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American Journal of Speech-language Pathology

Hailey C Small, Tara McAllister, Maria I Grigos
Purpose: Clinically, a task of alternating tongue lateralization has been used to evaluate the ability to independently control the tongue and jaw, with jaw movement interpreted as a sign of poor tongue-jaw differentiation. However, there is a lack of normative data regarding jaw movement during this task and whether this changes over the course of development. This study quantified relative tongue and jaw movement during alternating tongue lateralization for typical speakers across age ranges and examined whether degree of jaw movement varies as a function of age...
July 9, 2018: American Journal of Speech-language Pathology
Emily Lorang, Audra Sterling, Bianca Schroeder
Purpose: This study compared gesture use in young children with Down syndrome (DS) and typical development (TD) as well as how mothers respond to child gestures based on child age and diagnosis. Method: Twenty-two mother-child dyads with DS and 22 mother-child dyads with TD participated. The child participants were between 22 and 63 months and were matched on chronological age. We coded child gesture use and whether mothers recoded child gestures (i.e., provided a verbal translation) during naturalistic interactions...
July 3, 2018: American Journal of Speech-language Pathology
Cindy Gevarter, Claudia Zamora
Purpose: This article presents a systematic review that aimed to synthesize single-subject-design studies that have examined naturalistic interventions for teaching the expressive use of speech-generating devices (SGDs) to children with complex communication needs. Specifically, this review describes what intervention strategies are most commonly applied in studies with positive effects and minimal methodological flaws and examines the populations and outcomes for which these strategies have been effective...
July 3, 2018: American Journal of Speech-language Pathology
Rita R Patel, Shaheen N Awan, Julie Barkmeier-Kraemer, Mark Courey, Dimitar Deliyski, Tanya Eadie, Diane Paul, Jan G Švec, Robert Hillman
Purpose: The aim of this study was to recommend protocols for instrumental assessment of voice production in the areas of laryngeal endoscopic imaging, acoustic analyses, and aerodynamic procedures, which will (a) improve the evidence for voice assessment measures, (b) enable valid comparisons of assessment results within and across clients and facilities, and (c) facilitate the evaluation of treatment efficacy. Method: Existing evidence was combined with expert consensus in areas with a lack of evidence...
June 25, 2018: American Journal of Speech-language Pathology
Robin A Samlan, Melda Kunduk, Takeshi Ikuma, Mindy Black, Christianne Lane
Purpose: The purpose of this study was to identify the extent to which 7 measures of glottal area timing and regularity differ between older adults with and without age-related dysphonia (ARD). Method: Laryngeal high-speed videoendoscopy was completed at 4,000 frames per second for 42 adults aged 70 years and older (ARD: 9 female, 5 male; control group: 15 female, 13 male). Relative glottal gap, open quotient, speed index, maximum area declination rate, harmonics-to-noise ratio, harmonic richness factor, and standard deviation of fundamental frequency were measured from a 0...
June 21, 2018: American Journal of Speech-language Pathology
Shelley L Bredin-Oja, Heather Fielding, Kandace K Fleming, Steven F Warren
Purpose: The purpose of this study was to investigate the reliability of an automated language analysis system, the Language Environment Analysis (LENA), compared with a human transcriber to determine the rate of child vocalizations during recording sessions that were significantly shorter than recommended for the automated device. Method: Participants were 6 nonverbal male children between the ages of 28 and 46 months. Two children had autism diagnoses, 2 had Down syndrome, 1 had a chromosomal deletion, and 1 had developmental delay...
June 11, 2018: American Journal of Speech-language Pathology
Jennifer J Thistle, Stephanie A Holmes, Madeline M Horn, Alyson M Reum
Purpose: Designing augmentative and alternative communication (AAC) displays that minimize operational demands is an important aspect of AAC intervention. The current study compared the effect of 2 display designs on the speed of locating target words by preschoolers without disabilities. Method: Across 5 sessions, participants in the consistent condition (n = 12) were asked to locate symbols on arrays that did not change, whereas participants in the variable condition (n = 12) utilized arrays where the symbols changed locations each session...
June 1, 2018: American Journal of Speech-language Pathology
Kevin M Pitt, Jonathan S Brumberg
Purpose: Brain-computer interfaces (BCIs) can provide access to augmentative and alternative communication (AAC) devices using neurological activity alone without voluntary movements. As with traditional AAC access methods, BCI performance may be influenced by the cognitive-sensory-motor and motor imagery profiles of those who use these devices. Therefore, we propose a person-centered, feature matching framework consistent with clinical AAC best practices to ensure selection of the most appropriate BCI technology to meet individuals' communication needs...
June 1, 2018: American Journal of Speech-language Pathology
Jimin Lee, Michael Bell
Purpose: The current study examined overall articulatory range of movement (ROM) in individuals with amyotrophic lateral sclerosis (ALS). Differential involvement of articulators was also tested using articulatory working space in individuals with varying degrees of dysarthria severity and in typically aging individuals. A strong association between overall articulatory ROM and severity measures among individuals with ALS was hypothesized. In addition, it was hypothesized that differential involvement of articulators would be detected using overall articulatory ROM measures...
May 24, 2018: American Journal of Speech-language Pathology
Kelly Knollman-Porter, Aimee Dietz, Kelly Dahlem
Background: Severe auditory comprehension impairments secondary to aphasia can adversely influence rehabilitative outcomes and quality of life. Studies examining intensive rehabilitative treatments for severe single-word auditory comprehension impairments are needed. Objectives: Our purpose was to examine the feasibility and influence of a high-intensity word-picture verification treatment on high-frequency, word response accuracy. Research questions: (a) Can people with severe aphasia tolerate an intensive comprehension treatment? (b) Does an intensive intervention increase auditory comprehension response accuracy of spoken high-frequency words? Method: This single-case ABA design study included 2 participants with chronic, severe auditory comprehension deficits secondary to stroke...
May 24, 2018: American Journal of Speech-language Pathology
Kendrea L Focht Garand, Kent E Armeson, Elizabeth G Hill, Bonnie Martin-Harris
Purpose: The purpose of the current project was to explore the feasibility for subtyping dysphagia traits or patterns of scores in a subset of data from the Modified Barium Swallow Impairment Profile global registry in patients referred to videofluoroscopic swallowing studies across 5 common medical categories: (a) cardiothoracic, (b) gastroenterology, (c) head and neck cancer, (d) neurology, and (e) pulmonary. Method: Videofluoroscopic swallowing study imaging and Modified Barium Swallow Impairment Profile metrics were used to evaluate 235 patients with dysphagia grouped into 1 of the 5 categories...
May 15, 2018: American Journal of Speech-language Pathology
Alisa Baron, Lisa M Bedore, Elizabeth D Peña, Samantha D Lovgren-Uribe, Amanda A López, Elizabeth Villagran
Purpose: The purpose of this analysis was to understand how grammatical morpheme production in Spanish for typically developing Spanish-English bilingual children relates to mean length of utterance in words (MLUw) and the extent to which different bilingual profiles influence order of grammatical morpheme acquisition. Method: Participants included 228 Spanish-English bilingual children ages 4;0-7;6 (years;months). Grammatical morpheme accuracy was evaluated using an experimental version of the Bilingual English-Spanish Assessment (Peña, Gutiérrez-Clellen, Iglesias, Goldstein, & Bedore, 2014)...
May 9, 2018: American Journal of Speech-language Pathology
Elise Baker, A Lynn Williams, Sharynne McLeod, Rebecca McCauley
Purpose: Our aim was to develop a taxonomy of elements comprising phonological interventions for children with speech sound disorders. Method: We conducted a content analysis of 15 empirically supported phonological interventions to identify and describe intervention elements. Measures of element concentration, flexibility, and distinctiveness were used to compare and contrast interventions. Results: Seventy-two intervention elements were identified using a content analysis of intervention descriptions then arranged to form the Phonological Intervention Taxonomy: a hierarchical framework comprising 4 domains, 15 categories, and 9 subcategories...
May 3, 2018: American Journal of Speech-language Pathology
Camille J Wynn, Stephanie A Borrie, Tyra P Sellers
Purpose: Conversational entrainment, a phenomenon whereby people modify their behaviors to match their communication partner, has been evidenced as critical to successful conversation. It is plausible that deficits in entrainment contribute to the conversational breakdowns and social difficulties exhibited by people with autism spectrum disorder (ASD). This study examined speech rate entrainment in children and adult populations with and without ASD. Method: Sixty participants including typically developing children, children with ASD, typically developed adults, and adults with ASD participated in a quasi-conversational paradigm with a pseudoconfederate...
May 3, 2018: American Journal of Speech-language Pathology
Ming-Yeh Hsieh, Georgina Lynch, Charles Madison
Purpose: This study examined intervention techniques used with children with autism spectrum disorder (ASD) by speech-language pathologists (SLPs) in the United States and Taiwan working in clinic/hospital settings. The research questions addressed intervention techniques used with children with ASD, intervention techniques used with different age groups (under and above 8 years old), and training received before using the intervention techniques. Method: The survey was distributed through the American Speech-Language-Hearing Association to selected SLPs across the United States...
April 27, 2018: American Journal of Speech-language Pathology
Melissa M Howard, Paul M Nissenson, Lauren Meeks, Emily R Rosario
Purpose: The goals of this article are to explore the use of textured thin liquids for dysphagic patients who require thickened liquids and to illustrate their impact on hydration and patient satisfaction. Method: A retrospective evaluation of textured thin liquids was completed using patient data looking at laboratory values relevant to the detection of dehydration (blood urea nitrogen, creatinine, sodium) and patient satisfaction (using a clinician-generated questionnaire) on different modified liquid textures...
May 3, 2018: American Journal of Speech-language Pathology
Catherine Torrington Eaton, Rochelle S Newman
Purpose: The goal of this research was to institute an evidence base behind commonly used elicitation materials known as binomials (e.g., "day and night") that are commonly used for persons with aphasia (PWAs). The study explored a number of linguistic variables that could influence successful binomial completion in nonaphasic adults and PWAs. Method: Thirty nonaphasic adults and 11 PWAs were asked to verbally complete 128 binomials; responses were scored by accuracy and reaction time...
May 3, 2018: American Journal of Speech-language Pathology
Rebecca S Bartlett, Susan L Thibeault
Purpose: The call for data-driven health care has been bolstered by the digitization of medical records, quality initiatives, and payment reform. Administrative databases and clinical registries are increasingly being used to study oropharyngeal dysphagia and to facilitate data-driven decision making. The objective of this work was to summarize key findings, etiologies studied, data sources used, study objectives, and quality of evidence of all original research articles that have investigated oropharyngeal dysphagia or aspiration pneumonia using administrative or clinical registry data to date...
May 3, 2018: American Journal of Speech-language Pathology
Barbara Jane Cunningham, Steven E Hanna, Peter Rosenbaum, Nancy Thomas-Stonell, Bruce Oddson
Purpose: The aim of this study was to identify predictors of communicative participation outcomes for a large cohort of preschoolers with speech and language impairments. Method: A secondary analysis of longitudinal program evaluation data from Ontario, Canada's Preschool Speech and Language Program was done. Data available for 46,872 children 18-67 months of age (M = 41.76 months, SD = 11.92; 68% boys, 32% girls) were previously used to predict children's communicative participation skill development in 5 levels of function...
May 3, 2018: American Journal of Speech-language Pathology
Kelly Knollman-Porter, Jessica Brown, Madelaine Flynn
Purpose: Concussions affect various populations, including collegiate athletes and non-athletes. The purpose of this study was to compare collegiate varsity athletes, recreational athletes, and non-athletes' knowledge of concussion definition, symptoms, and support services available following injury. Preferred method of concussion education delivery was also examined. Method: We surveyed 306 current college students using an online survey system. The survey included free recall and forced-choice question formats...
May 3, 2018: American Journal of Speech-language Pathology
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