Therapy of stuttering in a child at an intermediate level of stuttering

1.

"Therapy of stuttering in a child at an
intermediate level of stuttering"
Completed by: student gr. 192
Tuganova Anna Evgenievna

2.

Let's start by describing what stuttering is. Stuttering includes
interruptions in fluency and is characterized by an abnormally
high frequency or duration of stops in speech flows. Breaks in
fluency can take many forms: repetition of sounds of syllables and
words, lengthening of sounds, and blockage of airflow.
Stuttering people are aware of their stuttering and are often
embarrassed by it. Different approaches in therapy are useful for
different subjects. Three treatment paradigms have been used for
stuttering: direct treatment, indirect treatment, and a combination
of direct and indirect methods. The goal of Fluency Development
Therapy is to systematically improve response fluency until the
client either replaces the moment of stuttering with fluency or
achieves fluency by changing the flow of speech.

3.

Decreasing the tempo often emphasizes the use of
prolonged speech, which increases the duration of
articulatory moments and emphasizes smooth
articulatory transitions between sounds and
syllables. This slowing down and smoothing of
speech contributes to the coordination and
integration of respiratory, phonatory and articulatory
movements.
Stuttering modification therapy and fluency building
therapy are not antagonistic approaches and can be
successfully integrated.

4.

Now I would like to talk about the study, which took
place during the year. The main goal of this study
was to present an integrated approach to stuttering
modification therapy and fluency development
therapy in a stuttering middle school age boy (11
years old) who was classified as a moderate
stutterer. The examination was carried out twice:
initially before the start of speech therapy and one
year after treatment.

5.

To assess the severity of stuttering at the initial and medical
examination, the tool for assessing the severity of stuttering in
children and adults was used. The following characteristics were
measured using this instrument: frequency of stuttering, block
duration, and physical accompaniments. The total score was the sum
of three measured sub-components: stuttering frequency, measured
as the percentage of reading and speaking stuttering, block duration,
and physical comorbidities. The results obtained were converted
into the corresponding Assessment.
And as an additional measurement, an estimate of the speed of
speech was used. Speech speed can reflect the severity of stuttering
and the impact it has on a child's communication. Speech speed was
measured by the number of words read per minute.

6.

Speech therapy consisted of a combination of fluency-forming
therapy and stuttering modification therapy.
Taking into account the age of the subject and the results of the
initial examination, after the treatment, a mild degree of stuttering
was revealed. Several goals have been achieved in the treatment of
interstitial childhood stuttering:
* Explanation of the treatment program and the role of parents and
teachers in it;
* Explanation of possible causes of stuttering;
* Identification and reduction of fluency destroyers;

7.

* Identification and increase in situations that increase fluency;
* Teaching the child how to deal with verbal participation in the
classroom;
* Parents and teachers were instructed how to talk to the child about
his stuttering;
* Parents and teachers are given advice on how to avoid teasing a
child;

8.

On the basis of the results of this study of a child
with intermediate stuttering, we can say that
stuttering modification therapy and fluency
formation therapy for intermediate stuttering can
be successfully integrated. In this study, it is
particularly important that the treatment of male
children with intermediate stuttering combines
different techniques that are also used for advanced
and/or beginner stutterers.

9.

Thank you for
your attention!