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

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ClinicalTrials.gov Identifier: NCT03628755
Recruitment Status : Completed
First Posted : August 14, 2018
Last Update Posted : August 24, 2018
Sponsor:
Information provided by (Responsible Party):
Nasir Khan, 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.

Condition or disease Intervention/treatment Phase
Developmental Stuttering Behavioral: Digital Manipulation of Thyroid cartilage Behavioral: Fluency Shaping Therapy Behavioral: combination Group Not Applicable

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.


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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 54 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: 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
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Effectiveness of Digital Manipulation of Thyroid Cartilage and Fluency Shaping Therapy for the Management of Stuttering in Adult
Actual Study Start Date : February 2016
Actual Primary Completion Date : September 2016
Actual Study Completion Date : March 2017

Resource links provided by the National Library of Medicine

Drug Information available for: Thyroid

Arm Intervention/treatment
Active Comparator: Digital Manipulation
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

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.


Active Comparator: 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

Behavioral: Fluency Shaping Therapy
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.

Experimental: 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
Behavioral: Digital Manipulation of Thyroid cartilage

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.


Behavioral: Fluency Shaping Therapy
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.

Behavioral: combination Group
combination group intervention of DMT + FST




Primary Outcome Measures :
  1. Scale for Rating the severity of stuttering [ Time Frame: 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 .

  2. Modified Erickson scale of communication attitude(24) [ Time Frame: 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.

  3. Assessment of Physiological Factors Associated with Stuttering [ Time Frame: 12 week ]
    Clinician need to carefully observe whether these physiological factor are present or not present during stuttering. 0=not present 1= present



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 30 Years   (Adult)
Sexes Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

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

Exclusion Criteria:

  • Language disorders
  • Cluttering
  • Neurological stuttering

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Responsible Party: Nasir Khan, Research Associate, Isra University
ClinicalTrials.gov Identifier: NCT03628755     History of Changes
Other Study ID Numbers: IIRS-IUISB/PHD/016
First Posted: August 14, 2018    Key Record Dates
Last Update Posted: August 24, 2018
Last Verified: December 2017

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Nasir Khan, Isra University:
Fluency shaping therapy
Digital Manipulation
Stuttering
communication

Additional relevant MeSH terms:
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Stuttering
Speech Disorders
Language Disorders
Communication Disorders
Neurobehavioral Manifestations
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms