Risk Factors for Voice Disorders in Undergraduate Speech Language Pathology Students

AbstractFor children with voice disorders, access to care has long been a challenge. Reasons for this include the challenge of qualifying children with isolated voice disorders for services within the public-school system as well as a family's geographic proximity to experienced clinicians who are in the healthcare system. Over the past decade, there have been both formal and informal investigations into the use of telepractice to deliver services to communicatively disordered children and adults, including those with voice disorders. Although barriers and obstacles existed, use of telepractice to deliver such services demonstrated both feasibility and, in some studies, effective outcomes. However, prior to spring of 2020, use of telepractice to deliver speech pathology services was not mainstream. This changed when the nation was forced to shut down many of its in-person healthcare and educational delivery due to the COVID-19 pandemic. This article summarizes select relevant literature pertaining to the use of telepractice in speech language pathology over the past decade and provides a case-based discussion of how it was and is currently being used to deliver pediatric voice care.

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Prevalence of voice disorders in the Department of Speech- Language Pathology of a tertiary care hospital of Mangaluru: A retrospective study of 11 years

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1708757 ◽

2018 ◽

Vol 08 (03) ◽

pp. 012-016

Author(s):

Thejaswi Dodderi ◽

Nikita Elsa Philip ◽

Kalpana Mutum

Keyword(s):

Vocal Fold ◽

Tertiary Care Hospital ◽

Medical Condition ◽

Tertiary Care ◽

Voice Disorders ◽

Health Concern ◽

Voice Disorder ◽

Care Hospital ◽

Speech Language Pathology ◽

Language Pathology

Abstract Background: Voice disorder is now considered a 'public health concern'. Epidemiological studies of yesteryears performed in the West disseminate the importance of prevention and early identification of the change in voice. In India 'Vocology' or study of voice production is slowly emerging with specific attention to vocal health and voice care. Aim of the study: The present study implemented a retrospective observational design to identify prevalence of voice disorders in a tertiary care hospital. Method: The Diagnostic register of Department of Audiology and Speech-Language Pathology of a semi-urban hospital was accessed from January 1st 2007 till January 31st 2018. Patients diagnosed with a voice disorder, in-isolation and/or in conjunction to a medical condition, were tabulated. The data was tallied under the following categories: type of voice disorder; nature of voice disorder; age of onset; gender and perceptual features. Results: Results of the study suggested 21.4% prevalence of voice disorder. In addition the study also noted maximum prevalence of vocal nodule; adult male subjects exhibited a higher rate of vocal fold pathology and increased prevalence of perceptually hoarse voice. Conclusion: The data from the study accounts voice problems to be on higher side with vocal fold hyper-function disorder topping the chart.

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Cognitive and Communicative Consequences of Cardiovascular Disease

Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders ◽

10.1044/nnsld18.4.152 ◽

2008 ◽

Vol 18 (4) ◽

pp. 152-161 ◽

Cited By ~ 1

Author(s):

Laura L. Murray

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Neurological Disorders ◽

Clinical Management ◽

Functional Outcomes ◽

Empirical Literature ◽

Speech Language Pathology ◽

Current Review ◽

Language Pathology ◽

Management Techniques

Abstract Purpose : A growing literature has documented that cardiovascular disease (CVD), even prior to causing strokes and other neurological disorders, can negatively affect cognitive and communicative functioning in children and adults. The purpose of this paper is to summarize current findings pertaining to the clinical management of cognitive and communicative changes associated with CVD by (a) reviewing common conditions, risk factors, and cognitive-communicative symptoms associated with CVD and (b) identifying strategies for assessing and treating the cognitive-communicative consequences of CVD. Method : The current empirical literature was critically reviewed to provide a brief overview of CVD conditions, risk factors, and occurrence statistics, followed by a summary of cognitive-communicative changes associated with CVD and management techniques that speech-language pathologists might utilize with this patient population. Results and Conclusions : Given the burgeoning prevalence of CVD, there is growing need for clinical understanding of CVD-related cognitive-communicative changes and the procedures appropriate for identifying and managing these changes in the diverse CVD population. Several lines of investigation, however, must be pursued to assure that the diagnostic and management suggestions provided in the current review are appropriate and to delineate further the role speech-language pathology can play in maximizing functional outcomes in individuals with CVD.

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Checklist for Assessing Graduate Student Competencies in Voice Disorders

Perspectives on Voice and Voice Disorders ◽

10.1044/vvd23.3.95 ◽

2013 ◽

Vol 23 (3) ◽

pp. 95-100 ◽

Cited By ~ 3

Author(s):

Amy F. Teten ◽

Shari L. DeVeney ◽

Mary J. Friehe

Keyword(s):

Graduate Student ◽

Course Design ◽

Training Programs ◽

Student Perception ◽

Voice Disorders ◽

Speech Language Pathology ◽

Fluency Disorders ◽

Language Pathology ◽

Low Incidence ◽

Student Competencies

Low-incidence clinical disorders such as voice, nasal resonance, and fluency present challenging areas for graduate-level speech-language pathology training programs to help students acquire necessary knowledge and skills. A checklist of competencies for fluency disorders exists in the literature. The authors are presently collecting pretest/posttest data on the fluency disorders checklist over several cohorts of graduate students to determine student level of proficiency and confidence regarding these competencies. Preliminary data analysis suggests significant student perception of growth as a result of completing course requirements. These data have been useful to the second author, who teaches a course in fluency disorders and utilizes the checklist for purposes of course design and case-based project development to help students gain competence. The authors observed that a similar checklist of competencies for voice disorders would be useful for training programs as well as for other reasons described throughout this paper. Consequently, the authors compiled a checklist for assessing graduate student competencies for voice disorders. This checklist provides academic and clinical faculty with a comprehensive tool to guide the education of graduate clinicians and assist in the assurance of educational quality for speech-language pathologists.

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RE: Powell, T. W. (1991). Planning for phonological generalization: An approach to treatment target selection. American Journal of Speech-Language Pathology, 1 (1), 21–27

American Journal of Speech-Language Pathology ◽

10.1044/1058-0360.0103.64a ◽

1992 ◽

Vol 1 (3) ◽

pp. 64-64

Author(s):

Elaine Barnartt

Keyword(s):

Target Selection ◽

Speech Language Pathology ◽

Treatment Target ◽

Language Pathology

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Data-Based Supervision Methods for Speech-Language Pathology

Language Speech and Hearing Services in Schools ◽

10.1044/0161-1461.2003.296 ◽

1989 ◽

Vol 20 (3) ◽

pp. 296-304 ◽

Cited By ~ 3

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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Developing an Early Intervention Preservice Specialization in Speech-Language Pathology

American Journal of Speech-Language Pathology ◽

10.1044/1058-0360.0402.31 ◽

1995 ◽

Vol 4 (2) ◽

pp. 31-36 ◽

Cited By ~ 4

Author(s):

Joanne E. Roberts ◽

Elizabeth Crais ◽

Thomas Layton ◽

Linda Watson ◽

Debbie Reinhartsen

Keyword(s):

Early Childhood ◽

Early Intervention ◽

Intervention Program ◽

Graduate Program ◽

Master's Level ◽

Clinical Experiences ◽

Speech Language Pathology ◽

Early Intervention Program ◽

Language Pathology ◽

Family Centered

This article describes an early intervention program designed for speech-language pathologists enrolled in a master's-level program. The program provided students with courses and clinical experiences that prepared them to work with birth to 5-year-old children and their families in a family-centered, interdisciplinary, and ecologically valid manner. The effectiveness of the program was documented by pre- and post-training measures and supported the feasibility of instituting an early childhood specialization within a traditional graduate program in speech-language pathology.

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A Family With Autosomal-Dominant Progressive Sensorineural Hearing Loss

American Journal of Audiology ◽

10.1044/1059-0889.0501.23 ◽

1996 ◽

Vol 5 (1) ◽

pp. 23-32 ◽

Cited By ~ 3

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.

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