Blog Archives

Treatment of Category Generation and Retrieval in Aphasia: Effect of Typicality of Category Items

Conclusion: Results of the present study supplement existing data on the effect of a semantically based treatment for lexical retrieval by manipulating the typicality of category examples.

from the Journal of Speech, Language, and Hearing Research

Vocal Handicap and Quality of Life After Treatment of Advanced Squamous Carcinoma of the Larynx and/or Hypopharynx

Conclusion
Patients treated for advanced cancer of the larynx/hypopharynx present slight to moderate voice handicap and good/excellent HR-QOL. Stricter analysis of both the VHI and UW-QOL data suggests that more attention be given to the vocal handicap of the individual patient.

from the Journal of Voice

Reproducibility and Validity of Patient-Rated Assessment of Speech, Swallowing, and Saliva Control in Parkinson’s Disease

Conclusions
The ROMP provides a reliable and valid instrument to evaluate patient-perceived problems with speech, swallowing, and saliva control in patients with PD or AP.

from Archives of Physical Medicine and Rehabilitation

Aphasia and return to work in younger stroke survivors

Background: Younger stroke patients (i.e., typically those between 18 and 65 years of age) experience fewer stokes than older patients. However, younger stroke survivors are more likely to live longer with disability, have dependants, and be engaged in full- or part-time employment. Aphasia post stroke occurs in 10% of younger survivors, and can significantly impact the ability to resume previous activities of daily living. Unfortunately traditional rehabilitation often does not account for language impairments that impact vocational status.

Aims: This review reports the rate of successful return to work (RTW) for younger stroke survivors with aphasia. Aphasia is consistently regarded as a barrier to an individual’s ability to RTW post stroke. However, the degree to which working-age stroke survivors with aphasia successfully RTW remains unknown. In addition, conflicting evidence has been found as to the predictive nature of communication impairments on RTW.

Main Contribution: The primary outcome in which we were interested was the degree to which younger survivors with aphasia return to work. Secondary outcomes were the type of assessment used, the definition of work, and the age of the study sample. Nine studies were identified (aphasia N = 415, total N = 1612). The average rate of successful RTW for young survivors with aphasia was 28.4% compared to 44.7% for all young stroke survivors.

Conclusions: Younger survivors with aphasia were less likely to RTW post stroke than those without aphasia. Strategies to reduce this disparity, such as specialised vocational rehabilitation, should be made available to this population.

from Aphasiology

Technologies and strategies for people with communication problems following brain injury or stroke

Communication problems experienced following a brain injury or stroke not only impact a person’s ability to participate in their desired social and vocational roles but may also impact their ability to participate in decision-making about their care, participate in therapy and receive counseling and education. Many technologies exist, including Augmentative and Alternative Communication (AAC), which can help increase communication and life participation following a brain injury or stroke. This article will define and describe a variety of AAC technologies and interventions for people with communication problems following acquired brain injury as well as discuss assessment, training and funding issues.

from Neurorehabilitation

The attribution of mental states in the speech of children with autistic spectrum disorders

The attribution of mental states increased after a period of speech-language intervention, however, with no significant difference; there was an increase in the verbal behavior of children with autism.

from Revista de Sociedade Brasileira de Fonoaudiologia

Development and validation of first-ever speech-specific perceptual speech evaluation tool for patients with head and neck cancer: The London speech evaluation (LSE) Scale

Conclusions
The London Speech Evaluation (LSE) scale demonstrated a high reliability and validity in our cohort of patients with head and neck cancer. surgery.

from Head and Neck

Racial Disparities in the Development of Dysphagia After Stroke: Further Evidence From the Medicare Database

Our findings confirm previous research suggesting an association between Asian race and dysphagia after stroke while adding evidence for increased odds in other racial/ethnic minority groups.

from Archives of Physical Medicine and Rehabilitation

Adult cochlear implantation in Canada: Results of a survey

This paper presents the results of a survey of the adult cochlear implant centres in Canada. The survey was conducted in 2008 to examine trends in the cochlear implantation of adults in Canada between 1995 and 2007. All 12 Canadian programs, including nine surgical and three non-surgical centres, returned the questionnaire. The results showed that there has been signifi cant growth in adult cochlear implantation over the past 12 years, particularly since 1999. By 2007, a total of 2,534 adults had received implants in Canadian centres, 270 prior to 1995 and 2264 in the twelve-year period covered by this survey. In the past fi ve years (2003 through 2007), on average, 296 patients have received implants annually in Canada. The majority of adults who receive implants are under age 60; however, a notable trend in recent years is the implantation of adults over the age of 80 years. Major areas of concern for the centres are related to clinical resources (10 of 12 centres), clerical support (5 of 12) and surgical services (4 of 12). Respondents perceived that patients were most concerned about: 1) the costs of maintaining and upgrading their devices and, 2) access to both assessment and surgery in a timely manner. Respondents rated borderline audiologic candidacy, bilateral implantation and bimodal hearing (use of a cochlear implant and hearing aid) as the primary issues of interest for clinical discussions. These data provide baseline information about adult cochlear implant services in Canada that may assist in program planning and resource allocation.

from the Canadian Journal of Speech-Language Pathology and Audiology http://www.scopus.com/record/display.url?eid=2-s2.0-79952327028&origin=inward&txGid=-9KwX1JqOV6RlEjmvQl6NXB%3a8

Communication supports in pediatric rehabilitation

This article introduces the roles of parents and rehabilitation professionals in the provision of communication supports for children who cannot meet their communication needs through natural speech alone, also referred to as individuals with complex communication needs (CCN). The authors present a personnel framework, introduce intervention models of augmentative and alternative communication (AAC) services, and address issues parents face in preparing to provide communication supports to children with CCN using AAC and assistive technology (AT).

<p><p>from the <a href=”Journal” _mce_href=”http://iospress.metapress.com/content/81k4698844061536/”><em>Journal”>http://iospress.metapress.com/content/81k4698844061536/”><em>Journal of Pediatric Rehabilitation Medicine</em></a></p>

Recent developments in functional and structural imaging of aphasia recovery after stroke

Conclusions: More recent developments in data acquisition and analysis foster better understanding and more realistic modelling of the neural substrates of language recovery after stroke. Moreover, the combination of different neuroimaging protocols can provide converging evidence for neuroplastic brain remodelling during spontaneous and treatment-induced recovery. Researchers are also beginning to use sophisticated imaging analyses to improve accuracy of prognosis, which may eventually improve patient care by allowing for more efficient treatment planning. Brain stimulation techniques offer a new and exciting way to improve the recovery potential after stroke.

from Aphasiology

What people with aphasia want: Their goals according to the ICF

Conclusions: People with aphasia in this study were able to articulate a wide range of goals post-stroke that encompassed all of the ICF components but had a particular focus on the Activity and Participation components.

from Aphasiology

How Much Change in the Stroke Impact Scale-16 Is Important to People Who Have Experienced a Stroke?

Conclusion: The estimated MCID values presented in this study provide a way for clinicians to evaluate meaningful change in individual patients and for researchers to evaluate meaningful change between groups.

from Topics in Stroke Rehabilitation

Oral Reading for Language in Aphasia (ORLA): Evaluating the Efficacy of Computer-Delivered Therapy in Chronic Nonfluent Aphasia

Conclusion: Low-intensity ORLA, delivered by computer to individuals with chronic nonfluent aphasia, is efficacious and may be equivalent to ORLA delivered by an SLP.

from Topics in Stroke Rehabilitation

Bone-anchored hearing aids (Baha) in congenital aural atresia: Personal experience

Conclusions
The results of our study of the Baha system to treat patients with bilateral aural atresia were extremely satisfactory compared both with those of surgical reconstruction of the auditory canal and those of traditional bone-conduction hearing aids. Furthermore, great improvement was noted in quality of life, while the rate of complications was very low.

Therefore, we are convinced that the Baha system is the treatment of choice for hearing loss due to bilateral congenital aural atresia.

from the International Journal of Pediatric Otorhinolaryngology