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The Communicative Effectiveness Survey: investigating its item-level psychometric properties.(Survey)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The study's purpose was to investigate the item-level psychometric properties of the Communicative Effectiveness Survey (CES) using Rasch analysis, an item response theory model. The CES (8-item 7-category rating scale) was designed to elicit ratings of communicative effectiveness in everyday situations from individuals with dysarthria. A speech-language pathologist (SLP) blind to the study's purpose administered the CES to 95 individuals (58% male), mean age 62.5 (SD = 14.0, range 18-87), with neurodegenerative diseases and a wide range of speech competency. Rasch analysis showed three of the seven rating scale categories...
Source: Journal of Medical Speech - Language Pathology - January 7, 2008 Category: Speech Therapy Source Type: journals

Electronic educational products for swallowing and swallowing disorders.(Report)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This issue includes reviews of two products available to assist dysphagia clinicians as they educate patients about swallowing and swallowing disorders. The first review is of the 3D Swallow a DVD with sections explicitly developed for patients and professionals, respectively. The 3D Swallow uses animations to depict the swallowing process from changing perspectives as the bolus proceeds from the mouth through the pharynx. The DVD format makes this tool accessible without a computer and should be reasonably easy to use for anyone who has used DVDs at home. Swallowing Disorders, the subject of the second review, is an interactive...
Source: Journal of Medical Speech - Language Pathology - January 5, 2008 Category: Speech Therapy Source Type: journals

The Hellenic Famous Face Screening Test.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In this study, an attempt was made to examine famous faces that are clearly culturally bound (Greek), corresponding to a narrower aspect of semantic knowledge, and thus facilitating the examination of category specific knowledge. A famous face screening test was developed in the Greek language from four professional categories:...
Source: Journal of Medical Speech - Language Pathology - January 5, 2008 Category: Speech Therapy Source Type: journals

Strange cures.(wierd home remedies)(Editorial)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Doctors are men who prescribe medicines of which they know little, to cure diseases of which they know less, in human beings of whom they know nothing. Voltaire Have you ever wondered how to cure a hair ball? Well apparently it's petroleum jelly. To prevent troublesome hair balls in your cat, apply a dollop of petroleum jelly to your cat's nose. The cat will lick off the jelly, lubricating any hair in its stomach so it can pass easily through the digestive system. --http://www.stat.uga.edu/~molly/remedy.html Recently while knocking around the Internet looking for some material on ancient approaches for treating...
Source: Journal of Medical Speech - Language Pathology - January 5, 2008 Category: Speech Therapy Source Type: journals

The effect of home computer practice on naming in individuals with nonfluent aphasia and verbal apraxia.(Clinical report)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study investigated the impact of daily home computer practice on oral naming of pictures by comparing performance with two other conditions: weekly clinician-only therapy sessions (with no computer) and no treatment. The four participants were diagnosed with nonfluent aphasia and verbal apraxia. For 13 weeks, the participants practiced naming three sets of 10 drawings. Each set was assigned to one of three conditions: independent use of a home computer program (Computer Practice), weekly therapy sessions with a clinician and no computer progr am (Weekly Practice), or no practice (Control). Performance on the stimuli w...
Source: Journal of Medical Speech - Language Pathology - December 31, 2007 Category: Speech Therapy Source Type: journals

The effects of supravalvular aortic stenosis elastin gene mutation on voice production.(Clinical report)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Supravalvular aortic stenosis (SVAS) is an autosomal dominant disease that can occur as a part of Williams syndrome or as an isolated condition. It is caused by loss of function mutations within the elastin (ELN) gene leading to a quantitative reduction of elastic fibers due to abnormal elastogenesis. Elastic fibers are known to be present in normal vocal folds. To test the hypothesis that elastic fibers are necessary for normal physiology of the human vocal fold, we have investigated quantitative characteristics of voice production in six individuals (five adults and one child) with positive elastin mutation status compared to...
Source: Journal of Medical Speech - Language Pathology - December 31, 2007 Category: Speech Therapy Source Type: journals

Duration of AAC technology use by persons with ALS.(augmentative and alternative communication )(amyotrophic lateral sclerosis )email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The purposes of this research report are (1) to document the duration of augmentative and alternative communication (AAC) technology use by 45 persons with amyotrophic lateral sclerosis (ALS), 7 of whom were still living (with mechanical ventilation) and continue to use the technology; (2) to identify factors that might influence duration of AAC technology use; and (3) to report the AAC technology donation trends of families after persons with ALS are no longer living. The duration of AAC use varied considerably across participants; however, the mean duration was 28.4 months for all participants, 25 months for persons with primary...
Source: Journal of Medical Speech - Language Pathology - December 31, 2007 Category: Speech Therapy Source Type: journals

On the use of medical records for characterizing brain lesions.(Report)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In studies of neurogenic communication disorders, medical records commonly are used to characterize brain lesions, to make decisions regarding participant inclusion, and to draw general conclusions regarding brain-behavior relationships. The validity of using existing medical records has not been directly evaluated. The purpose of this article is to draw attention to the potential problems with relying exclusively on medical records to characterize neurological lesions. Examples from a study of language in adults with right hemisphere brain damage are used to highlight discrepancies between imaging reports taken from exist...
Source: Journal of Medical Speech - Language Pathology - December 31, 2007 Category: Speech Therapy Source Type: journals

Integrating swallowing and respiration: preliminary results of the effect of body position.(Report)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Given the previously reported potential link between aberrant patterns of breathing-swallowing coordination (BSC) and aspiration in patients with neurological impairment, if a particular body position is associated with aberrant BSC this may have important clinical implications. This pilot study compared BSC and swallowing apnea duration (SAD) between horizontal (supine, side-lying, and prone) and vertical (sitting upright) body positions. Twenty healthy adults in two age groups were included: 10 young (20-35 years) and 10 elder adults (65-80 years), gender equally represented. Concurrent measurements of submental muscle a...
Source: Journal of Medical Speech - Language Pathology - December 31, 2007 Category: Speech Therapy Source Type: journals

Coping resources, perceived stress, and recent life experiences in individuals with aphasia.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Individuals with aphasia may frequently experience stress as a result of their compromised linguistic skills. However, little is known about psychosocial factors, such as coping resources, and psychological stress in this population. The aim of the current study is to explore coping resources, perceived stress, and life experiences in individuals with aphasia. Fourteen individuals with aphasia and 14 healthy controls completed questionnaires regarding coping resources, perceived stress, and life experiences. The aphasia group reported fewer coping resources and greater perceived stress than the healthy control group. The f...
Source: Journal of Medical Speech - Language Pathology - December 30, 2007 Category: Speech Therapy Source Type: journals

Within-session learning of novel auditory tasks by persons with aphasia.(Case study)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Studies examining the auditory abilities of persons with aphasia typically employ novel auditory tasks and assess performance based upon means across the testing session. However, it is not clear that the manner in which performance changes within a test session is the same across individuals with and without aphasia. In the current study, performance on a variety of novel auditory tasks in background distracter noise was assessed as a function of the time course of a 1-hour session. The tasks included frequency discrimination of tones, syllable discrimination, lexical decision, and sentence plausibility. The noise was produced by a 3T...
Source: Journal of Medical Speech - Language Pathology - December 13, 2007 Category: Speech Therapy Source Type: journals

Episodes of word retrieval failures in aphasia.(Case study)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Patterns of word retrieval failure, in the form of episodes (number of consecutive errors), were investigated in fluent and nonfluent aphasic adults with word retrieval problems. Specifically, the occurrence of one, two, three, and four-plus consecutive word retrieval errors on the Test of Adolescent/Adult Word Finding (TAWF) were analyzed. The results revealed three distinct patterns of word retrieval failure, identified as fleeting, clustered, and extended. The fluent aphasic adults demonstrated primarily a fleeting pattern of word retrieval failure, whereas most of the nonfluent aphasic adults displayed more extended ep...
Source: Journal of Medical Speech - Language Pathology - December 13, 2007 Category: Speech Therapy Source Type: journals

Performance of a person with chronic aphasia using personal and contextual pictures in a Visual Scene Display prototype.(Case study)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Recent advances using AAC strategies and systems have increased functional communication skills of people with chronic aphasia. This single subject multiple baseline study investigated the use of one such system--a contextual picture-based system (Visual Scene Display) in an AAC device--by a subject with chronic nonfluent aphasia. Results documented successful use of the Visual Scene Display interface by the participant to communicate two stories to multiple unfamiliar communication partners. The researchers documented successful navigation of the AAC system by the person with aphasia while simultaneously documenting his r...
Source: Journal of Medical Speech - Language Pathology - December 13, 2007 Category: Speech Therapy Source Type: journals

The effects of Botox and voice therapy in the management of severe muscle tension dysphonia: a case study.(Case study)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study reports the case of a 61-year-old female participant with severe, intractable muscle tension dysphonia and ventricular phonation treated with botulinum toxin-A (Botox) and subsequent voice therapy. Following bilateral injections of Botox, the participant received 6 months of regular voice therapy aimed at reducing laryngeal constriction. Perceptual ratings of vocal quality, acoustic analyses of voice (fundamental frequency, relative average perturbation, shimmer, noise-to-harmonic ratio, voice turbulence index), and videolaryngoscopic evaluations of laryngeal function were conducted pre- and post-Botox injection...
Source: Journal of Medical Speech - Language Pathology - December 13, 2007 Category: Speech Therapy Source Type: journals

Articulatory contact pressure between the tongue and palate during normal speech production.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study evaluated contact pressure generated between the tongue and alveolar ridge during consonant production. Contact pressures were measured with a transducer mounted on a palatal appliance as speakers produced stimuli that varied as a function of consonant voicing feature, manner of production, and oral-nasal coupling. Group data indicated no difference in mean articulatory contact pressure across...
Source: Journal of Medical Speech - Language Pathology - December 13, 2007 Category: Speech Therapy Source Type: journals

Evidence-based practice recommendations: caregiver-administered active cognitive stimulation for individuals with Alzheimer's disease.(ANCDS Bulletin Board)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The Academy of Neurologic Communication Disorders and Sciences (ANCDS), the American Speech-Language-Hearing Association (ASHA), its Special Interest Division 2 (SID-2, Neurophysiology and Neurogenic Speech and Language Disorders), and the Veterans Administration (VA) collaborated to establish evidence-based practice recommendations for speech-language pathologists working with individuals with Alzheimer's disease (AD) and their caregivers. A writing committee was formed and generated a comprehensive technical report with evidence tables based on systematic review and classification of literature related to assessment and ...
Source: Journal of Medical Speech - Language Pathology - October 3, 2007 Category: Speech Therapy Source Type: journals

Deep brain stimulation and speech: a new model of speech function and dysfunction in Parkinson's disease.(Health Care Forum)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Since its first description in 1980 (Cooper, Upton, & Amin, 1980), deep brain stimulation (DBS) has become a remarkably effective therapy for an expanding range of neurological and psychiatric disorders. It is standard accepted therapy for Parkinson's disease (PD) (Deep-Brain Stimulation for Parkinson's Disease Study Group 2001), essential tremor (Koller et al., 1997), dystonia (Kupsch et al., & Deep-Brain Stimulation for Dystonia Study, 2006), other hyperkinetic or involuntary movement disorders (Montgomery, 2004a), and cerebellar outflow tremor such as in multiple sclerosis (Montgomery, Baker, Kinkel, & Barnett, 1999). C...
Source: Journal of Medical Speech - Language Pathology - October 3, 2007 Category: Speech Therapy Source Type: journals

Handbook of Culture, Therapy and Healing.(Book review)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Handbook of Culture, Therapy and Healing EDITORS: Uwe P. Gielen, Jefferson M. Fish, and Juris G. Draguns PUBLISHER: Lawrence Erlbaum Associates, 2004 ISBN: 0-8058-4924-6, 456 pages, $99.95 According to the book Handbook of Culture, Therapy and Healing the field of psychotherapy was born in the 19th century as a result of the Western practice of separating the mind, body, and spirit into distinct and separate entities. As a result, not only are the mind, body, and spirit separated, but the way in which we approach healing of each of these entities is separated as well. Western medicine has taken...
Source: Journal of Medical Speech - Language Pathology - October 3, 2007 Category: Speech Therapy Source Type: journals

The effect of botulinum toxin type A on speech intelligibility in lingual dystonia.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study investigated the effect of botulinum toxin type A (BtA) on the speech intelligibility of an individual with lingual dystonia. Perceptual measures of intelligibility were obtained for single words, carrier phrases, and sentences. Acoustic analyses were performed on prolonged phonemes and selected single words. A second objective of this study was to explore the relationship between BtA use and the subject's perception of activity and participation restrictions contributing to her quality of life. A subjective evaluation of quality of life was obtained using the Voice Activity and Participation Profile (VAPP) meas...
Source: Journal of Medical Speech - Language Pathology - October 3, 2007 Category: Speech Therapy Source Type: journals

Dysphagia characterized by aspiration subsequent to pontine stroke.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
It has been reported that a pontine lesion often results in dysphagia characterized by aspiration. However, the patterns and characteristics of such dysphagia are unknown. We studied 57 patients (34 men, 23 women) with possible dysphagia consequent to pontine stroke. We compared the aspiration characteristics with three different pontine lesion loci (e.g., unilateral, bilateral, and pontine-plus group). Fifteen of 57 patients (26.3%) aspirated upon a spoonful quantity of barium. All 15 aspirators had either a bilateral pontine or pontine-plus lesion. Nine of the 15 (60%) aspirators were "silent" aspirators as revealed in t...
Source: Journal of Medical Speech - Language Pathology - October 3, 2007 Category: Speech Therapy Source Type: journals