Music in therapy of stuttering

Abstract

Mucanje je poremećaj tečnosti govora i okarakterizirano je abnormalno visokom učestalošću i trajanjem zastoja u toku govora, a zastoji se javljaju u obliku ponavljanja glasova, slogova ili jednosložnih riječi, produljivanja glasova te zastoja zračne struje (Guitar, 2006). Postoji veliki broj terapija mucanja te se one mogu podijeliti na terapije prikladne za djecu predškolske dobi, terapije za djecu školske dobi i odrasle osobe. Jedan od pristupa u terapiji mucanja koji se može izdvojiti je primjena glazbe u terapiji mucanja. Tijekom primjene glazbe u terapiji mucanja najčešće se koriste terapijsko pjevanje te ritmičko-govorno signaliziranje. Također se koriste tehnike auditivnog maskiranja i oralno-motorne i respiratorne vježbe (OMREX). Cilj ovog diplomskog rada je bio ispitati koliki postotak logopeda članova Hrvatskog logopedskog društva (HLD-a) koristi glazbu u terapiji mucanja. Također, cilj je bio ispitati koje terapije mucanja logopedi najčešće koriste u svojoj praksi te koliko njih smatra da terapije mucanja imaju pozitivan učinak. Za potrebe ovog rada i istraživanja kreirana je anketa na koju je odgovorilo 40 ispitanika, tj. članova Hrvatskog logopedskog društva. Rezultati su pokazali da je samo 20% ispitanika koristilo glazbu u terapiji mucanja. Nadalje, najčešće korištena terapija mucanja su tehnike oblikovanja tečnosti (32,5%), a više od polovice logopeda smatra da terapije mucanja imaju pozitivan učinak (55%). Budući da postoje brojne pozitivne promjene nakon korištenja glazbe u terapiji mucanja, vidljivo je da su potrebna daljnja istraživanja o utjecaju i uporabi glazbe u terapijske svrhe. Zaključno, potrebno je dobro strukturirati terapije mucanja i odabrati onu koja odgovara osobi koja muca kako bi se postigao dugotrajan i pozitivan učinak.Stuttering is a disorder of fluency and it is characterized by an abnormally high frequency and duration of stoppages in the flow of speech. These stoppages take the form of repetitions of sounds,syllables or onesyllable words, prolongations of sounds and blocks of airflow (Guitar, 2006). There are many therapies of stuttering and they can be divided into therapies appropriate for preschool children, therapies for school children and therapies for adults. Music in therapy of stuttering is the approach we can single out from other therapies of stuttering. The most used approaches that are part of music in therapy of stuttering are therapeutic singing and rhythmic speech cueing. Auditory masking and oral motor and respiratory exercises (OMREX) are also used. The aim of this study was to examine which percentage of speech-language pathologists who are members of Croatian speech-language pathology association (HLD) use music in therapy of stuttering. The aim of study was also to examine which therapies of stuttering are mostly used by speech-language pathologists and how many of them think that these therapies have positive effect. The poll, created for the purpose of this study, was answered by 40 speechlanguage pathologists, members of Croatian speech-language pathology association (HLD). Results have shown that only 20% of respondents use music in therapy of stuttering. Furthermore, the most used therapy of stuttering is fluency shaping (32,5%) and more than half of respondents think that therapies of stuttering have positive effect (55%). Since there are many proofs for positive changes after using of music in therapy of stuttering, further research about influence and use of music in therapy of stuttering is necessary. At last, well established therapy of stuttering and selection of the most appropriate therapy for person who stutter is also necessary