scholarly journals Variables associated with speech and language therapy time for aphasia, apraxia of speech and dysarthria

2019 ◽  
Vol 13 (1) ◽  
pp. 72-77
Author(s):  
Maysa Luchesi Cera ◽  
Tatiana Piovesana Pereira Romeiro ◽  
Patricia Pupin Mandrá ◽  
Marisa Tomoe Hebihara Fukuda

ABSTRACT. The most common acquired communication disorders are aphasia, dysarthria and apraxia of speech. Determining the factors associated with speech therapy time of adults with these disorders can further the understanding of the speech and language rehabilitation process within the public service and linked to the health education process. Objective: To analyze the types of acquired neurological disorders of communication of patients treated during the first years of implementation of a medium complexity service, along with demographic data, and rehabilitation time; and to determine associations between rehabilitation time and age, education, type of communication disorder, neurological disease duration and having been seen by a trainee. Methods: A retrospective analysis of the records of patients with acquired neurological disorders of communication who started speech and language rehabilitation between 2010 and 2011 was performed. Results: A total of 86 cases with acquired disorders of communication were seen, of whom 66% had aphasia, 35% dysarthria and 26% apraxia of speech. Mean age was 59 years and stroke was the most frequent cause (71%). Fifty patients completed speech-language rehabilitation and had a mean therapy time of 12 months. Aphasia and apraxia of speech were associated with a longer rehabilitation time. Therapy time until discharge was not significantly associated with lesion duration, education, age or being seen by a trainee. Conclusion: The duration of speech therapy for acquired neurological disorders of communication is long and associated with the type of disorder.

2019 ◽  
Vol 20 (4) ◽  
pp. 181-196
Author(s):  
Magdalena Osowicka-Kondratowicz ◽  
Joanna Białkowska ◽  
Paweł Białkowski

The interdisciplinary team involved in the rehabilitation process of the post-CVA patient requires close co-operation among all involved health care professionals in order to ensure a continuous exchange of information and to relate the same information to the patient. The lack of awareness of each team member’s work-related tasks could jeopardize the effectiveness of the rehabilitation process instead of enhancing it. Therapeutic goals cannot be achieved during the rehabilitation process if there is inadequate team cooperation when treating a patient. For example, unfamiliarity with the treatment approach that is utilized by the speech therapist may cause developing pathological movement patterns in CVA patients. Interdisciplinary teamwork is a complex process which needs to be based on exchanging knowledge and skills to impact patient care. The purpose of this article is to describe the speech therapy approach to the rehabilitation of a post CVA patient. This type of approach needs to be included in the planning of a complex care for a population of patients with neurological disorders, especially for those suffering from CVA. These patients comprise the majority of neurological disorders.


2014 ◽  
Vol 4 (1) ◽  
pp. 49 ◽  
Author(s):  
Athanasios Drigas ◽  
Alexia Petrova

Over the past decade speech and language therapy has taken an interesting turn towards the use of information communication technologies (ICTs) for diagnosis of disorders and delivery of therapy. In many cases ICTs have worked as assistive tools to therapists, while in others as sole providers of therapy, especially in remote areas. In this report we provide a brief overview of the most representative articles for applications and assistive technologies used for assessment and intervention purposes in Speech Therapy according to the type of disorders.


Revista CEFAC ◽  
2020 ◽  
Vol 22 (2) ◽  
Author(s):  
Elisandra Santos Mendes Garcia ◽  
Claudia Maria Simões Martinez ◽  
Mirela Oliveira Figueiredo

ABSTRACT Objective: to analyze the national scientific production of Speech-Language Therapy in the interface with Occupational Therapy (OT) based on an integrative literature review. Methods: a selection of articles published in Brazilian journals in the field of Occupational Therapy: Cadernos Brasileiros de Terapia Ocupacional of UFSCar, Revista de Terapia Ocupacional of USP, Revista Baiana da Terapia Ocupacional and Revista Interinstitucional Brasileira de Terapia Ocupacional with the descriptors “speech therapy, speech therapist and speech-language therapy”. The sample, consisting of 10 articles, was analyzed with quantitative and qualitative procedures. Results: the search showed publications from 2000 to 2017, with the largest number of articles in 2015. The main findings point to the language area as the most prevalent, revealing a connection between speech therapy and OT. Assistive Technology, particularly adopted with children, is a common field among the professional areas studied, with the highest incidence in the articles. Conclusion: the analysis of the scientific production showed that the partnership between Speech-Language Therapy and OT appeared under different objectives and the public, as early intervention, actions in multiple disabilities, with the disabled child and their family, with autists in hippotherapy, in school inclusion and in assistive technology, the latter more frequently. These findings allowed reflections on the interdisciplinarity of both professions and fields of knowledge.


Author(s):  
Rana KK ◽  
◽  
Ahmad U ◽  
Bhutta AH ◽  
◽  
...  

Background: Facilitation of hearing impaired is important because a large amount of hearing impaired whose are still awaited for speech and language therapy. Persons With Disabilities (PWDS) statistics in Pakistan recently released the results of prevalence of Hearing impairment in Pakistan. The data indicates that deaf /mute population is n=380548 in number. This shows a large amount of Pakistani population facing the problem of speech and hearing. The current study was conducted to establish speech and language pathologists are being able to interpret the Pure Tone Audiometrical tests and to facilitate them with speech therapy. Objective: To evaluate how much well interpretation speech therapist can do in clinical setup. Methodology: The study was a quantitative survey based. The survey study was selected to analyze the knowledge of SLPs regarding the interpretation of pure tone audiometrical tests. Data was collected form 43 speech and language pathologist/therapists from Lahore, Faisalabad and Rawalpindi/Islamabad who were working with the hearing impairment. All the SLPs were qualified clinicians who were working in school and private clinic settings. The participants were MS degree in SLP and diploma in SLT holder was included in the study. But those whose experiences were less than year excluded from this study. A pre designed self-made questionnaire was designed which includes 20 items. Each question was valid to assess the knowledge regarding pure tone audiometrical test. Data was analyzed through SPSS. The result shows that speech and language pathologists were aware about the interpretation of audiometrical test and developing speech of hearing impaired persons. Conclusion: The study showed that SLP’s were having mild to moderate level interpretation skills which must be enhanced to upgrade the professional practice and better clinical practice in management of hearing issues.


2011 ◽  
Vol 36 (2) ◽  
pp. 149-153 ◽  
Author(s):  
Marjukka Koskimies ◽  
Riitta Pahkala ◽  
Riitta Myllykangas

Objective: The objective of the study was to evaluate the efficacy of palatal training appliances on speech articulation and orofacial functions in children undergoing speech therapy. Study design: The material consisted of 134 boys and 34 girls who were referred by speech and language therapists to the Public Dental Health Service in Vantaa due to mild to moderate problems with speech articulation or in oral motor skills. The mean age of the children at the start of the palatal plate therapy was 6.4 years (SD 1.9). The articulation assessment was performed by five speech and language therapist while the palatal plate therapy was carried out by an experienced dentist. The mean treatment time with the oral plates was 4.4 months (SD 2.3). Results: An improvement in speech articulation was observed by the speech and language therapists in 51% of the children. Tongue movements improved in 47%, and lip closure in 38% of the participants. Drooling decreased in 54% of the cases. A multiple logistic regression model revealed that with respect to speech articulation the best improvement was found in children with /r/-disorder, and in those with a crossbite. Conclusions: Palatal training appliances during speech therapy seemed to be an efficient way to improve speech articulation and tongue movements in children with mild to moderate problems in orofacial functions.


Author(s):  
Yune S. Lee ◽  
Corene Thaut ◽  
Charlene Santoni

This chapter examines the connection between music and speech, and points out areas of intersection relative to the mechanisms guiding their practice, application, and execution. This work also investigates the role of neurologic music therapy as a developmental, remedial, and rehabilitative protocol in the area of speech and language. In order to operationalize findings, the chapter is divided into sections by speech and language disorder: dysarthria, apraxia of speech, aphasia, fluency, sensory deficits, voice disorders, and dyslexia. Literature is provided hereafter outlining the premise for music prescription relative to the aforementioned areas, as well as areas of speech and language therapy wherein music discernibly exists as a fundamental construct in various therapeutic protocols; the practice of singing being a main area of concentration. The review provides an overview of related research and outlines areas in preliminary stages of investigation.


2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii1-iii16
Author(s):  
Niamh Ní Dhufaigh ◽  
Marie Haughey ◽  
Cliodhna Gillen

Abstract Background Communication disorders and dysphagia are debilitating sequelae associated with stroke. Speech and Language Therapy (SLT) has a pivotal role in stroke rehabilitation, and in improving outcomes. The research into dysphasia, dysphagia, and dysarthria post-stroke is extensive. In comparison, the research into cognitive-communication difficulties post-stroke is still emerging. Cognitive-communication difficulties (CCDs) are communication impairments resulting from underlying cognitive deficits due to neurological impairments1. The aim of this audit was to review SLT referrals in an Irish Stroke Rehabilitation Unit. Methods Single-centre retrospective review of all stroke admissions from January to December 2018. Communication outcomes were assessed using the Functional Independence Measure and Functional Assessment Measure (FIM+FAM)2 a 7-point disability rating scale. Standard Bayesian statistics were employed for analysis. Results SLT received referrals for 66% (n=41) of all stroke admissions (n=62). Mean age was 68 years (SD+/-14), compared with 70 years (SD+/-14) for patients not referred. 65% were female and 35% male. Patients requiring SLT had significantly longer length of stay (p=0.0072). 83% of referrals were for communication, 12% dysphagia, and 5% inappropriate. Of communication referrals, primary diagnoses were as follows: 17.5% dysarthria (n=6), 26.5% dysphasia (n=9) and 56% CCD (n=19). Patients with dysphasia showed greater improvement in FIMFAM scores (x̄=1.3) than those with CCD (x̄=0.9) or dysarthria (x̄=0.7). Patients with CCD comprised the largest cohort who required SLT on discharge (68%). Conclusion CCDs are highly prevalent and represented the largest subtype of communication disorders in this cohort. FIMFAM scores appear useful in assessing CCDs however they display insufficient sensitivity in capturing change within this population. This audit highlights the need for further interdisciplinary research, education and training into cognitive-communication difficulties with post-stroke populations.


2012 ◽  
Vol 19 (1) ◽  
pp. 1-17
Author(s):  
Noreen O’Leary ◽  
Fiona Gibbon

Objective: To determine how confident final-year speech and language therapy (SLT) students feel regarding provision of intervention to youth offenders with communication disorders. This project looked specifically at confidence assessing adolescents, providing intervention to adolescents, and providing intervention to youth offenders. Method: A cohort of 23 final-year SLT students completed a questionnaire comprised of Likert and open-ended questions. Main results: Only 17% of the participants felt confident providing intervention to youth offenders with communication disorders; 70% of the participants felt confident assessing adolescents with communication disorders; while 53% felt confident providing intervention to adolescents. However, when specific areas of assessment and intervention were considered, there were gaps in confidence, including knowledge of typical adolescent communication development, provision of intervention for adolescent dysfluency and management of challenging behaviours. Conclusion: Final-year SLT students have much of the basic knowledge required to help youth offenders develop communication skills; however, most do not feel confident providing intervention to youth offenders with communication disorders. Undergraduate workshops and continuing professional development courses may facilitate transference of underlying skills to the provision of intervention to youth offenders with communication disorders.


2006 ◽  
Vol 121 (4) ◽  
pp. 382-386 ◽  
Author(s):  
P S Hans ◽  
A Belloso ◽  
P Z Sheehan

Aims: To evaluate parents' satisfaction with medical and allied health services provided to children with Down syndrome in north-west England, comparing ENT and its allied services with other areas of health service provision.Methods: A questionnaire survey of parents attending a north-west England Down syndrome association conference. Demographic data, departments visited, satisfaction with each service (scored one to five), waiting times for each service (scored one to five), service need (scored one to three) and accessibility (scored one to three) were recorded.Results: Otolaryngology had been used by 50 per cent of children, with a satisfaction of 2.63 (the second worst score). Speech and language therapy was used by 90 per cent of the children, with a satisfaction of 3.26 (the worst score). The service felt to be most needed and also most difficult to access was speech and language therapy.Conclusion: Otorhinolaryngology departments should assess how they can improve their service to this population with specific ENT needs. Speech and language services for children with Down syndrome should be expanded.


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