Apraxia de fala na infância: análise da percepção e conduta dos fonoaudiólogos sobre o processo de avaliação
Childhood apraxia of speech: analysis of speech-language pathologists’ perception and conduct regarding the assessment process
João Manoel Ferro Castro; Kelly Cristina Lira de Andrade; Maria Cecilia dos Santos Marques
Resumo
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Abstract
Purpose: To analyze the perception and conduct of speech-language pathologists regarding the assessment process in the differential diagnosis of childhood apraxia of speech.
Methods: This was a cross-sectional observational analytical study with data collection conducted virtually via the Google Forms platform. Initially, 100 speech-language pathologists were recruited through content sharing via WhatsApp and email. Speech-language pathologists from across Brazil who were currently treating or had previously treated children with speech and/ or language disorders were included. Undergraduate students were excluded. The questionnaire contained 26 questions regarding the assessment process for suspected cases of apraxia of speech. Data collection took place from September 2023 to July 2024.
Results: Sixty speech-language pathologists from the South, Southeast, and Northeast regions, most of whom held a specialization degree, responded to the questionnaire. The majority used standardized assessment instruments, the most frequently applied was the ABFW Child Language Test – phonology subtest and checklists for childhood apraxia of speech. They observed that apraxia of speech is accompanied by other comorbidities and that more than five sessions were necessary to confirm the diagnosis. They also observed at least three clinical markers and mentioned referrals to other professionals. There was no significant correlation between the variable number of years of professional experience and the number of sessions required to confirm the diagnosis.
Conclusion: In the perception of the professionals participating in the study, there is difficulty in performing a differential diagnosis and insecurity regarding the conduct and methods used in the assessment process.
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Referências
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Submetido em:
01/02/2025
Aceito em:
19/02/2026


