Ultrasonun Dil ve Konuşma Terapisindeki Yeri: Bir Derleme Çalışması

Abstract

Ultrason dil ve konuşma terapisi alanında popülerliği artan nispeten yeni bir klinik araçtır. Ultrason görsel geribildirim; konuşma, ses ve yutma bozukluklarının tarama, değerlendirme, tanılama ve müdahale sürecinde kullanılabilmektedir. Ultrason görsel geribildirim cerrahi işlem gerektirmemesi, gerçek zamanlı bir görüntü sağlaması, rahat bir pozisyonda kullanıma izin vermesi, farklı yaş gruplarında kullanılabilmesi, ağrısız ve taşınabilir olması gibi avantajları ile öne çıkmaktadır. Buna karşın gerek değerlendirme gerekse müdahale sürecinde uygulanışına dair evrensel bir görüşün olmaması ultrasonun kullanımına dair belirsizliklere neden olmaktadır. Bu bağlamda literatürdeki çalışmalardan hareketle mevcut çalışmada, ultrasonun görsel geribildirim amacıyla dil ve konuşma terapisi alanında klinik ve teorik olarak kullanımına ilişkin bilgiler sunulmaktadır.

Keywords

• ultrason
• dil ve konuşma terapisi
• ses
• yutma

The Role of Ultrasound in Speech and Language Therapy: A Review Study

Abstract

Ultrasound is a relatively new clinical tool that is becoming increasingly popular in the field of speech-language therapy. Using ultrasound as visual feedback can be utilised in screening, assessing, diagnosing, and intervening speech, voice, and swallowing disorders. Ultrasound visual feedback stands out with its advantages such as not requiring a surgical procedure, providing a real-time image, allowing use in a comfortable position, can be used in different age groups, painless and portable. However, the lack of a universal opinion on its application in both the evaluation and intervention process causes uncertainties regarding the use of ultrasound. In this context, based on the studies in the literature, this study presents information on the clinical and theoretical use of ultrasound visual feedback methods in speech and language therapy.

Keywords

• ultrasound
• speech and language therapy
• voice
• swallowing

References

1. Adler-Bock, M. (2004). Visual feedback from ultrasound in remediation of persistent /r/ errors: Case studies of two adolescents (Doctoral dissertation, University of British Columbia). https://doi.org/10.14288/1.0091528 Allen, J. E., Cleland, J., & Smith, M. (2023). An initial framework for use of ultrasound by speech and language therapists in the UK: Scope of practice, education and governance. Ultrasound, 31(2), 92-103. https://doi.org/10.1177/1742271X221122562
2. Allen, J. E., Clunie, G. M., Slinger, C., Haines, J., Mossey-Gaston, C., Zaga, C. J., … Govender, R. (2021). Utility of ultrasound in the assessment of swallowing and laryngeal function: A rapid review and critical appraisal of the literature. International Journal of Language & Communication Disorders, 56(1), 174-204. https://doi.org/10.1111/1460-6984.12584
3. American Speech-Language-Hearing Association. (t.y.-a). Speech sound disorders: Articulation and phonology. https://www.asha.org/practice-portal/clinical-topics/articulation-and-phonology/. Erişim tarihi: 30.03.2024.
4. American Speech-Language-Hearing Association. (t.y.-b). Swallowing disorders in adults. https://www.asha.org/public/speech/swallowing/swallowing-disorders-in-adults/. Erişim tarihi 30.03.2024. Aslam, M., & Vaezi, M. F. (2013). Dysphagia in the elderly. Gastroenterology & Hepatology, 9(12), 784-795. Bacsfalvi, P., & Bernhardt, B. M. (2011). Long-term outcomes of speech therapy for seven adolescents with visual feedback technologies: Ultrasound and electropalatography. Clinical Linguistics & Phonetics, 25(11-12), 1034-1043. https://doi.org/10.3109/02699206.2011.618236
5. Bauman-Waengler, J. (2013). Articulatory and phonological impairments: A clinical focus (4. Edition). Pearson New International Edition.
6. Bernhardt, M. B., Bacsfalvi, P., Adler‐Bock, M., Shimizu, R., Cheney, A., Giesbrecht, N., … Radanov, B. (2008). Ultrasound as visual feedback in speech habilitation: Exploring consultative use in rural British Columbia, Canada. Clinical Linguistics & Phonetics, 22(2), 149-162. https://doi.org/10.1080/02699200701801225 Blyth, K. M., McCabe, P., Madill, C., & Ballard, K. J. (2017). Ultrasound in dysphagia rehabilitation: a novel approach following partial glossectomy. Disability and rehabilitation. 39(21), 2215-2227. https://doi.org/10.1080/09638288.2016.1219400
7. Bressmann, T. (2008). Quantitative assessment of tongue shape and movement using ultrasound imaging. Selected Proceedings of the 3rd Conference on Laboratory Approaches to Spanish Phonology, 101-106. Cascadilla Proceedings Project.
8. Cleland, J., Scobbie, J. M., & Wrench, A. A. (2015). Using ultrasound visual biofeedback to treat persistent primary speech sound disorders. Clinical Linguistics & Phonetics, 29(8-10), 575-597. https://doi.org/10.3109/02699206.2015.1016188

9. da Costa, B. O. I., Rodrigues, D. de S. B., Santos, A. S., & Pernambuco, L. (2021). Transcutaneous laryngeal ultrasonography for the assessment of laryngeal function after thyroidectomy: A review. Ear, Nose & Throat Journal, 100(6), 439-446. https://doi.org/10.1177/0145561319870487
10. Dodd, B. (2014). Differential diagnosis of pediatric speech sound disorder. Current Developmental Disorders Reports, 1(3), 189-196. https://doi.org/10.1007/s40474-014-0017-3
11. Foss, M. C., Whitehead, B., Paterson, M., & Whitehead, R. (1990). Ultrasound as a visual feedback aid for the hearing-impaired. Journal of Diagnostic Medical Sonography, 6(2), 80-86. https://doi.org/10.1177/875647939000600203
12. Friedman, S., Sadot, E., Gut, G., Armoni Domany, K., & Sivan, Y. (2018). Laryngeal ultrasound for the diagnosis of laryngomalacia in infants. Pediatric Pulmonology, 53(6), 772-777. https://doi.org/10.1002/ppul.23964 Garel, C., Legrand, I., Elmaleh, M., Contencin, Ph., & Hassan, M. (1990). Laryngeal ultrasonography in infants and children: Anatomical correlation with fetal preparations. Pediatric Radiology, 20(4), 241-244. https://doi.org/10.1007/BF02019656
13. Geddes, D. T., Chadwick, L. M., Kent, J. C., Garbin, C. P., & Hartmann, P. E. (2010). Ultrasound imaging of infant swallowing during breast-feeding. Dysphagia, 25(3), 183-191. https://doi.org/10.1007/s00455-009-9241-0 Gomaa, M. A., Hammad, M. S., Mamdoh, H., Osman, N., & Eissawy, M. G. (2013). Value of high resolution ultrasonography in assessment of laryngeal lesions. Otolaryngologia Polska, 67(5), 252-256. https://doi.org/10.1016/j.otpol.2013.06.001
14. Gray, S. D., Smith, M. E., & Schneider, H. (1996). Voice disorders in children. Pediatric Clinics of North America, 43(6), 1357-1384. https://doi.org/10.1016/S0031-3955(05)70523-X
15. Hashemi Hosseinabad, H., & Xing, Y. (2024). Feasibility of using ultrasound visual biofeedback to treat persistent speech sound disorders in children with cleft palate-a case series. Clinical Linguistics & Phonetics, 1-32. https://doi.org/10.1080/02699206.2024.2306468
16. Heng, Q., McCabe, P., Clarke, J., & Preston, J. L. (2016). Using ultrasound visual feedback to remediate velar fronting in preschool children: A pilot study. Clinical Linguistics & Phonetics, 30(3-5), 382-397. https://doi.org/10.3109/02699206.2015.1120345
17. Hitchcock, E. R., Swartz, M. T., & Lopez, M. (2019). Speech sound disorder and visual biofeedback intervention: A Preliminary investigation of treatment intensity. Seminars in Speech and Language, 40, 124-137. https://doi.org/10.1055/s-0039-1677763
18. Hsiao, M.-Y., Wahyuni, L. K., & Wang, T.-G. (2013). Ultrasonography in assessing oropharyngeal dysphagia. Journal of Medical Ultrasound, 21(4), 181-188. https://doi.org/10.1016/j.jmu.2013.10.008
19. Hsiao, M.-Y., Wu, C.-H., & Wang, T.-G. (2021). Emerging role of ultrasound in dysphagia Assessment and intervention: A narrative review. Frontiers in Rehabilitation Sciences, 2. https://doi.org/10.3389/fresc.2021.708102
20. Huckabee, M.-L., Macrae, P., & Lamvik, K. (2016). Expanding instrumental options for dysphagia diagnosis and research: Ultrasound and manometry. Folia Phoniatrica et Logopaedica, 67(6), 269-284. https://doi.org/10.1159/000444636
21. Kaipa, R., & Peterson, A. M. (2016). A systematic review of treatment intensity in speech disorders. International Journal of Speech-Language Pathology, 18(6), 507-520. https://doi.org/10.3109/17549507.2015.1126640
22. Kılıç, D. M. A., & Bakır, D. S. (2011). Organik hastalıklar ve travmaya bağlı ses bozuklukları. Türkiye Klinikleri J. ENT-Special Topics, 4(2), 24-31.
23. Law, J., Garrett, Z., & Nye, C. (2004). The efficacy of treatment for children with developmental speech and language delay/disorder. Journal of Speech, Language, and Hearing Research, 47(4), 924-943. https://doi.org/10.1044/1092-4388(2004/069)
24. Leite, K. K. de A., Mangilli, L. D., Sassi, F. C., Limongi, S. C. O., & Andrade, C. R. F. de. (2014). Ultrassonografia e deglutição: Revisão crítica da literatura. Audiology-Communication Research, 19, 412-420.
25. Ma, J. K.-Y., & Wrench, A. A. (2022). Automated assessment of hyoid movement during normal swallow using ultrasound. International Journal of Language & Communication Disorders, 57(3), 615-629. https://doi.org/10.1111/1460-6984.12712
26. McCabe, P., Preston, J. L., Evans, P., & Heard, R. (2023). A pilot randomized control trial of motor-based treatments for childhood apraxia of speech: Rapid syllable transition treatment and ultrasound biofeedback. American Journal of Speech-Language Pathology, 32(2), 629-644. https://doi.org/10.1044/2022_AJSLP-22-00144
27. Mcleod, S., & Baker, E. (2014). Speech-language pathologists’ practices regarding assessment, analysis, target selection, intervention, and service delivery for children with speech sound disorders. Clinical Linguistics & Phonetics, 28(7-8), 508-531. https://doi.org/10.3109/02699206.2014.926994
28. Miller, J. L., & Watkin, K. L. (1997). Lateral pharyngeal wall motion during swallowing using real time ultrasound. Dysphagia, 12(3), 125-132. https://doi.org/10.1007/PL00009526
29. Ongkasuwan, J., Devore, D., Hollas, S., Jones, J., & Tran, B. (2017). Laryngeal ultrasound and pediatric vocal fold nodules. The Laryngoscope, 127(3), 676-678. https://doi.org/10.1002/lary.26209
30. Potente, P., Buoite Stella, A., Vidotto, M., Passerini, M., Furlanis, G., Naccarato, M., & Manganotti, P. (2023). Application of ultrasonography in neurogenic dysphagia: A systematic review. Dysphagia, 38(1), 65-75. https://doi.org/10.1007/s00455-022-10459-9
31. Preston, J. L., Leece, M. C., McNamara, K., & Maas, E. (2017). Variable practice to enhance speech learning in ultrasound biofeedback treatment for childhood apraxia of speech: A single case experimental study. American Journal of Speech-Language Pathology, 26(3), 840-852. https://doi.org/10.1044/2017_AJSLP-16-0155
32. Preston, J. L., McCabe, P., Tiede, M., & Whalen, D. H. (2019). Tongue shapes for rhotics in school-age children with and without residual speech errors. Clinical Linguistics & Phonetics, 33(4), 334-348. https://doi.org/10.1080/02699206.2018.1517190
33. Resmi Gazete. (2014). Sağlık Meslek Mensuplarının İş ve Görev Tanımları. Dil ve Konuşma Terapisti. https://www.resmigazete.gov.tr/Eskiler/2014/05/20140522-14-1.pdf. Erişim tarihi 30.03.2024
34. Roxburgh, Z., Scobbie, J. M., & Cleland, J. (2015). Articulation therapy for children with cleft palate using visual articulatory models and ultrasound biofeedback. 18th International Congress of Phonetic Sciences (p. 0858), University of Glasgow.
35. Shawker, T. H., & Sonies, B. C. (1985). Ultrasound biofeedback for speech training: Instrumentation and preliminary results. Investigative Radiology, 20(1), 90.
36. Shawker, T. H., Sonies, B., Hall, T. E., & Baum, B. F. (1984). Ultrasound analysis of tongue, hyoid, and larynx activity during swallowing. Investigative Radiology, 19(2), 82.
37. Shirley, F., Oshri, W., Ari, D., & Gad, F. (2019). The role of laryngeal ultrasound in the assessment of pediatric dysphonia and stridor. International Journal of Pediatric Otorhinolaryngology, 122, 175-179. https://doi.org/10.1016/j.ijporl.2019.04.017
38. Sirikci, A., Karatas, E., Durucu, C., Baglam, T., Bayazit, Y., Ozkur, A., … Kanlikama, M. (2007). Noninvasive assessment of benign lesions of vocal folds by means of ultrasonography. Annals of Otology, Rhinology & Laryngology, 116(11), 827-831. https://doi.org/10.1177/000348940711601106
39. Sonies, B. C., Chi-Fishman, G., & Miller, J. L. (2003). Ultrasound imaging and swallowing. B. Jones (Ed.), Normal and Abnormal Swallowing: Imaging in Diagnosis and Therapy (ss. 119-138). New York, NY: Springer. https://doi.org/10.1007/978-0-387-22434-3_8
40. Sugden, E., Lloyd, S., Lam, J., & Cleland, J. (2019). Systematic review of ultrasound visual biofeedback in intervention for speech sound disorders. International Journal of Language & Communication Disorders, 54(5), 705-728. https://doi.org/10.1111/1460-6984.12478
41. Vats, A., Worley, G. A., Bruyn, R. de, Porter, H., Albert, D. M., & Bailey, C. M. (2004). Laryngeal ultrasound to assess vocal fold paralysis in children. The Journal of Laryngology & Otology, 118(6), 429-431. https://doi.org/10.1258/002221504323219545
42. Wilkinson, J. M., Codipilly, D. C., & Wilfahrt, R. P. (2021). Dysphagia: Evaluation and collaborative management. American Family Physician, 103(2), 97-106.
43. Yılmaz, A. (2018). Serebral palsili hastalarda ve sağlıklı bireylerde yutmanın oral fazının ultrason ile karşılaştırmalı değerlendirilmesi (Yüksek Lisans Tezi, Anadolu Üniversitesi, Eskişehir).
44. Zharkova, N., Gibbon, F. E., & Hardcastle, W. J. (2015). Quantifying lingual coarticulation using ultrasound imaging data collected with and without head stabilisation. Clinical Linguistics & Phonetics, 29(4), 249-265. https://doi.org/10.3109/02699206.2015.1007528