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Objective: To determine phonological processing in elemantery children with Down syndrome

Materials and Methods: Phonetic test is used to extract phonological processing in 40 child with Down syndrome .They were normal in hearing and oral structure.
Results: There was significant difference between girls and boys in some subgroups of phonological processing. In assimilation, voiceless assimilation in boys and complete assimilation in girls were the most. Nasal assimilation in girls and fricative assimilation in boys were the least. In substitution, the least mean belonged to liquid and nasal substitution in girls and voice ness substitution in boys. In general there was no significant difference between age and phonological awareness however, there was direct correlation between syllable structure and age and reverse correlation between age and stop assimilation.
Conclusion: In addition to 3 groups of phonological processing including: syllable structure, assimilation, and substitution, omission was seen. The difference between girls and boys indicates they are impressed by the phonetic structure of words in different ways. Correlation between age and phonological processing shows phonological errors may be resulted from deviation.

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Background and Aim: Hearing loss results in impairment of  muscles coordination and survival essential that are engaged in motor speech timing tasks. It will negatively affect the acquisition of speech sounds. The purpose of this study was to compare the oral diadochokinesis in normal-hearing and hearing - impaired adolescents
Materials and Methods: This research was conducted on sixty-one adolescents aged 15-18 years old. Forty-six had moderately severe, severe, or profound hearing loss and fifteen were normal. The time spent to perform each oral diadochokinesis tasks was measured by speech analyzer of Dr. speech software, version four.
Results: Results indicated that hearing - impaired performed significantly slower on all speech timing tasks than their normal hearing peers except those with moderately severe hearing-impaired group. There were significant differences between profound hearing-impaired group and both other groups.
Conclusion: The results of this study point out  the motor speech problems in hearing impairment. The differences, in general, indicate that speech-timing coordination deficits are compromise with hearing loss degree.

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Background and Aim: Objective measurement is general and acoustic measurements in particular have become a substantial aspect of stuttering assessment during the last few decades. Measurements do not replace the perceptual judgment, but they allow a more precise diagnosis, provide more evidence for therapeutic interventions, and are useful as feedback for patients in therapy. The purpose of this investigation was to compare some adult male stutterers&apos and nonstutterers&apos acoustic features.
Materials and Methods: Adult male stutterers and nonstutterers participated this case-control  study. Their fluent reading of 20 sentences in Farsi, prolongation of  vowels /a/ and /i/, and rhythmic counting from 1 to 20 were analyed with Dr. Speech software.
Results: There were no significant differences between two groups in fundamental frequency (f₀) and standard deviation of f₀ in three speech samples (vowels /a/ and /i/, reading 20 sentences, and rhythmic counting from 1 to 20). No significant difference were between two groups for jitter and shimmer.
Conclusion: Non significant differences between two groups are somewhat due to investigation of this parameters in fluent speech of stutterers  and nonstutterers.

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Background and Aim: Reading is one of the human's communicative skills. Phonological awareness and rapid automatized naming are parts of the person's linguistic knowledge. Research in different languages and communities suggest that there is a relation between phonological awareness, rapid automatized naming and reading. To survey these relations in Persian language is the aim of this study.

Methods: In this study 130 male students from the first grade were selected at random. They were normal in IQ, visual and hearing status. Language development was also normal in these children. This study was a cross-sectional one. Pearson correlation coefficient and linear regression test were used to analyze data.

Results: The relation between phonological awareness and automatized rapid naming was significant (p<0.0001). Pearson correlation coefficient between phonological awareness and reading was direct (0.86). Pearson correlation coefficient between rapid automatized naming and reading was indirect that equals -0.87. In investigating the relation of two variables simultaneously with reading we concluded that the relation between phonological awareness, rapid automatized naming and reading is statistically significant (p<0.0001).

Conclusion: The results of this research revealed that in Persian language like other languages there is a relation between phonological awareness, rapid automatized naming, and reading. Reading skills of children could be improved with this exercises.

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Background and Aim: Phonological working memory is an important factor in speech and language development and the treatment of related disorders. Assessment of this kind of memory is based on non word repetition. The aim of this study was providing a non word repetition test to examine the capacity of phonological working memory and determining its validity and reliability.
Methods: This is a cross-sectional study. Initially 60 words were selected based on common Persian syllable structures. Then non words were created by changing one or two phonemes in each of the words. Words and non words were assessed by experts for the content validity and 25 non words were selected. 16 boys and 14 girls aged 4 years to 4 years and eleven months were selected by non-probability sampling from the childcares centers in regions 2 and 6 of Tehran. The test was performed twice by a single examiner to evaluate the reliability of test. Children non word repetition scores were determined and correlation analysis was conducted using the Pearson&aposs correlation coefficient.
Results: Our results show that a high coefficient correlation between different performances 0.76 (p<0.001).
Conclusion: These findings show that non word repetition test has high validity and reliability.

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Background and Aim: Specific language impairment (SLI) is one of the most prevalent developmental language disorders which is less considered in Persian researches. The aim of this study was to investigate the differences in some morpho-syntactic features of speech and other language skills between Persian children with specific language impairment and their normal age-matched peers. Moreover, the usefulness of the test of language development-3 (TOLD-3), Persian version, as a tool in identifing Persian-speaking children with this impairment, was investigated.
Methods: In a case-control study, the results of the test of language development and speech samples analysis of 13 Persian-speaking children (5 to 7 years old) with specific language impairment were compared with 13 age-matched normal children.
Results: The results of this study showed that there were significant differences between the scores of specific language impairment group and control group in all measured aspects of the TOLD-3 (p<0.001) the children with specific language impairment had a shorter mean length of utterance (p<0.001) and made less use of functional words in their speech (p=0.002) compared with their peers.
Conclusion: Such as specific language impairment children in other languages, all language abilities of Persian-speaking children with specific language impairment are less than expected stage for their age. Furthermore, the Persian version of TOLD-3 is a useful assessment instrument in identifying children with specific language impairment which is comparable to the

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Background and Aim: Internal evaluation is an important part of organization monitoring. One of the Ministry of Health&aposs policies is to encourage educational departments to conduct internal evaluations. The aim of internal evaluation of department of speech therapy was appraising its education, research and treatment qualities and determining its strengths, weaknesses, opportunities and threats (SWOTs) to identify the ways of overcoming weakness and threats.
Methods: This descriptive cross-sectional study was conducted in 10 phases to evaluate 10 factors. Participants were undergraduate, graduate, and postgraduate students, academic staff, director of the department along with the patients. The internal evaluation software for educational and research centers released by Center of Medical Education Studies and Development was modified and utilized. Data was analyzed by calculating mean of means.
Results: Mean of means from highest to lowest scores were respectively as follows: the quality of diagnosis, treatment and dealing with patients 4.15 out of 5 as well as the quality of academic staff 3.5 were in the range of desirable category qualities of management and organizational structure 3.34, graduate students 3.21, teaching and learning processes 3.1, missions and goals 3.09, instructional methods and curriculum models 2.99, educational and research equipments 2.9, students 2.76 and research 2.67 were within the range of rather desirable category. Total score was 3.17 (63.4%) which was within the range of rather desirable category.
Conclusion: The department of speech therapy was in rather desirable state before merger. That result was appropriate according to the department&aposs conditions and supplies.

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Background and Aim: One of the common problems in many types of aphasia syndromes is word retrieval and/or production difficulty. So, designing a valid test that can examine this problem based on related processes and influencing factors is important. Picture confrontation naming is a typical method for assessing and treatment of word retrieval impairments. The aim of this study was determining the validity and reliability of oral picture-naming test in assessing word retrieval ability of aphasic adults.
Methods: Content and face validity of the test, that contains the line drawings of 115 Persian nouns, were assessed by speech therapists, graphists and painters. Then, the test was administered on 10 aphasics and 30 age-, gender- and education-matched normal subjects in two steps. Construct validity and internal consistency of test were investigated. External consistency was analyzed by test-retest method.
Results: The content and face validity of all items were more than 90 and 85 percents, respectively. There was a statistically significant difference between the mean scores of patients and normal subjects (p<0.001). The internal consistency of 0.98 was determined for the test. The intra-class correlation coefficient of this test was 0.98.
Conclusions: The oral picture-naming test had good content, face and construct validity. Also, internal and external consistencies were high. So, this test is a valid instrument for assessing naming ability of aphasic patients by a variety and big set of picture.

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Background and Aim: Phenylketonuria (PKU) is an inherited metabolic disease. The aim of this study was investigation the intelligence and language function in children with PKU based on the age of treatment onset and quality of dietary control.

Methods: In this cross-sectional study, the language and intelligence of 31 children with PKU at the age of 4 to 6.5 years were investigated by test of language development-third edition ( TOLD-3) and Wechsler preschool and primary scale of intelligence (WIPPSI), respectively the data compared with of 42 normal children. Patients were classified into 2 groups with different level of dietary control as good and poor [serum phenylalanine (Phe) level less and more than 6 mg/dl, respectively].

Results: There were significantly differences (p=0.001) between children with PKU and controls in intelligence and language scores. Early treatment improved significantly the intelligence and language scores in comparison with late treatment (p=0.019). Comparing late treatment before and after the age of 1 year showed that late treatment until 1 years of age improved significantly (p=0.050) all of functions except performance intelligence quotient (IQ). In early treated PKU, good dietary control improved significantly (p=0.021) and also, verbal and total IQ in comparison with poor dietary control.

Conclusion: Although, the language development in children with PKU is affected by age of treatment onset, cognitive development features such as verbal and total IQ is affected not only by the time of treatment onset but also by the quality of dietary control.

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Background and Aim: Rapid automized naming test is an appropriate tool to diagnose learning disability even before teaching reading. This study aimed to detect the cut-off point of this test for good readers and dyslexics.

Methods: The test has 4 parts including: objects, colors, numbers and letters. 5 items are repeated on cards randomly for 10 times. Children were asked to name items rapidly. We studied 18 dyslexic students and 18 age-matched good readers between 7 and 8 years of age at second and third grades of elementary school they were recruited by non-randomize sampling into 2 groups: children with developmental dyslexia from learning disabilities centers with mean age of 100 months, and normal children with mean age of 107 months from general schools in Tehran. Good readers selected from the same class of dyslexics.

Results: The area under the receiver operating characteristic curve was 0.849 for letter naming, 0.892 for color naming, 0.971 for number naming, 0.887 for picture naming, and 0.965 totally. The overall sensitivity and specificity was 1 and was 0.79, respectively. The highest sensitivity and specificity were related to number naming (1 and 0.90, respectively).

Conclusion: Findings showed that the rapid automized naming test could diagnose good readers from dyslexics appropriately.

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Background and Aim: The language sample analysis (LSA) is more common in other languages than Persian to study language development and assess language pathology. We studied some psychometric properties of language sample analysis in this research such as content validity of written story and its pictures, test-retest reliability, and inter-rater reliability.

Methods: We wrote a story based on Persian culture from Schneider’s study. The validity of written story and drawn pictures was approved by experts. To study test-retest reliability, 30 children looked at the pictures and told their own story twice with 7-10 days interval. Children generated the story themselves and tester did not give any cue about the story. Their audio-taped story was transcribed and analyzed. Sentence and word structures were detected in the analysis.

Results: Mean of experts' agreement with the validity of written story was 92.28 percent. Experts scored the quality of pictures high and excellent. There was correlation between variables in sentence and word structure (p<0.05) in test-retest, except complex sentences (p=0.137). The agreement rate was 97.1 percent in inter-rater reliability assessment of transcription. The results of inter-rater reliability of language analysis showed that correlation coefficients were significant.

Conclusion: The results confirmed that the tool was valid for eliciting language sample. The consistency of language performance in repeated measurement varied from mild to high in language sample analysis approach.

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Background and Aim: Some children with speech sound disorder (SSD) have difficulty with phonological awareness skills therefore, the purpose of this study was to survey the correlation between phonological processes and phonological awareness.

Methods: Twenty-one children with speech sound disorder, aged between 5 and 6, participated in this cross-sectional study. They were recruited from speech therapy clinics at the Tehran University of Medical Sciences. They were selected using the convenience sampling method . Language, speech sound, and phonological awareness skills were investigated by the test of language development-third edition (TOLD-3), the Persian diagnostic evaluation articulation and phonology test, and the phonological awareness test. Both Pearson’s and Spearman’s correlations were used to analyze the data.

Results: There was a significant correlation between the atypical phonological processes and alliteration awareness (p=0.005), rhyme awareness (p=0.009), blending phonemes (p=0.006), identification of words with the same initial phoneme (p=0.007), and identification of words with the same final phoneme (p=0.007). Analyzing the correlation on the basis of the phoneme and syllable structure separately showed there was a significant correlation between the atypical phoneme structure and alliteration awareness (p=0.001), rhyme awareness (p=0.008), blending phonemes (p=0.029), identification of words with the same initial phoneme (p=0.007), and identification of words with the same final phoneme (p=0.003).

Conclusion: Results revealed a relationship between phonological processes and phonological awareness in children with speech sound disorder. Poor phonological awareness was associated with atypical phonological processes especially at the phoneme level.