Clinical application of a new approach to identify oral-nasal balance disorders based on nasalance scores

Show simple item record Bettens, Kim De Boer, Gillian Bressmann, Tim Bruneel, Laura Van Lierde, K.M. (Kristiane) 2019-06-10T09:38:25Z 2019-06-10T09:38:25Z 2019-05
dc.description.abstract OBJECTIVE : A new approach to classify oral–nasal balance disorders based on instrumental measurements was developed based on linear discriminant analysis (LDA) of nasalance scores of simulated oral–nasal balance disorders by de Boer and Bressmann. The current study aimed to apply the newly developed functions to clinical data to investigate the applicability of this new approach. DESIGN : Retrospective diagnostic accuracy study. SETTING : Tertiary university hospital. PARTICIPANTS : Fifty-five Dutch-speaking Flemish children (age 4-12 years) with normal (n = 20), hypernasal (n = 18), hyponasal (n = 12), or mixed nasality (n = 5). INTERVENTIONS : Nasalance scores of an oral and a nasal text were used to calculate 3 sets of LDA function scores. Predicted classification was consecutively based on the function values of the group centroids originally determined by de Boer and Bressmann and adapted LDA functions and group centroids based on clinical data. MAIN OUTCOME MEASURES : Discriminatory power of the linear discriminant formulas. RESULTS : Based on the original LDA functions, 56% of the speech samples matched the perceptual classification. Applying a correction factor for age and language differences resulted in a 67% correct classification, although 83% of the hyponasal samples were ranked as “normal resonance.” Rederivation of the LDA functions based on current clinical data resulted in an 80% correct classification. CONCLUSIONS : The new approach of classifying oral–nasal balance disorders based on a combination of nasalance scores was promising. However, further clinical research is needed to refine the LDA functions and group centroids before clinical application is possible. en_ZA
dc.description.department Speech-Language Pathology and Audiology en_ZA
dc.description.librarian hj2019 en_ZA
dc.description.uri en_ZA
dc.identifier.citation Bettens, K., De Boer, G., Bressmann, T. et al. 2019, 'Clinical application of a new approach to identify oral-nasal balance disorders based on nasalance scores', Cleft Palate-Craniofacial Journal, vol. 56, no. 5, pp. 628-638. en_ZA
dc.identifier.issn 1055-6656 (print)
dc.identifier.issn 1545-1569 (online)
dc.identifier.other 10.1177/1055665618796012
dc.language.iso en en_ZA
dc.publisher Sage en_ZA
dc.rights © 2018, American Cleft Palate-Craniofacial Association en_ZA
dc.subject Linear discriminant analysis (LDA) en_ZA
dc.subject Nasalance en_ZA
dc.subject Oral–nasal balance en_ZA
dc.subject Nasometry en_ZA
dc.subject Hypernasality en_ZA
dc.subject Hyponasality en_ZA
dc.subject Mixed nasality en_ZA
dc.title Clinical application of a new approach to identify oral-nasal balance disorders based on nasalance scores en_ZA
dc.type Physical Object en_ZA

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