هنجار نمره نیزالانس دختران و پسران فارسی زبان دو گروه سنی 14-7 و 20-14 ساله شهر اصفهان

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد، گفتاردرمانی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی و خدمات بهداشتی درمانی اصفهان، اصفهان، ایران

2 کارشناسی ‌ارشد، گفتاردرمانی، گروه گفتاردرمانی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی و خدمات بهداشتی درمانی اصفهان، اصفهان، ایران

3 دکتری، گفتاردرمانی، استادیار، گروه گفتاردرمانی، مرکز تحقیقات ناهنجاری های جمجمه صورت و شکاف کام، دانشگاه علوم پزشکی و خدمات بهداشتی درمانی اصفهان، اصفهان، ایران

چکیده

مقدمه و اهداف
پرخیشومی از رایج­ترین اختلالات تشدید در افراد دارای شکاف کام است. نیزومتر با اندازه‌گیری انرژی آکوستیک دهان و بینی در طی تولید گفتار و محاسبه‌ی نمره‌ی نیزالانس یک ارزیابی کمی از خیشومی‌شدگی ارائه می‌دهد. هدف از مطالعه حاضر، تعیین هنجار نمره نیزالانس افراد 20-7 ساله‌ی شهر اصفهان و بررسی تفاوت نمره نیزالانس بر حسب سن و جنس می‌باشد.
مواد و روش ­ها
مطالعه‌‌‌ی حاضر یک مطالعه‌ی توصیفی-تحلیلی بود که در سال 1395 بر روی افراد 20-7 ساله‌ی شهر اصفهان انجام شد. در این مطالعه انتخاب مدارس به روش نمونه‌گیری خوشه‌ای و انتخاب افراد به روش نمونه‌گیری در دسترس انجام گرفت. بعد از تکمیل فرم رضایت آگاهانه و بر اساس ارزیابی‌های صورت­گرفته افرادی که اختلالات مربوط به تولید، تشدید، صوت و شنوایی نداشتند، وارد مطالعه شدند. هنجار نمرات نیزالانس 220 نفر (120 نفر از گروه 14-7 ساله (55 پسر و 65 دختر) و 100 نفر از گروه 20-14 ساله (50 پسر و 50 دختر) به وسیله دستگاه نیزومتر مدل 6450 با استفاده از تکرار هجاهای کم­فشار و خواندن متن رنگین‌کمان محاسبه گردید.
یافته­ها
میانگین نمرات نیزالانس در هجاهای کم­فشار و متن رنگین‌کمان در پسران 14-7 ساله به ترتیب 65/5±09/14 و 13/5±65/33، در دختران 14-7 ساله 11/5±30/15 و 04/4±59/33، در گروه پسران 20-14 ساله 17/10±75/17 و 94/4±44/35 و در دختران 20-14 ساله 8/9±42/22 و 79/5±64/36 به دست آمد.
نتیجه­ گیری
هنجار نمرات نیزالانس برای افراد فارسی­زبان 20-7 ساله شهر اصفهان به دست آمد که می‌تواند به عنوان خط پایه‌ای برای تشخیص، ارزیابی و درمان آسیب‌های تشدید در بیماران شکاف کام و دارای بی­کفایتی دریچه کامی-حلقی در کنار ارزیابی‌های ادراکی مفید ‌باشد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Nasometry Normative Data for Persian Normal Girls and Boys in Isfahan in Two Age Groups of 7-14 and 14-20 Years Old

نویسندگان [English]

  • Mahdiyeh Musapour 1
  • Saba Sadeghi 2
  • Fatemeh Derakhshandeh 3
1 MSc Student, Department of Speech Therapy, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
2 MSc, Department of Speech Therapy, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
3 Assistant Professor, Department of Speech Therapy, Craniofacial Anomalies and Cleft Palate Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background and Aims: Hypernasality is a frequently occurring resonance disorder in people with cleft palate. Nasometer measures the oral and nasal acoustical energy during the speech that is expressed as nasalance score and is a quantitative assessment. The aim of the present study was to obtain the normative nasalance scores for 7 to 20 year-old people and to investigate the differences between genders and age groups.
Materials and Methods: The present descriptive-analytic study was perfromed in 2016 on 7 to 20 year-old participants in Isfahan City, following cluster sampling method for choosing schools and simple sampling method to choose participants. After completing the informed consent and according to the evaluations, individuals who did not have difficulties related to speech, resonance, voice quality, and hearing entered the study. Mean nasalance scores were obtained from 220 participants (120 participants from 7-14 year-old group (55 boys and 65 girls) and 100 participants from14-20 year-old group (50 boys and 50 girls)) using the Nasometer (model 6450) during the repetition of low pressure syllables and reading Rainbow text.
Results: The mean obtained nasalance scores for low pressure syllables and rainbow text were 14/09 ±5/65 and 33/65±5/13 in boys 7-14 years old, 15/30± 5/11 and 33/59±4/04 in girls 7-14 years old, 17/75± 10/17 and 35/44± 94/4 in boys 14-20 years old, and 22/42± 9/8 and 36/64± 5/79 in girls 14-20 years old, respectively.
Conclusion: Normative nasalance scores for 7 to 20 year-old Persian speaking people in Isfahan city was obtained that can be used as a reference for the clinical diagnosis, evaluation, and treatment of resonance disorders in patients with cleft palate and velopharyngeal insufficiency along with the perceptual assessments.

کلیدواژه‌ها [English]

  • Nasalance
  • Nasometer
  • Normative nasalance score
  • Persian-speaking
  1. Hirschberg J, Bak S, Juhasz Mr, Trenovszki Z, Votisky Pt, et al. Adaptation of nasometry to Hungarian language and experiences with its clinical application. Int J Pediatr Otorhinolaryngol 2006; 70(5):785-98.##
  2. Kummer AW. Cleft palate & craniofacial anomalies: Effects on speech and resonance. 3rd ed. New York: Cengage Learning; 2014. p. 400-25. ##
  3. Howard S. cleft palate speech: assessment and intervention. 2nd ed. University of Shefild: Department of human communication science; 2011. p. 100-105. ##
  4. Rezaei P, Sadeghi S, Samani M, Yazdi M, Derakhshandeh F, et al.The relationship between hypernasality and timing of primary palatal surgery and cleft type in 3-6 years old children with cleft palate. JRRS 2014; 10(2): 228-38.[In Persian]. ##
  5. Kummer AW. Cleft palate & craniofacial anomalies: Effects on speech and resonance. 2nd ed. New York: Nelson Education; 2010. p. 387-400. ##
  6. Derakhshandeh F, Rezaei P, Gelmani pur M. Speech in cleft lip and palate. 1st ed. Medical university of Isfahan: Honarhaye ziba; 2001. p. 67. [In Persian]. ##
  7. Baghban K,Torabinejad F, Moradi N, Biglarian A. A study on the temporal patterns of nasalization in 4-to-12 year-old Persians speaking cleft palate and their normal peers. JRRS 2012; 8(3). [In Persian]. ##
  8. Hosseinabad HH, Derakhshandeh F, Mostaajeran F, Abdali H, Davari HA, Hassanzadeh A, et al. Incidence of velopharyngeal insufficiency and oronasal fistulae after cleft palate repair: A retrospective study of children referred to Isfahan Cleft Care Team between 2005 and 2009. Int J Pediatr Otorhinolaryngol 2015; 79(10):1722-6. [In Persian]. ##
  9. van Doorn J, Purcell A. Nasalance levels in the speech of normal Australian children. Cleft Palate Craniofac J 1998; 35(4):287-92. ##
10. Bult ML. Nasality in healthy Dutch children. [Master Thesis Clinical Language Speech and Hearing Sciences]. Utrecht University; 2010. ##

11. Brunnegård K, Van Doorn J. Normative data on nasalance scores for Swedish as measured on the Nasometer: Influence of dialect, gender, and age. Clin Linguist Phon 2009; 23(1):58-9. ##

12. Hamdan AL, Ziade G, Jabbor J, KHneizer G, Kutkut I. Nasalance scores in Lebanese english-speaking adults using nasometric analysis. J Med Liban 2015; 63(4):203. ##

13. Tahmasebi-fard N. Study of resonance change and some voice parameters before and after re-repair secondary surgery in patients cleft palate with velopharyngeal insufficiency. [Master's Thesis]. Faculty of Rehabilitation Sciences: Isfahan University of Medical Sciences; 2012. [In Persian]. ##

14. Sweeney T, Sell D, O'Regan M. Nasalance scores for normal-speaking Irish children. Cleft Palate Craniofac J 2004; 41(2):168-74. ##

15. Van Lierde KM, Wuyts F, Bodt M, Van Cauwenberge P. Nasometric values for normal nasal resonance in the speech of young Flemish adults. Cleft Palate Craniofac J 2001; 38(2):112-8. ##

16. Watterson T, Lewis KE, Deutsch C. Nasalance and nasality in low pressure and high pressure speech. Cleft Palate Craniofac J 1998; 35(4):293-8. ##

17. Karnell MP. Nasometric discrimination of hypernasality and turbulent nasal airflow. Cleft Palate Craniofac J 1995; 32(2):145-8. ##

18. GHaemi H, Sobhani-rad D, KHodadoust M, Elyasi M, Mardani N. Detecting normal values of nasalance scores in 7-11 year old boys. JPSR 2014; 4(2). [In Persian]. ##

  1. 19.  Park M, Baek WS, Lee E, Koh KS, Kim B-k, Baek R. Nasalance scores for normal Korean-speaking   adults and children. JPRAS 2014; 67(2):173-7. ##
20. Luyten A, D'haeseleer E, Hodges A, Galiwango G, Budolfsen T, Vermeersch H, et al. Normative Nasalance data in Ugandan English-speaking children. Folia Phoniatr Logop 2012; 64(3): 131-6. ##

21. Kim H-K, Yu X-m, Cao Y-j, Liu X-m, Huang Z-M. Dialectal and gender differences in nasalance for a Mandarin population. Clin Linguist Phon 2016; 30(2):119-30. ##

22. Rezaei P, Sadeghi S, Derakhshandeh F, Heydari Z. Nasometery normative data for 4 to 6 years old  Persian Normal boys  in Isfahan, Iran. JRRS 2016; 12(2). [In Persian]. ##

23. Peterson-Falzone SJ, Hardin-Jones MA, Karnell MP. Cleft Palate Speech. 3rd ed. Mosby: Elsevier Philadelphia; 2001. p. 262-63. ##

24. Kummer AW. Cleft palate & craniofacial anomalies: Effects on speech and resonance. 3rd ed. New York: Cengage Learning; 2014. p. 334. ##

25. Aghajanzadeh M, Ghorbani A, Torabinezhad F, Keyhani M. Comparing of two Farsi passages in laboratory evaluation of mean and fundamental frequency variations range. Audiol 2012; 21(1):62-8. [In Persian]. ##

26. Mathes SJ, Hentz VR. Plastic surgery: Saunders Elsevier; 2006. p. 382-3. ##

27. Paul R. Language disorders from infancy through adolescence: Assessment & intervention. Elsevier Health Sciences; 2007. p. 31-3. ##

28. Memarian A, Ghorbani A, Torabi Nejad F, Keyhani M. Designing a Farsi text for the assessment of adult voice features and determining its validity and reliability in measuring the fundamental frequency and intensity of speech. JRRS 2008; 4(2). [In Persian]. ##

29. Fletcher SG, Adams LE, McCucheon MJ. Cleft palate speech assessment through oral-nasal acoustic measures .In: Bzoch KR, editors. Communicative Disorders Related to Cleft Lip and Palate. Boston: Little Brown; 1989. p. 246-57. ##

30. Bressman T. Comparison of nasalance scores obtained with the Nasometer, the NasalView, and the OroNasal System. Cleft Palate Craniofac J 2005; 42: 423-33. ##

31. Prathanee B, Thanaviratananich S, Pongjunyakul A, Rengpatanakij K. Nasalance scores for speech in normal Thai children. Scand J Plast Recons 2003; 37(6): 351-5. ##

32. Hashemi H, Jalilevand N, Ghorbani A, Kamali M. Nasalance scores in the speech of normal 3/5-6/5 years old children in Tehran Iran. Audiol 2014; 23(2). [In Persian] ##

33. Sarac ET, Kayikci MEK, Ozkan S. Nasality evaluation of Turkish phonemes in vowel-consonant combinations. Int J Pediatr Otorhinolaryngol 2011; 75(7):894-8. ##

34. Ha S, Cho S-h. Nasalance scores for normal Korean-speaking adults and children: Effects of age, vowel context, and stimulus length. Int J Pediatr Otorhinolaryngol 2015; 79(8):1235-9. ##

35. Trindade IE, Genaro KF, Dalston RM. Nasalance scores of normal Brazilian Portuguese speakers. Braz J Dysmorphol Speech Hear Disord 1997; 1(1):23-34. ##

36. Van Lierde KM, Wuyts FL, Bodt MD, Van Cauwenberge P. Age‐related patterns of nasal resonance in normal Flemish children and young adults. Scand J Plast Reconstr Surg Hand Surg Suppl 2003; 37(6): 344-50. ##