tag:blogger.com,1999:blog-12602489.post8653756876903283289..comments2024-03-24T15:07:18.773+01:00Comments on The Stuttering Brain: Deborah Theodoros has been misinformed about the efficacy of LidcombeTom Weidighttp://www.blogger.com/profile/02084153394215001999noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-12602489.post-90101276440594408732015-03-25T23:18:40.654+01:002015-03-25T23:18:40.654+01:00An interesting point that Dr Franken makes is that...An interesting point that Dr Franken makes is that natural recovery in the clinical population may be lower than 80%. She discusses this idea in her discussion on preschool stuttering and its treatment on Stuttertalk.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-12602489.post-32866761122475150702015-03-25T22:57:00.464+01:002015-03-25T22:57:00.464+01:00Just a comment on the recovery rate, following on ...Just a comment on the recovery rate, following on from yours above: <br /><br />I have read various percentages for natural recovery, often between 74 and 80%. I'd put 80% in my comment above as I remembered this is the figure you had quoted in your post 'Is your kid still stuttering after Lidcombe?' This does fit with the incidence of stuttering being approximately 5% and the prevalence approximately 1%.Janenoreply@blogger.comtag:blogger.com,1999:blog-12602489.post-72358928074507923592015-03-25T21:49:05.613+01:002015-03-25T21:49:05.613+01:00This data is at odds with that given on The Stutte...This data is at odds with that given on The Stuttering Foundation website. <br /><br />They discuss prevalence and risk factors and have fourteen references including Yairi and Ambrose from The University of Illinois. <br /><br /><br />They state:<br /><br />'Between 75% and 80% of all children who begin stuttering will stop within 12 to 24 months without speech therapy. If the child has been stuttering longer than 6 months, he may be less likely to outgrow it on his own. If he has been stuttering longer than 12 months, there is an even smaller likelihood he will outgrow it on his own.'<br /><br />They say: 'Longitudinal research studies by Drs. Ehud Yairi and Nicoline G. Ambrose and colleagues at the University of Illinois provide excellent new information about the development of stuttering in early childhood. Their findings are helping speech-language pathologists determine who is most likely to outgrow stuttering versus who is most likely to develop a lifelong stuttering problem. <br />Research reports include:<br />Yairi, E. & Ambrose, N. (1992). A longitudinal study of stuttering in children: A preliminary report. Journal of Speech, Language, and Hearing Research, 35, 755-760.<br />Ambrose, N. & Yairi, E. (1999). Normative disfluency data for early childhood stuttering. Journal of Speech, Language, and Hearing Research, 42, 895-909.<br />Yairi, E. & Ambrose, N. (1999). Early childhood stuttering I: Persistence and recovery rates. Journal of Speech, Language, and Hearing Research, 42, 1097-1112.<br />Yairi, E. & Ambrose, N. (2005). Early Childhood Stuttering: For Clinicians by Clinicians, ProEd, Austin, TX.Janenoreply@blogger.comtag:blogger.com,1999:blog-12602489.post-52751426904812272802015-03-25T19:12:51.245+01:002015-03-25T19:12:51.245+01:00The statement by "Packman says that a half or...The statement by "Packman says that a half or more of children will have recovered by a year" contradicts the data of the long-term large-scale Reilly study:<br /><br /><br />"By age 4 years, the cumulative incidence of stuttering onset was 11.2% (95% confidence interval [CI]: 9.7% to 12.8%)... Only 9 of 142 children (6.3%; 95% CI: 2.9% to 11.7%) recovered within 12 months of onset."<br /><br />In this study, less than 10% recover within a year.Tom Weidighttps://www.blogger.com/profile/02084153394215001999noreply@blogger.comtag:blogger.com,1999:blog-12602489.post-54648735090140350812015-03-25T18:03:53.957+01:002015-03-25T18:03:53.957+01:00My comment was in the context of their first trial...My comment was in the context of their first trial. I think for the trial the kids were taken earlier than one year. <br /><br />further:<br /><br />1) It is not even clear what the exact natural recovery rate is, also because the definition of what is stuttering and when was the stuttering onset is not that clear.<br /><br />2) There is only one large-scale study, again from Australia involving Onslow & Packman, which shows data until the age of 5 or so. They have a longer time period now but it is not published yet. They had a recovery rate of 90% or so. Would be interesting to see the full study. <br /><br />3) I am not sure if this study shows at what age and after onset they enter treatment.<br /><br />4) The only correct way to empirically test this is to have a control group and clear criteria what stuttering is. This has only been done once for a small amount of kids 20-30 for six months which is statistically not that meaningful.<br />Tom Weidighttps://www.blogger.com/profile/02084153394215001999noreply@blogger.comtag:blogger.com,1999:blog-12602489.post-42756746085566625882015-03-23T22:54:48.454+01:002015-03-23T22:54:48.454+01:00Natural recovery is 80% from onset of stuttering. ...Natural recovery is 80% from onset of stuttering. Advice is normally to wait for a year post onset before starting the Lidcombe Program to allow for natural recovery and children also work through the programme quicker a year post onset. Packman says that a half or more of children will have recovered by a year; it is therefore incorrect to say that 80% of those receiving the Lidcombe Profram would have recovered naturally; the figure would be much lower a year post onset.Anonymousnoreply@blogger.com