2017 RRTTLC – Octombrie, Vol III, Nr. 2

Revista Română de Terapia Tulburărilor de Limbaj și de Comunicare

Volum integral

Doi: 10.26744/rrttlc.2017.3.2





Întârzierea în dezvoltarea limbajului. Studiu de caz

Language developmental delay. Case study


The paper is structured in two sections: the first one establishes the theoretical framework, while the practical section, the second one describes a case study. The first section discusses, from a theoretical point of view, general elements of speech delay as they were described and analyzed in time according to different psycho-linguistic approaches. The second section, structured as a case study, describes the importance of early intervention at 0-5 years old children with speech delay. The case study includes ways of evaluation at this particular age, aiming to design a personalized intervention plan that is focused on all the aspects that influences the language acquisition and development – receptive language, expressive language, cognitive level and motor level. Results underlined that the early intervention in speech delay cases have major implications for their global development by offering the children the possibility to reach a proper development path.

Keywords: speech delay, speech disorders, language, expressive language disorder, receptive language disorder

Strategii de dezvoltare a auzului fonematic în contextul dizabilității intelectuale

Strategies to empower phonemic hearing in the context of intellectual disability

Liana Angela MUȘUȚAN

Following the systematic observations made in the work with preschoolers with intellectual disabilities, we found that their basic trait is the deficient phonemic hearing and the delay in its development. This paper aims to present some ways to stimulate and develop phonemic hearing through a mobile application. The mobile application aims to develop perception, attention, memory and hearing discrimination. This was applied to a consortium of 24 participants, of which 10 preschoolers who achieved average and inferior results were included in a three-month therapy program. Following implementation of the tablet application, the results of the preschoolers improved at all stages of the program.

Keywords: phonemic hearing, intellectual disability, mobile application, pre-school, language


Importanța terapiei limbajului în contextul dizatriei ataxice. Studiu de caz longitudinal

The importance of language therapy in the context of Ataxic Dysarthria. Longitudinal case study

Mihaela Maria TELCEAN, Anamaria-Rada BERESCHI-BENE, Cristina SIBEF

This paper focuses on the importance of early intervention on language development in children with ataxic dysarthria, taking into account that they face various breathing, articulation, phonetic, resonance and suprasegmental difficulties. Coordination disorders, difficulties in walking, abundant salivation, low muscle tone and jerky speech are also known disorders met in ataxic dysarthria.
All these disorders have a negative impact on the quality of life of the individuals diagnosed with this condition, so early intervention is necessary.
This paper aims to bring forward an approach based on developing the suprasegmental component of communication, the abilities of immediate imitation, focused attention, establishing visual contact, developing the phono articulatory apparatus mobility using classical exercises as well as orofacial stimulation (Morales Technique and using special instruments – Sensory therapy instruments, Z-vibe – an instrument with vibrations), developing breathing, articulation, phonetic and resonance skills, developing active vocabulary, taking into account the final aim, developing a functional and efficient communication.

Keywords: Ataxic Dysarthria, Early Intervention, Glucose Transporter Type 1 Deficiency Syndrome.

Dezvoltarea conștiinței fonologice la vârsta preșcolară

Developing phonological awarness at pre-school age


The child’s ability to perceive language, as a structure consisting of a limited set of sounds or phonemes can be considered to be one of the greatest conceptual constructs of the human mind.
The purpose of the present study was to train and develop the phonological abilities of preschool children based on an intervention program based on the activities of building, exposing, analyzing and solving different tasks of phonological awareness, a program included in the daily activities of language education. It was also considered to compare the results of children in two groups: the experimental group after conducting the phonological awareness development plan and the control group after the traditional language education activities, according to the curriculum for pre-school education.

Keywords: child development language, phonological abilities, phonological awareness, intervention program, phonological auditory analysis.

Tulburări de voce asociate cu tulburări de înghițire – implicații în sfera calității vieții

Voice disorders associated with swallowing disorders – Implications in the sphere of quality of life

Catrinel FRÎNCU

Voice impairments associated with dysphagia – implications on quality of life. This reaserch was conducted with the purpose of studying the effect of voice impairments and dysphagia on the quality of life of adults. In order to do this, constructs such as general health, symptoms of voice disorders and dysphagia, quality of life were taken into consideration.
In the beginning, the subject was approached from a theoretical point of view and was given a general perspective on certain concepts like voice impairments and dysphagia.
The objectives of this reasearch are: the investigation of the perceived general health status of the adult with voice impairments and dysphagia; highlighting the main symptoms of voice impairmants and dysphagia; the evaluation of the quality of life of adults with voice impairments and dysphagia.
In order for the objectives to be reached, one participant was selected and the evaluation process started. After finishing the evaluation, an intervention plan was created with the purpose of facilitating the management of voice impairments and dysphagia symptoms and the increase of the quality of life.

Keywords: dysphagia, swallowing diosrders, voice disorders, quality of life, adults voice.

Rinolalia deschisă în context sindromic și non-sindromic

Rhinolalia aperta in a syndromic and non-syndromic context


This article describes the results obtained in a research which study the symptomatology of open rhinolalia in syndromic and non-syndromic context.
Open rhinolalia represents a real, complex, less common problem with major implications for language development, both organic and functional, and whose diagnosis, evaluation and intervention approach is poorly known and adopted in speech therapy practice.
The approach in the research of both the specifics of non-syndromic rhinolalia and syndromic rhinolalia aims at identifying the particularities and symptoms of this speech disorder and focuses mainly on the identification of the degree of development of expressive language and the intelligibility of speech, but also on finding the level and the type of the associated voice disorder and the similarities and differences between the specificity of non-syndromic rhinolalia and syndromic rhinolalia. In the case of syndromic rhinolalia, it has been observed how optimal development and rehabilitation of language is influenced by association with Down syndrome and Pierre-Robin syndrome.

Keywords: open rhinolalia, non-syndromic rhinolalia, syndromic rhinolalia, voice disorder, speech disorder, speech intelligibility

Utilizarea unei aplicații computerizate pentru evaluarea și antrenarea procesărilor fonologice

Using a computerized application to evaluate and increase phonological processes

Larisa-Ioana CRISTEA

The phonological processing with its two components: phonological awareness and phonemic awareness is focusing on differentiating the sounds that form the words. This side of the language has an important role in learning reading-writing which makes efficient intervention in training it absolutely necessary. This article focuses on the training process of phonological processing with the help of a mobile application as well as classic therapy.

Keywords: phonological processing, phonological awareness, information and communication technologies, phonemic awareness, mobile technologies

Evaluarea diagnostică a fluenței în citire

Diagnostic evaluation of reading fluency

Teodora Lavinia GABRIAN

This study presents the results of reading fluency ability in2nd class students as measured with PEAFC (Probe for Assessing and Training Reading Fluency). The results demonstrate a significant improvement in reading fluency for all the participants. PEAFC helps the teacher or the therapist to monitor the progress and to present the progress the students made to the students and to the parents. The results can be presented in a graphic for a better understanding

Keywords: reading fluency, test, dyslexia, dysgraphia.

Automatizarea sunetelor S şi Z în propoziţii. Studiu de caz

Automatization of sounds S and Z in sentences. Case Study


The purpose of this article is to underline the main particularities of pronunciation in case of the children with dyslalia, sigmatism. Thus, in this article is presented a case study, which emphasizes both the assessment process and the intervention approach focused on the pronunciation of S and Z sounds (Romanian S-Z sounds) during the sentences level. Results demonstrated that an adequate assessment and intervention can ensure functional development of S and Z pronunciation. Also, the exercises practiced during intervention are useful not only for speech and language therapists, but also for parents of children with sigmatism.

Keywords:sigmatism, case study, assessment, intervention, sentences level, dyslalia.

Dezvoltarea deprinderilor de scris-citit prin metoda Meixner în contextul dizabilității intelectuale

Developing reading and reading skills through the Meixner method in the context of intellectual disability


In this paper, we will be overlooking the complex process of reading and writing in intellectually disabled students and the development of these processes through the use of the Meixner method of intervention. Knowing that learning reading and writing is directly dependent on the development of speech, spatial-temporal orientation as well as perception and the processes of attention and memory, along with, as stated in DSM-5th edition, the association of these disorders to learning disorders (non-dependent on intellectual disability), we can easily see the imperative need to use intervention methods, as is Meixner, to correct and enhance language development; Language development, or the lack of development, to be more precise is in fact, one of the primary predictors of reading and writing impairments in students that have intellectual disabilities, thus seen in: a poor vocabulary, slow, difficult reading rhythms, replacing, omitting or adding certain letters or syllables. This, has various and tremendous impacts in all areas of life, if the student does not receive the proper care and specialized intervention as early as possible (early intervention).
In the present case study we will notice how a young female student, with intellectual disability, delayed expressive language acquisition and mixed instrumental disorders, along with reading – writing disorder benefits from a Meixner intervention, achieving impressive results, coming to aid in her difficulty, improving the present disorders in reading – writing / language development, instrumental disorder, having achieved a more active vocabulary, better abilities of focusing on tasks, having remarkable results even in some behavioral aspects (classroom integration, social integration, social abilities, social communication).

Keywords: reading, writing, intellectual disability, Meixner method, intervention, learning disabilities, case study.

Strategii de dezvoltare a comprehensiunii verbale la copiii cu dizabilitate intelectuală

Verbal comprehension development strategies for children with intellectual disabilities


This article studies the verbal comprehension on children with intellectual disability and the ways speech therapy can influence its development, as well as verbal memory and semantic lexical abilities.
A well-defined intervention program speech and language therapy, adapted to the particularities of the child with intellectual disability focused on clear and well-structured objectives, can have quicker results and can be obtained in a much more enjoyable way for children.

Keywords: communication, intellectual disability, verbal comprehension, lexical representations, speech and language therapy