scholarly journals A shift of treatment approach in speech language pathology services for children with speech sound disorders – a single case study of an intense intervention based on non-linear phonology and motor-learning principles

2018 ◽  
Vol 33 (6) ◽  
pp. 518-531 ◽  
Author(s):  
Inger Lundeborg Hammarström ◽  
Rose-Marie Svensson ◽  
Karin Myrberg
Keyword(s):  
Motor Learning ◽  
Treatment Approach ◽  
Single Case ◽  
Speech Sound ◽  
Single Case Study ◽  
Speech Language Pathology ◽  
Speech Sound Disorders ◽  
Language Pathology ◽  
Learning Principles

Treatment of Stuttering in a School-Age Child: A Description of a Single Case-Study

2012 ◽  
Vol 22 (2) ◽  
pp. 88-96
Author(s):  
Derek E. Daniels
Keyword(s):  
Treatment Approach ◽  
Single Case ◽  
Psychosocial Aspects ◽  
School Age Children ◽  
Clinical Implications ◽  
School Age ◽  
Single Case Study ◽  
Therapeutic Outcomes

In this article, I will provide support for a broad-based treatment approach with school-age children who stutter. Treatments for stuttering have traditionally prioritized speech modification techniques. However, school-age children who stutter experience a range of self-defeating thoughts and emotions about speaking. In this article, I present data from a case study of one school-age child who stutters. The participant experienced three semesters of treatment from a university clinic. Experts applied a broad-based treatment approach that included both speech and stuttering modification techniques and strategies for managing psychosocial aspects of stuttering. Results suggest that successful therapeutic outcomes depended on a broad-based approach of addressing the participant’s speech, attitudes, and emotions. Clinical implications are discussed.

Effect of Training on Upper-Extremity Prosthetic Performance and Motor Learning: A Single-Case Study

2008 ◽  
Vol 89 (6) ◽  
pp. 1199-1204 ◽  
Author(s):  
Alexander W. Dromerick ◽  
Christopher N. Schabowsky ◽  
Rahsaan J. Holley ◽  
Brian Monroe ◽  
Anne Markotic ◽  
...  
Keyword(s):  
Motor Learning ◽  
Upper Extremity ◽  
Single Case ◽  
Single Case Study

Outcomes of Minimal Pair Intervention in a School-aged Child with a Consistent Phonological Disorder: A Multiple Baseline Single Case Study

2015 ◽  
Vol 22 (1) ◽  
pp. 46-65
Author(s):  
Claire Daly ◽  
Margaret Rodden ◽  
Stanislava Antonijevic-Elliot ◽  
Rena Lyons
Keyword(s):  
Speech Intelligibility ◽  
Single Case ◽  
Speech Sound ◽  
Minimal Pair ◽  
Multiple Baseline ◽  
Single Case Study ◽  
Speech Sound Disorder ◽  
Post Intervention ◽  
Aged Child

Objective: The aim of the study was to evaluate the effectiveness of minimal pair intervention in a school-aged child with consistent phonological disorder, using a multiple baseline single case study design. Method: The participant was a boy aged 8;11 who presented with a consistent phonological disorder. A multiple baseline single case study design was used to measure the effect of six sessions of minimal pair intervention for treating consistent phonological disorder. There was a two-week baseline period prior to the intervention phase. The outcome measures included measures of the severity of the speech sound disorder and speech intelligibility, which were taken pre-, immediately postintervention, and five months post-intervention. Other measures included the monitoring of the accuracy of production of the treated targets /ʃ/ and un-treated targets /ʤ/, /ʧ/, and /ɹ/ during intervention. Main results: There was an increase in accuracy in the production of treated and untreated target sounds post-intervention. There was a reduction in the severity of the speech sound disorder and an improvement in speech intelligibility post-intervention. These changes were maintained five months post-intervention. Conclusion: Minimal pair intervention, when provided over six sessions, can result in positive changes in the severity of speech sound disorder, accuracy of the target phonemes and speech intelligibility in a schoolaged child with consistent phonological disorder.

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.

Maximizing Expertise and Collaboration to Support Students With Brain Injury: A Case Study in Speech-Language Pathology

2019 ◽  
Vol 4 (6) ◽  
pp. 1267-1282
Author(s):  
Jessica Salley ◽  
Sarah Krusen ◽  
Margaret Lockovich ◽  
Bethany Wilson ◽  
Brenda Eagan-Johnson ◽  
...  
Keyword(s):  
Brain Injury ◽  
Medical Setting ◽  
Speech Language Pathology ◽  
Speech Language Pathologists ◽  
Team Members ◽  
School Activities ◽  
School Based ◽  
Language Pathology ◽  
Specialized Education

Purpose Through a hypothetical case study, this article aimed to describe an evidence-based approach for speech-language pathologists in managing students with moderate-to-severe traumatic brain injury (TBI), particularly within a formal statewide-supported school-based brain injury team model, such as the BrainSTEPS Brain Injury School Consulting Program operating in Pennsylvania and Colorado. Conclusion Upon transitioning from the medical setting back to school, children with TBI present with unique educational needs. Children with moderate-to-severe TBIs can demonstrate a range of strengths and deficits in speech, language, cognition, and feeding and swallowing, impacting their participation in various school activities. The specialized education, training, and insight of speech-language pathologists, in collaboration with multidisciplinary medical and educational team members, can enable the success of students with TBI when transitioning back to school postinjury ( DePompei & Blosser, 2019 ; DePompei & Tyler, 2018 ). This transition should focus on educational planning, implementation of strategies and supports, and postsecondary planning for vocations or higher education.

Evidence-Based Practice & Practice-Based Evidence Applied to Adult, Medical Speech-Language Pathology

2013 ◽  
Vol 18 (1) ◽  
pp. 14-26 ◽  
Author(s):  
Rik Lemoncello ◽  
Bryan Ness
Keyword(s):  
Evidence Based Practice ◽  
Single Case ◽  
Quality Data ◽  
Evidence Based ◽  
Speech Language Pathology ◽  
Clinical Practices ◽  
High Quality ◽  
Randomized Controlled Clinical Trials ◽  
Relative Paucity ◽  
Language Pathology

In this paper, we review concepts of evidence-based practice (EBP), and provide a discussion of the current limitations of EBP in terms of a relative paucity of efficacy evidence and the limitations of applying findings from randomized controlled clinical trials to individual clinical decisions. We will offer a complementary model of practice-based evidence (PBE) to encourage clinical scientists to design, implement, and evaluate our own clinical practices with high-quality evidence. We will describe two models for conducting PBE: the multiple baseline single-case experimental design and a clinical case study enhanced with generalization and control data probes. Gathering, analyzing, and sharing high-quality data can offer additional support through PBE to support EBP in speech-language pathology. It is our hope that these EBP and PBE strategies will empower clinical scientists to persevere in the quest for best practices.

Chronic Refractory Cough: A Case Study

2017 ◽  
Vol 2 (3) ◽  
pp. 57-62
Author(s):  
Anna Maria Siciliano
Keyword(s):  
Quality Of Life ◽  
Adult Female ◽  
Chronic Cough ◽  
Treatment Regime ◽  
Speech Language Pathology ◽  
Old Adult ◽  
Language Pathology

This paper presents a successful behavioral case study in treatment of chronic refractory cough in a 60-year-old adult female. The efficacy for speech-language pathology treating chronic cough is discussed along with description of treatment regime. Discussion focuses on therapy approaches used and the patient's report of changes in quality of life and frequency, duration, and severity reduction of her cough after treatment.

Who Has Potatoes?

2003 ◽  
Vol 1 (2) ◽  
pp. 148-159
Author(s):  
Keith V. Bletzer
Keyword(s):  
Substance Use ◽  
Home Country ◽  
Single Case ◽  
Turning Points ◽  
Farm Labor ◽  
Single Case Study ◽  
Long Period ◽  
Migrant Work

Migratory farm labor like other forms of migrant work both in and outside agriculture impedes on the opportunity to make choices. The following essay explores particular phases in the life of one man (a single case study) and examines how he considers turning points in his life that led to a long period of substance use, both as an immigrant in the country and as a working man in his home country, followed by a cessation of use and the beginning stages of recovery. / Para el migrante, viajar en busca de trabajo es díficil, ya sea que trabaje en agricultura o en otras labores. Este ensayo examina ciertas etapas en la vida de un hombre (estudio de un solo caso) que examina los cambios que le han ocurrido durante un período en que él consumía grandes cantidades de alcohol en los estados y en su país, seguido por un período de sobriedad (no tomaba alcohol, no usaba drogas) en este país en que él comienza una etapa de rehabilitación.

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