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Year: 2014  Vol. 18   Num. 3  - Julyy/Sept
DOI: 10.1055/s-0034-1376885
Original Article
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Treatment Model in Children with Speech Disorders and Its Therapeutic Efficiency
Luciana Barberena, Mrcia Keske-Soares, Tas Cervi, Mariane Brando
Key words:
speech - articulation disorders - speech language and hearing sciences - speech therapy - generalization

Introduction: Speech articulation disorders affect the intelligibility of speech. Studies on therapeutic models show the effectiveness of the communication treatment.

Objective: To analyze the progress achieved by treatment with the ABAB-Withdrawal and Multiple Probes Model in children with different degrees of phonological disorders.

Methods: The diagnosis of speech articulation disorder was determined by speech and hearing evaluation and complementary tests. The subjects of this research were eight children, with the average age of 5:5. The children were distributed into four groups according to the degrees of the phonological disorders, based on the percentage of correct consonants, as follows: severe, moderate to severe, mild to moderate, and mild. The phonological treatment applied was the ABAB-Withdrawal and Multiple Probes Model. The development of the therapy by generalization was observed through the comparison between the two analyses: contrastive and distinctive features at the moment of evaluation and reevaluation.

Results: The following types of generalization were found: to the items not used in the treatment (other words), to another position in the word, within a sound class, to other classes of sounds, and to another syllable structure.

Conclusion: The different types of generalization studied showed the expansion of production and proper use of therapy-trained targets in other contexts or untrained environments. Therefore, the analysis of the generalizations proved to be an important criterion to measure the therapeutic efficacy.



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