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Jurnal Terapi Wicara (JAWARA)
Published by Politeknik Arutala Johana Hendarto
ISSN : -     EISSN : 29868068     DOI : https://doi.org/10.59898/jawara.v3i2
Core Subject : Health, Education,
Education Health Professions
The Speech Therapy Journal (JAWARA) contains peer-reviewed results, articles, research and community service reports related to screening, detection, diagnosis, and therapeutic management of communication and swallowing disorders. We welcome contributions on the following topics:aphasia; dysarthria; apraxia of speech language disorders in children; childhood apraxia of speech; speech sound disorders; fluency disorders; voice disorders; swallowing; dysphagia; and feeding disorders aural rehabilitation; craniofacial disorders; dementia; augmentative; and alternative communication.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 35 Documents
 1   2   3   4 
Gambaran Ketepatan Artikulasi Berdasarkan Cara Artikulasi pada Anak Pra-Sekolah Jumiarti jumiarti; Shofy Qhurotu Aini
Jurnal Terapi Wicara Vol 2 No 2 (2024): Jurnal Terapi Wicara (JAWARA)
Publisher : Politeknik Arutala Johana Hendarto [d.h. Akademi Terapi Wicara]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59898/jawara.v2i2.34

Abstract

Latar belakang : Ketepatan artikulasi adalah kemampuan untuk mengucapkan kata-kata dengan jelas dan tepat menggunakan organ bicara. Anak usia prasekolah yang dimulai dari anak berusia 3-6 tahun memiliki masa emas dalam perkembangannya terutama dalam perkembangan keterampilan bahasa lisan salah satunya adalah  cara artikulasi. Cara artikulasi dari konsonan merupakan proses pembentukan konsonan dengan melibatkan interaksi pergerakan artikulator melalui alat bicara. Tujuan : Penelitian ini bertujuan untuk memperoleh gambaran ketepatan artikulasi berdasarkan cara artikulasi dalam produksi Bahasa Indonesia. Metode : Penelitian ini menggunakan penelitian deskriptif dengan korelasi. Teknik pengambilan sampel menggunakan tenik purposive sampling dengan melibatkan 254 anak prasekolah umur tiga sampai tujuh tahun yang dibagi dalam usia 3, 4, 5, dan 6 tahun. Instrumen yang digunakan format observasi artikulasi anak Manner of Articulation (MOA) dilakukan dengan meniru tingkat kata pada konsonan tunggal posisi awal, tengah, dan akhir. Respon dicatat dan diskor untuk dianalisis. Data dianalisis menggunakan excel dan sistem SPSS (Statistical Product and Service Solutions) versi 25. Hasil : Hasil penelitian menunjukkan semua bunyi konsonan tunggal dikuasai mulai usia 3 tahun namun ketepatan bertambah sesuai bertambahnya usia. Persentase konsonan yang benar semakin meningkat seiiring bertambahnya usia. Kesimpulan : Ketepatan artikulasi pada anak prasekoah meningkat seiiring bertambahnya usia. Dibutuhkan penelitian lanjutan untuk mendapatkan gambaran lebih lengkap tentang ketepatan artikulasi pada anak prasekolah.
Gambaran Pemahaman Bahasa Lisan Berdasarkan pada Usia Pra-Sekolah Nining Lestari; Nadiya Lulu Fitriani
Jurnal Terapi Wicara Vol 2 No 2 (2024): Jurnal Terapi Wicara (JAWARA)
Publisher : Politeknik Arutala Johana Hendarto [d.h. Akademi Terapi Wicara]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59898/jawara.v2i2.35

Abstract

Latar belakang: Perkembangan keterampilan berbahasa pada anak usia prasekolah menandakan adanya transformasi yang ditandai dengan perkembangan kemampuan berbahasa mereka. Perkembangan bahasa anak, lebih cepat melalui interaksi sosial, dengan penggunaan tata bahasa yang sesuai . Pemahaman bahasa lisan anak pra sekolah menjadi hal yang penting sebagai bagian dari pengembangan bahasa mereka. Tujuan:  Penelitian ini bertujuan melihat gambaran pemahaman bahasa lisan anak prasekolah dengan menggunakan tes DDGKB Metode: Penelitian ini menggunakan metode kuantitatif pendekatan deskriptif dan menggunakan data sekunder dari tahun 2021 sampai 2023. Hasil: Penelitian menggunakan tes DDGKB untuk pemahaman bahasa lisan anak prasekolah  pada usia 4,5 – 5 tahun baik, usia 5-6 tahun sangat baik dan usia 6-7 tahun baik.     Kesimpulan : Kemampuan pemahaman lisan pada anak pra sekolah tahun secara umum tetap berada pada level yang baik. Saran : Kelengkapan data pada sampel agar lebih valid
Pendekatan Latihan Pernapasan: Studi Kasus Tunggal Disfonia pada Pasien 43 Tahun Jumiarti; Stefany Putri Mardatila
Jurnal Terapi Wicara Vol 3 No 1 (2025): Jurnal Terapi Wicara (JAWARA)
Publisher : Politeknik Arutala Johana Hendarto [d.h. Akademi Terapi Wicara]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59898/jawara.v3i1.45

Abstract

Background: Voice problems are very common among teacher, including those in special school. The characteristic of a hoarseness and weal voice can significantly impact a person’s daily activities. Voice therapy conducted by speech therapist aims to optimize vocal function in order to improve the patient’s quality of life Objectives: The purpose of this study is to obtain on overview of subjective voice changes during the dysphonia treatment process in special school teachers. Methods: This research uses a qualitative approach with a pre-post test experimental design, employing single subject research. The case study focuses on voice improvement efforts through two phases: assessment and intervention. The participant is a 43-year-old female teacher at a special school who experiences hoarseness with a history of chronic severe anemia. Breathing exercises intervention was given with a total of ten sessions using the Respiration Training method. Acoustic, aerodynamic, and auditory perceptual voice quality measurements were taken before therapy. Maximum Phonation Time (MPT) measurement was conducted before aand after therapy. Result: Comparing the Maximum Phonation Time results before and after voice therapy shows an increased duration ability by lengthening the vowel. Conclusion: Breathing exercises can help clients control airflow and subglottic pressure by prolonging Maximum Phonation Time and improving voice efficiency. Breathing exercises can be combined with other phonation techiques to further enhance voice strength and more efficient phonation.
Pengaruh Penerapan Metode Respiration Training Dalam Meningkatkan Kemampuan Pernafasan Pada Klien Disfonia Organik Yulidar; Muhammad Yogi Saputa
Jurnal Terapi Wicara Vol 3 No 1 (2025): Jurnal Terapi Wicara (JAWARA)
Publisher : Politeknik Arutala Johana Hendarto [d.h. Akademi Terapi Wicara]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59898/jawara.v3i1.46

Abstract

Latar Belakang : Dalam berbicara kita menggunakan vocal tract yang meliputi mulut, laring, faring, dan hidung. Maka bagian-bagian tersebut bersama-sama mengontrol dan membentuk suara yang dihasilkan oleh pita suara dalam laring. Jika proses tersebut tidak mengalami masalah akan terdengar oleh lawan bicaranya menjadi enak, menyenangkan untuk yang mendengarkannya. Tetapi ada individu yang memiliki suara yang jernih, kasar, nasal, pelan jadi tidak terdengar jelas apa yang diucapkannya. Untuk menghasilkan suara juga membutuhkan unsur pernapasan. Pernapasan memberikan dukungan napas yang dibutuhkan untuk menggerakkan pita suara agar bergetar dan menghasilkan suara. Dengan teknik pernapasan yang baik, seseorang dapat mengontrol volume, kekuatan, dan kestabilan suara. Gangguan suara bisa disebabkan karna fungsional dan organik Tujuan : Penelitian ini bertujuan untuk mengukur adanya peningkatan durasi fonasi setelah diberikan pendekatan atau teknik respiration training (latihan respirasi). Metode : . Menggunakan quasi eksperimen subjek tunggal menggunakan desai A1-B-A2, Pada A1 adalah merupakan kegiatan pretest sebelum diberikan intervensi. Pada B merupakan intervensi dan A2 merupakan posttest yang setelah diberikan intervensi dengan menggunakan metode Respiration Training sebanyak 10 kali pertemuan Hasil :Penggunaan latihan respiration ternyata tidak menunjukkan hasil dapat meningkatkan kemampuan memperpanjang durasi fonasi /a/ selama 5 detik Kesimpulan : Klien tidak mampu meningkatkan kemampuan durasi fonasi /a/ selama 5 detik setelah diberikan teknik respiration training. Saran : Penelitian lebih lanjut dengan sampel yang lebih besar diperlukan untuk meningkatkan temuan ini dan mengembankan pelaksanaan yang lebih durasinya serta komperhensif untuk penderita gangguan suara yang organik
Penerapan Respiration Training Untuk Meningkatkan Durasi Fonasi Pada Pasien Disfonia Neurogenik Dewasa Agustina; Fierda Pramesthi Cahyani Putri
Jurnal Terapi Wicara Vol 3 No 1 (2025): Jurnal Terapi Wicara (JAWARA)
Publisher : Politeknik Arutala Johana Hendarto [d.h. Akademi Terapi Wicara]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59898/jawara.v3i1.47

Abstract

Background: Neurogenic dysphonia is a voice disorder resulting from dysfunction of the nervous system that affect action of vocald cords and controls phonatory mechanisms. One of the key parameters in assessing phonatory ability is maximum phonation time, which reflects the coordination between respiratory and phonatory systems. Respiration training is a training for improving breathing efficiency and stabilizing subglottal pressure during phonation. Objective: This study aims to determine the effect of respiration training on improving phonation duration in an adult patient with neurogenic dysphonia using a Single Subject Design (A–B–A). Methods: This research is a Single Subject Design (A–B–A) involving one adult participant with condition neurogenic dysphonia. Data were collected by measuring the sustained phonation of the vowel /a/ using a digital stopwatch during the baseline (A₁), intervention (B), and withdrawal (A₂) phases. The intervention was conducted during 10 therapy session and consisted of diaphragmatic breathing and respiration–phonation coordination exercises. Data were analyzed visually and descriptively based on mean phonation duration changes across phases. Results: The average phonation duration increased from 1.70 seconds during the baseline phase to 1.81 seconds after intervention, indicating an improvement of approximately 6.5%. Visual analysis revealed a stable and consistent upward trend in phonation duration during the post-intervention phase. Conclusion: Respiration training has a positive effect on improving phonation duration in adults with neurogenic dysphonia. The findings suggest that structured breathing exercises can enhance respiratory–phonatory coordination and voice production efficiency.
Systematic Literature Review Profil Gangguan Suara Post-Thyroidectomy Hikmatun Sadiah sadiah; Najma Alythea
Jurnal Terapi Wicara Vol 3 No 1 (2025): Jurnal Terapi Wicara (JAWARA)
Publisher : Politeknik Arutala Johana Hendarto [d.h. Akademi Terapi Wicara]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59898/jawara.v3i1.48

Abstract

Background: Thyroidectomy is a common surgical procedure for the management of thyroid disorders. However, postoperative voice changes remain a significant concern, potentially resulting from recurrent laryngeal nerve (RLN) injury, external branch of the superior laryngeal nerve (EBSLN) damage, or functional dysphonia without nerve paralysis. These alterations can substantially affect communication ability and quality of life, particularly among professional voice users. Objective: This study aims to systematically review the profile, mechanisms, incidence, and prognosis of voice disorders following thyroidectomy procedures. Methods: A Systematic Literature Review (SLR) was conducted following the PRISMA guidelines. Relevant articles were identified through PubMed, Scopus, and ScienceDirect databases using predefined inclusion and exclusion criteria. Eligible studies involved adult patients (≥18 years) undergoing total, subtotal, or hemithyroidectomy with reported voice-related outcomes. Data extraction focused on nerve injury types, clinical manifestations, diagnostic methods, and therapeutic approaches. Results: Voice disorders were reported in 1–10% of RLN palsy cases, 2–30% of EBSLN injuries, and up to 50% of early postoperative functional dysphonia. Most cases were transient and improved within 3–6 months, particularly with structured voice therapy. Early diagnosis and multidisciplinary rehabilitation contributed to better phonatory recovery. Conclusion: Post-thyroidectomy voice disorders represent multifactorial complications requiring early detection, intraoperative nerve monitoring, and individualized voice rehabilitation to optimize long-term vocal outcomes and patient quality of life
Systematic Literature Review Keparahan dan Jenis Gangguan Suara Pada Pasien dengan Laringitis Akut dan Kronik Junaeni; Hikmatun Sadiah
Jurnal Terapi Wicara Vol 3 No 1 (2025): Jurnal Terapi Wicara (JAWARA)
Publisher : Politeknik Arutala Johana Hendarto [d.h. Akademi Terapi Wicara]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59898/jawara.v3i1.49

Abstract

Background: Laryngitis, both acute and chronic, represents a major cause of dysphonia that significantly affects vocal function and quality of life. The differentiation of clinical characteristics, severity, and typology between acute and chronic forms remains an important issue in clinical and speech-language pathology research. Objective: This study aimed to comprehensively analyze the literature on the severity and types of voice disorders in patients with acute and chronic laryngitis, as well as their implications for quality of life. Methods: A qualitative synthesis of approximately 200 studies (2015–2025) was conducted using data from SciSpace, PubMed, and Google Scholar. Inclusion criteria comprised studies employing perceptual and acoustic severity measures (GRBAS, DSI, videostroboscopy) and validated quality of life instruments (VHI, V-RQOL). Data were compared across populations, assessment tools, and laryngitis types. Results: Over 30 studies employing perceptual and acoustic tools consistently demonstrated differentiation between acute and chronic laryngitis. Organic dysphonias showed higher objective and subjective severity scores than functional types. Chronic laryngitis was subdivided into catarrhal, hypertrophic, atrophic, and polypoid forms, frequently associated with benign vocal fold lesions such as nodules and polyps. Quality-of-life studies revealed significant impairments in physical, emotional, and social domains, especially among professional voice users and elderly populations. Dysphonia severity correlated with reduced quality of life, greater social anxiety, and depressive symptoms. Conclusion: Acute and chronic laryngitis produce distinct patterns of voice disorder severity and psychosocial burden. Multimodal evaluation integrating clinical, acoustic, and patient-reported outcomes is essential for effective vocal rehabilitation planning. These findings highlight the need for comprehensive and sustained management approaches for individuals with laryngitis-related voice disorders.
Hubungan Antara Memori Kerja dengan Kemampuan Lisan Pada Anak Pra-Sekolah Jumiarti; Hikmatun Sadiah; Izzatul Jannah
Jurnal Terapi Wicara Vol 2 No 1 (2024): Jurnal Terapi Wicara (JAWARA)
Publisher : Politeknik Arutala Johana Hendarto [d.h. Akademi Terapi Wicara]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59898/jawara.v2i1.50

Abstract

Background: the development of speech and language of pre-school children is one of impartant tasks of preschool education. Monitoring child development in terms of speech language skills has a long term impact on their overall growth. Purpose: the aim of the study was to determine the relationship between articulation and language development in typical preschool children. Method/Result: This study was conducted on 254 children, aged three to seven years. Articulation test by imitating word levels on all final consonants of Indonesian language in the initial, middle and final position, and language tests consisting of oral language comprehension and oral ability. Childrens’s responses were recorded and then scored for each correct response. The result showed that there was a significant correlation between articulation and language development (P=<0.05) but the correlation tended to be weak (r=0.2). Conclusion: articulation skills may be just one of many other factors that will influence language skills in preschool children. Therefore further research is needed to better understand other factors involved in language development.
Penerapan Metode Respiration Training Terhadap Klien Disfonia Umur 74 Tahun : Studi Kasus Tunggal nining lestari; Salsabila Khoirunnisa
Jurnal Terapi Wicara Vol 3 No 1 (2025): Jurnal Terapi Wicara (JAWARA)
Publisher : Politeknik Arutala Johana Hendarto [d.h. Akademi Terapi Wicara]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59898/jawara.v3i1.51

Abstract

Background: Voice problems caused by allergic rhinitis and poor lifestyle choices, such as those experienced by active smokers. A hoarse and weak voice can impact a person's daily activities. Speech therapists provide voice therapy aimed at optimising vocal function in order to improve quality of life. Objective: This study aims to obtain an overview of changes in voice improvement after treatment. Method: Using a single subject quasi-experimental research method, with an A1-B-A2 design, where A1 is the pretest/before intervention, B is the intervention, and A2 is the posttest/after intervention with 10 Respiration Training sessions. The subject of this study was a 74-year-old male who experienced hoarseness with a history of allergic rhinitis, frequently cleared his throat, and was an active smoker. Voice quality measurements were conducted using auditory, acoustic, and aerodynamic perception before therapy. Maximum phonation time measurements were also conducted before and after therapy. Results: After 10 interventions using the Respiration Training method, there was an improvement in duration ability by prolonging the vowels. Conclusion: Respiration Training plays a role in helping clients regulate airflow and subglottic pressure, thereby prolonging maximum phonation time and improving voice production efficiency. This method can also be combined with various other phonation techniques to strengthen the voice and achieve a more optimal phonation process.
Penerapan Core Vocabulary Approach pada Anak dengan Celah Bibir dan Langit-langit jumiarti; Damarrulah
Jurnal Terapi Wicara Vol 3 No 2 (2025): Jurnal Terapi Wicara (JAWARA)
Publisher : Politeknik Arutala Johana Hendarto [d.h. Akademi Terapi Wicara]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59898/jawara.v3i2.53

Abstract

Background: Children with cleft lip with or without cleft palate are at risk for speech disorders, including resonance and speech sound errors. These speech difficulties may significantly impact comprehension and expressive abilities, potentially affecting psychological well-being, quality of life, and social participation.Objective: This study aims to determine the effectiveness of the core vocabulary approach in improving articulation abilities for the phoneme /p/ at the word level.Methods: A single-case experimental design with a single-subject pattern was employed. The participant was a 2-year-9-month-old boy with a history of bilateral complete cleft lip and palate repair. Phase A1 (baseline 1) was conducted to record the participant’s articulation of the phoneme /p/ prior to intervention. Phase B (intervention) involved four structured therapy sessions using the core vocabulary approach. Phase A2 (baseline 2/withdrawal) was carried out by temporarily discontinuing the intervention to evaluate changes in articulation performance. Quantitative data were collected in the form of percentage accuracy of /p/ production in target words.Results: The findings showed no improvement in the accuracy of /p/ production across the four intervention sessions.Conclusion: These results are insufficient to support the core vocabulary approach as an effective therapeutic strategy for improving articulatory clarity in children with cleft lip and palate, particularly for bilabial plosive phonemes.

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