THE COMPARISON OF EASY ONSET AND PANTOMIMING TREATMENT ON BLOCKING IN STAMMERING

Article Information

Title: THE COMPARISON OF EASY ONSET AND PANTOMIMING TREATMENT ON BLOCKING IN STAMMERING

Authors: Saba Imtiaz, Maryam Nadir Kiyani, Tehreem Ijaz

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: 2

Language: English

DOI: 10.52567/trj.v6i02.119

Keywords: BlocksEasy onsetPantomimingStuttering

Abstract

Background: Stammering is a speech fluency disorder categorized by repetitions, prolongations and blocks that interrupt the normal flow and forward movement of speech. The Fluency shaping techniques including Easy Onset and Pantomiming treatment are commonly used techniques for the management of stuttering. Objective: To compare the effectiveness of Pantomiming and easy onset method for the treatment of blocks in stammering in school aged children. Material &amp; Method: A randomized control trial (NCT04813588) was conducted in hospitals of Rawalpindi and Islamabad. The Convenient sampling technique was used for data collection from National Institute of Rehabilitation Medicine (NIRM). The sample size was n=16, randomly divided in Easy onset (n=8) and Pantomiming (n=8) through lottery method. The schools going children and adolescent between 6-18 years of both genders with mild to moderate stammering with blocking symptoms were included. The severity of stuttering was assessed with real time analysis of speech fluency. The data was analysed at the baseline and after three months of intervention. The non-parametric tests were applied for within and between group analyses. Results: The mean age of the participants was 10.38±5.290 years. A total n=11 were males and n=5 were females. When compared both groups, there was no significant difference between Easy onset and Pantomiming technique {MR=9 vs MR=8, U=28, p=0.535} in the management of stuttering after three months of intervention. Conclusion: The easy onset and pantomiming techniques are equally effective in improving the blocking in stuttering.
Keywords: Blocks, easy onset, fluency shaping, pantomiming, speech therapy, stammering, stuttering

Disclaimer: The following sections are produced through an intensive multi-stage analytical pipeline developed by DefinePK, utilizing advanced natural-language processing, domain-specific knowledge models, and automated cross-referencing systems. Despite the rigor and computational effort involved, the generated summary may still contain inaccuracies or incomplete interpretations. Users are strongly advised to verify all critical information against the original paper and its authoritative sources.

Research Objective

To compare the effectiveness of Pantomiming and easy onset method for the treatment of blocks in stammering in school aged children.

Methodology

A randomized control trial (NCT04813588) was conducted with 16 school-aged children and adolescents with stammering, randomly divided into two groups: Easy Onset (n=8) and Pantomiming (n=8). The study duration was three months. Speech fluency was assessed using real-time analysis, and data was analyzed at baseline and after intervention using non-parametric tests (Wilcoxon signed rank test and Mann Whitney U-test).

Methodology Flowchart

                        graph TD;
    A["Recruit Participants N=16, mild-moderate stammering"] --> B["Random Assignment"];
    B --> C["Easy Onset Group n=8"];
    B --> D["Pantomiming Group n=8"];
    C --> E["3-month Intervention 30 min, 3x/week"];
    D --> E;
    E --> F["Baseline Assessment Real-time Speech Fluency"];
    E --> G["Post-intervention Assessment Real-time Speech Fluency"];
    F --> H["Data Analysis Non-parametric tests"];
    G --> H;
    H --> I["Compare Within Groups"];
    H --> J["Compare Between Groups"];
    I --> K["Report Within-Group Improvements"];
    J --> L["Report Between-Group Differences or lack thereof"];
    K & L --> M["Conclusion"];

Discussion

Both Easy Onset and Pantomiming techniques are effective in reducing stuttering severity. The study suggests that these fluency shaping techniques are equally effective in improving blocking in stuttering among school-going children and adolescents. Limitations include a small sample size, limited study duration, and data collected from a single hospital.

Key Findings

Both Easy Onset and Pantomiming techniques showed a significant reduction in the severity of stuttering within their respective groups. However, there was no statistically significant difference between the Easy Onset and Pantomiming techniques when compared to each other in managing stuttering after three months of intervention.

Conclusion

Easy onset and pantomiming techniques are equally effective in reducing the severity of blocking in stuttering among school-going children and adolescents. Future research should consider multicenter studies with larger sample sizes and account for confounding variables like age, gender, and mental health.

Fact Check

1. Sample Size: The study included a total of n=16 participants.
2. Intervention Duration: Participants received treatment for three months.
3. Statistical Significance: A p-value of 0.535 was found when comparing the two groups post-intervention, indicating no significant difference.

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