There is a scarcity of research exploring the field of Speech and Language Disorders (SLD) in the Greek mainstream primary education context. Accordingly, the aim of this study was twofold: (i) to identify the nature and extent of speech, language and communication skills of Greek pupils with noticeably slow progress, and (ii) to examine the provision made for these pupils in Greek mainstream and inclusion classes. The study was in two phases. For the first phase, pupils whose speech and language development was below expectations were assessed using a battery of tests. Data analysis indicated no significant differences in the language profile and non-verbal reasoning ability of the pupils with SLD, General Learning Difficulties (GLD) and other Special Educational Needs (SEN). The data also gave an indication of SLD incidence in Greek mainstream primary classrooms. Phase two involved seven case studies. Together, these provided a rich profile of the speech/language and literacy functioning of the pupils identified with SLD, GLD and Specific Writing difficulties (SpWd) and the provision offered to them in Greek primary mainstream settings. The findings revealed that these pupils shared difficulties in the domains of speech/language and literacy, which impacted on their access to the curriculum and academic attainments. However, teaching practices were not differentiated according to the pupils’ specific needs or year group. Additionally, pupils’ difficulties in the above areas had a negative impact on their social participation and acceptance by peers. Overall, the study highlights the complex nature of SLD, and the similarities in the language profile and the non-verbal reasoning skills of the SLD and other SEN subgroups. This raised questions about whether SLD, as used in these schools, is a distinct area of difficulty or on a continuum with other areas of difficulties. In addition, the study raised questions regarding the assessment and identification of SLD in the Greek context, as well as the practical teaching of pupils who experience such difficulties.

Tyrimo objektas – tėvų ir logopedų nuomonė apie logopedinės pagalbos teikimą vaikams, turintiems kalbėjimo ir kalbos sutrikimų. Tyrimo tikslas – išsiaiškinti, tėvų ir logopedų nuomonę apie logopedinės pagalbos teikimą vaikams, turintiems kalbėjimo ir kalbos sutrikimų. Uždaviniai: 1. Atlikti mokslinė literatūros analizę apie logopedo teikiamos pagalbos būdų įvairovę. 2. Empirinio tyrimo metu išsiaiškinti kokius metodus taiko logopedai, įveikdami vaikų kalbėjimo ir kalbos sutrikimus. 3. Atskleisti su kokiais sunkumais susiduria logopedai tiesioginiame darbe. 4. Išsiaiškinti tėvų nuomonę apie teikiamą logopedinę pagalbą. 5. Palyginti tėvų ir logopedų nuomonę apie teikiamą logopedinę pagalbą. Pagrindinės empirinio tyrimo išvados: 1. Empirinis tyrimas rodo, kad logopedai vaikų kalbėjimo ir kalbos sutrikimams įveikti taiko tokius metodus: • Tradicinius mokymo metodus - skaitymą, rašymą, pasakojimą, atpasakojimą ir pratybų sąsiuvinį; • Aktyvius mokymo(si) metodus– darbą grupėmis ir vaikų pašnekesiai, dėlionės pagal seką, bendraamžių paramą; • Siekiant pakeisti situaciją dirbant su vaikais taiko – bendrosios ir smulkiosios motorikos lavinimą, vizualizavimą, vaizdingą kalbą, vaikų patirties įtraukimą, vaizduotės skatinimą, pojūčių naudojimą, piešimą, muziką ir konstravimą. 2. Paaiškėjo, kad logopedai dažniausiai susiduria su tokiais sunkumais darbe: maži kabinetai, darbo priemonių trūkumas, taip pat bendradarbiavimo su kolegomis ir patirties pasidalijimo. 3. Tėvų nuomone, jų vaikas... [toliau žr. visą tekstą] / The work carried out an analysis of documentsgoverningtheoretical special education and speech therapists’ work, speech therapy assistance methods and techniques, cooperation of speech therapists and parents. The main conclusions of the empiric research: 1. Empiric research shows, that in order to overcome children‘s speech and language disorders speech therapists use the following methods: • Traditional teaching methods–reading, writing, narration, a recital and exercise books; • Active teaching (learning) methods – work groups and children‘s conversations, doing puzzles in the order, peer support; • In order to change a situation use – general and fine motor training, visualization, evocative language, inclusion of children's experience, imaginative promotion, use of the senses, drawing, music and construction. 2. It appeared that speech therapists are most often faced with the difficulties at work like: small rooms, lack of working tools and also cooperation with colleagues and sharing experience. 3. Parents think, their child receives all the necessary assistance, basically, all the parents are satisfied with the quality of speech therapy classes, but they would prefer to have more classes. 4. Comparing parents’ and speech therapists approach, who else except speech therapists assist the children with speech and language disorders, a pattern was revealed that both, parents and speech therapists, usually take a passive means of communication, i.e. during meetings... [to full text]

A narrativa oral de história trata-se de uma habilidade de grande complexidade uma vez que requer preservação de capacidades linguísticas e cognitivas. O desempenho em tarefa de narração tem contribuído para a identificação de diferentes subgrupos clínicos com alterações de linguagem, como o quadro de atraso no desenvolvimento da linguagem (ADL). Essa população caracteriza-se ao longo do desenvolvimento da linguagem por um ritmo lento para novas aquisições. A habilidade narrativa é descrita em crianças com ADL por produções de histórias mais curtas e com menor complexidade. Contudo, poucas pesquisas abordam a narrativa oral desta população específica, e sobre à influência de programas de intervenção. Desta forma, o presente estudo teve como objetivo comparar o desempenho em tarefa de narrativa oral de histórias de crianças com histórico de ADL antes e após serem submetidas a um programa de intervenção fonoaudiológica. Participaram deste estudo 10 crianças com ADL e 10 crianças com desenvolvimento típico de linguagem, pareadas quanto ao sexo e idade cronológica. Cada grupo foi composto por indivíduos de ambos os sexos, com idade cronológica entre cinco e seis anos. Os participantes de ambos os grupos foram avaliados antes e após a intervenção, nos níveis macro e microestruturais da narrativa oral, utilizando como instrumento de análise: (a) índice de complexidade da narrativa (b) nível de coerência global da narrativa; (c) análise de construção dos episódios que compõem a narrativa. Além da (d) produtividade e (e) complexidade linguística da narrativa. Após a avaliação, as crianças com ADL foram submetidas ao programa de intervenção fonoaudiológica da narrativa. O referido programa foi composto por três fases com objetivos distintos: (a) elementos estruturais da narrativa-apresentar a criança; (b) elaboração da narrativa; (c) contagem de histórias de forma independente. O programa foi organizado em dez sessões de intervenção. Os resultados permitiram concluir que os indivíduos com ADL apresentaram melhora em seu desempenho após intervenção na narrativa oral em relação aqueles com desenvolvimento típico. Foi constatada diferença significativa entre os desempenhos pré e pós intervenção para o grupo com ADL em todos os aspectos macro e microestruturais (exceto total de C-Units). O desempenho do grupo com desenvolvimento típico de linguagem foi mais discreto, não foram observadas diferenças significantes para desafios, resolução e coerência da narrativa e total de palavras, total de C-Units, extensão média dos enunciados e C-Units complexos. / Oral storytelling is a skill of great complexity as it requires preservation of linguistic and cognitive abilities. The performance in narrative task has been contributing to the identification of different clinical subgroups with language alterations, such as late talking condition. This population is characterized throughout language development by late onset or at a slow pace for new acquisitions. Narrative ability is described on children in late talking condition for shorter and less complex storytelling. However, few studies address the oral narrative of this specific population, and the influence of interventional programs. Thus, this study had the aim to compare the performance in task of oral narrative of children in late talking condition before and after being submitted to a speech-language intervention program. The participants were 10 children late talkers and 10 children with typical language development, matched for sex and chronological age. Each group consisted individuals of both sexes, with a chronological age between five and six years. Participants of both groups were evaluated before and after intervention at the macro and microstructural levels of the oral narrative using as an analytical tool: (a) narrative complexity index; (b) level of global narrative coherence; (c) construction analysis of the episodes; (d) productivity and (e) linguistic complexity of the narrative. After the evaluation, the late talkers were submitted to the speech-language intervention program of the narrative. The program was composed by three phases with distinct objectives: (a) structural elements of the narrative; (b) elaboration of the narrative; (c) storytelling independently. The program was organized in ten interventional sessions. The results allowed to conclude that late talkers showed improvement in their performance after intervention in the oral narrative in relation to those with typical development. It was observed a significant difference between the pre and post intervention performances for late talkers group in all macro and microstructural aspects (except total of C-Units). The performance of the group with typical language development was more discreet, no significant differences were found in challenges, resolution and coherence of the narrative and total words, total C-Units, mean length of utterances and complex C-Units.

The topic of this diploma thesis is speech therapy and intervention of people after stroke with a diagnosis of aphasia. The thesis consists of four chapters. The theoretical framework is presented in three chapters, the fourth one is an empirical part of thesis. The first theoretical chapter deals with the concept of communication and defines the basic terminology, it also describes the area of the central and peripheral nervous system and its influence on the human's communication ability. The second chapter approaches the issue of ictus focusing especially on etiology and symptomatology of the disease, diagnostics, therapy and prevention. The third theoretical chapter describes aphasia - a kind of communication disorder arising from a stroke. It focuses on the definition, etiology and symptomatology of aphasia, the process of diagnosis and therapy. In conclusion, this chapter also describes the possibilities of providing speech therapy and intervention in the Czech Republic. The fourth chapter of diploma thesis describes a qualitative research that was conducted within two-weeks complex rehabilitation stays for people after stroke. The main objective of the research was to analyze speech therapy and intervention in adult clients after stroke with a diagnosis of aphasia in the chronic phase. Then...

The theme of this work is the application of myofunctional therapy in cases of phonetic, phonological and phonetic-phonological disorders. The central hypothesis of this study is that the adequacy of the stomatognathic system structures involved in the articulation of linguistic segments favor the adequacy of speech in cases of phonological, phonetic and phonetic-phonological disorders. Thus, this research aimed to determine the effects of the myofunctional therapy in cases of phonological, phonetic and phonetic-phonological, disorders. For this research, we selected subjects who were waiting in the queue service, of Service Speech Pathology, Federal University of Santa Maria, to provide speech and Orofacial the period March 2010 to August 2010. Inclusion criteria of this study were the presence of phonological, phonetic and phonetic-phonological, and sthomatognatic system disorders. It was considered as exclusion criteria the presence of malformations, genetic syndromes, suspected neurological disorders, cognitive or psychological disorders, hearing difficulties, diagnosis of language delay, speech therapy before, and malocclusion. To select the sample were performed the following procedures: medical history, assessment of the stomatognathic system, articulatory examination, otorrinological examination and hearing screening. Of 22 patients evaluated, six were in accordance with the selection criteria, two with phonological disorder, two with phonetic disorder, and two with phonetic-phonological disorder. With age between 6 and 13 years old. After the evaluations were carried out two therapys weekly, the exercises were for myofunctional adequacy of stomatognathic sistem alterations. Surveys every eight sessions of evaluating the evolution of the subjects on the stomatognathic system and speech. Based on the results of descriptive analysis was performed. After the myofunctional therapy, subjects who had phonological disorder and phonetic disorder had proper speech. One of the subjects who had phonetic-phonological disorder was not entirely proper speech. Regarding sound classes benefited, myofunctional after therapy, the appropriateness of the stomatognathic system, the liquid sounds were acquired, and fricative sounds were partially stabilized. It was concluded that the myofunctional therapy was efficient in cases of phonological, phonetic and phonetic-phonological disorders in the presence of sthomatic system disorders. / O tema do presente trabalho é a aplicação da terapia miofuncional em casos de desvios de fala com alteração do sistema estomatognático. A hipótese norteadora deste estudo é a de que a adequação das estruturas do sistema estomatognático envolvidos na articulação dos segmentos linguísticos favorecem a adequação da fala em todos os seus aspectos. Assim, a presente pesquisa teve como objetivo verificar os efeitos da abordagem terapêutica miofuncional em casos de desvios fonológicos, fonéticos e fonético-fonológicos. Para tal investigação, foram selecionados sujeitos que aguardavam atendimento na fila de espera do Serviço de Atendimento Fonoaudiológico da Universidade Federal de Santa Maria, que apresentassem alterações de fala e motricidade orofacial no período de Março de 2010 a Agosto de 2010. Como critérios de inclusão, fizeram parte deste estudo crianças com desvio fonológico, fonético e fonético-fonológico, e alterações do sistema estomatognático. Considerou-se como critério de exclusão a presença de malformações, síndromes genéticas, suspeita de alterações neurológicas, déficit cognitivo ou psicológico, presença de perda auditiva, diagnóstico fonoaudiológico de atraso de linguagem, terapia fonoaudiológica anterior, e alterações oclusais. Para seleção da amostra foram realizados os seguintes procedimentos: anamnese, avaliação do sistema estomatognático, exame articulatório, avaliação otorrinolaringológica e triagem auditiva. De 22 pacientes avaliados, seis sujeitos estavam de acordo com os critérios de seleção, sendo dois com desvio fonológico, dois com desvio fonético e dois com desvio fonético-fonológico. Estes sujeitos que compuserem a amostra eram de ambos os sexos, com idades entre seis e 13 anos. Após as avaliações foram realizados dois atendimentos fonoaudiológicos semanais, onde eram realizados exercícios miofuncionais para adequação das estruturas estomatognáticas alteradas. Foram realizadas sondagens a cada oito sessões de atendimento avaliando a evolução dos sujeitos quanto ao sistema estomatognático e fala. Com base nos resultados foi realizada análise descritiva. Após a terapia miofuncional, os sujeitos que apresentavam desvio fonológico e desvio fonético tiveram a fala adequada. Um dos sujeitos que apresentava desvio fonético-fonológico não teve a fala adequada totalmente. Em relação às classes de sons beneficiadas, após a terapia miofuncional, com a adequação do sistema estomatognático, os sons líquidos foram adquiridos, e os fricativos foram estabilizados parcialmente. Concluiu-se que a terapia miofuncional demonstrou-se eficiente em casos de desvio fonológico, fonético e fonético-fonológico na presença de alterações do sistema estomatognático.

The submitted diploma thesis deals with the topic of diagnostic and therapeutic procedures in speech therapy intervention for people with aphasia. The work is divided into four chapters, while the first three chapters are theoretically oriented the fourth chapter represents the empirical part of the work. In the first chapters, the diploma thesis deals with the theoretical definition of individual areas which are needed to understand the researched issues, specifically focuses on the concept of communication, explains the connection between brain and speech and, last but not least, defines the period of adulthood and old age. Concurrently this chapter presents the principles of speech therapy intervention with a focus on providing speech therapy intervention in the Czech Republic. The focus of the theoretical part of the thesis is the second chapter, which provides a direct (detailed) insight into the issue of aphasia as a neurogenic disorder of speech communication. The chapter deals with aphasia in terms of definition, etiology, symptomatology and classification approaches. Withal it represents a speech therapy intervention for people with a neurogenic speech disorder, aimed at diagnosis, therapy and prevention. The third theoretical chapter introduces the psychological and social aspects related...

The topic of this diploma thesis is speech therapy provision for seniors at residential care. The thesis consists of four chapters, three of which are theoretical, the fourth chapter is practical. The first chapter describes the old age, it presents basic terminology and it characterises the old age from the point of view of physical, mental and social development. The second chapter is concentrated on the issue of neurological speech and language disorders, their etiology, symptomatology, diagnostics and therapy. The third theoretical chapter describes the system of health and social care of seniors in the Czech Republic with an accent on the system of speech therapy intervention within the resorts of health care and social care. The fourth chapter is the research one. It is developed as a quantitative descriptive research, using the technique of a questionnaire sent to nursing homes for seniors in the Czech Republic. The research is completed by qualitative analysis of dialogues with speech therapists that provide speech therapy at nursing homes for seniors. The main objective of the research was to find out, whether and how the speech therapy is provided to seniors at nursing homes in the Czech Republic. The subchapters of the practical part present the research goals, set hypotheses and the...

Made available in DSpace on 2016-04-27T18:12:09Z (GMT). No. of bitstreams: 1 Gisele Gouvea da Silva.pdf: 2202457 bytes, checksum: 6cbda52fa0cea126ca9c3ef9fe33e56a (MD5) Previous issue date: 2015-04-30 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This thesis was formulated around oodles of issues that have been the subject of research in speech therapy clinic structure which were gathered in a challenge to unravel: what are the epistemological and praxis conditions to empower the symptomatology and the speech diagnostic and thus reinvent its method of treatment? To care about these questions, it was decided to return to Demosthenes and establish the formalization of different logical, ethical and rhetorical functions that were assumed in overcoming its history of his stuttering, the invention of his healing and discursive strategies applied on public speaking. Define the specific characteristics of the position occupied by Demosthenes as stuttering, as a clinician and after as a speaker, represents a strategy for research on the place of capture of the speech therapist, the subject and the social in the field of speech and language. The construction of the clinical case had as support the version told by Plutarch and the speech by Demosthenes: Prayer of the Crown (BC), which enshrines the last as the great orator of antiquity. It was necessary to return to Demosthenes because it represented the possibility of making visible the mechanisms of their treatment method for the emergence of the speech therapy clinic as we know it today, in which it follows the practical experience and the limits of clinical strategy. After followed in the case of Demosthenes and in the history of the main movements of similarities and differences of speech therapy clinic to medical clinic, to the psychological and to the psychoanalytic clinic, we proposed a model of understanding of the subject articulation and language in determining speech therapy symptoms. With this subsidy, we made up an integrative way to meet the different requirements necessary to rethink the diagnostic and the speech therapy clinic intervention in relation to other clinical cases described in the literature. To verify etiological hypotheses, diagnostic and therapeutic, was used as the basis of linguistic reasons the structural analysis of language developed by Saussure, improved by Jakobson and inserted in the design of language acquisition proposed by De Lemos, and still the theory of the subject in Lacan. Finally, we discuss the process of autonomy of the symptoms language model, and we indicate the possible directions of reinvention of diagnostic reasoning and clinical method on the relationship between subject and language / Esta tese foi formulada em torno a uma série de questões que têm sido objeto de investigação da estrutura clínica fonoaudiológica, reunidas em uma espécie de desafio a desvendar: quais são as condições epistemológicas e práxicas para autonomizar a semiologia e a diagnóstica fonoaudiológica e, consequentemente, reinventar o seu método de tratamento? Para lidar com essas questões, optou-se por retornar a Demóstenes e estabelecer a formalização das diferentes funções lógicas, éticas e retóricas assumidas na história de superação da sua gagueira, na invenção de sua cura e nas estratégias discursivas empregadas diante do falar em público. Delimitar as características específicas da posição ocupada por Demóstenes como gago, como clínico e depois como orador representa uma estratégia de investigação sobre o lugar de captura do fonoaudiológo, do sujeito e do social, no campo da fala e da linguagem. A construção do caso clínico teve como suporte a versão contada por Plutarco e alguns discursos proferidos por Demóstenes, entre eles: Oração da Coroa (IV a.C.), que o consagra como grande orador da Antiguidade. Retornar a Demóstenes representou a possibilidade de tornar visíveis os mecanismos do seu método de tratamento para a emergência da clínica fonoaudiológica tal como a conhecemos hoje, pela qual se deduz a experiência prática e os limites da estratégia clínica. Acompanhamos, no caso de Demóstenes e na história dos principais movimentos de aproximações e distanciamentos da clínica fonoaudiológica à clínica médica, à psicológica e à psicanalítica e propusemos um modelo de entendimento da articulação sujeito e linguagem na determinação de sintomas fonoaudiológicos. Tendo isso em vista, formulamos um modo integrativo de reunir as diferentes exigências necessárias para repensar a diagnóstica e a intervenção clínica fonoaudiológicas, em relação a outros casos clínicos descritos na literatura. Para verificar hipóteses etiológicas, diagnósticas e terapêuticas, utilizamos como base de fundamentação linguística a análise estrutural da linguagem desenvolvida por Saussure, aprimorada por Jakobson e a inserida pela concepção de aquisição de linguagem proposta por De Lemos e, ainda, a teoria do sujeito em Lacan. Para finalizar, discutimos a autonomização do modelo de sintomas de linguagem e indicamos direções possíveis de reinvenção do raciocínio diagnóstico e método clínico, na articulação entre sujeito e linguagem

Submitted by Fabíola Silva (fabiola.silva@famerp.br) on 2017-02-17T12:40:05Z No. of bitstreams: 1 isabelcristinafigueiredo_dissert.pdf: 1024619 bytes, checksum: 795ba91ed5f42f76352cb849e415b1af (MD5) / Made available in DSpace on 2017-02-17T12:40:06Z (GMT). No. of bitstreams: 1 isabelcristinafigueiredo_dissert.pdf: 1024619 bytes, checksum: 795ba91ed5f42f76352cb849e415b1af (MD5) Previous issue date: 2015-10-01 / Introduction: Worldwidely head and neck cancer is the sixth as the most frequent cancer; 40% occurs in the oral cavity; 25% in the larynx; 15% in the pharynx and 20% in other anatomical sites. Objectives:. To analyze the association of cases of head and neck cancer and the outcome of speech rehabilitation of people with cancer of the larynx. Materials and Methods: Cross-sectional, quantitative study through survey data from medical records of patients with head and neck cancer, treated from 1989 to 2015, at Hospital de Base, São José do Rio Preto / SP, from three dimensions: socio-demographic, clinical and speech rehabilitation. The first study analyzed the correlation for cancers and variables (gender, place of origin, age and education). The second study was analyzed by univariate and multivariate techniques. Qualitative data were associated by applying the Chi-Square test. The multivariate approach through the multiple correspondence analysis enabling relations between the most important variables in the study. Results: In the first study: 52.7% were male with median age of 56 years; higher prevalence from 41 years (82.2%); 64.3% were from other cities in the state of São Paulo. Tumor predominantly affecting structures of the head and neck; presented in 53.2% of the cases. In the second study, according to the speech rehabilitation, 75.49% had alterations in the neuro-vegetative system, developed speech and voice (64.22%); of these, 22.55% esophageal voice; 21.57%) development of written communication and gestural; schooling was significantly associated with the outcome of Speech Therapy (P <0.001). The gestural communication was more frequent in patients with no schooling, improvement of dysphagia in patients with primary education, improvement of dysphagia / dysphonia and voice with electrolarynx in patients with secondary education. Most of patients with T2 and T4 tumor stage improved dysphagia and dysphonia; T1 showed improvement of dysphonia and T3 had esophageal speech development. Patients treated with chemotherapy or radiation therapy, smoker or non-smoker / drinker, with primary education and T1 stage developed esophageal voice and had dysphagia / dysphonia improved. Patients who have developed voice with electrolarynx worked in commerce or in the service sectors, age group 20-59 years with high school, nodes, metastasis and stage T4. The gestural/ writing and gestural development occurred more frequently in patients who had smoking and drinking habits and stage T3. Those who showed improvement of dysphonia had association with cordectomy (60 years or older) were working in the agricultural sector or other, with no schooling or had higher education and T2 stage. Conclusion: The optimization and diversification and positive results with new therapeutic procedures used in the treatment of these patients have showed challenges to the Speech Therapists, above all, encouraging them to intervene in areas that traditionally the effectiveness of their actions was not known to be recognized as well as evaluated. / Introdução: O câncer de cabeça e pescoço ocupa a sexta posição como mais freqüente em todo o mundo; 40% ocorrem na cavidade oral; 25% na laringe; 15% na faringe e 20% nos demais sítios anatômicos. Objetivos: Analisar a associação dos casos de câncer de cabeça e pescoço e o desfecho da reabilitação fonoaudiológica de pessoas com câncer da laringe. Materiais e Métodos: Estudo transversal, quantitativo por meio de levantamento de dados em prontuários de pacientes com câncer de cabeça e pescoço, atendidos no período de 1989 a 2015, no Hospital de Base de São José do Rio Preto/SP, a partir de três dimensões: sócio-demográficas, clínicas e de reabilitação fonoaudiológica. O primeiro estudo analisou a correlação para os tipos de câncer e variáveis (sexo, local de origem, faixa etária e escolaridade). O segundo estudo foi analisado por meio de técnicas univariadas e multivariadas. Dados qualitativos foram associados por meio da aplicação do teste qui-quadrado. A abordagem multivariada, através da aplicação da Análise de Correspondência Múltipla possibilitou relações entre as variáveis mais importantes no estudo. Resultados: No primeiro estudo: 52,7% homens com idade mediana de 56 anos; maior prevalência a partir dos 41 anos (82,2%); 64,3% eram de outros municípios do estado de São Paulo. Predomínio de tumores acometendo estruturas da cabeça e pescoço, presentes em 53,2% dos casos. No segundo estudo, quanto à reabilitação fonoaudiológica, 75,49% apresentaram alterações no sistema neurovegetativo, desenvolveram fala e voz (64,22%); destes, 22,55% a voz esofágica; 21,57%) desenvolvimento da comunicação escrita e gestual; a escolaridade apresentou associação significativa com o desfecho da Fonoterapia (P<0,001). A comunicação gestual foi mais frequente em pacientes sem escolaridade, a melhora da disfonia em pacientes com ensino fundamental, melhora da disfagia/disfonia e voz com eletrolaringe em pacientes com ensino médio. Pacientes com estádio de tumor T2 e T4 tiveram, em sua maioria, melhora da disfagia e da disfonia; T1 apresentaram melhora da disfonia e T3 tiveram desenvolvimento de voz esofágica. Pacientes tratados com quimio ou radioterapia, tabagista ou não tabagista/etilista, com ensino fundamental e o estádio T1 desenvolveram a voz esofágica e tiveram melhora da disfagia/disfonia. Pacientes que desenvolveram voz com eletrolaringe trabalhavam no comércio ou no setor de serviços, faixa etária de 20 a 59 anos, com ensino médio, nódulos, metástase e no estádio T4. O desenvolvimento gestual/escrita e gestual ocorreu de forma mais frequente em pacientes que apresentaram tabagismo e etilismo como hábitos e estádio T3. Os que obtiveram melhora da disfonia apresentaram correspondência com cordectomia (60 anos ou mais de idade) trabalhavam no setor agropecuário ou em outros, sem escolaridade ou com ensino superior e estádio T2. Conclusão: A otimização e diversificação e resultados positivos com novos procedimentos terapêuticos utilizados no tratamento destes pacientes têm colocado desafios aos Fonoaudiólogos, sobretudo, estimulando-os a intervir em áreas, que tradicionalmente a eficácia de suas ações não era sabidamente reconhecida e avaliada.

INTRODUÇÃO: A audição é fundamental para aquisição e desenvolvimento da fala. Atualmente, mesmo com o avanço no atendimento ao surdo utilizando a língua de sinais, muitos procuram pelo trabalho oral. OBJETIVO: Avaliar as mudanças na voz e na fala de surdos após a aplicação de um procedimento terapêutico que utiliza como apoio o feedback visual. MÉTODOS: participaram deste estudo 18 indivíduos surdos, com idades entre 12 e 17 anos que realizaram 16 sessões de terapia fonoaudiológica com apoio visual. RESULTADOS E CONCLUSÕES: Encontraram-se valores de freqüência fundamental e tempos de fonação próximos ao esperado para sujeitos com audição normal e melhora da inteligibilidade da fala e do controle do pitch. Esses achados mostraram que o trabalho com surdos deve abranger a parte vocal, pois esta proporciona melhora na voz e na fala. / Hearing is fundamental for the acquisition and development of speech. Nowadays, even with improved assistance to deaf people using sign language, many of them seek oral language. OBJECTIVE: Evaluate the changes in the voice and speech of deaf people after application of a therapy procedure with the support of visual feedback. METHODS: 18 deaf individuals, aged between 12 and 17, took part in this study consisting of 16 speech therapy sessions using visual support. RESULTS AND CONCLUSIONS: The values of fundamental frequency and phonation times were found to be close to expected values for individuals with normal hearing as well as improved speech intelligibility and pitch control. These findings showed that the work with deaf people should encompass the vocal element as it provides an improvement in voice and speech.