Efeito imediato do feedback auditivo alterado para o tratamento da gagueira
uma revisão sistemática e meta-análise
DOI:
https://doi.org/10.23925/2176-2724.2025v37i3e71028Palavras-chave:
Gagueira, Transtorno da Fluência com Início na Infância, Fonoterapia, Retroalimentação, Revisão Sistemática, MetanáliseResumo
Introdução: Os distúrbios da fluência da fala podem ser tratados com Feedback Auditivo Alterado (FAA), embora o impacto a curto prazo ainda seja incerto. Objetivo: O objetivo deste estudo foi revisar e avaliar sistematicamente o efeito de curto prazo do FAA para o tratamento da gagueira do desenvolvimento em adultos e crianças. Métodos: Esta revisão sistemática e meta-análise envolveu buscas no MEDLINE, Embase, CENTRAL, LILACS, registros de ensaios clínicos e literatura cinzenta, com filtro de ano de publicação a partir de 2000. O risco de viés foi avaliado usando a ferramenta ROBINS-I, e uma meta-análise foi conduzida para avaliar o efeito imediato na frequência das disfluências. Resultados: Houve redução na frequência de disfluências após o uso do FAA. A gravidade do distúrbio e a idade influenciam o efeito, sendo mais eficaz em adultos e em casos moderados. A combinação de feedback auditivo retardado + feedback alterado de frequência (FAR+FFA) parece induzir um efeito maior. Nenhuma evidência de viés de publicação foi encontrada. Conclusão: FAA demonstrou efeitos positivos de curto prazo. Além disso, o uso da modificação do feedback auditivo em jovens (aproximadamente entre 9 e 13 anos de idade) não deve ser considerado como a primeira opção de tratamento, uma vez que esses indivíduos geralmente não respondem de uma forma tão eficaz quanto os adultos.
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Copyright (c) 2025 Gabriela Buffon, Marcira Evangelho Trindade, Guilherme Briczinski de Souza, Bárbara Costa Beber
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