Effectiveness of Digital Manipulation of Thyroid Cartilage and Fluency Shaping Therapy for the Management of Stuttering in Adult

Not Applicable

Completed

• Conditions: Developmental Stuttering
• Interventions: Behavioral: Fluency Shaping Therapy; Behavioral: Digital Manipulation of Thyroid cartilage; Behavioral: combination Group

• Registration Number: NCT03628755
• Lead Sponsor: Isra University

Brief Summary

This study was conducted to determine the effectiveness of digital manipulation of thyroid cartilage for the management of stuttering in adult.There were three groups,Group A received Digital Manipulation of Thyroid cartilage (DMT),Group B received Fluency shaping Therapy(FST),Group C received combination of DMT,FST.

Detailed Description

The purpose of speech therapy is to stop progression of stuttering while teaching the method to client how to cope efficiently his or her stuttering disorder.

The goal of fluency shaping therapy to eliminate the severity of stuttering by adopting the specific pattern of speech production and also reduce negative reaction to stuttering by default).

Digital manipulation of thyroid cartilage decreases tension in vocal fold and reduces severity of stuttering and improves production of speech. DMT reduces unnecessary amount of tension in vocal tract and participant speaks with relax respiration,phonation, articulation and facilitate more fluent.in DMT subject speaks in natural way rather than in specific method in every situation.

Study Timeline

• Study First Submitted: 2018-08-09
• Study First Submitted QC: 2018-08-13
• Study First Posted: 2018-08-14
• Study Start: 2018-09-01
• Primary Completion: 2019-06-30
• Status Verified: 2019-07
• Study Completion: 2019-07-18
• Last Update Submitted: 2019-07-24
• Last Update Posted: 2019-07-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Male
• Target Recruitment: 54

Inclusion Criteria

• Developmental stuttering
• Between age of 18 to 30 years
• Only male

Exclusion Criteria

• Language disorders
• Cluttering
• Neurological stuttering

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
fluency shaping Therapy	Fluency Shaping Therapy	Fluency Shaping Therapy Duration:Each child was given 30-minute session. Fluency Shaping Therapy (FST) Frequency: Twice in a week Total 24 sessions were performed. The aim of DMT was to reduce the severity of stuttering and improve the fluency
combination Group	Digital Manipulation of Thyroid cartilage	Combination Group (DMT+FST) Duration:Each subject was given 45-Minute session Frequency: Twice in a week Total 24 sessions were performed combination group was more significant option for reducing the severity of stuttering and improve fluency than practice the single DMT or FST
Digital Manipulation	Digital Manipulation of Thyroid cartilage	Digital manipulation of thyroid cartilage (DMT) Duration: Each child was given 15-20 minute session. Frequency: Twice in a week. Total 24 sessions were performed. The aim of DMT was to reduce the severity of stuttering and improve the fluency.
combination Group	Fluency Shaping Therapy	Combination Group (DMT+FST) Duration:Each subject was given 45-Minute session Frequency: Twice in a week Total 24 sessions were performed combination group was more significant option for reducing the severity of stuttering and improve fluency than practice the single DMT or FST
combination Group	combination Group	Combination Group (DMT+FST) Duration:Each subject was given 45-Minute session Frequency: Twice in a week Total 24 sessions were performed combination group was more significant option for reducing the severity of stuttering and improve fluency than practice the single DMT or FST

Primary Outcome Measures

Name	Time	Method
Modified Erickson scale of communication attitude(24)	12week	This 24-item scale distinguishes the extent to which a stuttering person's communication attitude deviates from normed attitudes. Statement require a true or false answer. Individual with mean score of 19.22 and range of 9-24 is consider as stutter. Individual with mean score of 9.4 and range of 1-21 is consider as non-stutter. The higher the score, the poorer the communication attitude.
Assessment of Physiological Factors Associated with Stuttering	12 week	Clinician need to carefully observe whether these physiological factor are present or not present during stuttering. 0=not present 1= present
Scale for Rating the severity of stuttering	12 weeks	0-No Stuttering; 1. Very mild-stuttering .; 2. Mild-stuttering.; 3. Mild to moderate-stuttering.; 4. Moderate -stuttering.; 5. Moderate to severe stuttering; 6. Severe-stuttering . 7 Very severe -stuttering .

Trial Locations

Locations (1)

National Institute of Rehabilitation Medicine (NIRM); 🇵🇰 Islamabad, Federal, Pakistan