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

NCT03628755 | Completed

• 1 other identifier: IIRS-IUISB/PHD/016
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

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.

Conditions

Developmental Stuttering

Keywords

Fluency shaping therapy; Digital Manipulation; Stuttering; communication

Outcome Measures

Primary Outcomes (3)

• Scale for Rating the severity of stuttering

  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 .

  12 weeks

• Modified Erickson scale of communication attitude(24)

  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.

  12week

• Assessment of Physiological Factors Associated with Stuttering

  Clinician need to carefully observe whether these physiological factor are present or not present during stuttering. 0=not present 1= present

  12 week

Study Arms (3)

Digital Manipulation

ACTIVE COMPARATOR

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.

Behavioral: Digital Manipulation of Thyroid cartilage

fluency shaping Therapy

ACTIVE COMPARATOR

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

Behavioral: Fluency Shaping Therapy

combination Group

EXPERIMENTAL

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

Behavioral: Digital Manipulation of Thyroid cartilage; Behavioral: Fluency Shaping Therapy; Behavioral: combination Group

Interventions

Digital Manipulation of Thyroid cartilage BEHAVIORAL

Digital manipulation of thyroid cartilage was applied to the anterior aspect of thyroid cartilage while using the thumb or finger and the patient was asked to speak. prolongation of vowel is 7 to 8 seconds, voice rest after each set is 10 second. total repetition is 60.

Digital Manipulation; combination Group

Fluency Shaping Therapy BEHAVIORAL

FST session comprised of speech techniques such as prolongation of sounds, easy onset, continuous phonation, light articulatory contact, in reading and conversation in three speaking situations (speaking with therapist, reading aloud, and free conversation Reading task was for 80 short phrases.

combination Group; fluency shaping Therapy

combination Group BEHAVIORAL

combination group intervention of DMT + FST

combination Group

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

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

You may not qualify if:

• Language disorders
• Cluttering
• Neurological stuttering

Sponsors & Collaborators

• Isra University: lead

Study Sites (1)

National Institute of Rehabilitation Medicine (NIRM)

Islamabad, Federal, 44000, Pakistan

Location

MeSH Terms

Conditions

Stuttering; Communication

Condition Hierarchy (Ancestors)

Speech Disorders; Language Disorders; Communication Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Associate

Model Details: The three group were digital manipulation of thyroid cartilage(DMT) group,fluency shaping therapy (FST) group,combination of DMT,FST. the intervention period for each subject was three month and data was collected on day one and at the end of every 2 weeks. 4th week , 8th week, and 12th week which were aimed to reduce severity of stuttering and improve fluency

Study Record Dates

• First Submitted: August 9, 2018
• First Posted: August 14, 2018
• Study Start: September 1, 2018
• Primary Completion: June 30, 2019
• Study Completion: July 18, 2019
• Last Updated: July 26, 2019

Record last verified: 2019-07

Locations

PA (1)