Speech and language therapists’ reflections on developing and maintaining confidence in tracheoesophageal speech rehabilitation

2019 ◽  
Vol 55 (1) ◽  
pp. 85-96 ◽  
Author(s):  
Kelli L. Hancock ◽  
Elizabeth C. Ward ◽  
Anne E. Hill
1996 ◽  
Vol 105 (7) ◽  
pp. 501-503 ◽  
Author(s):  
James A. Geraghty ◽  
Bonnie E. Smith ◽  
Barry L. Wenig ◽  
Louis G. Portugal

Since its introduction by Blom and Singer in 1980, tracheoesophageal puncture with a voice prosthesis has become the most frequently recommended choice for speech rehabilitation of total laryngectomees. Many studies have reviewed the initial speech acquisition success rates following tracheoesophageal puncture; however, long-term follow-up in these initial successes has been lacking. In addition, factors predictive of long-term success with tracheoesophageal speech have not been defined. Over a 10-yearperiod, we retrospectively reviewed all total laryngectomy patients, including those who have undergone primary or secondary tracheoesophageal puncture, at the University of Illinois Hospital and Clinics and the Westside Veterans Administration Hospitals. Survival in the total laryngectomy cohort of 202 patients ranged from 35% to 50%. Forty of these patients underwent tracheoesophageal puncture, in whom survival was 75%. Short-term success with tracheoesophageal speech was approximately 70% for our patients, while long-term success was achieved in 66%. Despite low socioeconomic status and relatively high alcoholism rates, successful maintenance of tracheoesophageal speech was achieved in the majority of cases. Tracheoesophageal speech should therefore be considered as a primary method of vocal rehabilitation in all patients undergoing total laryngectomy.


2014 ◽  
Vol 4 (1) ◽  
pp. 54-55
Author(s):  
Ahmet Kasumović

Rehabilitation of hearing and speech represents a theory that needs to be confirmed, and also the practice, also a process which is in continuous progress. It is simultaneously a science (research activity), the profession, school subject, issue, principle and method. Continuously be upgraded, and the search for new knowledge. Deaf and severely hearing-impaired people are often deprived from birth hearing and listening skills, and thus the ability to successfully speaking, standard, oral-vocal speech, language or hearing. In the absence of hearing, their psychological structure has been changed, so methods of learning that are used to hearing children, for them have no or have very small use. Therefore, the rehabilitation theory and practice need to seek for new methods, programming models, test materials, and researching the effectiveness of these methods in teaching speech and language skills of hearing impaired population. In this book, besides the general scientific, theoretical and practical regularity, related to the subject of Speech and Hearing Rehabilitation, are described the anatomical and physiological basis of auditory organs, and organs to speak, and the essential characteristics of the hearing impairment, ways of communications, education and rehabilitation in relation to general characteristics of hearing impaired persons. It describes the communication of the deaf and hard of hearing as a determinant of rehabilitation, rehabilitation of hearing as a determinant of learning speech and language, speech and language as a determinant of communication and speech-language education as a determinant of rehabilitation. The importance of programming in the rehabilitation of hearing and speech is highlighted, and new, paradigmatic-pragmatic methods in speech-language rehabilitation of the deaf and severely hard of hearing people is described. From a scientific point of view, programming of dynamic rehabilitation content, has or may have a direct scientific contribution to the psychological development of deaf and severely hearing-impaired population. By development of deaf person, the possibility of regulating the relation between a deaf person-society and vice versa is opened. The results of research of the use of programmed dynamic content in rehabilitation showed a significant movement to improve linguistic competence and quality in the communication of the deaf and severely hard of hearing people with hearing world. Dynamic methodological approaches in speech-language education of deaf and hearing-impaired children, it provides easier learning of all elements of speech and language, primarily phonology and morphology, and semantics, syntax, grammar and language of the hearing community.


2019 ◽  
Vol 6 (2) ◽  
pp. 89-97
Author(s):  
Tetyana Pastryk ◽  
Olena Kotys ◽  
Nataliia Dyachuk ◽  
Volodymyr Milinchuk

The article presents results of the research conducted in speech rehabilitation period of patients after stroke. The study aims to identify conscious control in speech rehabilitation period of the patients who were diagnosed to have Broca’s aphasia. A sample of 22 patients with Broca’s aphasia, or efferent motor aphasia (Luria, 2004) in the left hemisphere, who stayed at the Volyn Regional Clinical Hospital (Lutsk, Ukraine) during rehabilitation period, was approached through purposeful sampling method for this research. The non-laboratory measure of speech assessment was administered along with demographic data. Results showed that conscious control that usually remains in this group of people plays a crucial role in psychological intervention. The article also discusses the main neuropsycholinguistic principles that help to utilize the potential of conscious control in the process of speech rehabilitation of the patients after stroke. References Лурия А.Р. Лекции по общей психологии. СПб.: Питер, 2004. Мілінчук В. І., Засєкіна Л. В. Нейропсихолінгвістичний підхід до дослідження мовлення пацієнтів після інсульту // Актуальні проблеми практичної психології. Ч. І. 2010. С. 143-146. Мілінчук В. І. Вплив емоційних станів на мовленнєву діяльність пацієнтів після інсульту // Психологічні перспективи. Вип. 15. 2010. С. 207-218. Хомская Е. Д. Нейропсихология. СПб.: Питер, 2005. Шохор-Троцкая М. К. Речь и афазия. М.: Изд-во ЭКСМО-Пресс, 2001. Brown C., Hagoort P. (2003). The Neurocognition of Language. Oxford: Oxford University Press. Hauk, O, Johnsrude, I., & Pulvermüller, F. (2004). Somatotopic representation of action words in motor and premotor cortex. Neuron, 41, 301-307. Kohno, M. (2007). Two neural clocks: humans’ innate temporal systems for spoken language processing. In: J. Arabski, Ed. Challenging Tasks for Psycholinguistics in the New Century. (pp. 283-292). Katowice: University of Silesia. Marshall, J. (2000a). Speech and language problems following stroke In: R. Fawcus, Ed. Stroke Rehabilitation. (pp. 113-129). Oxford: Blackwell. Marshall J. (2000b). The treatment of speech and language disorders following stroke. In: R. Fawcus, Ed. Stroke Rehabilitation. (pp. 130-146). Oxford: Blackwell. Northoff, G. (2003). Philosophy of the Brain. Boston: Harvard University. Pulvermüller, F. (2002). The Neuroscience of Language. On Brain Circuits of Words and Serial Order. Cambridge: Cambridge University Press. Pulvermüller, F., Berthier, M. L. (2008). Aphasia therapy on a neuroscience basis. Aphasiology, 22(6), 563–599. References (translated and transliterated) Luria, R. (2004). Lektsii po Obschey Psikhologii [Lectures on General Psychology]. S.-Petersburg: Piter. Milinchuk, V., Zasiekina, L. (2010). Neuropsycholinhvistycgbyi pidhid do doslidzhennia movlennia patsientiv pislia insultu [Neuropsycholinguistic approach to the study of patients after stroke]. Aktualni Problemy Praktychnoi Psykholohii, 1, 143-146. Milinchuk, V. (2010). Vplyv emotsiinykh staniv na movlennevu diyalnist patsientiv pislia insultu. Psyholohichni Perspectyvy – Psychological Prospects, 15, 207-218. Khomskaya, Y. (2005). Neuropsihologiia [Neuropsychology]. S.-Petersburg: Piter. Shohor-Trotskaya, M. (2001). Rech I Afaziya [Speech and Aphasia]. Moscow: Eksmo-Press. Brown C., Hagoort P. (2003). The Neurocognition of Language. Oxford: Oxford University Press. Hauk, O, Johnsrude, I., & Pulvermüller, F. (2004). Somatotopic representation of action words in motor and premotor cortex. Neuron, 41, 301-307. Kohno, M. (2007). Two neural clocks: humans’ innate temporal systems for spoken language processing. In: J. Arabski, Ed. Challenging Tasks for Psycholinguistics in the New Century. (pp. 283-292). Katowice: University of Silesia. Marshall, J. (2000a). Speech and language problems following stroke In: R. Fawcus, Ed. Stroke Rehabilitation. (pp. 113-129). Oxford: Blackwell. Marshall J. (2000b). The treatment of speech and language disorders following stroke. In: R. Fawcus, Ed. Stroke Rehabilitation. (pp. 130-146). Oxford: Blackwell. Northoff, G. (2003). Philosophy of the Brain. Boston: Harvard University. Pulvermüller, F. (2002). The Neuroscience of Language. On Brain Circuits of Words and Serial Order. Cambridge: Cambridge University Press. Pulvermüller, F., Berthier, M. L. (2008). Aphasia therapy on a neuroscience basis. Aphasiology, 22(6), 563–599.


2012 ◽  
Vol 147 (2_suppl) ◽  
pp. P154-P154
Author(s):  
Donna Lundy ◽  
Donald T. Weed ◽  
Mario A. Landera ◽  
Jocelyn Bremekamp

2005 ◽  
Vol 133 (2) ◽  
pp. P161-P161
Author(s):  
M DICKSON ◽  
J DWORKIN ◽  
G YOO ◽  
R STACHLER

1977 ◽  
Vol 8 (4) ◽  
pp. 250-255 ◽  
Author(s):  
Hildegarde Traywick

This paper describes the organization and implementation of an effective speech and language program in the public schools of Madison County, Alabama, a rural, sparsely settled area.


1979 ◽  
Vol 10 (2) ◽  
pp. 81-92
Author(s):  
Susan Freedman Gilbert

This paper describes the referral, diagnostic, interventive, and evaluative procedures used in a self-contained, behaviorally oriented, noncategorical program for pre-school children with speech and language impairments and other developmental delays.


1977 ◽  
Vol 8 (1) ◽  
pp. 5-14 ◽  
Author(s):  
David L. Ratusnik ◽  
Roy A. Koenigsknecht

Six speech and language clinicians, three black and three white, administered the Goodenough Drawing Test (1926) to 144 preschoolers. The four groups, lower socioeconomic black and white and middle socioeconomic black and white, were divided equally by sex. The biracial clinical setting was shown to influence test scores in black preschool-age children.


1976 ◽  
Vol 7 (4) ◽  
pp. 236-241 ◽  
Author(s):  
Marisue Pickering ◽  
William R. Dopheide

This report deals with an effort to begin the process of effectively identifying children in rural areas with speech and language problems using existing school personnel. A two-day competency-based workshop for the purpose of training aides to conduct a large-scale screening of speech and language problems in elementary-school-age children is described. Training strategies, implementation, and evaluation procedures are discussed.


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