Utility of Electromyographic Biological Feedback in Chronic Stuttering: A Clinical Study with Follow-up

1980 ◽  
Vol 51 (2) ◽  
pp. 535-540 ◽  
Author(s):  
Theo C. Manschreck ◽  
Madeline Kalotkin ◽  
Alan M. Jacobson
Keyword(s):  
Clinical Study ◽  
Training Program ◽  
Masseter Muscle ◽  
Muscle Tension ◽  
Biological Feedback ◽  
Feedback Training ◽  
End Of Treatment

A systematic case study is presented in which eight chronic adult stutterers underwent an electromyographic (EMG) biological feedback training program designed to reduce masseter muscle tension in an effort to improve fluency. All subjects mastered the program within 10 30-min. sessions. Measures of muscle tension and fluency indicated improvements at the end of treatment that were maintained at 3- to 6-mo. follow-up.

Reduction of Hemifacial Spasm and Dysarthria Following EMG Biofeedback

1984 ◽  
Vol 49 (1) ◽  
pp. 26-33 ◽  
Author(s):  
Rick T. Rubow ◽  
John C. Rosenbek ◽  
Michael J. Collins ◽  
Gastone G. Celesia
Keyword(s):  
Hemifacial Spasm ◽  
Relaxation Training ◽  
Speech Therapy ◽  
Emg Biofeedback ◽  
Feedback Training ◽  
Facial Spasm ◽  
History Of ◽  
Carry Over

In this case study, a geriatric patient who had an 18-year history of hemifacial spasm was given EMG-biofeedback-assisted relaxation training. No formal speech therapy was provided. Our results confirmed two hypotheses: (a) The patient would learn to reduce frontalis EMG and facial spasm with and then without biofeedback, and (b) as a result, speech would be markedly improved. At both the 1-month and 15-month follow-up the patient retained the ability to relax his facial muscles with similar carry-over to speech. Possible neurophysiologic mechanisms of action mediating the feedback training are discussed.

scholarly journals Investigation of Integrated Behavior Therapy for Selective Mutism: A Replicated Single-Case Study Design

2017 ◽  
Vol 9 (2) ◽  
pp. 82 ◽  
Author(s):  
Allison K. Siroky ◽  
John S. Carlson ◽  
Aimee Kotrba
Keyword(s):  
Behavior Therapy ◽  
Treatment Effectiveness ◽  
Single Case ◽  
Selective Mutism ◽  
Single Case Design ◽  
Future Studies ◽  
End Of Treatment ◽  
Case Design

Selective Mutism (SM) is a rare but potentially debilitating disorder characterized by a lack of speech in certain settings where speaking is expected. This study examined the effectiveness of a shortened version (12 sessions over 18 weeks) of Integrated Behavior Therapy for Selective Mutism (IBTSM; Bergman, 2013) in increasing speech and relieving anxiety for two four-year-old males with SM via a replicated single-case design. Treatment effectiveness, integrity, and acceptability were measured at baseline, throughout treatment, and at a three-month follow-up. Treatment integrity was excellent for both cases. SM severity ratings decreased from baseline to end-of-treatment, and again at follow-up, for each case. Verbal communication increased at end-of-treatment and follow-up, and significant decreases in social anxiety were seen across both cases by the three-month follow-up. Parents rated the shortened IBTSM as highly acceptable, effective, and efficient. Future studies should explore the effectiveness of varying lengths of IBTSM.

Clinical study to evaluate the efficacy of Yavakshara with Varunaadi Kwatha Churna in Mutrashmari w.s.r to Urolithiasis - A Case Study

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Mamatha TS ◽  
Dr. Shankar S. Swamy ◽  
Dr. S. V. Shailaja
Keyword(s):  
Abdominal Pain ◽  
Stone Formation ◽  
Left Kidney ◽  
Modern Science ◽  
Signs And Symptoms ◽  
Cost Effective ◽  
End Of Treatment ◽  
The Right

Mutrashmari is one of the commonest disease of Mutravaha Srotas, Acharya Sushruta described it as one of the Ashta-Mahagadas and considered as Yama because it gives intolerable pain. Charaka mentioned Ashmari as one of Basti Marmashritha Vyadhi. In modern science it is correlated with Urolithiasis. The incidence rate of Calculi varies as per geographical distribution, sex and age. Generally, men are more affected than women in the ratio of 3:1. The highest incidence of Urolithiasis occurs between the ages of 30-50 years. In Ayurveda various conservative medicine are mentioned for the management of Mutrashmari with less side effect, easily available, cost effective and minimum recurrences of stone formation. In this case report 40 years male patient visited OPD of Shalya Tantra with complaint of abdominal pain (radiating pain from loin to groin), nausea and burning micturation. The USG report showed two calculi measuring 6mm and 4 mm seen in the left kidney, no evidence of hydronephrosis, 3 calculi measuring 6mm, 5mm and 4mm are seen in the right kidney, and right kidney shows mild HUN due to calculus measuring 5mm in the VUJ. The patient was treated with Yavakshara 3 Gunja Pramana twice a day with 50ml of Varunaadi Kashaya for a period of 1 month. At the end of treatment and also in follow up period after 15 days patient got relief in signs and symptoms and USG report showed no evidence of calculi in both the kidneys.

scholarly journals Intensive Behavior Therapy for Tics and Co-Occurring ADHD: A Case Report

2020 ◽  
Author(s):  
Chelsea Dale ◽  
Marcela Ramos ◽  
Justin Parent
Keyword(s):  
Treatment Strategies ◽  
Health Impact ◽  
Adhd Symptoms ◽  
Current Case ◽  
End Of Treatment ◽  
Booster Sessions ◽  
Significant Public Health ◽  
Intensive Approach

TDs can substantially impact daily child functioning across social, familial, and academic domains leading to a significant public health impact of TDs. Additionally, an overwhelming majority of children with a TD have at least one co-occurring disorder. In particular, over 60% of children with a TD also meet criteria for ADHD. Comprehensive Behavioral Intervention for Tics (CBIT) is a first-line treatment for youth with TDs. It has been shown to be effective in reducing the frequency, duration, and severity of tics in children and adolescents. Nonetheless, access to trained CBIT providers remains limited, and common comorbid conditions are not addressed in the standard CBIT. Thus, there is a need for interventions that can simultaneously increase CBIT access and incorporate treatment strategies for TDs and common comorbidities. To address the critical need for increasing access to CBIT and simultaneously treating common comorbidities, the current case study presents and evaluates a two-week intensive approach to simultaneously address tic and ADHD symptoms in an 11-year-old male. The patient’s parents reported significant improvements in tic and ADHD symptoms following the end of treatment, which were maintained throughout two follow-up booster sessions Clinical implications and future directions to modify and improve the proposed treatment are discussed.

scholarly journals A Case Study in the Application of the Systematic Approach to Training in the Logging Industry

Safety ◽  
2019 ◽  
Vol 5 (3) ◽  
pp. 43 ◽  
Author(s):  
Elise Lagerstrom ◽  
Sheryl Magzamen ◽  
William Brazile ◽  
Lorann Stallones ◽  
Paul Ayers ◽  
...  
Keyword(s):  
Training Program ◽  
Systematic Approach ◽  
Safety Training ◽  
Learning Objectives ◽  
Future Research ◽  
Qualitative And Quantitative ◽  
Logging Industry ◽  
Quantitative Analyses

The purpose of this research was to develop and assess a targeted emergency first-aid and safety training program for professional loggers in Montana. There were two key objectives for the program: (1) participant demonstration of recall and retention of key concepts and (2) improved participant reception in comparison to the previous year’s training program. The Systematic Approach to Training provided the overall model for the development and conduct of the training program. Qualitative and quantitative analyses were used to assess the effectiveness of the training program. The training program was administered to 873 loggers. Pre-, post-, and follow-up examinations were used to assess recall and retention of key learning objectives, while surveys were used to assess learner reception of the updated training program. Post-training survey data indicated increases in training applicability, understanding of learning objectives, and overall course enjoyment of the updated program in comparison to the previous year’s training program. Participants scored significantly higher on the post-training exams, which demonstrated recall of key training objectives. The results obtained by the training evaluation will guide future research and the continued development of the training program to align with ongoing analysis activities and participant suggestions.

Cognitive Behavioural Stress Management as Treatment of Atopic Dermatitis: A Case Study

1992 ◽  
Vol 9 (1) ◽  
pp. 19-24 ◽  
Author(s):  
W. Kim Halford ◽  
Suzanne Miller
Keyword(s):  
Atopic Dermatitis ◽  
Stress Management ◽  
Controlled Trials ◽  
Cognitive Behavioural ◽  
End Of Treatment ◽  
History Of ◽  
Treatment Procedures

A 37-year-old male with a 13-year history of atopic dermatitis (AD) was treated with cognitive behavioural stress management. Self-rated stress and extent of AD rash decreased from baseline to the end of treatment, and gains were maintained at follow-up. A significant correlation between stress and extent of AD rash was observed. Discussion focused on the possible role of stress induced immunosuppression on exacerbations of AD, and the need for controlled trials evaluating the treatment procedures used in the current study.

scholarly journals Follow-Up to Case Study: Neurofeedback as a First Choice Treatment in an ADHD and Comorbidities

2018 ◽  
Author(s):  
F Paes de Barros França
Keyword(s):  
Brain Training ◽  
Functional Impairments ◽  
Main Complaint ◽  
Approval Rating ◽  
End Of Treatment ◽  
First Choice ◽  
Lack Of Control ◽  
The Brain

The purpose of this case study is to present the evolution in the neurofeedback treatment of a 7-years-old boy with ADHD and comorbidities – OCD, Anxiety and Aggression. The main complaint of parents and school was the lack of control of his impulses, beating his classmates, not sitting quietly in the classroom, disrupting classmates, biting fingernails and toes compulsively – getting hurt. He was asked to withdraw from the previous school and, the parents saw neurofeedback as an alternative non-drug treatment, since the psychiatrist suggested an antidepressant. Brain training by neurofeedback occurred twice a week, in a total of 70 sessions,where the brain areas with the greatest impairment were trained. With only two months of treatment, the boy’s aggressiveness was no longer a problem. At the end of the treatment, the functional impairments were better, validated by mean evolution evaluations. The patient was released, with a high approval rating from parents and school, since their symptoms disappeared. After 1 year and 9 months of the end of treatment at the age of 9, a new assessment was performed to see if the gains remained. The results showed that through Neurofeedback training the brain had the ability to normalize his electrical activity and maintain the gain over time. Keywords: ADHD, neurofeedback, rehabilitation

scholarly journals A case study of jalaukavacharan in management of non healing diabetic ulcer

2018 ◽  
Vol 6 (02) ◽  
Author(s):  
Gaurav Ramavatar Gupta ◽  
Shubhangi Badole ◽  
Sanjeev Yadav
Keyword(s):  
Clinical Study ◽  
Wound Management ◽  
Diabetic Ulcer ◽  
Medical College ◽  
Early Healing

TITLE- Efficacy of Jalaukavacharan in Management of Non Healing Diabetic Ulcer. HYPOTHESIS- Jalaukavacharan has significant effect in non-healing diabetic ulcer. OBJECTIVE- Acharya Sushruta has elaborately explained shashti upakrama for wound management to achieve good approximation, early healing and acceptable scar, without complications out of which one is rakta mokshana. Based on this reference, a clinical study was done with patients having non healing diabetic ulcer. So the present study is planned to evaluate the efficacy of Jalaukavacharan in the management of non-healing diabetic ulcer. METHOD- 15 Patients were selected from O.P.D/I.P.D of Shalya Tantra of Y.M.T Ayurvedic Medical College Kharghar. The treatment was accessed with observation and results for period of eight weeks. RESULT- After this therapy, significant result was observed. CONCLUSION- It was observed that the results achieved are effective and stable during follow up period.  

Clinical Success Using the Audio-Visual Feedback Training for Cluttering

2019 ◽  
Vol 4 (6) ◽  
pp. 1589-1594
Author(s):  
Yvonne van Zaalen ◽  
Isabella Reichel
Keyword(s):  
Visual Feedback ◽  
Clinical Success ◽  
Pause Duration ◽  
Digital Audio ◽  
Male Adolescents ◽  
Feedback Training ◽  
Positive Effects ◽  
Speech Monitoring ◽  
Adolescents And Adults

Purpose Among the best strategies to address inadequate speech monitoring skills and other parameters of communication in people with cluttering (PWC) is the relatively new but very promising auditory–visual feedback (AVF) training ( van Zaalen & Reichel, 2015 ). This study examines the effects of AVF training on articulatory accuracy, pause duration, frequency, and type of disfluencies of PWC, as well as on the emotional and cognitive aspects that may be present in clients with this communication disorder ( Reichel, 2010 ; van Zaalen & Reichel, 2015 ). Methods In this study, 12 male adolescents and adults—6 with phonological and 6 with syntactic cluttering—were provided with weekly AVF training for 12 weeks, with a 3-month follow-up. Data was gathered on baseline (T0), Week 6 (T1), Week 12 (T2), and after follow-up (T3). Spontaneous speech was recorded and analyzed by using digital audio-recording and speech analysis software known as Praat ( Boersma & Weenink, 2017 ). Results The results of this study indicated that PWC demonstrated significant improvements in articulatory rate measurements and in pause duration following the AVF training. In addition, the PWC in the study reported positive effects on their ability to retell a story and to speak in more complete sentences. PWC felt better about formulating their ideas and were more satisfied with their interactions with people around them. Conclusions The AVF training was found to be an effective approach for improving monitoring skills of PWC with both quantitative and qualitative benefits in the behavioral, cognitive, emotional, and social domains of communication.

Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel
Keyword(s):  
Case Report ◽  
Therapeutic Intervention ◽  
Intensive Therapy ◽  
Positive Outcome ◽  
Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

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