SLPCase SeriesCoDAS2023

Intensive speech-language pathology therapy with adults who stutter: preliminary study.

Amanda Caroline Pereira da Silva Miranda, Camila Queiroz de Moraes Silveira Di Ninno, Denise Brandão de Oliveira E Britto

PMID 37255078

WHAT IT FOUND

Four adults who stuttered showed lower stuttering disfluency percentages after 30 intensive therapy hours, but everyday communication ratings worsened for some.

The paper reports only before-and-after measurements, with no follow-up.

Key findings

01After 30 therapy hours, mean speech discontinuity was 16.76% (from 43.15%) and mean stuttering disfluencies were 10.61% (from 30.85%).

02Mean words per minute increased from 60.10 to 82.33 and syllables per minute increased from 119.10 to 156.55.

03OASES-A mean and median scores decreased in all parts and total, but Part 3 worsened: moderate to severe increased to 50.0% and moderate decreased to 25.0%.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

Only four male participants were studied, so the results cannot show what would happen in women or in a larger group. The therapy combined fluency promotion, awareness, desensitization, fluency modeling, stuttering modification, and communicative skills, so the contribution of any single component cannot be separated. The study had no control group, so improvement could not be compared with no therapy, usual therapy, or time. Measurements were taken immediately before and after therapy, with no follow-up to test whether gains lasted or generalized to daily life. One participant's severe stuttering produced speech samples below the 200-syllable target used in the fluency protocol, which may affect comparisons. Correlations between fluency measures and self-perception were not statistically significant, and the authors note the small sample may have affected this. Participants had to be available for five hours per week and excluded recent stuttering treatment or other impairments, so it may not apply to people who cannot attend intensive therapy or have other conditions.

Declared interests

No funding or conflict-of-interest statement is reported.

The easy way to misread this

Do not read the lower disfluency percentages as proof that intensive therapy works or that gains last. The study had four participants, no control group, and only immediate post-therapy measures.

Read it on PubMed →