Management of the transgender voice

2006 ◽  
Vol 120 (7) ◽  
pp. 521-523 ◽  
Author(s):  
E J M McNeill
Keyword(s):  
Fundamental Frequency ◽  
Review Of The Literature ◽  
Speech And Language ◽  
Language Therapy ◽  
Laryngeal Surgery ◽  
Quality Of Life Measures ◽  
Opposite Sex ◽  
Communication Behaviours ◽  
Crucial Part

Transsexualism is a condition involving a paradoxical feeling of belonging to the opposite sex. Acquiring a sex-appropriate voice is a crucial part of the patient gaining acceptance in their new gender. Speech and language therapists and otolaryngologists play an important role in influencing communication behaviour in transgender patients by altering the fundamental frequency of speech to one acceptable for the patient's sex.Review of the literature suggests that speech and language therapy is successful at creating an acceptable fundamental frequency in transgender patients, as well as influencing other communication behaviours. Laryngeal surgery, such as cricothyroid approximation, has an important role in raising the fundamental frequency in those who do not achieve acceptable voice via non-surgical means. There is little information on patient satisfaction and quality of life measures. Research is currently underway to explore this aspect further.

scholarly journals ‘We definitely need more SLTs’: The transgender community’s perception of the role of speech and language therapy in relation to their voice, language, and communication needs

2018 ◽  
Vol 19 (3) ◽  
pp. 17-41
Author(s):  
Frances Creaven ◽  
Mary-Pat O’Malley-Keighran
Keyword(s):  
Medical Profession ◽  
Mental Health Research ◽  
Speech And Language ◽  
Language Therapy ◽  
Speech And Language Therapy ◽  
Language And Communication ◽  
Communication Needs ◽  
Communication Behaviours

According to Sydor (2013), it is critical to include all vulnerable, hard-to-reach groups in research in order to identify their specific needs. Transgender individuals can be considered as belonging to such groups. Speech, language, and non-verbal communication are often strongly related to gender. For transgender individuals experiencing mismatches between existing communication behaviours and their true gender, changes to these aspects of communication can help improve quality of life and mental health. Research has indicated that speech and language therapy (SLT) can successfully support the transgender (TG) community’s communication needs but, internationally, this intervention is under-utilised (Gelfer and Tice 2013; Hancock and Garabedian 2013). This qualitative study aimed to investigate the TG community’s understanding of the role of SLT in relation to their voice, language, and communication needs. It also explored how the TG community access the available care pathways and what factors are considered when making decisions relating to their participation in SLT. Two main themes, communication and SLT were identified. This study identified a continuing need to raise awareness of the breadth of the role of SLT within the TG community. As there is no defined referral pathway to SLT services, the research highlighted a need for the SLT profession to provide details of all trans-competent clinicians and to ensure that other members of the medical profession who interact with the trans community utilise this information to provide appropriate referrals.Keywords: transgender; communication needs; speech and language therapy; qualitative research; hard-to-reach; thematic analysis

scholarly journals Role of speech and language therapy in managing dysphagia and dysphonia in lung cancer

2019 ◽  
Vol 12 (5) ◽  
pp. e227629
Author(s):  
Ceri Childs ◽  
Sally K Archer
Keyword(s):  
Lung Cancer ◽  
Vocal Cord Palsy ◽  
Voice Rehabilitation ◽  
Speech And Language ◽  
Language Therapy ◽  
Silent Aspiration ◽  
Speech And Language Therapy ◽  
Specialist Services

A 75-year-old person was referred to speech and language therapy for voice rehabilitation following diagnosis of unilateral vocal cord palsy, secondary to relapsed non-small-cell lung cancer. On assessment, the patient presented with moderate–severe dysphonia. In addition, they presented with moderate pharyngeal stage dysphagia with risk of silent aspiration, which was successfully managed using a simple head turn strategy. This presentation is not atypical for patients who have disease in the upper chest or mediastinum and an increase in awareness and anticipation of such symptoms, with timely referral to appropriate specialist services, could help prevent complications associated with dysphagia, such as aspiration pneumonia and worse quality of life.

scholarly journals Investigating a new tablet-based telerehabilitation app in patients with aphasia: a randomised, controlled, evaluator-blinded, multicentre trial protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037702
Author(s):  
Arif Sinan Uslu ◽  
Stephan M Gerber ◽  
Nadine Schmidt ◽  
Carina Röthlisberger ◽  
Patric Wyss ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cognitive Training ◽  
High Frequency ◽  
Verbal Communication ◽  
Speech And Language ◽  
Language Therapy ◽  
Speech And Language Therapy ◽  
Language Functions ◽  
Randomised Controlled

IntroductionAphasia is a common language disorder acquired after stroke that reduces the quality of life of affected patients. The impairment is frequently accompanied by a deficit in cognitive functions. The state-of-the-art therapy is speech and language therapy but recent findings highlight positive effects of high-frequency therapy. Telerehabilitation has the potential to enable high-frequency therapy for patients at home. This study investigates the effects of high-frequency telerehabilitation speech and language therapy (teleSLT) on language functions in outpatients with aphasia compared with telerehabilitative cognitive training. We hypothesise that patients training with high-frequency teleSLT will show higher improvement in language functions and quality of life compared with patients with high-frequency tele-rehabilitative cognitive training (teleCT).Methods and analysisThis study is a randomised controlled, evaluator-blinded multicentre superiority trial comparing the outcomes following either high-frequency teleSLT or teleCT. A total of 100 outpatients with aphasia will be recruited and assigned in a 1:1 ratio stratified by trial site and severity of impairment to one of two parallel groups. Both groups will train over a period of 4 weeks for 2 hours per day. Patients in the experimental condition will devote 80% of their training time to teleSLT and the remaining 20% (24 min/day) to teleCT, vice versa for patients in the control condition. The primary outcome measure is the understandability of verbal communication on the Amsterdam Nijmegen Everyday Language Test and secondary outcome measures are intelligibility of the verbal communication, impairment of receptive and expressive language functions, confrontation naming. Other outcomes measures are quality of life and acceptance (usability and subjective experience) of the teleSLT system.Ethics and disseminationThis study is approved by the Ethics Committee Bern (ID 2016-01577). Results will be submitted to a peer-reviewed journal.Trial registration numberNCT03228264.

Psychological and Cognitive Aspects of Borderline Intellectual Functioning

2017 ◽  
Vol 22 (3) ◽  
pp. 159-166 ◽  
Author(s):  
Bastianina Contena ◽  
Stefano Taddei
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Intellectual Functioning ◽  
Clinical Impact ◽  
Review Of The Literature ◽  
Borderline Intellectual Functioning ◽  
General Quality ◽  
Meta Analyses ◽  
Over Time

Abstract. Borderline Intellectual Functioning (BIF) refers to a global IQ ranging from 71 to 84, and it represents a condition of clinical attention for its association with other disorders and its influence on the outcomes of treatments and, in general, quality of life and adaptation. Furthermore, its definition has changed over time causing a relevant clinical impact. For this reason, a systematic review of the literature on this topic can promote an understanding of what has been studied, and can differentiate what is currently attributable to BIF from that which cannot be associated with this kind of intellectual functioning. Using Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) criteria, we have conducted a review of the literature about BIF. The results suggest that this condition is still associated with mental retardation, and only a few studies have focused specifically on this condition.

Efficacy of Apremilast on Quality-of-Life Measures in Patients with Moderate Plaque Psoriasis (UNVEIL Phase IV Study)

2017 ◽  
Vol 1 ◽  
pp. s13
Author(s):  
Jerry Bagel ◽  
Mark Lebwohl ◽  
Linda Stein Gold ◽  
J Mark Jackson ◽  
Joana Goncalves ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Plaque Psoriasis ◽  
Quality Of Life Measures ◽  
Phase Iv

Abstract Not Available Study supported by Celgene.

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