Pupil dilation has been associated with the effort required to perform various cognitive tasks. At the lexical level, some studies suggest that this neurophysiological measure would provide objective, real-time information during word processing and lexical access. However, due to the scarcity and incipient advancement of this line of research, its applicability, use, and sensitivity are not entirely clear. This scoping review aims to determine the applicability and usefulness of pupillometry in the study of lexical access by providing an up-to-date overview of research in this area. Following the PRISMA protocol, 16 articles were included in this review. The results show that pupillometry is a highly applicable, useful, and sensitive method for assessing lexical skills of word recognition, word retrieval, and semantic activation. Moreover, it easily fits into traditional research paradigms and methods in the field. Because it is a non-invasive, objective, and automated procedure, it can be applied to any population or age group. However, the emerging development of this specific area of research and the methodological diversity observed in the included studies do not yet allow for definitive conclusions in this area, which in turn does not allow for meta-analyses or fully conclusive statements about what the pupil response actually reflects when processing words. Standardized pupillary recording and analysis methods need to be defined to generate more accurate, replicable research designs with more reliable results to strengthen this line of research.

The present proposal aims to unify certain criteria used in the speech therapy planning process in the voice area, considering the CIF model promoted by the World Health Organization. A framework is offered that considers the organization of therapeutic contents under an adequate hierarchical criterion in accordance with the therapeutic orientations that the speech therapist determines, as well as guidelines around the formulation of objectives and characteristics that they must have of respect the SMART format suggested by the literature. In addition, the importance of the contextual factors of the user is indicated in the establishment of activities of generalization / transfer of clinical achievements as a binding stage between the levels of "Function / Structure" and "Participation / Activity". It is expected that this proposal will generate a professional discussion that tends to establish adequate parameters of therapeutic organization both for academic purposes and for clinical practice.

Esta revisión tiene como finalidad identificar y describir la estructura de los objetivos terapéuticos incluidos en aquellas investigaciones que explicitan una intervención fonoaudiológica vocal durante los últimos cinco años. La búsqueda estratégica se lleva a cabo en las bases de datos PubMed, ScienceDirect y Web Of Science y se obtienen 3.974 registros, de los cuales 12 artículos cumplen con todas las condiciones declaradas en los criterios de inclusión. La tendencia mayoritaria en la literatura del área es la omisión de los objetivos terapéuticos y la alusión solo a los procedimientos empleados. En el análisis cualitativo de los objetivos hallados, se evidencia la ausencia de una estructura textual estándar y falta de diferenciación entre los tipos de objetivos, lo que provoca un alto grado de heterogeneidad en su redacción. En relación con la noción de usuario, su rol es más bien secundario y pasivo. Existe insuficiente atención a la determinación de criterios de logro y una escasa operacionalización de los contenidos a abordar en la intervención fonoaudiológica. La enunciación de los contenidos de intervención desde su naturaleza conceptual impide una medición concreta asociada a la tarea terapéutica propuesta debido a su pobre operacionalización. Se concluye que no existe una estructura común en la formulación de objetivos terapéuticos para la intervención vocal.

Introduction: dysarthria assessment tools should be tailored to the speech characteristics and impairments. Currently, there are many different tools in clinical practice, mainly perceptual and motor. However, this speech impairment is associated with loss of functionality, limitations in activities of daily living, and restriction in social and occupational participation. This research compares the assessment procedures of several speech assessment tools commonly used in clinical practice for individuals with dysarthria in Chile and worldwide. Methods: a cross-sectional documentary analysis was conducted on various speech assessment tools for individuals with dysarthria. A purposive sampling was used based on the research conducted by Altaher et al.(1) Results: the content analysis shows that all tools have procedures for assessing speech subsystems and non-speech tasks. However, the assessment of the functional characteristics of speech, mainly considering intelligibility, is scarcely addressed. Some tools incorporate tasks that assess different aspects of speech, highlighting that this complementary information can be relevant to the diagnostic process. Conclusions: there is a lack of a standardized speech assessment and the need to incorporate tasks that allow for functional assessment to understand the performance of subsystems and the needs of individuals and their interlocutors to set baselines