MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Seminars in Speech and Language' source. Fri, 03 Feb 2012 10:47:28 +0100 http://www.medworm.com/index.php?rid=5481834&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1292755 Semin Speech Lang 2011; 32: 298-308DOI: 10.1055/s-0031-1292755ABSTRACTInfusing evidence-based practice (EBP) into the clinical setting implies that professionals use evidence that is relevant and credible, maintain their pursuit of best current knowledge, respect their clients' preferences and values, and keep these clients and their families appropriately informed about their treatment options. Thus, rational and judicious EBP must be guided by speech-language pathologists' or audiologists' ethical principles of beneficence, non-maleficence, justice, and autonomy. In this article, we will affirm the centrality of ethical reasoning in EBP by describing what it means to be a professional as reflected in our Code of Ethics, reviewing the principles of ethics that underlie clinical decision m... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5481834 Mon, 05 Dec 2011 05:00:00 +0100 5481834 http://www.medworm.com/index.php?rid=5481833&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1292761 Semin Speech Lang 2011; 32: C1-C10DOI: 10.1055/s-0031-1292761© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5481833 Mon, 05 Dec 2011 05:00:00 +0100 5481833 http://www.medworm.com/index.php?rid=5481832&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1292756 Semin Speech Lang 2011; 32: 309-318DOI: 10.1055/s-0031-1292756ABSTRACTSpeech-language pathologists report a broad range of situations that they believe represent professional dilemmas. Some arise in their employment settings because of mandates and employment-related policies established by their employers, supervisors, and administrators. Their reports do not as often reflect the many instances where ethical problems associated with the workplace may occur because of the conduct and actions of speech-language pathologists themselves. The purpose of this article is to identify and discuss some common quandaries speech-language pathologists and their employers may experience that are associated with workplace-related matters.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5481832 Mon, 05 Dec 2011 05:00:00 +0100 5481832 http://www.medworm.com/index.php?rid=5481831&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1292758 This article will help to define medical ethics and to discuss the six basic values that are commonly considered in discussions of medical ethics. Common ethical mistakes in the practice of speech-language pathology will be described. Finally, the value of a bioethics consultation for help in resolving complex ethical issues will be discussed.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5481831 Mon, 05 Dec 2011 05:00:00 +0100 5481831 http://www.medworm.com/index.php?rid=5481830&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1292754 Semin Speech Lang 2011; 32: 289-297DOI: 10.1055/s-0031-1292754ABSTRACTEngaging in research activities can be an enriching aspect of one's professional career. Research serves to advance the knowledge base from which clinical decisions are founded and is the responsibility of all who provide clinical services. That is, developing and advancing this knowledge base is everyone's responsibility, whether as consumers of research or as direct contributors of research. Understanding the ethical issues that embrace the research enterprise is a complementary responsibility of professionals. Conducting research within an ethical framework is essential to maintaining integrity and credibility in science. Opportunities to promote scientific integrity are particularly relevant when conducting or examin... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5481830 Mon, 05 Dec 2011 05:00:00 +0100 5481830 http://www.medworm.com/index.php?rid=5481829&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1292751 Semin Speech Lang 2011; 32: 273-276DOI: 10.1055/s-0031-1292751© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5481829 Mon, 05 Dec 2011 05:00:00 +0100 5481829 http://www.medworm.com/index.php?rid=5481828&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1292753 This article will examine concepts of ethical theory and practice and also trace the historical development and evolution of social ethics for disability. In its conclusion, this article will highlight the advocacy role of speech and language professionals to ensure an ethical response to disability.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5481828 Mon, 05 Dec 2011 05:00:00 +0100 5481828 http://www.medworm.com/index.php?rid=5481827&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1292752 Semin Speech Lang 2011; 32: 277-278DOI: 10.1055/s-0031-1292752© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  FREE Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5481827 Mon, 05 Dec 2011 05:00:00 +0100 5481827 http://www.medworm.com/index.php?rid=5481826&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1292760 This article provides an overview of the ethical issues that may be encountered when building a practice, including a look at marketing and advertising, financial management, privacy, and documentation. Ethically sound decision making is a key to a successful business.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5481826 Mon, 05 Dec 2011 05:00:00 +0100 5481826 http://www.medworm.com/index.php?rid=5481825&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1292759 We describe the process our interdisciplinary clinic used to create an institutional policy regarding research participant recruitment from among our client base. We demonstrate how certain elements of the client-clinician relationship can lead to inadvertent ethical quandaries in research recruitment, including implicit coercion and fostering of “therapeutic misconception.” Our internal policy deliberations focused on five central dilemmas, each requiring a careful evaluation of ethical principles. Interpersonal and cross-disciplinary differences of opinion required a delicate balance among competing priorities. The final policy represents our attempt to resolve these ethical paradoxes in a way that allows us to support and pursue valuable clinician-researcher partnerships while prior... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5481825 Mon, 05 Dec 2011 05:00:00 +0100 5481825 http://www.medworm.com/index.php?rid=5481824&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1292757 This article explores some of the ethical challenges of treating stuttering in school settings by discussing three clinical scenarios. Seedhouse's Ethics Grid is provided as a scaffold to support the critical analysis of school-based stuttering treatment issues. Factors examined include creating and respecting autonomy, serving student needs, doing good and minimizing risks, and telling the truth and keeping promises. In addition, clinical outcomes are considered in terms of their impact on students and family members, clinicians, students with communication disorders other than stuttering, and school personnel. Finally, some of the practical concerns when treating stuttering in school settings are discussed, including the law, codes of practice, wishes of others, as well as the effectiven... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5481824 Mon, 05 Dec 2011 05:00:00 +0100 5481824 http://www.medworm.com/index.php?rid=5486732&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22144076%26dopt%3DAbstract Authors: Chabon S, Donaldson A PMID: 22144076 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5486732 Tue, 01 Nov 2011 04:00:00 +0100 5486732 http://www.medworm.com/index.php?rid=5486731&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22144077%26dopt%3DAbstract Authors: Chabon S PMID: 22144077 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5486731 Tue, 01 Nov 2011 04:00:00 +0100 5486731 http://www.medworm.com/index.php?rid=5486730&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22144078%26dopt%3DAbstract This article will examine concepts of ethical theory and practice and also trace the historical development and evolution of social ethics for disability. In its conclusion, this article will highlight the advocacy role of speech and language professionals to ensure an ethical response to disability. PMID: 22144078 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5486730 Tue, 01 Nov 2011 04:00:00 +0100 5486730 http://www.medworm.com/index.php?rid=5486729&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22144079%26dopt%3DAbstract Authors: Moss SE Abstract Engaging in research activities can be an enriching aspect of one's professional career. Research serves to advance the knowledge base from which clinical decisions are founded and is the responsibility of all who provide clinical services. That is, developing and advancing this knowledge base is everyone's responsibility, whether as consumers of research or as direct contributors of research. Understanding the ethical issues that embrace the research enterprise is a complementary responsibility of professionals. Conducting research within an ethical framework is essential to maintaining integrity and credibility in science. Opportunities to promote scientific integrity are particularly relevant when conducting or examining research involving children. The... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5486729 Tue, 01 Nov 2011 04:00:00 +0100 5486729 http://www.medworm.com/index.php?rid=5486728&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22144080%26dopt%3DAbstract Authors: Chabon S, Morris J, Lemoncello R Abstract Infusing evidence-based practice (EBP) into the clinical setting implies that professionals use evidence that is relevant and credible, maintain their pursuit of best current knowledge, respect their clients' preferences and values, and keep these clients and their families appropriately informed about their treatment options. Thus, rational and judicious EBP must be guided by speech-language pathologists' or audiologists' ethical principles of beneficence, non-maleficence, justice, and autonomy. In this article, we will affirm the centrality of ethical reasoning in EBP by describing what it means to be a professional as reflected in our Code of Ethics, reviewing the principles of ethics that underlie clinical decision making, and ... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5486728 Tue, 01 Nov 2011 04:00:00 +0100 5486728 http://www.medworm.com/index.php?rid=5486727&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22144081%26dopt%3DAbstract Authors: Denton DR Abstract Speech-language pathologists report a broad range of situations that they believe represent professional dilemmas. Some arise in their employment settings because of mandates and employment-related policies established by their employers, supervisors, and administrators. Their reports do not as often reflect the many instances where ethical problems associated with the workplace may occur because of the conduct and actions of speech-language pathologists themselves. The purpose of this article is to identify and discuss some common quandaries speech-language pathologists and their employers may experience that are associated with workplace-related matters. PMID: 22144081 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5486727 Tue, 01 Nov 2011 04:00:00 +0100 5486727 http://www.medworm.com/index.php?rid=5486726&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22144082%26dopt%3DAbstract This article explores some of the ethical challenges of treating stuttering in school settings by discussing three clinical scenarios. Seedhouse's Ethics Grid is provided as a scaffold to support the critical analysis of school-based stuttering treatment issues. Factors examined include creating and respecting autonomy, serving student needs, doing good and minimizing risks, and telling the truth and keeping promises. In addition, clinical outcomes are considered in terms of their impact on students and family members, clinicians, students with communication disorders other than stuttering, and school personnel. Finally, some of the practical concerns when treating stuttering in school settings are discussed, including the law, codes of practice, wishes of others, as well as the effectiven... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5486726 Tue, 01 Nov 2011 04:00:00 +0100 5486726 http://www.medworm.com/index.php?rid=5486725&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22144083%26dopt%3DAbstract This article will help to define medical ethics and to discuss the six basic values that are commonly considered in discussions of medical ethics. Common ethical mistakes in the practice of speech-language pathology will be described. Finally, the value of a bioethics consultation for help in resolving complex ethical issues will be discussed. PMID: 22144083 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5486725 Tue, 01 Nov 2011 04:00:00 +0100 5486725 http://www.medworm.com/index.php?rid=5486716&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22144084%26dopt%3DAbstract We describe the process our interdisciplinary clinic used to create an institutional policy regarding research participant recruitment from among our client base. We demonstrate how certain elements of the client-clinician relationship can lead to inadvertent ethical quandaries in research recruitment, including implicit coercion and fostering of "therapeutic misconception." Our internal policy deliberations focused on five central dilemmas, each requiring a careful evaluation of ethical principles. Interpersonal and cross-disciplinary differences of opinion required a delicate balance among competing priorities. The final policy represents our attempt to resolve these ethical paradoxes in a way that allows us to support and pursue valuable clinician-researcher partnerships while prioritiz... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5486716 Tue, 01 Nov 2011 04:00:00 +0100 5486716 http://www.medworm.com/index.php?rid=5486706&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22144085%26dopt%3DAbstract This article provides an overview of the ethical issues that may be encountered when building a practice, including a look at marketing and advertising, financial management, privacy, and documentation. Ethically sound decision making is a key to a successful business. PMID: 22144085 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5486706 Tue, 01 Nov 2011 04:00:00 +0100 5486706 http://www.medworm.com/index.php?rid=5486705&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22144086%26dopt%3DAbstract Authors: PMID: 22144086 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5486705 Tue, 01 Nov 2011 04:00:00 +0100 5486705 http://www.medworm.com/index.php?rid=5267014&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1277720 This article discusses surgical management of patients with cleft palate as well as the proper workup and management of postoperative velopharyngeal dysfunction.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267014 Wed, 28 Sep 2011 04:00:00 +0100 5267014 http://www.medworm.com/index.php?rid=5267013&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1277722 Semin Speech Lang 2011; 32: C1-C10DOI: 10.1055/s-0031-1277722© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267013 Wed, 28 Sep 2011 04:00:00 +0100 5267013 http://www.medworm.com/index.php?rid=5267028&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1277721 Semin Speech Lang 2011; 32: 191-198DOI: 10.1055/s-0031-1277721ABSTRACTIndividuals with a history of cleft lip/palate or velopharyngeal dysfunction may demonstrate any combination of speech sound errors, hypernasality, and nasal emission. Speech sound distortion can also occur due to other structural anomalies, including malocclusion. Whenever there are structural anomalies, speech can be affected by obligatory distortions or compensatory errors. Obligatory distortions (including hypernasality due to velopharyngeal insufficiency) are caused by abnormal structure and not by abnormal function. Therefore, surgery or other forms of physical management are needed for correction. In contrast, speech therapy is indicated for compensatory articulation productions where articulation placement is cha... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267028 Mon, 26 Sep 2011 04:00:00 +0100 5267028 http://www.medworm.com/index.php?rid=5267027&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1277718 Semin Speech Lang 2011; 32: 159-167DOI: 10.1055/s-0031-1277718ABSTRACTCleft lip is an anomaly that primarily affects aesthetics, whereas cleft palate is an anomaly that primarily affects function, particularly speech. In fact, the main reason for repairing the palate is to provide adequate structure and function for normal speech production. Despite undergoing palatoplasty surgery, 20 to 30% of children with repaired cleft palate will demonstrate some degree of velopharyngeal dysfunction, resulting in abnormal speech. Velopharyngeal dysfunction is also seen in individuals without a history of cleft palate for various reasons. Because the symptoms of velopharyngeal dysfunction have a variety of causes, a comprehensive evaluation is very important to make the appropriate recommendations for ... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267027 Mon, 26 Sep 2011 04:00:00 +0100 5267027 http://www.medworm.com/index.php?rid=5267026&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1277714 The objective of this article is to review expert opinion and available evidence regarding factors that influence feeding success and efficiency in infants with nonsyndromic and syndromic cleft lip/palate. The types of compensatory strategies or interventions that are effective in alleviation of feeding and swallowing difficulties will be described. Descriptive reports, expert opinion, and available evidence from clinical trials to support the use of feeding interventions in treatment are reviewed.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267026 Mon, 26 Sep 2011 04:00:00 +0100 5267026 http://www.medworm.com/index.php?rid=5267021&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1277711 Semin Speech Lang 2011; 32: 081-082DOI: 10.1055/s-0031-1277711© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267021 Mon, 26 Sep 2011 04:00:00 +0100 5267021 http://www.medworm.com/index.php?rid=5267020&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1277715 Semin Speech Lang 2011; 32: 127-140DOI: 10.1055/s-0031-1277715ABSTRACTLanguage and cognitive performance of children with cleft palate with/without cleft lip (CP ± L) have received relatively little attention in the literature to date. The lack of attention directed toward these areas is probably attributed to two factors. First, the speech characteristics associated with velopharyngeal inadequacy are undoubtedly the most salient problems encountered by clinicians treating these children and thus have taken priority in research for many years. Second, early findings suggesting little difference between these children and their typically developing peers in language and cognition simply discouraged additional study. More recent investigations, however, have expanded the scope of study ... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267020 Mon, 26 Sep 2011 04:00:00 +0100 5267020 http://www.medworm.com/index.php?rid=5267019&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1277717 Semin Speech Lang 2011; 32: 150-158DOI: 10.1055/s-0031-1277717ABSTRACTThe velopharyngeal valve is responsible for production of oral speech sounds. There are three components to normal velopharyngeal function: anatomy, physiology, and learning. Velopharyngeal dysfunction (VPD) is a condition where the velopharyngeal valve does not close consistently and completely during the production of oral sounds. Velopharyngeal dysfunction can be caused by abnormal anatomy (velopharyngeal insufficiency), abnormal neurophysiology (velopharyngeal incompetence), or particular articulation errors (velopharyngeal mislearning). The purpose of this article is to acquaint the reader with what is required for normal velopharyngeal function. In addition, there will be a discussion of the types of velopharyngeal... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267019 Mon, 26 Sep 2011 04:00:00 +0100 5267019 http://www.medworm.com/index.php?rid=5267018&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1277719 Semin Speech Lang 2011; 32: 168-178DOI: 10.1055/s-0031-1277719ABSTRACTThe presence of a palatal cleft at birth should not prevent good speech production in most children provided they have (1) appropriate surgical intervention to close the palate at or around the child's first birthday, (2) careful monitoring of speech development throughout childhood, (3) speech therapy when needed, and (4) secondary surgical or speech-prosthetic intervention when needed. When managed carefully by an experienced, well-prepared multidisciplinary team that applies the criteria listed above, ~70% of children with nonsyndromic palatal clefts will have no significant difficulties with speech intelligibility or speech quality due to velopharyngeal insufficiency by the time they enter elementary school. Speech a... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267018 Mon, 26 Sep 2011 04:00:00 +0100 5267018 http://www.medworm.com/index.php?rid=5267017&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1277713 Semin Speech Lang 2011; 32: 093-114DOI: 10.1055/s-0031-1277713ABSTRACTSpeech-language pathologists (SLPs) in the public schools or other nonmedical settings rarely see infants or small children with unrepaired clefts. When children with repaired clefts appear in their caseloads, it may be difficult to comprehend what the situation was before the child had surgery. Clefts vary widely in their original severity, which has a direct bearing on how the repaired cleft looks and how the orofacial structures (lip, teeth, and palate) affect speech when the child comes into the SLP's caseload. It is important to understand that a high percentage of children with nonsyndromic clefts also have other structural or functional disorders that affect their ability to accomplish their goals in life. Multian... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267017 Mon, 26 Sep 2011 04:00:00 +0100 5267017 http://www.medworm.com/index.php?rid=5267015&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1277716 This article also includes a discussion of normal airflow for speech and the perceptual speech characteristics that often occur when there is abnormal nasal airflow. Secondary characteristics of nasal airflow, including weak or omitted consonants, short utterance length, nasal grimace, and compensatory articulation productions, are also described.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267015 Mon, 26 Sep 2011 04:00:00 +0100 5267015 http://www.medworm.com/index.php?rid=5267011&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1277712 Semin Speech Lang 2011; 32: 083-092DOI: 10.1055/s-0031-1277712ABSTRACTUnderstanding the normal anatomy and physiology of the velopharyngeal mechanism is the first step in providing appropriate diagnosis and treatment for children born with cleft lip and palate. The velopharyngeal mechanism consists of a muscular valve that extends from the posterior surface of the hard palate (roof of mouth) to the posterior pharyngeal wall and includes the velum (soft palate), lateral pharyngeal walls (sides of the throat), and the posterior pharyngeal wall (back wall of the throat). The function of the velopharyngeal mechanism is to create a tight seal between the velum and pharyngeal walls to separate the oral and nasal cavities for various purposes, including speech. Velopharyngeal closure is accomplis... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267011 Mon, 26 Sep 2011 04:00:00 +0100 5267011 http://www.medworm.com/index.php?rid=5267030&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1286178 Semin Speech Lang 2011; 32: 243-255DOI: 10.1055/s-0031-1286178ABSTRACTResearch indicates that communication between patients with communication disorders and their health care providers may be compromised, which leads to adverse outcomes and reduced participation in patients' own health care. Emerging studies demonstrate that effective communication education programs may decrease communication difficulties. This feasibility study of an education program that includes people with aphasia as educators aims to improve nursing assistant students' knowledge of aphasia and awareness of supported communication strategies while also examining the experiences of participants with aphasia. This preliminary study suggests that explicit aphasia and communication training delivered in this format has ... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267030 Fri, 23 Sep 2011 04:00:00 +0100 5267030 http://www.medworm.com/index.php?rid=5267029&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1286180 This article provides initial issues to review and consider when deciding whether starting a new organization is right for you. Determining the need for the program in your community, the best size and possible affiliation for the organization, and available resources, as well as developing a business plan, marketing the program, and building awareness in the community, are some of the factors that are discussed. Specific examples related to starting the Aphasia Center of California are provided.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267029 Fri, 23 Sep 2011 04:00:00 +0100 5267029 http://www.medworm.com/index.php?rid=5267025&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1286175 Semin Speech Lang 2011; 32: 203-215DOI: 10.1055/s-0031-1286175ABSTRACTThere is a growing trend toward dedicated programs designed to improve the lives of people with aphasia and their families. We are referring to these programs collectively as “aphasia centers.” These programs purportedly differ from more traditional medically based aphasia rehabilitation. However, there is no directory of aphasia centers and no definition of what constitutes such a program. Therefore, an online survey was designed to identify and describe aphasia centers in the United States and Canada. A 37-question survey was posted online via SurveyMonkey. An introductory letter was distributed by electronic mail to a listserv and mailing lists of programs associated with aphasia. Potential respondents who conside... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267025 Fri, 23 Sep 2011 04:00:00 +0100 5267025 http://www.medworm.com/index.php?rid=5267024&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1286179 This article aims to present perspective on that process from a program that utilizes a unique center without walls concept.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267024 Fri, 23 Sep 2011 04:00:00 +0100 5267024 http://www.medworm.com/index.php?rid=5267023&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1286176 This article describes Living with Aphasia: Framework for Outcome Measurement and its practical application to aphasia centers in the areas of direct service, outcome measurement, and advocacy and awareness. Examples will be drawn from the Aphasia Institute in Toronto. A case will be made for all aphasia centers to use the ICF or an adaptation of it to further the work of this sector and strengthen its credibility.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267023 Fri, 23 Sep 2011 04:00:00 +0100 5267023 http://www.medworm.com/index.php?rid=5267022&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1286177 We describe the rationale and procedures of a drama class, informed by the principles and practices of drama therapy, in which individuals with chronic aphasia conceptualized, wrote, and produced a play addressing their experiences of having, living with, and coping with the effects of aphasia. Sessions were cofacilitated by a speech-language pathologist and a drama therapist. We describe the drama activities and techniques in each of four distinct stages of a drama therapy process through which the group transitioned. We also summarize patient-reported outcomes of a representational group of seven participants. Subscales of the Burden of Stroke Scale and the Communication Confidence Rating Scale for Aphasia were administered before and after participation in the 18-week class. Means, stan... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267022 Fri, 23 Sep 2011 04:00:00 +0100 5267022 http://www.medworm.com/index.php?rid=5267016&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1286181 Semin Speech Lang 2011; 32: C1-C8DOI: 10.1055/s-0031-1286181© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267016 Fri, 23 Sep 2011 04:00:00 +0100 5267016 http://www.medworm.com/index.php?rid=5267012&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1286174 Semin Speech Lang 2011; 32: 199-202DOI: 10.1055/s-0031-1286174© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  FREE Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5267012 Fri, 23 Sep 2011 04:00:00 +0100 5267012 http://www.medworm.com/index.php?rid=5293115&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21968556%26dopt%3DAbstract Authors: Simmons-Mackie N PMID: 21968556 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5293115 Mon, 01 Aug 2011 04:00:00 +0100 5293115 http://www.medworm.com/index.php?rid=5293114&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21968557%26dopt%3DAbstract Authors: Simmons-Mackie N, Holland AL Abstract There is a growing trend toward dedicated programs designed to improve the lives of people with aphasia and their families. We are referring to these programs collectively as "aphasia centers." These programs purportedly differ from more traditional medically based aphasia rehabilitation. However, there is no directory of aphasia centers and no definition of what constitutes such a program. Therefore, an online survey was designed to identify and describe aphasia centers in the United States and Canada. A 37-question survey was posted online via SurveyMonkey. An introductory letter was distributed by electronic mail to a listserv and mailing lists of programs associated with aphasia. Potential respondents who considered themselves an a... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5293114 Mon, 01 Aug 2011 04:00:00 +0100 5293114 http://www.medworm.com/index.php?rid=5293113&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21968558%26dopt%3DAbstract This article describes Living with Aphasia: Framework for Outcome Measurement and its practical application to aphasia centers in the areas of direct service, outcome measurement, and advocacy and awareness. Examples will be drawn from the Aphasia Institute in Toronto. A case will be made for all aphasia centers to use the ICF or an adaptation of it to further the work of this sector and strengthen its credibility. PMID: 21968558 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5293113 Mon, 01 Aug 2011 04:00:00 +0100 5293113 http://www.medworm.com/index.php?rid=5293112&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21968559%26dopt%3DAbstract We describe the rationale and procedures of a drama class, informed by the principles and practices of drama therapy, in which individuals with chronic aphasia conceptualized, wrote, and produced a play addressing their experiences of having, living with, and coping with the effects of aphasia. Sessions were cofacilitated by a speech-language pathologist and a drama therapist. We describe the drama activities and techniques in each of four distinct stages of a drama therapy process through which the group transitioned. We also summarize patient-reported outcomes of a representational group of seven participants. Subscales of the Burden of Stroke Scale and the Communication Confidence Rating Scale for Aphasia were administered before and after participation in the 18-week class. Means, stan... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5293112 Mon, 01 Aug 2011 04:00:00 +0100 5293112 http://www.medworm.com/index.php?rid=5293111&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21968560%26dopt%3DAbstract Authors: Welsh JD, Szabo GB Abstract Research indicates that communication between patients with communication disorders and their health care providers may be compromised, which leads to adverse outcomes and reduced participation in patients' own health care. Emerging studies demonstrate that effective communication education programs may decrease communication difficulties. This feasibility study of an education program that includes people with aphasia as educators aims to improve nursing assistant students' knowledge of aphasia and awareness of supported communication strategies while also examining the experiences of participants with aphasia. This preliminary study suggests that explicit aphasia and communication training delivered in this format has positive learning outcome... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5293111 Mon, 01 Aug 2011 04:00:00 +0100 5293111 http://www.medworm.com/index.php?rid=5293110&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21968561%26dopt%3DAbstract This article aims to present perspective on that process from a program that utilizes a unique center without walls concept. PMID: 21968561 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5293110 Mon, 01 Aug 2011 04:00:00 +0100 5293110 http://www.medworm.com/index.php?rid=5293109&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21968562%26dopt%3DAbstract This article provides initial issues to review and consider when deciding whether starting a new organization is right for you. Determining the need for the program in your community, the best size and possible affiliation for the organization, and available resources, as well as developing a business plan, marketing the program, and building awareness in the community, are some of the factors that are discussed. Specific examples related to starting the Aphasia Center of California are provided. PMID: 21968562 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5293109 Mon, 01 Aug 2011 04:00:00 +0100 5293109 http://www.medworm.com/index.php?rid=5293108&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21968563%26dopt%3DAbstract Authors: PMID: 21968563 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5293108 Mon, 01 Aug 2011 04:00:00 +0100 5293108 http://www.medworm.com/index.php?rid=5272036&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21948635%26dopt%3DAbstract Authors: Kummer AW PMID: 21948635 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5272036 Sun, 01 May 2011 04:00:00 +0100 5272036 http://www.medworm.com/index.php?rid=5272030&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21948636%26dopt%3DAbstract Authors: Perry JL Abstract Understanding the normal anatomy and physiology of the velopharyngeal mechanism is the first step in providing appropriate diagnosis and treatment for children born with cleft lip and palate. The velopharyngeal mechanism consists of a muscular valve that extends from the posterior surface of the hard palate (roof of mouth) to the posterior pharyngeal wall and includes the velum (soft palate), lateral pharyngeal walls (sides of the throat), and the posterior pharyngeal wall (back wall of the throat). The function of the velopharyngeal mechanism is to create a tight seal between the velum and pharyngeal walls to separate the oral and nasal cavities for various purposes, including speech. Velopharyngeal closure is accomplished through the contraction of seve... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5272030 Sun, 01 May 2011 04:00:00 +0100 5272030 http://www.medworm.com/index.php?rid=5272028&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21948637%26dopt%3DAbstract Authors: Peterson-Falzone SJ Abstract Speech-language pathologists (SLPs) in the public schools or other nonmedical settings rarely see infants or small children with unrepaired clefts. When children with repaired clefts appear in their caseloads, it may be difficult to comprehend what the situation was before the child had surgery. Clefts vary widely in their original severity, which has a direct bearing on how the repaired cleft looks and how the orofacial structures (lip, teeth, and palate) affect speech when the child comes into the SLP's caseload. It is important to understand that a high percentage of children with nonsyndromic clefts also have other structural or functional disorders that affect their ability to accomplish their goals in life. Multianomaly, complex craniofac... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5272028 Sun, 01 May 2011 04:00:00 +0100 5272028 http://www.medworm.com/index.php?rid=5271977&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21948638%26dopt%3DAbstract The objective of this article is to review expert opinion and available evidence regarding factors that influence feeding success and efficiency in infants with nonsyndromic and syndromic cleft lip/palate. The types of compensatory strategies or interventions that are effective in alleviation of feeding and swallowing difficulties will be described. Descriptive reports, expert opinion, and available evidence from clinical trials to support the use of feeding interventions in treatment are reviewed. PMID: 21948638 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5271977 Sun, 01 May 2011 04:00:00 +0100 5271977 http://www.medworm.com/index.php?rid=5271972&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21948639%26dopt%3DAbstract Authors: Hardin-Jones M, Chapman KL Abstract Language and cognitive performance of children with cleft palate with/without cleft lip (CP ± L) have received relatively little attention in the literature to date. The lack of attention directed toward these areas is probably attributed to two factors. First, the speech characteristics associated with velopharyngeal inadequacy are undoubtedly the most salient problems encountered by clinicians treating these children and thus have taken priority in research for many years. Second, early findings suggesting little difference between these children and their typically developing peers in language and cognition simply discouraged additional study. More recent investigations, however, have expanded the scope of study to include toddle... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5271972 Sun, 01 May 2011 04:00:00 +0100 5271972 http://www.medworm.com/index.php?rid=5271962&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21948640%26dopt%3DAbstract This article also includes a discussion of normal airflow for speech and the perceptual speech characteristics that often occur when there is abnormal nasal airflow. Secondary characteristics of nasal airflow, including weak or omitted consonants, short utterance length, nasal grimace, and compensatory articulation productions, are also described. PMID: 21948640 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5271962 Sun, 01 May 2011 04:00:00 +0100 5271962 http://www.medworm.com/index.php?rid=5271958&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21948641%26dopt%3DAbstract Authors: Kummer AW Abstract The velopharyngeal valve is responsible for production of oral speech sounds. There are three components to normal velopharyngeal function: anatomy, physiology, and learning. VELOPHARYNGEAL DYSFUNCTION (VPD) is a condition where the velopharyngeal valve does not close consistently and completely during the production of oral sounds. Velopharyngeal dysfunction can be caused by abnormal anatomy (velopharyngeal insufficiency), abnormal neurophysiology (velopharyngeal incompetence), or particular articulation errors (velopharyngeal mislearning). The purpose of this article is to acquaint the reader with what is required for normal velopharyngeal function. In addition, there will be a discussion of the types of velopharyngeal dysfunction and various causes of... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5271958 Sun, 01 May 2011 04:00:00 +0100 5271958 http://www.medworm.com/index.php?rid=5271949&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21948642%26dopt%3DAbstract Authors: Kummer AW Abstract Cleft lip is an anomaly that primarily affects aesthetics, whereas cleft palate is an anomaly that primarily affects function, particularly speech. In fact, the main reason for repairing the palate is to provide adequate structure and function for normal speech production. Despite undergoing palatoplasty surgery, 20 to 30% of children with repaired cleft palate will demonstrate some degree of velopharyngeal dysfunction, resulting in abnormal speech. Velopharyngeal dysfunction is also seen in individuals without a history of cleft palate for various reasons. Because the symptoms of velopharyngeal dysfunction have a variety of causes, a comprehensive evaluation is very important to make the appropriate recommendations for treatment. The purpose of this art... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5271949 Sun, 01 May 2011 04:00:00 +0100 5271949 http://www.medworm.com/index.php?rid=5271948&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21948643%26dopt%3DAbstract Authors: Karnell MP Abstract The presence of a palatal cleft at birth should not prevent good speech production in most children provided they have (1) appropriate surgical intervention to close the palate at or around the child's first birthday, (2) careful monitoring of speech development throughout childhood, (3) speech therapy when needed, and (4) secondary surgical or speech-prosthetic intervention when needed. When managed carefully by an experienced, well-prepared multidisciplinary team that applies the criteria listed above, ~70% of children with nonsyndromic palatal clefts will have no significant difficulties with speech intelligibility or speech quality due to velopharyngeal insufficiency by the time they enter elementary school. Speech assessment is the first step towar... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5271948 Sun, 01 May 2011 04:00:00 +0100 5271948 http://www.medworm.com/index.php?rid=5271946&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21948644%26dopt%3DAbstract Authors: Kummer AW Abstract Individuals with a history of cleft lip/palate or velopharyngeal dysfunction may demonstrate any combination of speech sound errors, hypernasality, and nasal emission. Speech sound distortion can also occur due to other structural anomalies, including malocclusion. Whenever there are structural anomalies, speech can be affected by obligatory distortions or compensatory errors. Obligatory distortions (including hypernasality due to velopharyngeal insufficiency) are caused by abnormal structure and not by abnormal function. Therefore, surgery or other forms of physical management are needed for correction. In contrast, speech therapy is indicated for compensatory articulation productions where articulation placement is changed in response to the abnormal s... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5271946 Sun, 01 May 2011 04:00:00 +0100 5271946 http://www.medworm.com/index.php?rid=5271945&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21959961%26dopt%3DAbstract This article discusses surgical management of patients with cleft palate as well as the proper workup and management of postoperative velopharyngeal dysfunction. PMID: 21959961 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5271945 Sun, 01 May 2011 04:00:00 +0100 5271945 http://www.medworm.com/index.php?rid=5271935&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21959962%26dopt%3DAbstract Authors: PMID: 21959962 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=5271935 Sun, 01 May 2011 04:00:00 +0100 5271935 http://www.medworm.com/index.php?rid=4708267&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1271970 Semin Speech Lang 2011; 32: 003-004DOI: 10.1055/s-0031-1271970© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4708267 Tue, 12 Apr 2011 23:00:00 +0100 4708267 http://www.medworm.com/index.php?rid=4708266&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1271976 Semin Speech Lang 2011; 32: 069-080DOI: 10.1055/s-0031-1271976ABSTRACTClinical evaluation of velopharyngeal function relies heavily on auditory perceptual judgments that can be supported by instrumental examination of the velopharyngeal valve. Many of the current instrumental techniques are difficult to interpret, expensive, and/or unavailable to clinicians. Proposed in this report is a minimally invasive and inexpensive approach to evaluating velopharyngeal function that has been used successfully in our laboratory for several potentially difficult-to-test clients. The technique is an aeromechanical approach that involves the sensing of nasal ram pressure (N-RamP), a local pressure sensed at the anterior nares, using a two-pronged nasal cannula. By monitoring the N-RamP signal, it is poss... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4708266 Tue, 12 Apr 2011 23:00:00 +0100 4708266 http://www.medworm.com/index.php?rid=4708265&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1271975 Semin Speech Lang 2011; 32: 058-068DOI: 10.1055/s-0031-1271975ABSTRACTImproving treatment outcomes for people with resonance problems (due to velopharyngeal disorders) is a priority for many speech-language pathologists (SLPs), but there exists a limited understanding of the practices SLPs are using to assess and monitor therapeutic effects in this population. The current study was designed to answer the following questions: (1) What are current clinical practices versus best practices for assessing resonance disorders, tracking therapeutic effects, and determining discharge criteria? (2) What assessment practices would SLPs prefer to use with clients who have resonance disorders? (3) What are barriers to SLPs' use of best practices? and (4) What effects do SLP demographics have on clinica... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4708265 Tue, 12 Apr 2011 23:00:00 +0100 4708265 http://www.medworm.com/index.php?rid=4708264&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1271974 Semin Speech Lang 2011; 32: 043-057DOI: 10.1055/s-0031-1271974ABSTRACTVocal tremor is characterized by involuntary rhythmic modulations of pitch and loudness and is best perceived during sustained phonation of vowels. It is most often present in individuals affected by neurogenic disorders such as Parkinson's disease, amyotrophic lateral sclerosis, spinal muscular dystrophy, spasmodic dysphonia, and essential tremor. Vocal tremor does not appear to be responsive to systemic pharmaceutical management but may benefit from injection of botulinum toxin (i.e., Botox) into affected musculature. However, many individuals do not tolerate the potential side effects of severe breathiness and difficulty swallowing associated with Botox injections. In this article, we summarize the speech evaluation a... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4708264 Tue, 12 Apr 2011 23:00:00 +0100 4708264 http://www.medworm.com/index.php?rid=4708263&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1271973 Semin Speech Lang 2011; 32: 031-042DOI: 10.1055/s-0031-1271973ABSTRACTObesity may be associated with increased tissue bulk in the laryngeal airway, neck, and chest wall, and as such may affect vocal function. Eight obese and eight nonobese adults participated in this study; the obese participants underwent bariatric surgical procedures. This mixed-design study included cross-sectional analysis for group differences and longitudinal analysis for multidimensional changes in vocal function from four assessments collected over 6 months. No significant differences were detected between groups from the preoperative assessment. Further, no changes were detected over time for acoustic parameters, maximum phonation time, laryngeal airway resistance, and airflow during a sustained vowel for either g... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4708263 Tue, 12 Apr 2011 23:00:00 +0100 4708263 http://www.medworm.com/index.php?rid=4708262&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1271972 Semin Speech Lang 2011; 32: 021-030DOI: 10.1055/s-0031-1271972ABSTRACTRespiratory muscle strength training (RMST) focuses on increasing the force-generating capacity of the inspiratory and expiratory muscles. The choice of respiratory muscles that are targeted using RMST depends on the outcome desired. For example, if an individual has reduced inspiratory muscle strength due to a neurogenic injury and is unable to ventilate the lungs, then inspiratory muscle strength training may be the chosen rehabilitation target. On the other hand, if a professional voice user is complaining of difficulty generating adequate vocal loudness during song production and is suffering from laryngeal dysfunction, then an expiratory muscle strength training paradigm may be the chosen rehabilitation target. Our ... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4708262 Tue, 12 Apr 2011 23:00:00 +0100 4708262 http://www.medworm.com/index.php?rid=4708261&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1271971 This article provides an overview of dyspnea in general, describes the effects of dyspnea on speaking and swallowing, includes data from two survey studies of speaking-related dyspnea and swallowing-related dyspnea, and outlines suggested protocols for evaluating dyspnea during speaking and swallowing.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4708261 Tue, 12 Apr 2011 23:00:00 +0100 4708261 http://www.medworm.com/index.php?rid=4708260&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1271969 Semin Speech Lang 2011; 32: 001-002DOI: 10.1055/s-0031-1271969© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4708260 Tue, 12 Apr 2011 23:00:00 +0100 4708260 http://www.medworm.com/index.php?rid=4708259&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0031-1271977 Semin Speech Lang 2011; 32: C1-C8DOI: 10.1055/s-0031-1271977© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4708259 Tue, 12 Apr 2011 23:00:00 +0100 4708259 http://www.medworm.com/index.php?rid=4741812&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21491352%26dopt%3DAbstract Authors: PMID: 21491352 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4741812 Tue, 01 Feb 2011 00:00:00 +0100 4741812 http://www.medworm.com/index.php?rid=4741811&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21491353%26dopt%3DAbstract Authors: Holland A PMID: 21491353 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4741811 Tue, 01 Feb 2011 00:00:00 +0100 4741811 http://www.medworm.com/index.php?rid=4741810&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21491354%26dopt%3DAbstract Authors: Hoit JD PMID: 21491354 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4741810 Tue, 01 Feb 2011 00:00:00 +0100 4741810 http://www.medworm.com/index.php?rid=4741809&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21491355%26dopt%3DAbstract This article provides an overview of dyspnea in general, describes the effects of dyspnea on speaking and swallowing, includes data from two survey studies of speaking-related dyspnea and swallowing-related dyspnea, and outlines suggested protocols for evaluating dyspnea during speaking and swallowing. PMID: 21491355 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4741809 Tue, 01 Feb 2011 00:00:00 +0100 4741809 http://www.medworm.com/index.php?rid=4741808&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21491356%26dopt%3DAbstract Authors: Sapienza C, Troche M, Pitts T, Davenport P Respiratory muscle strength training (RMST) focuses on increasing the force-generating capacity of the inspiratory and expiratory muscles. The choice of respiratory muscles that are targeted using RMST depends on the outcome desired. For example, if an individual has reduced inspiratory muscle strength due to a neurogenic injury and is unable to ventilate the lungs, then inspiratory muscle strength training may be the chosen rehabilitation target. On the other hand, if a professional voice user is complaining of difficulty generating adequate vocal loudness during song production and is suffering from laryngeal dysfunction, then an expiratory muscle strength training paradigm may be the chosen rehabilitation target. Our most recent wo... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4741808 Tue, 01 Feb 2011 00:00:00 +0100 4741808 http://www.medworm.com/index.php?rid=4741807&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21491357%26dopt%3DAbstract Authors: Solomon NP, Helou LB, Dietrich-Burns K, Stojadinovic A Obesity may be associated with increased tissue bulk in the laryngeal airway, neck, and chest wall, and as such may affect vocal function. Eight obese and eight nonobese adults participated in this study; the obese participants underwent bariatric surgical procedures. This mixed-design study included cross-sectional analysis for group differences and longitudinal analysis for multidimensional changes in vocal function from four assessments collected over 6 months. No significant differences were detected between groups from the preoperative assessment. Further, no changes were detected over time for acoustic parameters, maximum phonation time, laryngeal airway resistance, and airflow during a sustained vowel for either gro... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4741807 Tue, 01 Feb 2011 00:00:00 +0100 4741807 http://www.medworm.com/index.php?rid=4741806&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21491358%26dopt%3DAbstract Authors: Barkmeier-Kraemer J, Lato A, Wiley K Vocal tremor is characterized by involuntary rhythmic modulations of pitch and loudness and is best perceived during sustained phonation of vowels. It is most often present in individuals affected by neurogenic disorders such as Parkinson's disease, amyotrophic lateral sclerosis, spinal muscular dystrophy, spasmodic dysphonia, and essential tremor. Vocal tremor does not appear to be responsive to systemic pharmaceutical management but may benefit from injection of botulinum toxin (i.e., Botox) into affected musculature. However, many individuals do not tolerate the potential side effects of severe breathiness and difficulty swallowing associated with Botox injections. In this article, we summarize the speech evaluation and treatment methods... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4741806 Tue, 01 Feb 2011 00:00:00 +0100 4741806 http://www.medworm.com/index.php?rid=4741805&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21491359%26dopt%3DAbstract Authors: Stelck EH, Boliek CA, Hagler PH, Rieger JM Improving treatment outcomes for people with resonance problems (due to velopharyngeal disorders) is a priority for many speech-language pathologists (SLPs), but there exists a limited understanding of the practices SLPs are using to assess and monitor therapeutic effects in this population. The current study was designed to answer the following questions: (1) What are current clinical practices versus best practices for assessing resonance disorders, tracking therapeutic effects, and determining discharge criteria? (2) What assessment practices would SLPs prefer to use with clients who have resonance disorders? (3) What are barriers to SLPs' use of best practices? and (4) What effects do SLP demographics have on clinical practices? T... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4741805 Tue, 01 Feb 2011 00:00:00 +0100 4741805 http://www.medworm.com/index.php?rid=4741804&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21491360%26dopt%3DAbstract Authors: Bunton K, Hoit JD, Gallagher K Clinical evaluation of velopharyngeal function relies heavily on auditory perceptual judgments that can be supported by instrumental examination of the velopharyngeal valve. Many of the current instrumental techniques are difficult to interpret, expensive, and/or unavailable to clinicians. Proposed in this report is a minimally invasive and inexpensive approach to evaluating velopharyngeal function that has been used successfully in our laboratory for several potentially difficult-to-test clients. The technique is an aeromechanical approach that involves the sensing of nasal ram pressure (N-RamP), a local pressure sensed at the anterior nares, using a two-pronged nasal cannula. By monitoring the N-RamP signal, it is possible to determine the stat... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4741804 Tue, 01 Feb 2011 00:00:00 +0100 4741804 http://www.medworm.com/index.php?rid=4170925&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1265753 Semin Speech Lang 2010; 31: 205-206DOI: 10.1055/s-0030-1265753© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  FREE: Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170925 Mon, 15 Nov 2010 00:00:00 +0100 4170925 http://www.medworm.com/index.php?rid=4170924&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1265761 Semin Speech Lang 2010; 31: 283-286DOI: 10.1055/s-0030-1265761© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170924 Mon, 15 Nov 2010 00:00:00 +0100 4170924 http://www.medworm.com/index.php?rid=4170923&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1265760 This article provides a brief overview of historical and current approaches to stuttering treatment for adults. Treatment is discussed in terms of stuttering management approaches, fluency-shaping approaches, and combined approaches. The evidence base for these various approaches is outlined. Fluency-shaping approaches have the most robust outcome evidence. Stuttering management approaches are based more on theoretical models of stuttering, and the evidence base tends to be inferred from work using the approaches of cognitive behavior therapy and desensitization with other disorders such as anxiety. Finally, comprehensive approaches to treating stuttering are discussed, and several clinical methods are outlined. Comprehensive approaches target both improved speech fluency and stuttering ma... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170923 Mon, 15 Nov 2010 00:00:00 +0100 4170923 http://www.medworm.com/index.php?rid=4170922&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1265759 Semin Speech Lang 2010; 31: 262-271DOI: 10.1055/s-0030-1265759ABSTRACTSchool-based speech-language pathologists are often called upon to treat children who stutter, though many clinicians have reported that they feel uncomfortable working with this population. Fortunately, there is much that speech-language pathologists can do to help children who stutter speak more easily and minimize the adverse impact of stuttering in both academic and social settings. The purpose of this article is to provide clinicians with a guide to some of the key issues they should consider when working with school-aged children who stutter. The goal is to encourage clinicians to develop a better understanding of how stuttering can affect school-aged children, how the adverse effects of the disorder can be documen... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170922 Mon, 15 Nov 2010 00:00:00 +0100 4170922 http://www.medworm.com/index.php?rid=4170921&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1265758 This article seeks to discuss the therapist's skills and attributes that play a part in the development of the therapeutic alliance, which underpins therapy involving parents of young children who stutter. Using a model of clinical expertise development, the article discusses the attributes and skills that are necessary for the development of expertise, along with the behavioral and cognitive changes that evolve as a therapist becomes increasingly expert at using one particular program, Palin Parent-Child Interaction Therapy.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170921 Mon, 15 Nov 2010 00:00:00 +0100 4170921 http://www.medworm.com/index.php?rid=4170920&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1265757 Semin Speech Lang 2010; 31: 236-249DOI: 10.1055/s-0030-1265757ABSTRACTThe goal of this article is to provide a synopsis of research, both basic and applied, that can improve the evaluation and treatment of stuttering in children and adults, as well as counseling of clients, families, and other professionals who interact with the person who stutters. Relevant basic research has informed genetic contributions to stuttering and possible neurological substrates of the disorder. Several treatment approaches to stuttering have recently been published, with varying degrees of apparent efficacy. There has also been increased attention to therapeutic outcomes that go beyond the components of the specific therapies themselves, which have the potential to improve therapy outcomes.[...]© Thieme Medic... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170920 Mon, 15 Nov 2010 00:00:00 +0100 4170920 http://www.medworm.com/index.php?rid=4170919&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1265756 Semin Speech Lang 2010; 31: 227-235DOI: 10.1055/s-0030-1265756ABSTRACTIt is known that listeners harbor negative stereotypes toward people who stutter but there are a host of other findings in the literature that provide a broader perspective about how listeners react to stuttering. The focus of this article is a discussion of four areas of research related to listener reactions to stuttering: (1) how stuttering impacts listeners' reactions to mild, moderate, and severe stuttering; (2) how stuttering interferes with listener recall and comprehension of story information; (3) how children react to stuttering; and (4) how listeners react to strategies plus use in stuttering therapy programs. Studies associated with these four areas of research are summarized and discussed. Clinical implicati... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170919 Mon, 15 Nov 2010 00:00:00 +0100 4170919 http://www.medworm.com/index.php?rid=4170918&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1265755 This article discusses loss of control as the critical factor in stuttering and examines historical and practical reasons why this part of the disorder has been largely ignored in research about stuttering and stuttering treatment. Suggestions for viewing stuttering from the perspective of the client and the importance of taking this perspective are provided.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170918 Mon, 15 Nov 2010 00:00:00 +0100 4170918 http://www.medworm.com/index.php?rid=4170917&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1265754 This article addresses the issue of clinically significant (or meaningful) change resulting from treatment for stuttering. Research in both medical and behavioral fields indicates that clients often have their own unique perspective of meaningful clinical change and that this perspective is often different from that of the professional administering the treatment. Among the variables that the client brings to the treatment session are their progression through stages of therapeutic change and the ways in which they believe they are capable of coping with their problem. Research has shown that how an individual interprets the meaning his or her therapeutic experience is central to clinically significant change. Procedures for obtaining feedback from clients concerning clinically significant... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170917 Mon, 15 Nov 2010 00:00:00 +0100 4170917 http://www.medworm.com/index.php?rid=4170916&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1265762 Semin Speech Lang 2010; 31: C1-C12DOI: 10.1055/s-0030-1265762© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170916 Mon, 15 Nov 2010 00:00:00 +0100 4170916 http://www.medworm.com/index.php?rid=4180287&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21080291%26dopt%3DAbstract Authors: PMID: 21080291 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4180287 Mon, 01 Nov 2010 00:00:00 +0100 4180287 http://www.medworm.com/index.php?rid=4180286&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21080292%26dopt%3DAbstract Authors: Yaruss JS PMID: 21080292 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4180286 Mon, 01 Nov 2010 00:00:00 +0100 4180286 http://www.medworm.com/index.php?rid=4180284&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21080293%26dopt%3DAbstract This article addresses the issue of clinically significant (or meaningful) change resulting from treatment for stuttering. Research in both medical and behavioral fields indicates that clients often have their own unique perspective of meaningful clinical change and that this perspective is often different from that of the professional administering the treatment. Among the variables that the client brings to the treatment session are their progression through stages of therapeutic change and the ways in which they believe they are capable of coping with their problem. Research has shown that how an individual interprets the meaning his or her therapeutic experience is central to clinically significant change. Procedures for obtaining feedback from clients concerning clinically significant... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4180284 Mon, 01 Nov 2010 00:00:00 +0100 4180284 http://www.medworm.com/index.php?rid=4180283&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21080294%26dopt%3DAbstract This article discusses LOSS OF CONTROL as the critical factor in stuttering and examines historical and practical reasons why this part of the disorder has been largely ignored in research about stuttering and stuttering treatment. Suggestions for viewing stuttering from the perspective of the client and the importance of taking this perspective are provided. PMID: 21080294 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4180283 Mon, 01 Nov 2010 00:00:00 +0100 4180283 http://www.medworm.com/index.php?rid=4180282&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21080295%26dopt%3DAbstract Authors: Healey EC It is known that listeners harbor negative stereotypes toward people who stutter but there are a host of other findings in the literature that provide a broader perspective about how listeners react to stuttering. The focus of this article is a discussion of four areas of research related to listener reactions to stuttering: (1) how stuttering impacts listeners' reactions to mild, moderate, and severe stuttering; (2) how stuttering interferes with listener recall and comprehension of story information; (3) how children react to stuttering; and (4) how listeners react to strategies plus use in stuttering therapy programs. Studies associated with these four areas of research are summarized and discussed. Clinical implications that emerge from these studies are describe... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4180282 Mon, 01 Nov 2010 00:00:00 +0100 4180282 http://www.medworm.com/index.php?rid=4180281&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21080296%26dopt%3DAbstract Authors: Ratner NB The goal of this article is to provide a synopsis of research, both basic and applied, that can improve the evaluation and treatment of stuttering in children and adults, as well as counseling of clients, families, and other professionals who interact with the person who stutters. Relevant basic research has informed genetic contributions to stuttering and possible neurological substrates of the disorder. Several treatment approaches to stuttering have recently been published, with varying degrees of apparent efficacy. There has also been increased attention to therapeutic outcomes that go beyond the components of the specific therapies themselves, which have the potential to improve therapy outcomes. PMID: 21080296 [PubMed - in process] (Source: Seminars in Spee... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4180281 Mon, 01 Nov 2010 00:00:00 +0100 4180281 http://www.medworm.com/index.php?rid=4180280&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21080297%26dopt%3DAbstract This article seeks to discuss the therapist's skills and attributes that play a part in the development of the therapeutic alliance, which underpins therapy involving parents of young children who stutter. Using a model of clinical expertise development, the article discusses the attributes and skills that are necessary for the development of expertise, along with the behavioral and cognitive changes that evolve as a therapist becomes increasingly expert at using one particular program, Palin Parent-Child Interaction Therapy. PMID: 21080297 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4180280 Mon, 01 Nov 2010 00:00:00 +0100 4180280 http://www.medworm.com/index.php?rid=4180279&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21080298%26dopt%3DAbstract Authors: Yaruss JS School-based speech-language pathologists are often called upon to treat children who stutter, though many clinicians have reported that they feel uncomfortable working with this population. Fortunately, there is much that speech-language pathologists can do to help children who stutter speak more easily and minimize the adverse impact of stuttering in both academic and social settings. The purpose of this article is to provide clinicians with a guide to some of the key issues they should consider when working with school-aged children who stutter. The goal is to encourage clinicians to develop a better understanding of how stuttering can affect school-aged children, how the adverse effects of the disorder can be documented so children can be qualified for treatment,... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4180279 Mon, 01 Nov 2010 00:00:00 +0100 4180279 http://www.medworm.com/index.php?rid=4180278&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21080299%26dopt%3DAbstract This article provides a brief overview of historical and current approaches to stuttering treatment for adults. Treatment is discussed in terms of stuttering management approaches, fluency-shaping approaches, and combined approaches. The evidence base for these various approaches is outlined. Fluency-shaping approaches have the most robust outcome evidence. Stuttering management approaches are based more on theoretical models of stuttering, and the evidence base tends to be inferred from work using the approaches of cognitive behavior therapy and desensitization with other disorders such as anxiety. Finally, comprehensive approaches to treating stuttering are discussed, and several clinical methods are outlined. Comprehensive approaches target both improved speech fluency and stuttering ma... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4180278 Mon, 01 Nov 2010 00:00:00 +0100 4180278 http://www.medworm.com/index.php?rid=4180277&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21080300%26dopt%3DAbstract Authors: Yaruss JS, Ratner NB PMID: 21080300 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4180277 Mon, 01 Nov 2010 00:00:00 +0100 4180277 http://www.medworm.com/index.php?rid=3815392&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1257529 Semin Speech Lang 2010; 31: 137-138DOI: 10.1055/s-0030-1257529© Thieme Medical PublishersGet connected:Table of contents  |  FREE: Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3815392 Wed, 04 Aug 2010 07:27:32 +0100 3815392 http://www.medworm.com/index.php?rid=3815391&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1257536 Semin Speech Lang 2010; 31: 197-204DOI: 10.1055/s-0030-1257536ABSTRACTSince his publications began to appear in the mid 1980s, Mark Ylvisaker has shaped the way clinicians worldwide approach brain injury rehabilitation. His body of work reflects his exceptional ability to draw together theories, ideas, and practices from multiple disciplines and paradigms culminating in the development of a clinically powerful framework to facilitate change in behavior. The focus of this article is two core aspects of Mark Ylvisaker's work that have had a significant impact on my own work. These aspects involve (1) using conceptualization of self or identity construction as a guide for developing rehabilitation goals and (2) centralizing meaningful activity within the intervention process. In a small way, ... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3815391 Wed, 04 Aug 2010 07:27:32 +0100 3815391 http://www.medworm.com/index.php?rid=3815390&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1257535 This article describes the influence of Mark Ylvisaker on my speech-language therapy practice in TBI rehabilitation, from shaping assessment research through supporting a practical, problem-solving approach to intervention. In this article, only a small selection of his therapeutic concepts and recommendations are described. The concepts selected—context and meaningfulness, collaboration, and measuring performance—are those that are pertinent to functional communication assessment. The three interventions chosen illustrate the applicability of Mark Ylvisaker's work in different contexts and across different levels of disability following TBI. They are also selected as they promote personally satisfying communication for the client and illustrate the contribution that speech-lan... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3815390 Wed, 04 Aug 2010 07:27:32 +0100 3815390 http://www.medworm.com/index.php?rid=3815389&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1257534 Semin Speech Lang 2010; 31: 177-186DOI: 10.1055/s-0030-1257534ABSTRACTThe current article overviews a range of collaborative group projects undertaken by members of the Conversation Groups for individuals living with aphasia and cognitive-communication disorders in the Department of Communication Pathology, University of Pretoria, South Africa. Projects work toward creating networks of support and lessening barriers for the individual living with aphasia and cognitive-communication disorders. The article highlights the pervasive and far-reaching influence across continents of Professor Mark Ylvisaker's philosophy, writings, and personal teachings on both Conversation Group projects as well as student clinician-training practice in the University of Pretoria context. In addition, Ylvisaker'... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3815389 Wed, 04 Aug 2010 07:27:32 +0100 3815389 http://www.medworm.com/index.php?rid=3815388&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1257533 This article also reflects upon Ylvisaker's models for remediation and the extent to which these can be encompassed within (as well as shape) more traditional models of social skills training.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3815388 Wed, 04 Aug 2010 07:27:32 +0100 3815388 http://www.medworm.com/index.php?rid=3815387&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1257532 This article recognizes his profound influence on the author's research, teaching, and clinical practice and was written in the spirit of the knowledge he shared.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3815387 Wed, 04 Aug 2010 07:27:32 +0100 3815387 http://www.medworm.com/index.php?rid=3815386&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1257531 This article summarizes literature on interventions positively affecting the behavioral outcomes for individuals with brain injury. This literature extends many of the traditional approaches to behavioral intervention and cognitive rehabilitation to include positive behavioral support and the development of personally meaningful activities for program development. In addition, the article provides a framework for intervention based on the decades-long work of Mark Ylvisaker, which is founded on positive principles of assessment and treatment and is implemented in a context-sensitive manner that integrates cognitive and behavioral intervention themes and focuses on the development of self-regulation.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Fu... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3815386 Wed, 04 Aug 2010 07:27:32 +0100 3815386 http://www.medworm.com/index.php?rid=3815385&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1257530 Semin Speech Lang 2010; 31: 139-144DOI: 10.1055/s-0030-1257530ABSTRACTThis lead article outlines some of the seminal concepts introduced by Mark Ylvisaker in collaboration with his colleague Tim Feeney and describes the influence of this work on the development of an everyday communication partner-training program for families and social networks of people with traumatic brain injury.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3815385 Wed, 04 Aug 2010 07:27:32 +0100 3815385 http://www.medworm.com/index.php?rid=3815384&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1257528 Semin Speech Lang 2010; 31: 135-135DOI: 10.1055/s-0030-1257528© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3815384 Wed, 04 Aug 2010 07:27:32 +0100 3815384 http://www.medworm.com/index.php?rid=3815383&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1257537 Semin Speech Lang 2010; 31: C1-C10DOI: 10.1055/s-0030-1257537© Thieme Medical PublishersGet connected:Table of contents (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3815383 Wed, 04 Aug 2010 01:19:04 +0100 3815383 http://www.medworm.com/index.php?rid=4170935&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1257529 Semin Speech Lang 2010; 31: 137-138DOI: 10.1055/s-0030-1257529© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  FREE: Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170935 Tue, 03 Aug 2010 00:00:00 +0100 4170935 http://www.medworm.com/index.php?rid=4170934&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1257536 Semin Speech Lang 2010; 31: 197-204DOI: 10.1055/s-0030-1257536ABSTRACTSince his publications began to appear in the mid 1980s, Mark Ylvisaker has shaped the way clinicians worldwide approach brain injury rehabilitation. His body of work reflects his exceptional ability to draw together theories, ideas, and practices from multiple disciplines and paradigms culminating in the development of a clinically powerful framework to facilitate change in behavior. The focus of this article is two core aspects of Mark Ylvisaker's work that have had a significant impact on my own work. These aspects involve (1) using conceptualization of self or identity construction as a guide for developing rehabilitation goals and (2) centralizing meaningful activity within the intervention process. In a small way, ... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170934 Tue, 03 Aug 2010 00:00:00 +0100 4170934 http://www.medworm.com/index.php?rid=4170933&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1257535 This article describes the influence of Mark Ylvisaker on my speech-language therapy practice in TBI rehabilitation, from shaping assessment research through supporting a practical, problem-solving approach to intervention. In this article, only a small selection of his therapeutic concepts and recommendations are described. The concepts selected—context and meaningfulness, collaboration, and measuring performance—are those that are pertinent to functional communication assessment. The three interventions chosen illustrate the applicability of Mark Ylvisaker's work in different contexts and across different levels of disability following TBI. They are also selected as they promote personally satisfying communication for the client and illustrate the contribution that speech-lan... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170933 Tue, 03 Aug 2010 00:00:00 +0100 4170933 http://www.medworm.com/index.php?rid=4170932&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1257534 Semin Speech Lang 2010; 31: 177-186DOI: 10.1055/s-0030-1257534ABSTRACTThe current article overviews a range of collaborative group projects undertaken by members of the Conversation Groups for individuals living with aphasia and cognitive-communication disorders in the Department of Communication Pathology, University of Pretoria, South Africa. Projects work toward creating networks of support and lessening barriers for the individual living with aphasia and cognitive-communication disorders. The article highlights the pervasive and far-reaching influence across continents of Professor Mark Ylvisaker's philosophy, writings, and personal teachings on both Conversation Group projects as well as student clinician-training practice in the University of Pretoria context. In addition, Ylvisaker'... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170932 Tue, 03 Aug 2010 00:00:00 +0100 4170932 http://www.medworm.com/index.php?rid=4170931&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1257533 This article also reflects upon Ylvisaker's models for remediation and the extent to which these can be encompassed within (as well as shape) more traditional models of social skills training.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170931 Tue, 03 Aug 2010 00:00:00 +0100 4170931 http://www.medworm.com/index.php?rid=4170930&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1257532 This article recognizes his profound influence on the author's research, teaching, and clinical practice and was written in the spirit of paying forward the knowledge he shared.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170930 Tue, 03 Aug 2010 00:00:00 +0100 4170930 http://www.medworm.com/index.php?rid=4170929&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1257531 This article summarizes literature on interventions positively affecting the behavioral outcomes for individuals with brain injury. This literature extends many of the traditional approaches to behavioral intervention and cognitive rehabilitation to include positive behavioral support and the development of personally meaningful activities for program development. In addition, the article provides a framework for intervention based on the decades-long work of Mark Ylvisaker, which is founded on positive principles of assessment and treatment and is implemented in a context-sensitive manner that integrates cognitive and behavioral intervention themes and focuses on the development of self-regulation.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstr... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170929 Tue, 03 Aug 2010 00:00:00 +0100 4170929 http://www.medworm.com/index.php?rid=4170928&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1257530 Semin Speech Lang 2010; 31: 139-144DOI: 10.1055/s-0030-1257530ABSTRACTThis lead article outlines some of the seminal concepts introduced by Mark Ylvisaker in collaboration with his colleague Tim Feeney and describes the influence of this work on the development of an everyday communication partner-training program for families and social networks of people with traumatic brain injury.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170928 Tue, 03 Aug 2010 00:00:00 +0100 4170928 http://www.medworm.com/index.php?rid=4170927&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1257528 Semin Speech Lang 2010; 31: 135-135DOI: 10.1055/s-0030-1257528© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170927 Tue, 03 Aug 2010 00:00:00 +0100 4170927 http://www.medworm.com/index.php?rid=4170926&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fdx.doi.org%2F10.1055%2Fs-0030-1257537 Semin Speech Lang 2010; 31: C1-C10DOI: 10.1055/s-0030-1257537© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=4170926 Tue, 03 Aug 2010 00:00:00 +0100 4170926 http://www.medworm.com/index.php?rid=3832330&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20683800%26dopt%3DAbstract Authors: PMID: 20683800 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3832330 Sat, 31 Jul 2010 23:00:00 +0100 3832330 http://www.medworm.com/index.php?rid=3832329&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20683801%26dopt%3DAbstract Authors: Togher L PMID: 20683801 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3832329 Sat, 31 Jul 2010 23:00:00 +0100 3832329 http://www.medworm.com/index.php?rid=3832328&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20683802%26dopt%3DAbstract Authors: Holland AL PMID: 20683802 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3832328 Sat, 31 Jul 2010 23:00:00 +0100 3832328 http://www.medworm.com/index.php?rid=3832327&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20683803%26dopt%3DAbstract Authors: Togher L This lead article outlines some of the seminal concepts introduced by Mark Ylvisaker in collaboration with his colleague Tim Feeney and describes the influence of this work on the development of an everyday communication partner-training program for families and social networks of people with traumatic brain injury. PMID: 20683803 [PubMed - as supplied by publisher] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3832327 Sat, 31 Jul 2010 23:00:00 +0100 3832327 http://www.medworm.com/index.php?rid=3832326&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20683804%26dopt%3DAbstract This article summarizes literature on interventions positively affecting the behavioral outcomes for individuals with brain injury. This literature extends many of the traditional approaches to behavioral intervention and cognitive rehabilitation to include positive behavioral support and the development of personally meaningful activities for program development. In addition, the article provides a framework for intervention based on the decades-long work of Mark Ylvisaker, which is founded on positive principles of assessment and treatment and is implemented in a context-sensitive manner that integrates cognitive and behavioral intervention themes and focuses on the development of self-regulation. PMID: 20683804 [PubMed - as supplied by publisher] (Source: Seminars in Speech and Lang... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3832326 Sat, 31 Jul 2010 23:00:00 +0100 3832326 http://www.medworm.com/index.php?rid=3832325&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20683805%26dopt%3DAbstract This article recognizes his profound influence on the author's research, teaching, and clinical practice and was written in the spirit of PAYING FORWARD the knowledge he shared. PMID: 20683805 [PubMed - as supplied by publisher] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3832325 Sat, 31 Jul 2010 23:00:00 +0100 3832325 http://www.medworm.com/index.php?rid=3832324&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20683806%26dopt%3DAbstract This article also reflects upon Ylvisaker's models for remediation and the extent to which these can be encompassed within (as well as shape) more traditional models of social skills training. PMID: 20683806 [PubMed - as supplied by publisher] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3832324 Sat, 31 Jul 2010 23:00:00 +0100 3832324 http://www.medworm.com/index.php?rid=3832323&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20683807%26dopt%3DAbstract Authors: Goldblum G The current article overviews a range of collaborative group projects undertaken by members of the Conversation Groups for individuals living with aphasia and cognitive-communication disorders in the Department of Communication Pathology, University of Pretoria, South Africa. Projects work toward creating networks of support and lessening barriers for the individual living with aphasia and cognitive-communication disorders. The article highlights the pervasive and far-reaching influence across continents of Professor Mark Ylvisaker's philosophy, writings, and personal teachings on both Conversation Group projects as well as student clinician-training practice in the University of Pretoria context. In addition, Ylvisaker's influence is described on the development of... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3832323 Sat, 31 Jul 2010 23:00:00 +0100 3832323 http://www.medworm.com/index.php?rid=3832322&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20683808%26dopt%3DAbstract This article describes the influence of Mark Ylvisaker on my speech-language therapy practice in TBI rehabilitation, from shaping assessment research through supporting a practical, problem-solving approach to intervention. In this article, only a small selection of his therapeutic concepts and recommendations are described. The concepts selected-context and meaningfulness, collaboration, and measuring performance-are those that are pertinent to functional communication assessment. The three interventions chosen illustrate the applicability of Mark Ylvisaker's work in different contexts and across different levels of disability following TBI. They are also selected as they promote personally satisfying communication for the client and illustrate the contribution that speech-language therap... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3832322 Sat, 31 Jul 2010 23:00:00 +0100 3832322 http://www.medworm.com/index.php?rid=3832321&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20683809%26dopt%3DAbstract Authors: Douglas JM Since his publications began to appear in the mid 1980s, Mark Ylvisaker has shaped the way clinicians worldwide approach brain injury rehabilitation. His body of work reflects his exceptional ability to draw together theories, ideas, and practices from multiple disciplines and paradigms culminating in the development of a clinically powerful framework to facilitate change in behavior. The focus of this article is two core aspects of Mark Ylvisaker's work that have had a significant impact on my own work. These aspects involve (1) using conceptualization of self or identity construction as a guide for developing rehabilitation goals and (2) centralizing meaningful activity within the intervention process. In a small way, this article is a tribute to an exceptional ma... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3832321 Sat, 31 Jul 2010 23:00:00 +0100 3832321 http://www.medworm.com/index.php?rid=3643751&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1252111 Semin Speech Lang 2010; 31: 098-110DOI: 10.1055/s-0030-1252111ABSTRACTTherapy discourse between the client and clinician has specific objectives to ameliorate problems associated with communication and swallowing disorders and is highly specialized. Analysis of this interaction that is the essence of therapy demonstrates the roles played by participants, revealing layers of meaning and assisting clinicians to redefine and refine their ideas about therapy. In this article, the authors analyze a series of extracts of therapy interaction to explore how therapy rapport is coconstructed by participants through talking and how roles are negotiated during the process of problem solving in therapy.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3643751 Wed, 09 Jun 2010 14:49:54 +0100 3643751 http://www.medworm.com/index.php?rid=3624288&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1252108 Semin Speech Lang 2010; 31: 077-079DOI: 10.1055/s-0030-1252108© Thieme Medical PublishersGet connected:Table of contents  |  FREE: Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3624288 Thu, 03 Jun 2010 14:45:09 +0100 3624288 http://www.medworm.com/index.php?rid=3624287&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1252113 Semin Speech Lang 2010; 31: 122-133DOI: 10.1055/s-0030-1252113ABSTRACTFive girls who were identified with language impairment in elementary school were reevaluated 8 years later to investigate the trajectory of language and social development. At the time of follow-up, one participant had recently been expelled from school due to violent behavior and was not available for assessment. Aspects of the language, academic, social, and behavioral status of the remaining four participants were evaluated. One participant scored within typical limits on a standardized test of language, and three scored at least one standard deviation below the mean and were receiving special services in school. The four young women evaluated presented with a variety of language, academic, social, and behavioral dif... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3624287 Thu, 03 Jun 2010 14:45:09 +0100 3624287 http://www.medworm.com/index.php?rid=3624286&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1252112 This study investigated the impact of discourse on engagement in shared storybook reading in children who are language impaired and hard to engage. Although active participation in shared storybook reading in children who are typically developing is well defined, research has shown that the engagement of children with language disorders differ as a result of adult reading styles. To investigate the influence of reading style on children who were hard to engage, four shared storybook-reading sessions were analyzed. Within the highly engaged sessions studied, several discourse features were identified that were supportive of the engagement of children with language impairment who were difficult to engage. These features were a balance of requests and responses between clinician and child, us... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3624286 Thu, 03 Jun 2010 14:45:09 +0100 3624286 http://www.medworm.com/index.php?rid=3624285&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1252110 Semin Speech Lang 2010; 31: 090-097DOI: 10.1055/s-0030-1252110ABSTRACTPerson-centered care (PCC) has become the foundation for practice in many areas of health care provision. Research has suggested that providing PCC may improve therapy outcomes, client satisfaction, and perceived quality of care, as well as address aspects of evidence-based practice. As members of the health care provider community, speech-language pathologists (SLPs) will be expected to provide PCC as part of their therapeutic interactions. Some research, however, has indicated that SLPs have a tendency to provide more structured, task-oriented therapies. In this article, a working definition of PCC is described, along with a pilot study designed to investigate the use of PCC by student SLP clinicians. Results from this... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3624285 Thu, 03 Jun 2010 14:45:09 +0100 3624285 http://www.medworm.com/index.php?rid=3624284&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1252109 This article uses two stories by speech-language pathologists to explore how notions of person-centered practice may influence speech-language pathology practice. Then these stories are examined in relation to definitions of person-centered practice and speech pathology code of ethics to discuss the ethical issues, challenges, and risks that these stories raise. Moving toward more person-centered ways of practicing will require speech-language pathologists to be open to the real lives of their clients with communication and swallowing disabilities. It may also require speech-language pathologists to be open to their own vulnerabilities as well.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3624284 Thu, 03 Jun 2010 14:45:09 +0100 3624284 http://www.medworm.com/index.php?rid=3624283&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0030-1252114 Semin Speech Lang 2010; 31: C1-C7DOI: 10.1055/s-0030-1252114© Thieme Medical PublishersGet connected:Table of contents (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3624283 Thu, 03 Jun 2010 14:45:09 +0100 3624283 http://www.medworm.com/index.php?rid=3652865&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20526983%26dopt%3DAbstract Authors: Leahy MM, Walsh IP Therapy discourse between the client and clinician has specific objectives to ameliorate problems associated with communication and swallowing disorders and is highly specialized. Analysis of this interaction that is the essence of therapy demonstrates the roles played by participants, revealing layers of meaning and assisting clinicians to redefine and refine their ideas about therapy. In this article, the authors analyze a series of extracts of therapy interaction to explore how therapy rapport is coconstructed by participants through talking and how roles are negotiated during the process of problem solving in therapy. PMID: 20526983 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3652865 Fri, 30 Apr 2010 23:00:00 +0100 3652865 http://www.medworm.com/index.php?rid=3652864&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20526984%26dopt%3DAbstract Authors: Hinckley J PMID: 20526984 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3652864 Fri, 30 Apr 2010 23:00:00 +0100 3652864 http://www.medworm.com/index.php?rid=3641637&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20526983%26dopt%3DAbstract Authors: PMID: 20526983 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3641637 Fri, 30 Apr 2010 23:00:00 +0100 3641637 http://www.medworm.com/index.php?rid=3641636&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20526984%26dopt%3DAbstract Authors: Hinckley J PMID: 20526984 [PubMed - in process] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3641636 Fri, 30 Apr 2010 23:00:00 +0100 3641636 http://www.medworm.com/index.php?rid=3641635&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20526985%26dopt%3DAbstract This article uses two stories by speech-language pathologists to explore how notions of person-centered practice may influence speech-language pathology practice. Then these stories are examined in relation to definitions of person-centered practice and speech pathology code of ethics to discuss the ethical issues, challenges, and risks that these stories raise. Moving toward more person-centered ways of practicing will require speech-language pathologists to be open to the real lives of their clients with communication and swallowing disabilities. It may also require speech-language pathologists to be open to their own vulnerabilities as well. PMID: 20526985 [PubMed - as supplied by publisher] (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3641635 Fri, 30 Apr 2010 23:00:00 +0100 3641635 http://www.medworm.com/index.php?rid=3641634&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20526986%26dopt%3DAbstract Authors: Dilollo A, Favreau C Person-centered care (PCC) has become the foundation for practice in many areas of health care provision. Research has suggested that providing PCC may improve therapy outcomes, client satisfaction, and perceived quality of care, as well as address aspects of evidence-based practice. As members of the health care provider community, speech-language pathologists (SLPs) will be expected to provide PCC as part of their therapeutic interactions. Some research, however, has indicated that SLPs have a tendency to provide more structured, task-oriented therapies. In this article, a working definition of PCC is described, along with a pilot study designed to investigate the use of PCC by student SLP clinicians. Results from this study indicated no increase in the ... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3641634 Fri, 30 Apr 2010 23:00:00 +0100 3641634 http://www.medworm.com/index.php?rid=3641633&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20526987%26dopt%3DAbstract This study investigated the impact of discourse on engagement in shared storybook reading in children who are language impaired and hard to engage. Although active participation in shared storybook reading in children who are typically developing is well defined, research has shown that the engagement of children with language disorders differ as a result of adult reading styles. To investigate the influence of reading style on children who were hard to engage, four shared storybook-reading sessions were analyzed. Within the highly engaged sessions studied, several discourse features were identified that were supportive of the engagement of children with language impairment who were difficult to engage. These features were a balance of requests and responses between clinician and child, us... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3641633 Fri, 30 Apr 2010 23:00:00 +0100 3641633 http://www.medworm.com/index.php?rid=3641632&cid=s_36627_52_f&fid=36275&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20526988%26dopt%3DAbstract Authors: Brinton B, Fujiki M, Baldridge M Five girls who were identified with language impairment in elementary school were reevaluated 8 years later to investigate the trajectory of language and social development. At the time of follow-up, one participant had recently been expelled from school due to violent behavior and was not available for assessment. Aspects of the language, academic, social, and behavioral status of the remaining four participants were evaluated. One participant scored within typical limits on a standardized test of language, and three scored at least one standard deviation below the mean and were receiving special services in school. The four young women evaluated presented with a variety of language, academic, social, and behavioral difficulties. According to ... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3641632 Fri, 30 Apr 2010 23:00:00 +0100 3641632 http://www.medworm.com/index.php?rid=3452605&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1244954 Semin Speech Lang 2010; 31: 064-075DOI: 10.1055/s-0029-1244954ABSTRACTIn chronic aphasia, maximizing generalization of improved language abilities from clinical tasks to everyday communication can require the same systematic planning process as the early stages of therapy, often drawing on additional areas of knowledge and successes from other clinical populations. The use of narrative structure is shown here to be a useful framework for building on the developments within sentence processing impairments in aphasia and creating a bridge to more real-life language tasks. An intervention based on narrative structure is described with two people with different language profiles and at different stages of the chronic aphasia spectrum. The insights gained in assessing language ability, underpin... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3452605 Fri, 09 Apr 2010 15:18:22 +0100 3452605 http://www.medworm.com/index.php?rid=3452604&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1244952 This study examined the efficacy of a treatment, Oral Reading for Language in Aphasia (ORLA), for individuals with chronic nonfluent aphasia of varying severity levels. With ORLA, the person with aphasia systematically and repeatedly reads sentences aloud, first in unison with the clinician and then independently. Following a period of no treatment, 25 individuals with chronic nonfluent aphasia received 24 sessions of ORLA, 1 to 3 times per week. A small, but significant mean change in the Western Aphasia Battery (WAB) Aphasia Quotient (AQ) was obtained from pre- to post-treatment. When subjects were divided by severity, medium effect sizes were obtained for all severity levels from pre- to post-treatment for the WAB AQ. Medium effect sizes were obtained for the severe aphasia group on the... Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3452604 Fri, 09 Apr 2010 15:18:22 +0100 3452604 http://www.medworm.com/index.php?rid=3452603&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1244949 Semin Speech Lang 2010; 31: 005-020DOI: 10.1055/s-0029-1244949ABSTRACTIn this article, a longitudinal case study of a client (whose initials are TH) with chronic Broca's aphasia is presented. The language data encompass test and therapy data over a 7-year period, during which TH's language performance and verbal communicative behavior have improved and continue to improve. A carryover from oral to written sentence production and to verbal communication in everyday life has been observed. The long-term provision of therapy has not only lead to improved verbal communication skills, but has also enhanced his quality of life.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3452603 Fri, 09 Apr 2010 15:18:22 +0100 3452603 http://www.medworm.com/index.php?rid=3353297&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1244948 Semin Speech Lang 2010; 31: 003-004DOI: 10.1055/s-0029-1244948© Thieme Medical PublishersGet connected:Table of contents  |  FREE: Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3353297 Thu, 11 Mar 2010 17:28:11 +0100 3353297 http://www.medworm.com/index.php?rid=3353296&cid=s_36627_52_f&fid=36627&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1244947 Semin Speech Lang 2010; 31: 001-001DOI: 10.1055/s-0029-1244947© Thieme Medical PublishersGet connected:Table of contents  |  FREE: Full text (Source: Seminars in Speech and Language) Seminars in Speech and Language journals http://www.medworm.com/rss/comments.php?id=3353296 Thu, 11 Mar 2010 17:28:11 +0100 3353296