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

Developmental Stuttering Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03628755
• Other study ID #: IIRS-IUISB/PHD/016
• Status: Completed
• Phase: N/A
• Start date: September 1, 2018
• Est. completion date: July 18, 2019

Study information

• Verified date: July 2019
• Source: Isra University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 54
• Est. completion date: July 18, 2019
• Est. primary completion date: June 30, 2019
• Accepts healthy volunteers: No
• Gender: Male
• Age group: 18 Years to 30 Years

Eligibility

Inclusion Criteria:

• Developmental stuttering

• Between age of 18 to 30 years

• Only male

Exclusion Criteria:

• Language disorders

• Cluttering

• Neurological stuttering

Related Conditions & MeSH terms

• Developmental Stuttering
• Stuttering

Intervention

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.
• 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.
• combination Group
combination group intervention of DMT + FST

Locations

Country	Name	City	State
Pakistan	National Institute of Rehabilitation Medicine (NIRM)	Islamabad	Federal

Sponsors (1)

Lead Sponsor	Collaborator
Isra University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Scale for Rating the severity of stuttering	0-No Stuttering; Very mild-stuttering .; Mild-stuttering.; Mild to moderate-stuttering.; Moderate -stuttering.; Moderate to severe stuttering; Severe-stuttering . 7 Very severe -stuttering .	12 weeks
Primary	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
Primary	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