scholarly journals Movement cognition and narration of the emotions treatment versus standard speech therapy in the treatment of children with borderline intellectual functioning: a randomized controlled trial

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
V Blasi ◽  
G Baglio ◽  
F Baglio ◽  
MP Canevini ◽  
M Zanette
Keyword(s):  
Randomized Controlled Trial ◽  
Speech Therapy ◽  
Controlled Trial ◽  
Intellectual Functioning ◽  
Borderline Intellectual Functioning ◽  
Randomized Controlled

scholarly journals A RANDOMIZED CONTROLLED TRIAL ON THE EFFICACY OF VACHADI CHOORNA IN SPEECH IMPAIRMENT IN CHILDREN UP TO 12 YEARS

2021 ◽  
Vol 9 (03) ◽  
pp. 167-182
Author(s):  
Arvind Kumar Dubey ◽  
◽  
S.K. Ramachandran ◽  
Keyword(s):  
Randomized Controlled Trial ◽  
Speech Therapy ◽  
Controlled Trial ◽  
Simple Random Sampling ◽  
Control Group ◽  
Speech Impairment ◽  
Randomized Controlled ◽  
Speech Language Pathologist ◽  
Graded Responses ◽  
Trial Drug

Speech Impairment is the most common impairments presenting in early childhood (8-9%). It can make the children difficult to communicate with other people and often affects a childs quality of life. Objective: The aim of the study was to assess the efficacy of Vachadi Choorna in speech impairment in children up to 12 years. Experimental approach: The study was carried out as a Randomized Controlled Trial, with speech therapy as a control of which efficacy has been proved by earlier studies. Children with speech impairment satisfying the inclusion criteria were included in the study. The subjects were randomly distributed into the study and control groups using simple random sampling. Children in the study group received Vachadi Choorna in two divided doses for internal administration for 45 days while control group received speech therapy as per schedule fixed by Speech-Language pathologist for 45 days. Findings: The graded responses in both groups were assessed after the treatment and after follow up, clinically and also by using a scale based on Stuttering Severity Instrument for stuttering and Malayalam Articulation Test for Articulation. Discussion: Analysis of the data using the most appropriate statistical test showed that the trial drug and the speech therapy were effective in improving speech (p<0.001). Conclusion: The effect of the trial drug in improving speech was significantly greater than that of control group (p<0.05). Thus the efficacy of the drug combination applied in the trial group and its superiority over the control therapy was proved.

Canine-assisted Speech Therapy for Children with Communication Impairments: A Randomized Controlled Trial

Anthrozoös ◽  
2018 ◽  
Vol 31 (5) ◽  
pp. 587-598 ◽  
Author(s):  
Kristýna Machová ◽  
Petra Kejdanová ◽  
Iva Bajtlerová ◽  
Radka Procházková ◽  
Ivona Svobodová ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Speech Therapy ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Communication Impairments

scholarly journals A feasibility randomized controlled trial of ReaDySpeech for people with dysarthria after stroke

2017 ◽  
Vol 32 (8) ◽  
pp. 1037-1046 ◽  
Author(s):  
Claire Mitchell ◽  
Audrey Bowen ◽  
Sarah Tyson ◽  
Paul Conroy
Keyword(s):  
Randomized Controlled Trial ◽  
Usual Care ◽  
Speech Therapy ◽  
Retention Rate ◽  
Controlled Trial ◽  
Video Recording ◽  
Recruitment And Retention ◽  
Outcome Assessor ◽  
Post Stroke ◽  
Randomized Controlled

Objective: To evaluate the feasibility of a multicentre randomized controlled trial of ReaDySpeech, an online speech therapy programme for people with dysarthria. Design: Feasibility randomized controlled trial, 2:1 minimization procedure. Setting: Four UK NHS services across hospital and community. Participants: Forty participants with dysarthria at least one week post-stroke. Interventions/comparator: ReaDySpeech with usual care ( n = 26) versus usual care only ( n = 14). Main outcomes: Feasibility measures included the following: recruitment and retention rate, time taken to carry out assessments, success of outcome assessor blinding, fidelity and adherence. Participant baseline and outcome measures collected before and after 8–10 weeks of intervention were the Frenchay Dysarthria Assessment II, Therapy Outcome Measure, Communication Outcomes After Stroke Scale, EQ-5D-5L and Dysarthria Impact Profile. Results: Recruited 40 participants out of 74 eligible people, 1–13 weeks post stroke and mean age 69 years (37–99). Retention was very high (92%). Assessor blinding was not achieved with intervention allocation correctly guessed for 70% of participants (26/37). Time to carry out assessments was acceptable to participants. ReaDySpeech was delivered to 16 of 26 allocated participants, who completed 55% of prescribed activities, but both interventions were delivered at low intensity (mean 6.6 face-to-face sessions of 40-minute duration). Conclusion: Recruitment and retention in this randomized controlled trial of computerized therapy for dysarthria is feasible for acute stroke. However, further feasibility work is needed to evaluate whether it is possible to recruit chronic stroke; increase intervention delivery, intensity and adherence; achieve outcome assessor blinding by video-recording and to determine sample size for a larger trial of effectiveness.

scholarly journals Efficacy of speech therapy in post-intubation patients with oropharyngeal dysphagia: a randomized controlled trial

CoDAS ◽  
2021 ◽  
Vol 33 (2) ◽  
Author(s):  
Giovana Sasso Turra ◽  
Ida Vanessa Doederlein Schwartz ◽  
Sheila Tamanini de Almeida ◽  
Chenia Caldeira Martinez ◽  
Maristela Bridi ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Speech Therapy ◽  
Controlled Trial ◽  
Tube Feeding ◽  
Oral Intake ◽  
Orotracheal Intubation ◽  
Control Group ◽  
Inclusion Criteria ◽  
Randomized Controlled ◽  
Post Intubation

ABSTRACT Purpose to verify the efficacy of speech therapy in the early return of oral intake in patients with post-orotracheal intubation dysphagia. Methods It was a double-blinded randomized controlled trial for two years with patients of intensive care units of a hospital. Study inclusion criteria were orotracheal intubation>48hours, age≥18 years old, clinical stability, and dysphagia. Exclusion criteria were tracheotomy, score 4 to 7 in the Functional Oral Intake Scale (FOIS), neurological disorders. Patients were randomized into speech treatment or control group (ten days of follow-up). The treated group (TG) received guidance, therapeutic techniques, airway protection and maneuvers, orofacial myofunctional and vocal exercises, diet introduction; the control group (CG) received SHAM treatment. Primary outcomes were oral intake progression, dysphagia severity, and tube feeding permanence. Results In the initial period of study, 240 patients were assessed and 40 (16.6%) had dysphagia. Of this, 32 patients met the inclusion criteria, and 17 (53%) received speech therapy. Tube feeding permanence was shorter in TG (median of 3 days) compared to CG (median of 10 days) (p=0.004). The size effect of the intervention on tube feeding permanence was statistically significant between groups (Cohen's d=1.21). TG showed progress on FOIS scores compared to CG (p=0.005). TG also had a progression in severity levels of Dysphagia protocol (from moderate to mild dysphagia) (p<0.001). Conclusion Speech therapy favors an early progression of oral intake in post-intubation patients with dysphagia. Clinical Trial Registration: RBR-9829jk.

Treatment Fidelity Procedures for an Aphasia Intervention Within a Randomized Controlled Trial: Design, Feasibility, and Results

2020 ◽  
Vol 29 (1S) ◽  
pp. 412-424
Author(s):  
Elissa L. Conlon ◽  
Emily J. Braun ◽  
Edna M. Babbitt ◽  
Leora R. Cherney
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Treatment Protocol ◽  
Treatment Fidelity ◽  
Protocol Adherence ◽  
Study Condition ◽  
Randomized Controlled ◽  
Aphasia Therapy ◽  
Percent Accuracy ◽  
Over Time

Purpose This study reports on the treatment fidelity procedures implemented during a 5-year randomized controlled trial comparing intensive and distributed comprehensive aphasia therapy. Specifically, the results of 1 treatment, verb network strengthening treatment (VNeST), are examined. Method Eight participants were recruited for each of 7 consecutive cohorts for a total of 56 participants. Participants completed 60 hr of aphasia therapy, including 15 hr of VNeST. Two experienced speech-language pathologists delivered the treatment. To promote treatment fidelity, the study team developed a detailed manual of procedures and fidelity checklists, completed role plays to standardize treatment administration, and video-recorded all treatment sessions for review. To assess protocol adherence during treatment delivery, trained research assistants not involved in the treatment reviewed video recordings of a subset of randomly selected VNeST treatment sessions and completed the fidelity checklists. This process was completed for 32 participants representing 2 early cohorts and 2 later cohorts, which allowed for measurement of protocol adherence over time. Percent accuracy of protocol adherence was calculated across clinicians, cohorts, and study condition (intensive vs. distributed therapy). Results The fidelity procedures were sufficient to promote and verify a high level of adherence to the treatment protocol across clinicians, cohorts, and study condition. Conclusion Treatment fidelity strategies and monitoring are feasible when incorporated into the study design. Treatment fidelity monitoring should be completed at regular intervals during the course of a study to ensure that high levels of protocol adherence are maintained over time and across conditions.

Phonomotor Versus Semantic Feature Analysis Treatment for Anomia in 58 Persons With Aphasia: A Randomized Controlled Trial

2019 ◽  
Vol 62 (12) ◽  
pp. 4464-4482 ◽  
Author(s):  
Diane L. Kendall ◽  
Megan Oelke Moldestad ◽  
Wesley Allen ◽  
Janaki Torrence ◽  
Stephen E. Nadeau
Keyword(s):  
Randomized Controlled Trial ◽  
Response Latency ◽  
Controlled Trial ◽  
Semantic Knowledge ◽  
Semantic Feature ◽  
Feature Analysis ◽  
Group Differences ◽  
Randomized Controlled ◽  
Confrontation Naming ◽  
Semantic Feature Analysis

Purpose The ultimate goal of anomia treatment should be to achieve gains in exemplars trained in the therapy session, as well as generalization to untrained exemplars and contexts. The purpose of this study was to test the efficacy of phonomotor treatment, a treatment focusing on enhancement of phonological sequence knowledge, against semantic feature analysis (SFA), a lexical-semantic therapy that focuses on enhancement of semantic knowledge and is well known and commonly used to treat anomia in aphasia. Method In a between-groups randomized controlled trial, 58 persons with aphasia characterized by anomia and phonological dysfunction were randomized to receive 56–60 hr of intensively delivered treatment over 6 weeks with testing pretreatment, posttreatment, and 3 months posttreatment termination. Results There was no significant between-groups difference on the primary outcome measure (untrained nouns phonologically and semantically unrelated to each treatment) at 3 months posttreatment. Significant within-group immediately posttreatment acquisition effects for confrontation naming and response latency were observed for both groups. Treatment-specific generalization effects for confrontation naming were observed for both groups immediately and 3 months posttreatment; a significant decrease in response latency was observed at both time points for the SFA group only. Finally, significant within-group differences on the Comprehensive Aphasia Test–Disability Questionnaire ( Swinburn, Porter, & Howard, 2004 ) were observed both immediately and 3 months posttreatment for the SFA group, and significant within-group differences on the Functional Outcome Questionnaire ( Glueckauf et al., 2003 ) were found for both treatment groups 3 months posttreatment. Discussion Our results are consistent with those of prior studies that have shown that SFA treatment and phonomotor treatment generalize to untrained words that share features (semantic or phonological sequence, respectively) with the training set. However, they show that there is no significant generalization to untrained words that do not share semantic features or phonological sequence features.

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