article describes the relationship of hearing and speech, covers the active nature of hearing. The author also highlights the information of the close relationship between logopedics and other sciences. The connection with musical art in general and phonopedia in particular gains special importance. In the course of presentation the article, author explains the expediency of phonopedia in working with children with speech disorders. The article highlights the role of passive phonation in the organization and development of speech. It discloses a problem of speech activity formation among children and the most important stages of logopedic work in this direction. In the correction and speech therapy work with children important steps are stimulation of speech activity, voice training, automation and differentiation of sounds. Hearing, perception and speech playback get huge importance here. In work with children with speech disorders it is necessary to pay great attention to what kids listen to on the radio, the television, from the mouths of teachers and parents. Scientists have proved that it is active listening and understanding of reverse speech that help the child to master the correct pronunciation of speech sounds and lexical and grammatical speech systems completely. The education of the muscular sense and passive phonation is very important in the formation of speech activity of children. Passive phonation is a motor reactions of the articulation apparatus organs in response to auditory stimuli that replicate the identical pronunciation of the sound articulation structure, but have a lower intensity. We believe that in working with children with lalopathy it is advisable to use techniques of active listening and passive phonation in forms of listening, singing and pronouncing (or reading in working with school students) to themselves on the stages of stimulation of speech activity, voice training, automation and differentiation of sounds.
EN
A Specific Language Impairment (SLI) is a difficulty in expressing and understanding speech. It is a disorder characterized by a slow language development that differs from the normal pattern. The causes and pathologies of SLI are not completely known. The genetic, neurostructural and neurofunctional background is considered. This article presents the most important diagnostic problems in the recognition of SLI. Due to the fact that it concerns an increasing number of pre-school and school- -age patients, it is important to broaden the knowledge on the diagnosis of SLI among Polish speech therapists and psychologists. The clinical picture of this disorder is not clear. It is characterized by several different profiles of language development. Diagnosis of a specific language disorder requires the cooperation of many specialists. Unfortunately, only one standardized test used in SLI – TRJ diagnosis (Language Development Test) is available in Poland. The clinical picture of the disorder changes with age - mainly in school and older children. Current research shows that the language problem of patients with SLI is chronic. There is no single therapeutic approach to SLI therapy. Despite numerous research studies, there is a lack of diagnostic standards in the diagnosis of SLI.
PL
Specyficzne zaburzenie językowe (ang. Specific Language Impairmetnt – SLI) polega na trudnościach w wypowiadaniu się oraz rozumieniu mowy. Jest to zaburzenie charakteryzujące się powolnym, odbiegającym od normalnego wzorca rozwojem językowym. Przyczyny i patomechanizmy powodujące SLI nie są do końca znane. Rozważa się tło genetyczne, neurostrukturalne i neurofunkcjonalne. W niniejszej pracy przedstawiono najważniejsze problemy diagnostyczne w rozpoznaniu SLI. Ze względu na to, że problem dotyczy coraz większej liczby pacjentów w wieku przedszkolnym i szkolnym wydaje się to mieć istotne znaczenie w pogłębianiu wiedzy na temat rozpoznania SLI przez polskich logopedów, neurologopedów, a także neurologów. Obraz kliniczny tego zaburzenia nie jest jasny. Cechuje go kilka zróżnicowanych profili rozwoju językowego. Diagnoza specyficznego zaburzenia językowego wymaga współpracy wielu specjalistów, ma charakter zespołowy. Najważniejsze zadanie przypada psychologom i logopedom ze względu na dwa kluczowe kryteria diagnostyczne odnoszące się do poziomu sprawności językowych oraz funkcji poznawczych. W Polsce dostępny jest jeden wystandaryzowany test do diagnozy SLI –Test Rozwoju Językowego. Obraz kliniczny zaburzenia zmienia się wraz z wiekiem – głównie u dzieci w wieku szkolnym i starszym. Współczesne badania wykazują, że problem językowe pacjentów z SLI mają charakter przewlekły. Dotychczas nie opisano pojedynczego podejścia terapeutycznego co do którego udowodniono, że jest uniwersalne i skuteczne w usuwaniu zaburzeń językowych. Pomimo licznych badań wciąż brakuje standardów diagnostycznych w rozpoznaniu SLI.
EN
The article deals with the modern approaches to the problem of mental retardation determination in medical, psychological and pedagogical aspects as well as study of psychological and clinical characteristics of mentally retarded children. Speech disorders in mentally retarded children are very different and have stable character. These speech disorders negatively affect the mental development of mentally retarded child and the effectiveness of his teaching. The purpose of the article is data generalization regarding the definition of mental retardation in medical, educational and psychological aspects; the reasonableness and determination of relationships and interdependencies of mental retardation levels and speech development disorders. While studying the problems of medical, psychological and pedagogical definition of mental retardation were used theoretical research methods: analysis, classification, comparison and generalization of scientific data in the field of medicine, speech therapy, correctional psycho-pedagogy, general and special psychology and neuro-psychology on the topic studied for the purpose of determining the state of investigation of the problem and promising directions of its solution. The modern stage of development of defectological science requires efforts which are aimed at deepening of scientific-theoretical and scientific-methodological views about integrity, systematic approach and integration, individual and personal focus of correctional-psycho-pedagogical influence on cognitive, general mental as well as speech development of a mentally retarded child. Probably, the expectation of a correctional effect in the development of speech activity of mentally retarded children can be achieved under certain specially created conditions: a science-based system analysis of demonstration both verbal and psychological dysontogenesis; development of principles, methods and content of the early differential diagnosis of speech development considering the psychological mechanisms and patterns of speech activity formation during ontogenesis; development of varied classification (typology) of different demonstrations of speech development disorders in the middle of children nosology considering the structure and complexity of both intellectual and speech disorders; development of a special system of correctional logopedic effect with support on the determination of the causes and individual characteristics of speech development disorders in mentally retarded children.
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Content available remote Metody akustyczne w diagnozowaniu i terapii zaburzeń mowy
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PL
W artykule przedstawiono przegląd badań nad wykorzystaniem metod akustycznych w diagnozowaniu i terapii zaburzeń mowy. Wykazano, na przykładzie jąkania, przydatność analiz sygnału w dziedzinie czasu i częstotliwości w praktyce logopedycznej. Z porównania przebiegów spektralnych i wyznaczonych częstotliwości i poziomów formantów w wypowiedziach płynnych i niepłynnych można wnioskować o zaburzeniach w ustawieniu artykulatorów. Scharakteryzowano parametry struktury czasowej istotne w ocenie zaburzenia płynności mowy oraz rolę amplitudowej obwiedni w terapii przy wykorzystaniu słuchowego i pozasłuchowych kanałów kontroli. Omówiono postępy prac nad wizualizacją opóźnionych sygnałów mowy do celów terapii jąkania.
EN
In the article a review of research on the employment of acoustic methods in the diagnosis and therapy of speech disorders is presented. On the example of stuttering, it has been shown that signal analysis concerning time and frequency are useful in logopaedic practice. From the comparison of spectral courses as well as frequencies and formant levels, articulator position disorders may be inferred. Time structure parameters have been characterised, which are significant in fluency assessment, as well as the role of amplitude envelope in therapy with the use of auditory and extra auditory control channels. Progress in works on visualisation of delayed speech signals for stuttering therapy has also been described.
EN
This report presents the results of a facial nerve rehabilitation using Mini Vibrator (Rehaforum Medical). The application of this device involved massaging neuromotor points on the patient’s face following the procedure described by C. Morales (Morales 2009). As we have demonstrated in our case study, the use of the Mini Vibrator (Rehaforum Medical) in the rehabilitation of the peripheral damage of the facial nerve is a good supportive therapy. The results reported here should, however, be further verified in a larger study including similar cases.
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