Perceptual characteristics of tracheoesophageal speech production using the new indwelling Provox Vega voice prosthesis: A randomized controlled crossover trial

Head & Neck ◽  
2011 ◽  
Vol 33 (1) ◽  
pp. 13-19 ◽  
Author(s):  
Elizabeth C. Ward ◽  
Kelli Hancock ◽  
Nadine Lawson ◽  
Corina J. van As-Brooks
Keyword(s):  
Speech Production ◽  
Crossover Trial ◽  
Voice Prosthesis ◽  
Randomized Controlled ◽  
Tracheoesophageal Speech ◽  
Perceptual Characteristics

What Have We Learned From Physiological Approaches to Characterizing Dysarthria and Other Speech Production Disorders?

2010 ◽  
Vol 20 (2) ◽  
pp. 37-46
Author(s):  
Nicole M. Etter
Keyword(s):  
Speech Production ◽  
Speech Disorders ◽  
Research Literature ◽  
Systematic Research ◽  
Physiological Measures ◽  
Validity And Reliability ◽  
Assessment Measures ◽  
Perceptual Assessment ◽  
Perceptual Characteristics ◽  
Diagnostic Resolution

Traditionally, speech-language pathologists (SLP) have been trained to develop interventions based on a select number of perceptual characteristics of speech without or through minimal use of objective instrumental and physiologic assessment measures of the underlying articulatory subsystems. While indirect physiological assumptions can be made from perceptual assessment measures, the validity and reliability of those assumptions are tenuous at best. Considering that neurological damage will result in various degrees of aberrant speech physiology, the need for physiologic assessments appears highly warranted. In this context, do existing physiological measures found in the research literature have sufficient diagnostic resolution to provide distinct and differential data within and between etiological classifications of speech disorders and versus healthy controls? The goals of this paper are (a) to describe various physiological and movement-related techniques available to objectively study various dysarthrias and speech production disorders and (b) to develop an appreciation for the need for increased systematic research to better define physiologic features of dysarthria and speech production disorders and their relation to know perceptual characteristics.

scholarly journals Robot-Assisted Gait Training in Patients with Multiple Sclerosis: A Randomized Controlled Crossover Trial

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 713
Author(s):  
Cristiano Sconza ◽  
Francesco Negrini ◽  
Berardo Di Matteo ◽  
Alberto Borboni ◽  
Gennaro Boccia ◽  
...  
Keyword(s):  
Crossover Trial ◽  
Gait Training ◽  
Treatment Session ◽  
Control Group ◽  
Walk Test ◽  
Robot Assisted ◽  
Randomized Controlled ◽  
Gait Parameters ◽  
Before And After

Background and Objectives: Gait disorders represent one of the most disabling aspects in multiple sclerosis (MS) that strongly influence patient quality of life. The improvement of walking ability is a primary goal for rehabilitation treatment. The aim of this study is to evaluate the effectiveness of robot-assisted gait training (RAGT) in association with physiotherapy treatment in patients affected by MS in comparison with ground conventional gait training. Study design: Randomized controlled crossover trial. Materials and Methods: Twenty-seven participants affected by MS with EDSS scores between 3.5 and 7 were enrolled, of whom seventeen completed the study. They received five training sessions per week over five weeks of conventional gait training with (experimental group) or without (control group) the inclusion of RAGT. The patients were prospectively evaluated before and after the first treatment session and, after the crossover phase, before and after the second treatment session. The evaluation was based on the 25-foot walk test (25FW, main outcome), 6 min walk test (6MWT), Tinetti Test, Modified Ashworth Scale, and modified Motricity Index for lower limbs. We also measured disability parameters using Functional Independence Measure and Quality of Life Index, and instrumental kinematic and gait parameters: knee extensor strength, double-time support, step length ratio; 17 patients reached the final evaluation. Results: Both groups significantly improved on gait parameters, motor abilities, and autonomy recovery in daily living activities with generally better results of RAGT over control treatment. In particular, the RAGT group improved more than control group in the 25FW (p = 0.004) and the 6MWT (p = 0.022). Conclusions: RAGT is a valid treatment option that in association with physiotherapy could induce positive effects in MS-correlated gait disorders. Our results showed greater effectiveness in recovering gait speed and resistance than conventional gait training.

Immediate effects of acupuncture on strength performance: a randomized, controlled crossover trial

2010 ◽  
Vol 110 (2) ◽  
pp. 353-358 ◽  
Author(s):  
Markus Hübscher ◽  
Lutz Vogt ◽  
Thomas Ziebart ◽  
Winfried Banzer
Keyword(s):  
Crossover Trial ◽  
Strength Performance ◽  
Randomized Controlled
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