Revista CEFAC
https://www.revistacefac.org.br/article/doi/10.1590/1982-021620161843616
Revista CEFAC
Artigos Originais

Relationship between postural cephalic pattern and speech intelligibility

Asociación entre el patrón postural cefálico y la inteligibilidad articulatoria del habla

Carlos Rojas Zepeda; Claudio San Martín Barra; Miguel López Espinoza; Rodolfo Peña Chávez

Downloads: 0
Views: 286

Abstract

Purpose: the objective of this study was to establish an associative factor that connects the morphology of the skull - cervical system with the articulatory intelligibility level of speech in young subjects.

Methods: cross-sectional study. It considered a sample of 42 university students from a universe of 140, both male and female, without morbid background and of an age range in between 18 and 21 years. Evaluated aspects: a) articulatory intelligibility by the diadochokinetic periodic variation coefficient, b) traditional static postural parameters using the photogrammetric method and c) cephalic postural pattern by lateral cephalometric radiograph.

Results: 36 subjects with adequate intelligibility and 6 having altered intelligibility where cervical antero-posterior skull rotation variable showed statistically noteworthy differences (p=0,009) in between the group with normal intelligibility compared to the group with impaired intelligibility. The linear regression analysis showed that subjects with posterior rotation of head on neck show more variability in the syllabic emission of speech diadochokinetic performance (Sq r lineal = 0,128).

Conclusion: it is established that cephalic position with subsequent posterior rotation of the head on the neck is associated with loss of speech intelligibility in the sample studied.

Keywords

Articulation Disorders; Speech; Posture; Head; Neck

Resumen

Objetivo: el propósito de este estudio fue establecer un factor asociativo que relacione la morfología del sistema cráneo - cervical con el nivel de inteligibilidad articulatoria del habla en sujetos jóvenes.

Métodos: estudio transversal, consideró una muestra de 42 jóvenes universitarios de un universo de 140, ambos sexos, sin antecedentes mórbidos y con un rango de edad entre 18 y 21 años. Se evalúo: a) inteligibilidad articulatoria mediante el coeficiente de variación periódica diadococinética, b) parámetros posturales estáticos tradicionales mediante método fotogramétrico y c) patrón postural cefálico mediante radiografía cefalométrica lateral.

Resultados: se encontraron 36 sujetos con inteligibilidad adecuada y 6 alterada, donde la variable rotación cráneo cervical antero-posterior presentó diferencias estadísticamente significativas (p=0,009) entre el grupo con inteligibilidad normal respecto al grupo con inteligibilidad alterada. El análisis de regresión lineal evidenció que sujetos que presentan rotación posterior de cabeza sobre cuello presentan mayor variabilidad en la emisión silábica del rendimiento diadocinético del habla (Sq r lineal = 0,128).

Conclusión: se establece que la postura cefálica con presencia de rotación posterior de la cabeza sobre el cuello se asocia a la pérdida de inteligibilidad del habla en la muestra estudiada.

Palabras clave

Trastornos de la Articulación; Habla; Postura; Cabeza; Cuello

Referências

1. Discacciati de Lertora M, Lertora E, Quintero de Lucas G, Armella B. Relación entre actitudes posturales y maloclusiones, Revista AAOFM. 2006; 35 (2): 35-40.

2. Heredia A, Albornoz M, Piña F, Luque A. Craneocervical posture and its relationship with dental occlusion and the use of orthodontics: review study. Osteopatía Científica. 2010; 5(3): 89-96.

3. Cuccia A, Caradonna C. The measurement of craniocervical posture: A simple method to evaluate head position. Int. J. Pediatr. Otorhi. 2009; 73: 1732-6.

4. Mariel J, Flores J, Gutiérrez F, Mariel G, Sánchez W, Guerrero A. Estudio morfométrico de la posición cráneo-cervical en pacientes con clases esqueletales II y III. Int. J. Morphol. 2015; 33(2): 415-9.

5. Staes F, Jansen L, Vilette A, Coveliers Y, Daniels K, Decoster W. Physical therapy as a means to optimize posture and voice parameters in student classical singers: A case report. J. Voice. 2011; 25(3): 91-101.

6. Nacci A, Fattori B, Mancini V, Panicucci E, Matteucci J, Ursino F, et al. Posturographic analysis in patients with dysfunctional dysphonia before and after speech therapy/rehabilitation treatment. Acta Otorhinolaryngo. 2012; 32(2): 115-21.

7. Anegawa E, Tsuyama H, Kusukawa J. Lateral cephalometric analysis of the pharyngeal airway space affected by head posture. Int. J. Oral Maxillofac.Surg. 2008; 37: 805-9.

8. Bruno E, De Padova A, Napolitano B, Marroni P, Batelli R, Ottaviani F, et al. Voice Disorders and Posturography: Variables to define the success of rehabilitative treatment. J. Voice. 2007; 23 (1): 71-5.

9. Rocabado M. Análisis biomecánico craneocervical a través de una telerradiografía lateral. Rev. Chil. Ortod.1984; 1: 42-52.

10. Ferrand C. Speech Science: An Integrated Approach to Theory and Clinical Practice. 3era. ed. Boston: Pearson Education Inc; 2013.

11. García de Paula F, Mussolini de Queiroz A, Díaz - Serrano K. Alteraciones posturales y su repercusión en el sistema odontoestomatológico. Acta Odontol Venez. 2008; 46(4): 1-7,

12. Pahkala R, Qvarnström M. Mandibular movement capacity in 19-year-olds with an without articulatory speech disorders. Acta Odontol. Scand. 2002; 60(6): 341-5.

13. Ferraz A, Guimarães J, Rodríguez M. Avaliação da prevalência das alterações posturais em pacientes com desordem temporomandibular: uma proposta terapêutica. Rev. Serv. ATM. 2004; 4(2): 25-32.

14. Avantika R, Shalini A, Sarita B. Postural effect of back packs on school children: Its consequences on their body posture. Int. J. Health Sci. Res. 2013; 3(10): 109-16.

15. Straker L, Pollock M, Burgess-limerick R. Towards evidence-based guidelines for wise use of computers by children. Int. J. Ind. Ergonom. 2006; 36(12): 1045-53.

16. Ferreira E, Duarte M, Maldonado E, Bersanetti A, Marques A. Quantitative Assessment of postural alignment in young adults based on photographs of anterior, posterior, and lateral views. J. Manip. Physiol. Ther. 2012; 34 (6): 371-380.

17. Zagyapan R, Iyem C, Kurkcuoglu A, Pelin C, Tekindal M.The relationship between balance, muscles, and anthropomorphic features in young adults. Anat Res Int. 2012. 2012: 1-6.

18. Coelho J, Graciosa M, Medeiros D, da Costa L, Martinello M, Ries L. Influencia da flexibilidade sexo na postura de escolares. Rev. paul. pediatr. 2014; 32(3): 223-8.

19. Noll M, Candotti C, Tiggemann C, Schoenell M, Vieira, A. Prevalencia de habitos posturales inadequados de escolares do Ensino Fundamental da cidade de Teutonia: Um estudo de base populacional. Rev. Bras. Cienc. Esporte. 2013; 35(4): 983-1004.

20. Wilson B, Frederick A. Considerations for maintenance of postural alignment for voice production. J. Voice. 2006; 22(1): 90-9.

21. Kendall F, McCreary E, Provance P, Rodgers M, Romani W. Muscles: Testing and Function, with Posture and Pain. 5ta. ed. Baltimore: Lippincott Williams & Wilkins; 2005.

22. Vialle R, Levassor N, Rillardon L, Templier A, Skalli W, Guigui P. Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects. J. Bone Joint Surg. Am. 2005; 87(2): 260 -7.

23. Been E, Kalichman L. Lumbar lordosis. Spine J. 2013; 14(1): 87-97.

24. Cielo C, Christmann M, Ribeiro V, Hoffmann C, Padilha J, Steidl E, et al. Musculoskeletal stress syndrome, extrinsic laryngeal muscles and body posture: Theoretical considerations. Rev. CEFAC. 2014; 16(5): 1639-1649.

25. Kooijman P, de Jong F, Oudes M, Huinck W, Van Acht H, Graamans K. Muscular tension and body posture in relation to voice handicap and voice quality in teachers with persistent voice complaints. Folia Phoniatr Logo. 2005; 57(3): 134-147.

26. Carneiro P, Teles L. Influence of postural alterations, followed by computadorized photogrammetry, in the voice production. Fisioter. Mov. 2012; 25(1): 13-20.

27. Miller N, Gregory J, Semple S, Aspden R, Stollery P, Gilbert F. The effects of humming and pitch on craniofacial and craniocervical morphology measured using MRI. J. Voice. 2012; 26(1): 90-101.

28. Rodríguez B, Mesa J, Paseiro G, González M. Postural síndromes and postural reeducation in the temporomandibular disorders. Rev. Iberoam. Fisioter. Kinesol. 2004; 7(2):83-98.


Submetido em:
06/05/2016

Aceito em:
29/07/2016

6a1f0c21a953954b196119e8 cefac Articles

Revista CEFAC

Share this page
Page Sections