Effect of Yoga Therapy Along with Conventional Treatment on Speech Improvement in Children with Stuttering

INTERVENTION: Intervention1: Integrated approach of Yoga therapy (IAYT): A validated IAYT module comprising of the following practices: Loosening practices, Breathing exercises, Voice culture practices, Asanas (physical postures), Relaxation (Quick relaxation technique), Kriya (cleansing technique) ‐ Kapalabhati, Pranayama (breath regulation), Meditation‐ Nadanusandhana ( A , U , M , AUM kara chanting) will be given to the experimental group for 20 sessions (5 days a week) along with conventional speech therapy. Control Intervention1: Conventional speech therapy: Participants in the comparator group will receive standard speech‐language therapy alone. The therapy includes the following: To improve fluency‐ Practicing the techniques with maintaining speech naturalness and without any articulatory errors with tension free. Role‐play and real‐life communication practice to enhance generalization To work on stuttering modifications‐ Identification of stuttering. To work on stuttering desensitization, stuttering modification, pull‐out technique. Self‐monitoring and feedback using standardized scales. CONDITION: Health Condition 1: F985‐ Adult onset fluency disorder PRIMARY OUTCOME: Yoga performance assessment scale (YPA) ; Stuttering Severity Instrument ‐ 4th Edition (SSI‐4) ; Timepoint: Yoga performance assessment scale (YPA)‐ Day 1 and Day 10 ; Stuttering Severity Instrument (SSI‐4)‐ Day 1 and Day 20 ; SECONDARY OUTCOME: Overall Assessment of the Speaker s Experience of Stuttering (OASES)Timepoint: Day 1 and Day 20 Screen for Child Anxiety Related Disorders (SCARED) ; ; Timepoint: Day 1 and Day 20 INCLUSION CRITERIA: Clinically diagnosed with stuttering. Willingness to participate in both standard speech therapy and Integrated approach of Yoga therapy (IAYT). No acute illness or medical conditions that could interfere with participation in the study.