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Outcome measures speech language therapy

Sarah A F Chamberlain Mitchell, Rachel Garrod, Lynne Clark, Abdel Douiri, Sean M Parker, Jenny Ellis, Stephen J Fowler, Siobhan Ludlow, James H Hull, Kian Fan Chung, Kai K Lee, H Bellas, Anand Pandyan, Surinder S Birring
BACKGROUND: Physiotherapy, and speech and language therapy are emerging non-pharmacological treatments for refractory chronic cough. We aimed to investigate the efficacy of a physiotherapy, and speech and language therapy intervention (PSALTI) to improve health-related quality of life (HRQoL) and to reduce cough frequency in patients with refractory chronic cough. METHODS: In this multicentre randomised controlled trial, patients with refractory chronic cough were randomised to four weekly 1:1 sessions of either PSALTI consisting of education, laryngeal hygiene and hydration, cough suppression techniques, breathing exercises and psychoeducational counselling or control intervention consisting of healthy lifestyle advice...
September 28, 2016: Thorax
Lauren J Taylor, Valsamma Eapen, Murray T Maybery, Sue Midford, Jessica Paynter, Lyndsay Quarmby, Timothy Smith, Katrina Williams, Andrew J O Whitehouse
OBJECTIVES: There is currently no agreed Australian standard for the diagnosis of autism spectrum disorder (ASD) even though there are specific diagnostic services available. We suspected inconsistency in the diagnostic practices of health professionals in Australia and aimed to assess these practices across the nation by surveying all relevant professional groups. DESIGN: In this study, we completed a survey of 173 health professionals whose clinical practice includes participating in the diagnostic process for ASD in Australia...
2016: BMJ Open
Kerstin Spielmann, W Mieke E van de Sandt-Koenderman, Majanka H Heijenbrok-Kal, Gerard M Ribbers
BACKGROUND: Transcranial direct current stimulation (tDCS) is a promising new technique to optimize the effect of regular Speech and Language Therapy (SLT) in the context of aphasia rehabilitation. The present study focuses on the effect of tDCS provided during SLT in the sub-acute stage after stroke. The primary aim is to evaluate the potential effect of tDCS on language functioning, specifically on word-finding, as well as generalization effects to verbal communication. The secondary aim is to evaluate its effect on social participation and quality of life, and its cost-effectiveness...
2016: Trials
Sarah Spencer, Judy Clegg, Joy Stackhouse, Robert Rush
BACKGROUND: Well-documented associations exist between socio-economic background and language ability in early childhood, and between educational attainment and language ability in children with clinically referred language impairment. However, very little research has looked at the associations between language ability, educational attainment and socio-economic background during adolescence, particularly in populations without language impairment. AIMS: To investigate: (1) whether adolescents with higher educational outcomes overall had higher language abilities; and (2) associations between adolescent language ability, socio-economic background and educational outcomes, specifically in relation to Mathematics, English Language and English Literature GCSE grade...
July 18, 2016: International Journal of Language & Communication Disorders
Nicola A Clayton, Gulsen Ellul, Elizabeth C Ward, Amanda Scott, Peter K Maitz
Burn injury to the face can lead to scarring and contractures that may impair oral competence for articulation, feeding, airway intubation access, oral/dental hygiene, aesthetics, and facial expression. Although a range of therapy interventions has been discussed for preventing contracture formation, there is minimal information on current practice patterns. This research examined patterns of clinical practice for orofacial burns management during a 4-year period to determine the nature and extent of clinical consistency in current care...
June 28, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
Roderick P Venekamp, Martin J Burton, Thijs M A van Dongen, Geert J van der Heijden, Alice van Zon, Anne G M Schilder
BACKGROUND: Otitis media with effusion (OME) is characterised by an accumulation of fluid in the middle ear behind an intact tympanic membrane, without the symptoms or signs of acute infection. Since most cases of OME will resolve spontaneously, only children with persistent middle ear effusion and associated hearing loss potentially require treatment. Previous Cochrane reviews have focused on the effectiveness of ventilation tube insertion, adenoidectomy, nasal autoinflation, antihistamines, decongestants and corticosteroids in OME...
2016: Cochrane Database of Systematic Reviews
Ramesh Kaipa, Michelle L Danser
OBJECTIVES: Auditory verbal therapy (AVT) is one of the primary treatment approaches for developing spoken language in children with hearing impairment (HI), but its outcomes have not been thoroughly investigated. The current study aimed to systematically review past studies investigating AVT outcomes in children with HI. METHODS: A systematic search was conducted in six databases. Fourteen articles that met the final inclusion criteria were grouped under three categories based on the outcome measures: receptive and expressive language development, auditory/speech perception and mainstreaming...
July 2016: International Journal of Pediatric Otorhinolaryngology
Janaki M Torrence, Carolyn R Baylor, Kathryn M Yorkston, Kristie A Spencer
PURPOSE: In speech-language pathology, there is increasing attention on participation-focused interventions to optimize participation in valued life roles. The purpose of this study was to investigate how speech-language pathologists (SLPs) in the United States address life participation in therapy programs, as well as their opinions regarding barriers and facilitators to participation-focused intervention. METHOD: An online questionnaire presented case scenarios for aphasia, dysarthria, and laryngectomy to 66 SLPs who have worked with adults...
August 1, 2016: American Journal of Speech-language Pathology
Ferenc Bunta, Michael Douglas, Hanna Dickson, Amy Cantu, Jennifer Wickesberg, René H Gifford
BACKGROUND: There is a critical need to understand better speech and language development in bilingual children learning two spoken languages who use cochlear implants (CIs) and hearing aids (HAs). The paucity of knowledge in this area poses a significant barrier to providing maximal communicative outcomes to a growing number of children who have a hearing loss (HL) and are learning multiple spoken languages. In fact, the number of bilingual individuals receiving CIs and HAs is rapidly increasing, and Hispanic children display a higher prevalence of HL than the general population of the United States...
July 2016: International Journal of Language & Communication Disorders
Sharon S Tang, Susan L Thibeault
OBJECTIVE: This study aims to examine the role of timing of speech-language pathology intervention on outcomes for surgical patients with benign vocal fold lesions as measured by a patient self-reported scale (Voice Handicap Index [VHI]) and objective acoustic measures (jitter %, Dysphonia Severity Index, noise-to-harmonics ratio). For the purpose of this study, interventions were categorized into three groups: preoperative (preoperative counseling session followed by postoperative therapy), pre- and postoperative therapy (multiple therapy sessions preoperatively and postoperatively), and postoperative therapy alone...
January 14, 2016: Journal of Voice: Official Journal of the Voice Foundation
Elizabeth M Fitzpatrick, Candyce Hamel, Adrienne Stevens, Misty Pratt, David Moher, Suzanne P Doucet, Deirdre Neuss, Anita Bernstein, Eunjung Na
CONTEXT: Permanent hearing loss affects 1 to 3 per 1000 children and interferes with typical communication development. Early detection through newborn hearing screening and hearing technology provide most children with the option of spoken language acquisition. However, no consensus exists on optimal interventions for spoken language development. OBJECTIVE: To conduct a systematic review of the effectiveness of early sign and oral language intervention compared with oral language intervention only for children with permanent hearing loss...
January 2016: Pediatrics
Elaine V Cohen, Ruth Hagestuen, Gladys González-Ramos, Hillel W Cohen, Celia Bassich, Elaine Book, Kathy P Bradley, Julie H Carter, Mariann Di Minno, Joan Gardner, Monique Giroux, Manny J González, Sandra Holten, Ricky Joseph, Denise D Kornegay, Patricia A Simpson, Concetta M Tomaino, Richard P Vandendolder, Maria Walde-Douglas, Rosemary Wichmann, John C Morgan
OBJECTIVE: Examine outcomes for the National Parkinson Foundation (NPF) Allied Team Training for Parkinson (ATTP), an interprofessional education (IPE) program in Parkinson's disease (PD) and team-based care for medicine, nursing, occupational, physical and music therapies, physician assistant, social work and speech-language pathology disciplines. BACKGROUND: Healthcare professionals need education in evidence-based PD practices and working effectively in teams...
January 2016: Parkinsonism & related Disorders
Annemiek Hammer, Martine Coene
OBJECTIVE: In this study, the acquisition of Dutch finite verb morphology is investigated in children with cochlear implants (CIs) with profound hearing loss and in children with hearing aids (HAs) with moderate to severe hearing loss. Comparing these two groups of children increases our insight into how hearing experience and audibility affect the acquisition of morphosyntax. DESIGN: Spontaneous speech samples were analyzed of 48 children with CIs and 29 children with HAs, ages 4 to 7 years...
January 2016: Ear and Hearing
Louise C Occomore, Zoë Knight
BACKGROUND: Our hospital did not provide a weekly speech and language therapy (SLT) service for head and neck cancer patients during radiotherapy treatment. SLT is recommended in the international guidelines, but many centers do not offer this service. In the case of our hospital, SLT was not provided because there were no funds to cover the costs of additional staff. OBJECTIVES: To create a new service model within a multidisciplinary setting to comply with the international SLT guidelines and without increasing staff...
July 2015: Journal of Community and Supportive Oncology
Catherine Adams, Jacqueline Gaile, Elaine Lockton, Jenny Freed
PURPOSE: This clinical focus article presents an illustration of a complex communication intervention, the Social Communication Intervention Programme (SCIP), as delivered to a child who has a social communication disorder (SCD). The SCIP intervention combined language processing and pragmatic and social understanding therapies in a program of individualized therapy activities and in close liaison with families. METHOD: The study used an enhanced AB single-subject design in which an 8-year-old child with an SCD participated in 20 therapy sessions with a specialist speech-language pathologist...
October 2015: Language, Speech, and Hearing Services in Schools
Siobhan West, Sarah J Nolan, Jennifer Cotton, Sacha Gandhi, Jennifer Weston, Ajay Sudan, Roberto Ramirez, Richard Newton
BACKGROUND: Focal epilepsies are caused by a malfunction of nerve cells localised in one part of one cerebral hemisphere. In studies, estimates of the number of individuals with focal epilepsy who do not become seizure-free despite optimal drug therapy vary according to the age of the participants and which focal epilepsies are included, but have been reported as at least 20% and in some studies up to 70%. If the epileptogenic zone can be located surgical resection offers the chance of a cure with a corresponding increase in quality of life...
2015: Cochrane Database of Systematic Reviews
Jade K Dignam, Amy D Rodriguez, David A Copland
Treatment intensity is a critical component to the delivery of speech-language pathology and rehabilitation services. Within aphasia rehabilitation, however, insufficient evidence currently exists to guide clinical decision making with respect to the optimal treatment intensity. This review considers perspectives from 2 key bodies of research, the neuroscience and cognitive psychology literature, with respect to the scheduling of aphasia rehabilitation services. Neuroscience research suggests that intensive training is a key element of rehabilitation and is necessary to achieve functional and neurologic changes after a stroke occurs...
March 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Luiza Augusta Rossi-Barbosa, Ana Cristina Côrtes Gama, Antônio Prates Caldeira
PURPOSE: To verify the association between readiness to behavioral change and self-reported vocal problems of teachers in schools from the municipal education network of Montes Claros, Minas Gerais, Brazil. METHODS: The URICA-VOICE scale was used to measure the motivational stages of 138 teachers. Readiness to change was the variable outcome, whereas the independent variables referred to sociodemographic, economic, occupational, lifestyle, general health, and teacher's own voice factors...
March 2015: CoDAS
Nance Yuan, Amir H Dorafshar, Keith E Follmar, Courtney Pendleton, Katherine Ferguson, Richard J Redett
BACKGROUND: Postoperative fistulae and velopharyngeal insufficiency (VPI) are 2 important complications after cleft palate repair. The effects of preoperative cleft width on outcomes after cleft palate repair have been rarely studied. METHODS: A retrospective review of all patients undergoing primary cleft palatoplasty by a single surgeon between 2004 and 2011 was performed. Primary outcomes were palatal fistula and VPI, defined as the need for corrective surgery after failing conservative speech-language therapy...
April 2016: Annals of Plastic Surgery
Jennifer L Whitwell, Joseph R Duffy, Edythe A Strand, Mary M Machulda, Nirubol Tosakulwong, Stephen D Weigand, Matthew L Senjem, Anthony J Spychalla, Jeffrey L Gunter, Ronald C Petersen, Clifford R Jack, Keith A Josephs
Disease-modifying therapies are being developed to target tau pathology, and should, therefore, be tested in primary tauopathies. We propose that progressive apraxia of speech should be considered one such target group. In this study, we investigate potential neuroimaging and clinical outcome measures for progressive apraxia of speech and determine sample size estimates for clinical trials. We prospectively recruited 24 patients with progressive apraxia of speech who underwent two serial MRI with an interval of approximately 2 years...
September 2015: Journal of Neurology
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