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International Journal of Speech and Audiology 2022; 3(2): 26-32
E-ISSN: 2710-3854
P-ISSN: 2710-3846
IJSA 2022; 3(2): 26-32
© 2022 IJSA
www.rehabilitationjournals.com
Received: 14-05-2022
Accepted: 17-06-2022
Swetlana Singh Gaur
4
th
Year BASLP Internship
Student, Dr. Shakuntala Misra
National Rehabilitation
University, Lucknow, Uttar
Pradesh, India
Priya Mishra
4
th
Year BASLP Internship
Student, Dr. Shakuntala Misra
National Rehabilitation
University, Lucknow, Uttar
Pradesh, India
Tabinda Naqvi
Year BASLP Internship
Student, Dr. Shakuntala Misra
National Rehabilitation
University, Lucknow, Uttar
Pradesh, India
Rajeev Ranjan
Assistant Professor (Sp & Hg),
Composite Regional Centre for
Skill Development,
Rehabilitation &
Empowerment of Persons with
Disabilities (CRC), Lucknow,
Uttar Pradesh, India
Correspondence
Rajeev Ranjan
Assistant Professor (Sp & Hg),
Composite Regional Centre for
Skill Development,
Rehabilitation &
Empowerment of Persons with
Disabilities (CRC), Lucknow,
Uttar Pradesh, India
Effect of stuttering on speech & language development
and quality of voice: A pilot study
Swetlana Singh Gaur, Priya Mishra, Tabinda Naqvi and Rajeev Ranjan
Abstract
Aim: To examine the impact of stuttering on the development of speech and language and voice
quality in stuttering children.
Methods: Two male children between the ages of 7 and 10 were chosen as the study's subjects. The
SSI-4 was used to assess the extent of stuttering, and the LPT was used t o determine the child's
language proficiency (semantic and syntax). Dr. Speech software was used to evaluate the voice's
quality. The study was conducted at the speech and hearing unit, CRC, Lucknow, India.
Results: Subject with moderate stuttering had delayed language (semantics and syntax) levels, a minor
hoarse voice, and severe breathiness. Only the syntactical skills of the subjects with the most severe
stuttering were delayed, and their voice quality was within acceptable ranges.
Conclusion: The children who stutter may experience delayed language development in higher
language skills as well as a significant impact on voice quality.
Keywords: Stuttering, language, voice, semantics, development, severity
Introduction
The most prevalent fluency problem, stuttering is an interruption in speech that is marked by
particular disfluencies, such as repetitions of sounds, syllables, and monosyllabic words
(e.g., "Look at the b-b-baby," "Let's go out-out-out," and "Sssssssometimes we stay home,"
among others); prolongations of consonants without emphasis; and blocks (i.e., inaudible or
silent fixation or inability to initiate sounds). According to the American Speech-Language-
Hearing Association (ASHA)
[1]
, these disfluencies can alter the rate and rhythm of speech
and may be accompanied by unpleasant reactions to hearing or hearing someone speak,
avoidance behaviours (such as avoiding sounds, words, people, or situations where someone
is speaking), escape behaviours, such as secondary mannerisms (such as eye blinking and
head nodding or other movements of the extremities, body, or face), and physical tension.
According to Campbell and Hill
[2]
, the following are some examples of major disfluency
types: i) Hesitation lasting one second or longer; ii) Interjections; iii) Phrase/sentence
revision; iv) Unfinished word; v) Phrase/sentence repetition; vi) Word repetition; vii) Part-
word repetition; viii) Prolongations; and ix) Block.
The speech motor system fails to generate and/or convey the motor commands to the muscle
that are required for fluent speech to continue during the disfluencies that define stuttering
[3]
. Similar to this, Walsh, Mettel, and Smith
[4]
noted that "the defining features of stuttering
(i.e. sound repetitions, prolongations, and blocks) ultimately represent breaks in the precisely
timed and coordinated articulatory movements needed for fluent speech.
Voice: Voice is one of the most fundamental and effective means of expressing feelings and
sending messages
[5]
. According to some descriptions, the human voice serves as an
embodiment of the self in social settings, facilitating the expression, perception, and
exchange of the self, awareness, inner life, and personhood
[6]
. If someone has unpleasant
feelings or anxiety due to many circumstances, such as stuttering, it may negatively affect
their speech features, such as voice quality
[7]
. The abuse of voice that results from an
individual's attempts to mask their stuttering by shifting their pitch or volume to an
unsuitable level can cause vocal issues
[8]
.
Parameters of voice in children (Normal Group): The basic frequency of a speech sound is
referred to as F0. It corresponds to the roughly periodic structure of spoken speech signals.