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      Relationship between stuttering severity in children and their mothers’ speaking rate Translated title: Relação entre a gravidade da gagueira em crianças e a taxa de fala em suas mães

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          CONTEXT AND OBJECTIVE: Stuttering is a complex disease that influences occupational, social, academic and emotional achievements. The aim of this study was to correlate the stuttering severity index with speaking rates of mothers and children. DESIGN AND SETTING: Cross-sectional study, at the child rehabilitation clinics of Tehran city. METHODS: 35 pairs of mothers and their children who stuttered were studied. There were 29 boys and six girls, of mean age 8.5 years (range: 5.1-12.0). Speech samples from the mother-child pairs were audiotaped for approximately 15 minutes, until a reciprocal verbal interaction had been obtained. This sample was then analyzed in accordance with a stuttering severity index test and speaking rate parameters. RESULTS: The research results outlined a significant relationship between the mothers’ speaking rate and their children’s stuttering severity. CONCLUSION: The results suggest that the mothers’ speaking rate should be incorporated in the assessment and treatment of stuttering.

          Translated abstract

          CONTEXTO E OBJETIVO: Gagueira é uma doença complexa que tem influência nas realizações ocupacionais, sociais, acadêmicas e emocionais. A finalidade deste trabalho foi correlacionar o índice de gravidade da gagueira de crianças com as taxas de velocidade de fala das mães. TIPO DE ESTUDO E LOCAL: Estudo transversal, realizado na clínica infantil de reabilitação da cidade de Teerã. MÉTODOS: Uma amostra da fala de 35 crianças gagas pareadas com suas mães, sendo 29 meninos e 6 meninas, de 5:1-12:0 anos (idade média de 8.5), foi gravada por aproximadamente 15 minutos para avaliar a interação verbal recíproca, sendo então analisada de acordo com o índice de gravidade da gagueira e com os parâmetros de taxa de velocidade de fala. RESULTADOS: Os resultados da pesquisa mostraram uma relação significante entre a taxa de velocidade de fala da mãe e a gravidade da gagueira da criança. CONCLUSÃO: Os resultados sugerem que a taxa de velocidade da fala entre a mãe e a criança que gagueja deveria ser incorporada na avaliação e tratamento da gagueira.

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          Most cited references 72

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          A positron emission tomography [18F]deoxyglucose study of developmental stuttering.

          Positron emission tomography using [18F]deoxyglucose (FDG) as a marker of regional brain metabolism was used to investigate the neural substrate of stuttering. Four patients with severe developmental stuttering were studied while reading aloud to another person (stuttering condition) and while reading aloud in unison with someone else (non-stuttering condition). The patients were also compared with four normal controls reading aloud by themselves. In the stuttering condition, significant decreases in regional glucose metabolism in Broca's area, Wernicke's area and frontal pole were seen compared with themselves while not stuttering. These differences were also seen in stuttering condition compared with normal controls. Significantly lower left caudate metabolism was seen in patients during both stuttering and non-stuttering conditions compared with normal controls. A circuit for stuttering is proposed based on these findings.
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            A stuttering severity instrument for children and adults.

             Lisa Riley (1972)
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              Stuttering: a review of research findings and theories circa 1982.

              The research literature on stuttering is extensive, spanning etiology, natural history, phenomenology, and treatment. In this review, existing empirical knowledge is distilled by attending only to replicated findings. These are designated as "facts." Facts concerning the natural history of idiopathic stuttering highlight early childhood onset, probability of recovery, and importance of a positive family history of stuttering. Corroborated evidence on stutterer-nonstutterer differences concerns intelligence distribution, speech development, central auditory function, and sensory-motor response. Predictable changes in stuttering frequency, and even total elimination of stuttering, occur under a remarkable variety of conditions. Review of therapies revealed two that satisfied the most stringent criteria for good treatment. Various theoretical positions are examined for their fit with the established facts. A model of stuttering as a genetically determined reduction in central capacity for efficient sensory-motor integration is preferred, provided acquisition of secondary symptoms is attributed to instrumental learning.

                Author and article information

                Sao Paulo Medical Journal
                Sao Paulo Med. J.
                Associação Paulista de Medicina - APM (São Paulo, SP, Brazil )
                January 2008
                : 126
                : 1
                : 29-33
                Zahedan orgnameZahedan University of Medical Sciences Iran
                S1516-31802008000100006 S1516-3180(08)12600106

                This work is licensed under a Creative Commons Attribution 4.0 International License.

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