Stimulability Measures and Dynamic Assessment of Speech Adaptability

2012 ◽  
Vol 19 (1) ◽  
pp. 12-18 ◽  
Author(s):  
Amy M. Glaspey
Keyword(s):  
Speech Production ◽  
Dynamic Assessment ◽  
Preschool Age ◽  
Traditional Practices ◽  
Speech Language Pathology ◽  
Point Scale ◽  
Language Pathology ◽  
Over Time

Stimulability has a long history in the field of speech-language pathology. The purpose of this article is to show different procedures that have been used over time and how stimulability methodologies are variable across clinicians. Global correction, phoneme-based, and dynamic assessment of speech adaptability approaches are presented. These measures are illustrated using a case sample of a preschool-age girl with severe phonological disorder. Furthermore, dynamic assessment of speech adaptability is highlighted as a newer strategy that encompasses stimulability and expands traditional practices in the diagnostic and treatment phases of intervention. A 15-point scale is used to document a child’s ability to adapt speech production when given a systematic presentation of cues and linguistic environments.

A Family With Autosomal-Dominant Progressive Sensorineural Hearing Loss

1996 ◽  
Vol 5 (1) ◽  
pp. 23-32 ◽  
Author(s):  
Chris Halpin ◽  
Barbara Herrmann ◽  
Margaret Whearty
Keyword(s):  
Speech Production ◽  
Hearing Aids ◽  
Role Models ◽  
Speech Intelligibility ◽  
Large Scale ◽  
Speech Language Pathology ◽  
The Family ◽  
Patient Will ◽  
Language Pathology

The family described in this article provides an unusual opportunity to relate findings from genetic, histological, electrophysiological, psychophysical, and rehabilitative investigation. Although the total number evaluated is large (49), the known, living affected population is smaller (14), and these are spread from age 20 to age 59. As a result, the findings described above are those of a large-scale case study. Clearly, more data will be available through longitudinal study of the individuals documented in the course of this investigation but, given the slow nature of the progression in this disease, such studies will be undertaken after an interval of several years. The general picture presented to the audiologist who must rehabilitate these cases is that of a progressive cochlear degeneration that affects only thresholds at first, and then rapidly diminishes speech intelligibility. The expected result is that, after normal language development, the patient may accept hearing aids well, encouraged by the support of the family. Performance and satisfaction with the hearing aids is good, until the onset of the speech intelligibility loss, at which time the patient will encounter serious difficulties and may reject hearing aids as unhelpful. As the histological and electrophysiological results indicate, however, the eighth nerve remains viable, especially in the younger affected members, and success with cochlear implantation may be expected. Audiologic counseling efforts are aided by the presence of role models and support from the other affected members of the family. Speech-language pathology services were not considered important by the members of this family since their speech production developed normally and has remained very good. Self-correction of speech was supported by hearing aids and cochlear implants (Case 5’s speech production was documented in Perkell, Lane, Svirsky, & Webster, 1992). These patients received genetic counseling and, due to the high penetrance of the disease, exhibited serious concerns regarding future generations and the hope of a cure.

Perception of Distorted "R" Sounds in the Synthesized Speech of Chlldren and Adults

1983 ◽  
Vol 26 (4) ◽  
pp. 516-524 ◽  
Author(s):  
Donald J. Sharf ◽  
Ralph N. Ohde
Keyword(s):  
Speech Language Pathology ◽  
Graduate Level ◽  
Point Scale ◽  
Synthesized Speech ◽  
Language Pathology ◽  
High Degree

Adult and Child manifolds were generated by synthesizing 5 X 5 matrices of/Cej/ type utterances in which F2 and F3 frequencies were systematically varied. Manifold stimuli were presented to 11 graduate-level speech-language pathology students in two conditions: (a) a rating condition in which stimuli were rated on a 4-point scale between good /r/and good /w/; and (b) a labeling condition in which stimuli were labeled as "R," "W," "distorted R." or "N" (for none of the previous choices). It was found that (a) stimuli with low F2 and high F3 frequencies were rated 1.0nmdas;1.4; those with high F2 and low F3 frequencies were rated 3.6–4.0, and those with intermediate values were rated 1.5–3.5; (b) stimuli rated 1.0–1.4 were labeled as "W" and stimuli rated 3.6–4.0 were labeled as "R"; (c) none of the Child manifold stimuli were labeled as distorted "R" and one of the Adult manifold stimuli approached a level of identification that approached the percentage of identification for "R" and "W": and (d) rating and labeling tasks were performed with a high degree of reliability.

Working With Older Adults: Impact of the Affordable Care Act and Other Trends in Health Care

2011 ◽  
Vol 16 (1) ◽  
pp. 10-17
Author(s):  
Amy Hasselkus
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Affordable Care Act ◽  
Care Delivery ◽  
Speech Language Pathology ◽  
Policy Changes ◽  
Patient Protection ◽  
Language Pathology ◽  
The Impact ◽  
Over Time

Rapidly increasing numbers in our aging population coupled with anticipated changes in reimbursement and health-care delivery have led to policy changes that will be implemented over time. This article will review the Patient Protection and Affordable Care Act of 2010 (ACA) and the Health Care and Education Reconciliation Act and will discuss the impact of health care changes on speech-language pathology practice with older adults.

Treating Stuttering in Young Children

2000 ◽  
Vol 43 (6) ◽  
pp. 1440-1450 ◽  
Author(s):  
Mark Jones ◽  
Mark Onslow ◽  
Elisabeth Harrison ◽  
Ann Packman
Keyword(s):  
Treatment Time ◽  
Preschool Age ◽  
Late Childhood ◽  
Speech Language Pathology ◽  
Significant Relation ◽  
Short Delay ◽  
Short Period ◽  
Preschool Age Children ◽  
Language Pathology ◽  
Time Required

It is known that children may recover from stuttering without formal treatment during the first years after onset. Consequently, the timing of professional, early stuttering intervention is a pressing issue in speech-language pathology. This report presents data pertinent to this issue for 261 preschool-age children who received the Lidcombe Program of early stuttering intervention. Of these children, 250 completed the program and were considered by their clinicians to have been treated successfully. For the children who were treated successfully, logistical regression analyses were used to determine whether age, gender, period from onset to treatment, and stuttering severity related systematically to the time required for treatment. The present data confirmed previous reports that a median of 11 clinic visits was required to achieve zero or near-zero stuttering with the Lidcombe Program. Results were also consistent with a preliminary report of 14 children (C. W. Starkweather & S. R. Gottwald, 1993) showing a significant relation between stuttering severity and the time needed for treatment, with children with more severe stuttering requiring longer treatment times than children with less severe stuttering. However, results did not associate either increasing age or increased onset-to-treatment intervals with longer treatment times. This finding is not consistent with the Starkweather and Gottwald report, which linked advancing age with longer treatment time. In fact, the present data suggest that, for a short period after stuttering onset in the preschool years, a short delay in treatment does not appear to increase treatment time. An important caveat to these data is that they cannot be generalized to late childhood or early adolescence. The present findings are discussed in relation to natural recovery from stuttering.

scholarly journals Knowledge of the Poznan region citizens about speech therapy profession

2019 ◽  
Author(s):  
AGATA TRĘBACZ
Keyword(s):  
Everyday Life ◽  
Speech Therapy ◽  
Primary Objective ◽  
Speech Language Pathology ◽  
The Core ◽  
Language Pathology ◽  
Core Issue ◽  
The Subject ◽  
The City ◽  
Over Time

Agata Trębacz, Knowledge of the Poznan region citizens about speech therapy profession. Interdisciplinary Contexts of Special Pedagogy, no. 27, Poznań 2019. Pp. 197–221. Adam Mickiewicz University Press. ISSN 2300-391X. e-ISSN 2658-283X. DOI: https://doi.org/10.14746/ikps.2019.27.10In recent years, the speech-language pathology has developed dynamically. It plays a growing role not only in the area of education but also in the field of medicine. Teaching correct articulation is just one of possible challenges faced by speechlanguage pathologists. The multidisciplinary context of that field of knowledge can be seen in various subfields of speech-language pathology which have evolved over time. Therefore, the primary objective of the conducted research was to assess the awareness of the importance of speech-language pathologists in everyday life of children and adults. The research was carried out among 50 respondents in the city of Poznań and provided the ground for discussion on the subject being the core issue of the presented paper.

scholarly journals Evaluación perceptual de la insuficiencia velofaríngea en personas con fisura del paladar: una revisión integradora de literatura

2021 ◽  
pp. 1
Author(s):  
Felipe Inostroza-Allende ◽  
Gustavo Baeza-Pavez ◽  
Paula Del-Valle-Román ◽  
Jason Fernández-Antifil ◽  
Constanza Yáñez-Pavez ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Speech Production ◽  
Speech Intelligibility ◽  
Velopharyngeal Insufficiency ◽  
Speech Language Pathology ◽  
Speech Articulation ◽  
Cleft Palate Speech ◽  
Language Pathology ◽  
Production Measurement

La insuficiencia velofaríngea (IVF) secundaria de fisura del paladar corresponde al cierre incompleto del mecanismo velofaríngeo durante el habla, debido a una falta de tejido en el paladar blando o las paredes de la faringe, lo cual genera una resonancia hipernasal y una emisión nasal de aire en los sonidos orales. Al respecto, en la literatura existen diversas propuestas para la evaluación perceptual de la IVF. Por esto, el objetivo del presente estudio es describir la evaluación perceptiva auditiva de la insuficiencia velofaríngea, mediante una revisión integradora de literatura. Para ello, en mayo de 2020 las bases de datos electrónicas PUBMED, LILACS, SciELO y Cochrane, fueron consultadas utilizando las palabras claves en inglés: “Velopharyngeal Sphincter”, “Velopharyngeal Insufficiency”, “Cleft Palate”, “Speech Intelligibility”, “Speech Production Measurement”, “Speech Articulation Tests” y “Speech-Language Pathology” y sus respectivos equivalentes en portugués y español. Se seleccionaron artículos originales relacionados al tema, y se creó un protocolo específico para la extracción de los datos. En total se encontraron 2.385 artículos. De ellos, 2.354 fueron excluidos por el título, 13 por el resumen y 3 luego de la lectura del texto completo. Finalmente, a partir de la metodología desarrollada, en esta revisión fueron utilizados 33 artículos. A partir de la revisión realizada se concluye que los parámetros más utilizados en la evaluación son la hipernasalidad, la emisión nasal y la articulación compensatoria asociada a IVF. Estos parámetros son evaluados principalmente en oraciones, habla espontánea y palabras, por un fonoaudiólogo experto, en vivo y mediante grabaciones de audio.

One Measure of Supervisory Effectiveness in Speech-Language Pathology and Audiology

1989 ◽  
Vol 54 (4) ◽  
pp. 549-557 ◽  
Author(s):  
David A. Shapiro ◽  
Jean L. Anderson
Keyword(s):  
Direct Result ◽  
Speech Language Pathology ◽  
Language Pathology ◽  
Over Time

This investigation developed and utilized a methodology for studying the follow-through of student clinicians from supervisory conferences to later activities. Based upon an earlier investigation in which 1,389 commitments made by 64 supervisees were identified and analyzed, completion of each commitment was measured in this investigation to determine if specific behaviors of clinicians occur after making commitments in supervisory conferences. Results indicated that clinicians demonstrate greater completion of commitments when structured accountability (i.e., written agreement) is introduced early into and subsequently faded from supervisory conferences, and that the written agreement is more beneficial for beginning clinicians than for experienced clinicians. Of utmost importance was the demonstration that specific behaviors of supervisees can be followed and measured over time, and that certain behaviors of clinicians occur as a direct result of commitments made during conferences with a supervisor.

Translating High-Resolution Manometry From Research to Clinical Practice

2019 ◽  
Vol 4 (4) ◽  
pp. 641-647 ◽  
Author(s):  
Molly A. Knigge
Keyword(s):  
Clinical Practice ◽  
High Resolution ◽  
Upper Esophageal Sphincter ◽  
Speech Language Pathology ◽  
High Resolution Manometry ◽  
Sphincter Function ◽  
Speech Language Pathologist ◽  
Language Pathology ◽  
Esophageal Sphincter ◽  
Over Time

Purpose High-resolution manometry (HRM) is a developing evaluation and treatment modality within the scope of speech-language pathology clinical practice. HRM offers pressure measurement over time that can capture details of pharyngeal and upper esophageal sphincter function unattainable with current dysphagia imaging modalities. As the technology is being adapted from esophageal application to use in the pharynx, understanding the strengths and limitations of HRM is paramount to building valid models for clinical use. Conclusion This review of HRM translation from research to clinical practice aims to introduce the speech-language pathologist to this novel evaluation and treatment apparatus.

Data-Based Supervision Methods for Speech-Language Pathology

1989 ◽  
Vol 20 (3) ◽  
pp. 296-304 ◽  
Author(s):  
Ann Johnson Glaser ◽  
Carole Donnelly
Keyword(s):  
Public Schools ◽  
Student Teachers ◽  
Clinical Supervision ◽  
Speech Language Pathology ◽  
The Public ◽  
Language Pathology ◽  
Supervision Model ◽  
Supervisory Process

The clinical dimensions of the supervisory process have at times been neglected. In this article, we explain the various stages of Goldhammer's clinical supervision model and then describe specific procedures for supervisors in the public schools to use with student teachers. This easily applied methodology lends clarity to the task and helps the student assimilate concrete data which may have previously been relegated to subjective impressions of the supervisor.

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