Inteligibilidad: diferentes perspectivas de su concepto y evaluación. Una revisión sistemática
- Gisella Malatesta Haug Universidad Andrés Bello
- Denisse Pérez Herrera Universidad de Valparaíso y Centro de Investigación del Desarrollo en Cognición y Lenguaje
Resumen
Una adecuada inteligibilidad es un indicador del éxito en la comunicación. Su interferencia, a causa de cualquier patología, debe ser abordada en los objetivos primordiales de la terapia. No obstante, los métodos para su evaluación son poco conocidos. Objetivo: desarrollar una revisión sistemática que describa los métodos empleados en la medición de la inteligibilidad y discutir la conceptualización de este constructo. Metodología: se realiza una búsqueda en las bases de datos PubMed, ScieLo y Science Direct para identificar artículos publicados entre 1990 y 2018. Análisis y discusiones: Se seleccionan 50 investigaciones en inglés, español y portugués, que mostraron preferencia por medidas objetivas de evaluación, por sobre las medidas subjetivas de escala. La inteligibilidad se define mejor como un constructo dependiente de la señal acústica, a diferencia del concepto de comprensibilidad. Esta revisión ofrece información actualizada y organizada para optimizar procedimientos clínicos y científicos de medición de la inteligibilidad.
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Arcusa, M. L., & Álvarez, J. G. (2004). Medida de la inteligibilidad en el habla disártrica. Revista de Logopedia, Foniatría y Audiología, 24 (1), 33-43.
Araujo, M. (2011). Las revisiones sistemáticas (I). Medwave, 11 (11).
Barreto, S. D. S., & Ortiz, K. Z. (2008). Medidas de inteligibilidade nos distúrbios da fala: revisão crítica da literatura. Pró-Fono Revista de Atualização
Científica, 20 (3), 201-206.
Calmels, M. N., Saliba, I., Wanna, G., Cochard, N., Fillaux, J., Deguine, O., & Fraysse, B. (2004). Speech perception and speech intelligibility in children after
cochlear implantation. International Journal of Pediatric Otorhinolaryngology, 68 (3), 347-351. doi: https://doi.org/10.1016/j.ijporl.2003.11.006
Chin, S. B., Tsai, P. L., & Gao, S. (2003). Connected speech intelligibility of children with cochlear implants and children with normal hearing. American Journal
of Speech-Language Pathology, 12, 440-451. doi: https://doi.org/1058-0360/03/1204-0440
Chin, S. B., Bergeson, T. R., & Phan, J. (2012). Speech intelligibility and prosody production in children with cochlear implants. Journal of Communication
Disorders, 45 (5), 355-366. doi: https://doi.org/10.1016/j.jcomdis.2012.05.003
Souza, A. P. R., Marques, J. M., & Scott, L. C. (2010). Validação de itens para uma escala de avaliação da inteligibilidade de fala. Pró-Fono Revista de Atualização
Científica, 22 (3), 3.
dos Santos Barreto, S., & Ortiz, K. Z. (2015). Protocol for the evaluation of speech intelligibility in dysarthrias: evidence of reliability and validity. Folia
Phoniatrica et Logopaedica, 67 (4), 212-218. doi: https://doi.org/10.1159/000441929
Duffy, J. R. (2013). Motor Speech disorders: Substrates, differential diagnosis, and management. Elsevier Health Sciences.
Ertmer, D. J. (2010). Relationships between speech intelligibility and word articulation scores in children with hearing loss. Journal of Speech, Language, and
Hearing Research, 53, 1075 –1086. doi: https://doi.org/10.1044/1092-4388(2010/09-0250)
Ertmer, D. J. (2011). Assessing speech intelligibility in children with hearing loss: Toward revitalizing a valuable clinical tool. Language, Speech, and Hearing
Services in Schools, 42, 52-58.
Flipsen Jr, P. (2006). Measuring the intelligibility of conversational speech in children. Clinical Linguistics & Phonetics, 20 (4), 303-312.
doi: https://doi.org/10.1080/02699200400024863
Flipsen Jr, P., & Colvard, L. G. (2006). Intelligibility of conversational speech produced by children with cochlear implants. Journal of Communication Disorders,
(2), 93-108. doi: https://doi.org/10.1016/j.jcomdis.2005.11.001
Freeman, V., Pisoni, D. B., Kronenberger, W. G., & Castellanos, I. (2017). Speech intelligibility and psychosocial functioning in deaf children and teens with
cochlear implants. The Journal of Deaf Studies and Deaf Education, 22 (3), 278-289. doi: https://doi.org/10.1093/deafed/enx001
Freeman, V., & Pisoni, D. B. (2017). Speech rate, rate-matching, and intelligibility in early-implanted cochlear implant users. The Journal of the Acoustical
Society of America, 142 (2), 1043-1054. doi: https://doi.org/10.1121/1.4998590
Gurevich, N., & Scamihorn, S. L. (2017). Speech-Language Pathologists' Use of Intelligibility Measures in Adults With Dysarthria. American Journal of
Speech-Language Pathology, 26 (3), 873-892. doi: https://doi.org/10.1044/2017_AJSLP-16-0112
Gurlekian, J. A., Babnik, E., & Torres, H. M. (2008). Desarrollo de una prueba de inteligibilidad de habla en ambientes ruidosos para niños en edad escolar.
Revista de Logopedia, Foniatría y Audiología, 28 (3), 138-148.
Habib, M. G., Waltzman, S. B., Tajudeen, B., & Svirsky, M. A. (2010). Speech production intelligibility of early implanted pediatric cochlear implant users.
International Journal of Pediatric Otorhinolaryngology, 74 (8), 855-859. doi: https://doi.org/10.1016/j.ijporl.2010.04.009
Haderlein, T., Nöth, E., Batliner, A., Eysholdt, U., & Rosanowski, F. (2011). Automatic intelligibility assessment of pathologic speech over the telephone.
Logopedics Phoniatrics Vocology, 36 (4), 175-181. doi: https://doi.org/10.3109/14015439.2011.607470
Hodge, M. M., & Gotzke, C. L. (2011). Minimal pair distinctions and intelligibility in preschool children with and without speech sound disorders. Clinical
Linguistics & Phonetics, 25 (10), 853-863. doi: https://doi.org/10.3109/02699206.2011.578783
Hodge, M. M., & Gotzke, C. L. (2014 a). Construct-related validity of the TOCS measures: Comparison of intelligibility and speaking rate scores in children with
and without speech disorders. Journal of Communication Disorders, 51, 51-63. doi: https://doi.org/10.1016/j.jcomdis.2014.06.007
Hodge, M. M, & Gotzke, C. L. (2014 b). Criterion-related validity of the Test of Children's Speech sentence intelligibility measure for children with cerebral
palsy and dysarthria. International Journal of Speech-Language Pathology, 16 (4), 417-426. doi: https://doi.org/10.3109/17549507.2014.930174
Hopf, S. C., McLeod, S., & McDonagh, S. H. (2017). Validation of the Intelligibility in Context Scale for school students in Fiji. Clinical Linguistics & Phonetics,
(7-9), 487-502. doi: https://doi.org/10.1080/02699206.2016.1268208
Hustad, K. C. (2008). The relationship between listener comprehension and intelligibility scores for speakers with dysarthria. Journal of Speech, Language, and
Hearing Research. 51 (3): 562–573. doi: https://doi.org/10.1044/1092-4388(2008/040).
Hustad, K. C., Schueler, B., Schultz, L., & DuHadway, C. (2012). Intelligibility of 4-year-old children with and without cerebral palsy. Journal of Speech,
Language, and Hearing Research. 55 (4):1177-89. doi: https://doi.org/10.1044/1092-4388(2011/11-0083)
Hustad, K. C., Oakes, A., & Allison, K. (2015). Variability and diagnostic accuracy of speech intelligibility scores in children. Journal of Speech, Language, and
Hearing Research, 58 (6), 1695-1707. doi: https://doi.org/10.1044/2015_JSLHR-S-14-0365
Johannisson, T. B., Lohmander, A., & Persson, C. (2014). Assessing intelligibility by single words, sentences and spontaneous speech: a methodological study of the
speech production of 10-year-olds. Logopedics Phoniatrics Vocology, 39 (4), 159-168. doi: https://doi.org/10.3109/14015439.2013.820487
Kent, R. D., Kent, J. F., Weismer, G., Sufit, R. L., Rosenbek, J. C., Martin, R. E., & Brooks, B. R. (1990). Impairment of speech intelligibility in men with
amyotrophic lateral sclerosis. Journal of Speech and Hearing Disorders, 55 (4), 721-728.
Kent, R. D., Miolo, G., & Bloedel, S. (1994). The intelligibility of children’s speech: A review of evaluation procedures. American Journal of Speech-Language
Pathology, 3 (2), 81-95
Kumin, L., (2015) Síndrome de Down: habilidades tempranas de comunicación. Una guía para padres y profesionales. España: Cepe.
Lagerberg, T. B., Åsberg, J., Hartelius, L., & Persson, C. (2014). Assessment of intelligibility using children's spontaneous speech: Methodological aspects.
International Journal of Language & Communication Disorders, 49 (2), 228-239. doi: https://doi.org/10.1111/1460-6984.12067
Lagerberg, T. B., Hartelius, L., Johnels, J. Å., Ahlman, A. K., Börjesson, A., & Persson, C. (2015). Swedish Test of Intelligibility for Children (STI-CH)–Validity
and reliability of a computer-mediated single word intelligibility test for children. Clinical Linguistics & Phonetics, 29 (3), 201-215.
doi: https://doi.org/10.3109/02699206.2014.987925
Landa, S., Pennington, L., Miller, N., Robson, S., Thompson, V., & Steen, N. (2014). Association between objective measurement of the speech intelligibility of
young people with dysarthria and listener ratings of ease of understanding. International Journal of Speech-Language Pathology, 16 (4), 408-416.
doi: https://doi.org/10.3109/17549507.2014.927922
Levy, E. S., Chang, Y. M., Ancelle, J. A., & McAuliffe, M. J. (2017). Acoustic and perceptual consequences of speech cues for children with dysarthria. Journal of
Speech, Language, and Hearing Research, 60 (6S), 1766-1779. doi: https://doi.org/10.1044/2017_JSLHR-S-16-0274
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009). The
PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Medicine,
(7), e1000100.
Lindblom, B. (1990). On the communication process: Speaker-listener interaction and the development of speech. Journal Augmentative and Alternative Communication,
(4), 220-230.
Lousada, M., Jesus, L. M., Hall, A., & Joffe, V. (2014). Intelligibility as a clinical outcome measure following intervention with children with phonologically
based speech–sound disorders. International Journal of Language & Communication Disorders, 49 (5), 584-601. doi: https://doi.org/10.1111/1460-6984.12095
Max, L., Bruyn, W. D., & Steurs, W. (1997). Intelligibility of oesophageal and tracheo-oesophageal speech: preliminary observations. European Journal of Disorders
of Communication, 32 (4), 429-440.
McLeod, S., Crowe, K., & Shahaeian, A. (2015). Intelligibility in Context Scale: Normative and validation data for English-speaking preschoolers. Language,
Speech, and Hearing Services in Schools, 46 (3), 266-276. doi: https://doi.org/10.1044/2015_LSHSS-14-0120
McLeod, S., Harrison, L. J., & McCormack, J. (2012). The intelligibility in context scale: Validity and reliability of a subjective rating measure. Journal of
Speech, Language, and Hearing Research, 55 (2), 648-656. doi: https://doi.org/10.1044/1092-4388(2011/10-0130)
Miller, N. (2013). Measuring up to speech intelligibility. International Journal of Language & Communication Disorders, 48 (6), 601-612.
Montag, J. L., AuBuchon, A. M., Pisoni, D. B., & Kronenberger, W. G. (2014). Speech intelligibility in deaf children after long-term cochlear implant use.
Journal of Speech, Language, and Hearing Research, 57 (6), 2332-2343. doi: https://doi.org/10.1044/2014_JSLHR-H-14-0190.
Moya-Galé, G., Goudarzi, A., Bayés, À., McAuliffe, M., Bulté, B., & Levy, E. S. (2018). The Effects of Intensive Speech Treatment on Conversational Intelligibility
in Spanish Speakers With Parkinson's Disease. American Journal of Speech-Language Pathology, 27 (1), 154-165. doi: https://doi.org/10.1044/2017_AJSLP-17-0032
Namasivayam, A. K., Pukonen, M., Goshulak, D., Vickie, Y. Y., Kadis, D. S., Kroll, R., ... & Luc, F. (2013). Relationship between speech motor control and speech
intelligibility in children with speech sound disorders. Journal of Communication Disorders, 46 (3), 264-280. doi: https://doi.org/10.1016/j.jcomdis.2013.02.003
Neumann, S., Rietz, C., & Stenneken, P. (2017). The German Intelligibility in Context Scale (ICS‐G): reliability and validity evidence. International Journal of
Language & Communication Disorders, 52 (5), 585-594. doi: https://doi.org/10.1111/1460-6984.12303
Ng, K. Y. M., To, C. K. S., & Mcleod, S. (2014). Validation of the Intelligibility in Context Scale as a screening tool for preschoolers in Hong Kong. Clinical
Linguistics & Phonetics, 28 (5), 316-328. doi: https://doi.org/10.3109/02699206.2013.865789
Osberger, M. J., Maso, M., & Sam, L. K. (1993). Speech intelligibility of children with cochlear implants, tactile aids, or hearing aids. Journal of Speech,
Language, and Hearing Research, 36 (1), 186-203.
Pennington, L., Miller, N., Robson, S., & Steen, N. (2010). Intensive speech and language therapy for older children with cerebral palsy: a systems approach.
Developmental Medicine & Child Neurology, 52 (4), 337-344. doi: https://doi.org/10.1111/j.1469-8749.2009.03366.x
Poursoroush, S., Ghorbani, A., Soleymani, Z., Kamali, M., Yousefi, N., & Poursoroush, Z. (2015). Speech Intelligibility of Cochlear-Implanted and Normal-Hearing
Children. Iranian Journal of Otorhinolaryngology, 27 (82), 361.
Rong, P., Yunusova, Y., Wang, J., Zinman, L., Pattee, G. L., Berry, J. D., Perry, B., & Green, J. R. (2016). Predicting speech intelligibility decline in
amyotrophic lateral sclerosis based on the deterioration of individual speech subsystems. PloS One, 11 (5), e0154971.
doi: https://doi.org/10.1371/journal.pone.0154971
Rosas, C., & Sommerhoff, J. (2008). Inteligibilidad acústica en español: una propuesta para su medición. Estudios Filológicos, (43), 179-190.
Sommerhoff, J., & Rosas, C. (2007). Evaluación de la inteligibilidad del habla en español. Estudios Filológicos, (42), 215-225.
Safaiean, A., Jalilevand, N., Ebrahimipour, M., Asleshirin, E., & Hiradfar, M. (2017). Speech intelligibility after repair of cleft lip and palate. Medical Journal
of The Islamic Republic of Iran (MJIRI), 31 (1), 500-504. doi: https://doi.org/10.14196/mjiri.31.85
Schiavetti, N. (1992). Scaling procedures for the measurement of speech intelligibility. En Kent, R. D. (Ed.), Intelligibility in speech disorders: Therory,
meassurement and management (pp. 11-34). Philadelphia, PA: John Benjamins.
Schuster, M., Maier, A., Haderlein, T., Nkenke, E., Wohlleben, U., Rosanowski, F., Eysholdt, U. & Nöth, E. (2006). Evaluation of speech intelligibility for children
with cleft lip and palate by means of automatic speech recognition. International Journal of Pediatric Otorhinolaryngology, 70 (10), 1741-1747.
doi: https://doi.org/10.1016/j.ijporl.2006.05.016
Stipancic, K. L., Tjaden, K., & Wilding, G. (2016). Comparison of intelligibility measures for adults with Parkinson's disease, adults with multiple sclerosis, and
healthy controls. Journal of Speech, Language, and Hearing Research, 59 (2), 230-238. doi: https://doi.org/10.1044/2015_JSLHR-S-15-0271
Tjaden, K., Richards, E., Kuo, C., Wilding, G., & Sussman, J. (2013). Acoustic and perceptual consequences of clear and loud speech. Folia Phoniatrica et
Logopaedica, 65 (4), 214-220. doi: https://doi.org/10.1159/000355867
Tjaden, K., Sussman, J. E., & Wilding, G. E. (2014). Impact of clear, loud, and slow speech on scaled intelligibility and speech severity in Parkinson's disease and
multiple sclerosis. Journal of Speech, Language, and Hearing Research, 57 (3), 779-792. doi: https://doi.org/10.1044/2014_JSLHR-S-12-0372.
Tobey, E. A., Geers, A. E., Sundarrajan, M., & Lane, J. (2011). Factors influencing elementary and high-school aged cochlear implant users. Ear and Hearing, 32 (1),
S.
Tye-Murray, N., Barkmeier, J., & Folkins, J. W. (1991). Scaling and transcription measures of intelligibility for populations with disordered speech. Journal of
Speech, Language, and Hearing Research, 34 (3), 697-699.
Valero, J., Casanova, C., Vila, J. M., & Ejarque, J. (2002). Calidad vocal e inteligibilidad fonética del habla en escolares sordos profundos prelocutivos de entre
y 9 años educados en la modalidad oralista1. Revista de Logopedia, Foniatría y Audiología, 22 (1), 34-41.
Washington, K. N., McDonald, M. M., McLeod, S., Crowe, K., & Devonish, H. (2017). Validation of the Intelligibility in Context Scale for Jamaican Creole-speaking
preschoolers. American Journal of Speech-Language Pathology, 26 (3), 750-761. doi: https://doi.org/10.1044/2016_AJSLP-15-0103
Weismer, G., & Laures , J. S. (2002). Direct magnitude estimates of speech intelligibility in dysarthria. Journal of Speech, Language, and Hearing Research, 45,
-433. doi: https://doi.org/10.1044/1092-4388(2002/033)
Weismer, G. (2008). Speech intelligibility. En M. J. Ball, M. R. Perkins, N. Müller, & S. Howard (Eds.), The handbook of clinical linguistics (pp. 568–582). Malden,
MA: Blackwell. doi: https://doi.org/10.1002/9781444301007.ch35
Whitehill, T. L. (2002). Assessing intelligibility in speakers with cleft palate: a critical review of the literature. The Cleft Palate-Craniofacial Journal, 39
(1), 50-58.
Wild, A., Vorperian, H. K., Kent, R. D., Bolt, D. M., & Austin, D. (2018). Single-Word Speech Intelligibility in Children and Adults With Down Syndrome. American
Journal of Speech-Language Pathology, 27 (1), 222-236. doi: https://doi.org/10.1044/2017_AJSLP-17-0002
Yorkston, K. M., & Beukelman, D. R. (1978). A comparison of techniques for measuring intelligibility of dysarthric speech. Journal of Communication Disorders, 11
(6), 499-512.
Yorkston, K. M., Strand, E. A., & Kennedy, M. R. (1996). Comprehensibility of dysarthric speech: Implications for assessment and treatment planning. American
Journal of Speech-Language Pathology, 5 (1), 55-66
Zajac, D. J., Plante, C., Lloyd, A., & Haley, K. L. (2011). Reliability and validity of a computer-mediated, single-word intelligibility test: Preliminary findings
for children with repaired cleft lip and palate. The Cleft Palate-Craniofacial Journal, 48 (5), 538-549. doi: https://doi.org/10.1597/09-166.
Ziegler, W., & Zierdt, A. (2008). Telediagnostic assessment of intelligibility in dysarthria: A pilot investigation of MVP-online. Journal of Communication
Disorders, 41 (6), 553-577. doi: https://doi.org/10.1016/j.jcomdis.2008.05.001
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