Effectiveness of mind simulation on stuttering in a patient with spastic diplegia: A case report

Akram Hosseinzadeh, Mohammad Ehsan Taghizadeh

DOI: 10.22122/cdj.v0i0.624

Abstract


BACKGROUND: Cerebral palsy (CP) is a non-progressive brain lesion that causes impaired muscle coordination. Diplegia is a type of limb paralysis that usually involves the symmetry organs, with the involvement of lower organs being more than the upper organs. Patients with diplegia have a type of secondary muscle tension dysphonia due to speech-breathing disorders and speech problems including stuttering. This study is conducted aiming to evaluate the effectiveness of the mind simulation method on improving stuttering in a patient with spastic diplegia.

CASE REPORT: The patient was an 11-year-old boy diagnosed with spastic diplegia with stuttering disorder and had long been treated with chlorsospasm and was selected by purposive sampling method. After 21 days of assessment in the baseline stage (A), he was treated with mind simulation (B) for 10 weeks. Evaluations were carried out every 10 days and totally, 7 evaluations were carried out. Data were analyzed in a reversal design through visual method, chart slope analysis, and comparison of subjects' mean performance at baseline and intervention stages using SPSS software.

CONCLUSION: The primary outcomes showed that the simulation method was associated with decreased stuttering in the patient (P < 0.01). The secondary outcomes showed decreasing scores of frequency indices, delay, movements of hand, head, face, body, mouth, and psychological factors in Stuttering Severity Instrument (SSI)
(P < 0.01). The findings of this study indicated that the use of the mind simulation method as a complementary intervention could be associated with a decrease in stuttering symptoms in patients with spastic diplegia.


Keywords


Cerebral Palsy; Spastic Diplegia; Stuttering

Full Text:

PDF

References


Ryan JM, Cameron MH, Liverani S, Smith KJ, O'connell N, Peterson MD, et al. Incidence of falls among adults with cerebral palsy: A cohort study using primary care data. Dev Med Child Neurol 2020; 62(4): 477-82.

Jauhari P, Singhi P, Sankhyan N, Malhi P, Vyas S, Khandelwal N. A comparison of spastic diplegia in term and preterm-born children. J Child Neurol 2018; 33(5): 333-9.

Iimura D, Yada Y, Imaizumi K, Takeuchi T, Miyawaki M, Van Borsel J. Public awareness and knowledge of stuttering in Japan. J Commun Disord 2018; 72: 136-45.

Taghizadeh ME. The effectiveness of stuttering using mind simulation. Proceedings of the 3rd International Conference on Recent Innovations in Psychology, Counseling and Behavioral Sciences; 2016 Nov. 10; Tehran, Iran. [In Persian].

Taghizadeh ME, Yarollahi NA, Bahrami Z. The effectiveness of the simulation mind model on reducing stress and increasing cognitive flexibility in adult with stuttering disorder. Shenakht Journal

of Psychology and Psychiatry 2018; 5(2): 67-80. [In Persian].


Refbacks

  • There are currently no refbacks.


Creative Commons Attribution-NonCommercial 4.0

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.