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EFFECTS OF PROLONGATION OF SPEECH AND SYLLABLE TIME SPEECH ON REDUCTION OF SEVERITY OF STUTTERING IN STUTTERING PATIENTS


Article Information

Title: EFFECTS OF PROLONGATION OF SPEECH AND SYLLABLE TIME SPEECH ON REDUCTION OF SEVERITY OF STUTTERING IN STUTTERING PATIENTS

Authors: Nasir Khan, Muhammad Imran, Kashif Ali Shah, Aarsa Saeed, Ramsha Haroon, Humaira Shamim Kiani

Journal: The Rehabilitation Journal

HEC Recognition History
Category From To
Y 2024-10-01 2025-12-31
Y 2023-07-01 2024-09-30
Y 2022-07-01 2023-06-30
Y 2021-07-01 2022-06-30

Publisher: Human Easement Foundation

Country: Pakistan

Year: 2022

Volume: 6

Issue: 3

Language: English

DOI: 10.52567/trj.v6i03.194

Keywords: Stutteringprolongation of speechsyllable time speechscale for rating severity of stuttering.

Categories

Abstract

Background: Stuttering is an organic process utterance condition. This utterance condition is broken by prolongation of sounds and repetitions of part words and phrases. Speech constitution strategies facilitate the client to use a new way of oral communication in stutters. Objective: to determine the effects of prolongation of speech and syllable time speech on reduction of severity of stuttering in stuttering patients. Methods This Randomized clinical trial study design was conducted in National Institute of Rehabilitation Medicine Islamabad. A total of n=30 participants of both gender having developmental stuttering with age between 20-30 years were included in the study through purposive sampling.  The n=30 participants were randomly divided in to Group A received prolonged speech protocol (PSP) and Group B received syllable time speech protocol. The data was collected using the Scale of rating severity of stuttering (SRSS) at baseline, after 6th weeks and after 12th weeks of training. The data was analyzed through SPSS-21. Results The mean age of the study participants was 22±2.05 years. The median number of sibling was 4(2), birth order 2.5(2) and age of onset was 4(1) years.  With-in group analysis showed that the group received prolong speech protocol {F=25.24(2), p<0.001} and syllable time speech protocol {F=29.52(2), p<0.001}, both were significantly improved from the baseline to the end of 12th week of intervention as well as at each level of assessment. While comparing the groups, there was significantly large mean difference (MD) of SRSS in group received syllable time speech protocol (2.53±.83 ver 1.73±.59, p=0.005, Cohen’s d=0.72) as compared to group received prolong speech protocol. Conclusion It is concluded that Syllable time speech was effective in reducing severity of stuttering and improving fluency in stutterers. .
 


Research Objective

To determine the effects of prolongation of speech and syllable time speech on the severity of stuttering in stuttering patients.


Methodology

Randomized clinical trial study design. 30 participants were recruited and randomly assigned to two groups: Group A (n=15) received prolonged speech protocol (PSP), and Group B (n=15) received syllable time speech protocol (STS). Data was collected using the Scale of Rating Severity of Stuttering (SRSS) at baseline, after 6 weeks, and after 12 weeks of training. Data was analyzed using SPSS-21.

Methodology Flowchart
                        graph TD;
    A["Recruit 30 Stuttering Patients"] --> B["Randomly Assign to Groups"];
    B --> C["Group A: Prolonged Speech Protocol PSP"];
    B --> D["Group B: Syllable Time Speech Protocol STS"];
    C --> E["12 Weeks Intervention PSP"];
    D --> F["12 Weeks Intervention STS"];
    E --> G["Collect SRSS Data Baseline, 6, 12 Weeks"];
    F --> G;
    G --> H["Analyze Data SPSS-21"];
    H --> I["Compare Within and Between Groups"];
    I --> J["Draw Conclusions"];                    

Discussion

Both prolonged speech and syllable time speech are effective in reducing stuttering severity and improving fluency. Syllable time speech was found to be more effective than prolonged speech in reducing stuttering severity. The underlying mechanism for improvement in STS group may involve engaging in hand tapping activities, leading to talking in strict time to rhythm.


Key Findings

Both prolonged speech protocol and syllable time speech protocol significantly improved stuttering severity from baseline to the end of 12 weeks of intervention. Syllable time speech protocol showed a significantly larger mean difference in SRSS compared to the prolonged speech protocol.


Conclusion

Syllable time speech was significantly more effective than prolonged speech in reducing the severity of stuttering and improving fluency in stuttering patients over a 12-week training period.


Fact Check

1. The study involved 30 participants. (Confirmed by "n=30 participants")
2. The mean age of the study participants was 22±2.05 years. (Confirmed by "The mean age of the study participants was 22±2.05 years.")
3. Data was collected using the Scale of Rating Severity of Stuttering (SRSS) at baseline, after 6 weeks, and after 12 weeks. (Confirmed by "The data was collected using the Scale of rating severity of stuttering (SRSS) at baseline, after 6th weeks and after 12th weeks of training.")


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