Single-Subject Experiential Design Using Melodic Intonation Therapy With An Adult Hispanic Male: A Case Study

2004 ◽  
Author(s):  
Juan C. LASTRA
Keyword(s):  
Single Subject ◽  
Melodic Intonation Therapy ◽  
Experiential Design ◽  
Hispanic Male

Long-Term Treatment of Severe Dysarthria

1988 ◽  
Vol 53 (4) ◽  
pp. 433-440 ◽  
Author(s):  
Marianne B. Simpson ◽  
James A. Till ◽  
Anne M. Goff
Keyword(s):  
Speech Intelligibility ◽  
Measurement Techniques ◽  
Term Treatment ◽  
Single Subject ◽  
Basilar Artery Thrombosis ◽  
Long Term Treatment ◽  
Velopharyngeal Function

This case study describes the long-term treatment and changing symptoms in a single subject with dysarthria secondary to basilar artery thrombosis. Initially, the subject was anarthric. Treatment efforts thereafter were directed toward modifying speech respiration, velopharyngeal function, articulatory precision, speech intensity, and speech intelligibility. A variety of treatment and measurement techniques are illustrated. The behavioral change resulting from each of the treatments was small. However, when combined, these small gains in conjunction with some neurological recovery resulted in significantly improved communication and quality of life for this subject. Implications for management Of similar subjects are discussed.

scholarly journals Repeated noninvasive stimulation of the ventromedial prefrontal cortex reveals cumulative amplification of pleasant compared to unpleasant scene processing: a single subject pilot study

2019 ◽  
Author(s):  
Constantin Winker ◽  
Maimu A. Rehbein ◽  
Dean Sabatinelli ◽  
Markus Junghofer
Keyword(s):  
Prefrontal Cortex ◽  
Pilot Study ◽  
Emotional Processing ◽  
Cue Reactivity ◽  
Ventromedial Prefrontal Cortex ◽  
Single Subject ◽  
Cumulative Impact ◽  
Spatio Temporal ◽  
Emotional Bias

AbstractThe ventromedial prefrontal cortex (vmPFC) is a major hub of the reward system and has been shown to activate specifically in response to pleasant / rewarding stimuli. Previous studies demonstrate enhanced pleasant cue reactivity after single applications of transcranial direct current stimulation (tDCS) to the vmPFC. Here we present a pilot case study in which we assess the cumulative impact of multiple consecutive vmPFC-tDCS sessions on the processing of visual emotional stimuli in an event-related MEG recording design. The results point to stable modulation of increased positivity biases (pleasant > unpleasant stimulus signal strength) after excitatory vmPFC stimulation and a reversed pattern (pleasant < unpleasant) after inhibitory stimulation across five consecutive tDCS sessions. Moreover, cumulative effects of these emotional bias modulations were observable for several source-localized spatio-temporal clusters, suggesting an increase in modulatory efficiency by repeated tDCS sessions. This pilot study provides evidence for improvements in the effectiveness and utility of a novel tDCS paradigm in the context of emotional processing.

scholarly journals rTMS treatment of visual hallucinations using a connectivity- based targeting method - A case-study

2019 ◽  
Author(s):  
Azzurra Invernizzi ◽  
Hinke N. Halbertsma ◽  
Martijn van Ackooij ◽  
Leonie Bais ◽  
Jeffrey M. Boertien ◽  
...  
Keyword(s):  
Repetitive Transcranial Magnetic Stimulation ◽  
Fmri Data ◽  
Connectivity Pattern ◽  
Single Subject ◽  
Target Area ◽  
Visual Hallucinations ◽  
Eigenvector Centrality ◽  
Optimal Target ◽  
Occipital Pole

Visual hallucinations (VH) are difficult to treat because pharmacological interventions are only partially effective and associated with many adverse effects. One of the alternative non-pharmacological treatments for VH is repetitive transcranial magnetic stimulation (rTMS). However, identifying optimal stimulation sites for rTMS is challenging. To determine whether a connectivity-based targeting approach based on resting state (rs) fMRI data can be used to identify regions that may serve as effective rTMS targets. We acquired rs-fMRI scans pre-rTMS and post-rTMS in a single patient with retinitis pigmentosa (near blindness), Parkinson’s disease (PD) and had therapy-resistant VH. Rs-fMRI data were analyzed using fast Eigenvector Centrality Mapping (ECM). A target area was selected based on high ECM values and relative accessibility for rTMS. Subsequently, the patient was stimulated with 1 Hz rTMS during 5 days, followed by 30 Hz theta-burst stimulation during another 5 days. Distributions of surrogate and bootstrap data were used to statistically evaluate the effect of rTMS. The bilateral supplementary motor areas (SMA) were selected as rTMS target areas. When pre-rTMS were compared to post-rTMS, different ECM values were found in the SMA, precuneus, occipital pole and hippocampus. Clinical evaluation and follow-up showed that the intensity and frequency of the VH were decreased after rTMS. Our connectivity-based targeting approach applied to rs-fMRI data seems to be successful in identifying an optimal target area for rTMS on a single subject basis. Our results show changes in the connectivity pattern, both in the target area and associated hubs involved in VH pathogenesis.

The Effectiveness of Hybrid Telepractice and In-Person Fluency Treatment for a School-Aged Child: A Case Study

2020 ◽  
Vol 5 (4) ◽  
pp. 1085-1097
Author(s):  
Jacqueline E. Ryer ◽  
Gerard H. Poll
Keyword(s):  
Outcome Measures ◽  
Treatment Session ◽  
Single Subject ◽  
School Aged Child ◽  
Aged Child ◽  
Treatment Measures ◽  
Delivery Platform ◽  
Treatment Package ◽  
Treatment Gains

Purpose This case study assessed the effects of hybrid telepractice and in-person delivery of the Smooth Speech Treatment (Craig, 2010) for a school-aged child who stutters. Method The participant was an 8-year-old child who stuttered. Telepractice or in-person delivery were randomly assigned to treatment sessions in a single-subject AB design. The primary outcome measures were the percentage of syllables stuttered in conversation and reading probes taken at the beginning and end of each treatment session. Communication attitudes were measured before treatment began and at a posttreatment maintenance session. The pattern of treatment gains by delivery platform was also evaluated. Results Visual inspection of trends for outcome measures supported an association between the overall treatment package and a reduction in syllables stuttered. Pre- to post- treatment measures indicated an improvement in the child's attitudes toward stuttering. Within-session gains for telepractice sessions were more variable than in-person sessions. Conclusions These results indicate that fluency treatment delivered using a blend of telepractice and in-person delivery can be effective for a school-aged child who stutters. The findings align with prior studies showing the effectiveness of telepractice-delivered treatment for preschool children and adolescents. Replications of these results are needed with additional school-aged participants. Additional research is also warranted on factors that contribute to the variability of telepractice treatment effects for school-aged children.

A Case Study Using a Multimodal Approach to Melodic Intonation Therapy

2018 ◽  
Vol 27 (4) ◽  
pp. 1352-1362 ◽  
Author(s):  
Dianne Slavin ◽  
Renee Fabus
Keyword(s):  
Expressive Language ◽  
Male Participant ◽  
Auditory Comprehension ◽  
Apraxia Of Speech ◽  
Melodic Intonation Therapy ◽  
Language Analysis ◽  
Comprehension Skills ◽  
Mean Length Of Utterance ◽  
Musical Elements

Purpose The purpose of this study was to assess the efficacy. of increasing spontaneous expressive language using a modified melodic intonation therapy (MIT) approach with a male participant diagnosed with acquired aphasia and apraxia who was 10 years post onset. Method A therapeutic protocol consisting of vocal and linguistic tasks was administered. The participant attended two 50-min individual sessions and a 4-hr/week socialization program for three 12-week semesters. Measures of speech and language were administered before intervention and at the completion of each of the 3 semesters. Results At the completion of the study, the participant demonstrated reduced apraxia of speech as measured by The Apraxia Battery for Adults, Second Edition (Dabul, 2000). He also showed improvements in auditory comprehension skills as measured on the Boston Diagnostic Aphasia Evaluation (Goodglass, Kaplan, & Barresi, 2000). His spontaneous utterances were characterized by an increased number of complete sentences and questions. Several language parameters including mean length of utterance, total number of spontaneous (untrained) utterances, and number of different words spoken were also improved as revealed through language analysis. Conclusions Integration of melodic intonation therapy through the addition of musical elements may result in improved speech and expressive language skills when administered over a 9-month period in conjunction with a group socialization program.

Gait Changes with the Use of Heelys

2009 ◽  
Vol 99 (3) ◽  
pp. 247-250
Author(s):  
Nathan Norem ◽  
Catherine Feuerstein ◽  
Vincent Traverso ◽  
Nancy Zomaya ◽  
Ryan Crews ◽  
...  
Keyword(s):  
Gait Analysis ◽  
Heel Strike ◽  
Single Subject ◽  
System A ◽  
The Subject

Heelys shoes are a novel athletic shoe with a concealed wheel. They have been popular among youths since their introduction in 2000. This case study serves as a first look into the biomechanical implications of Heelys shoes on gait. Pressure readings of the forefoot, midfoot, and rearfoot during ambulation in regular athletic-shoe walking, Heelys without the wheel walking, Heelys with the wheel walking, and Heelys skating with the wheel were recorded on a single subject using the Pedar X System. A visual gait analysis was also performed on the subject. The resulting data show increased forefoot and rearfoot pressure while walking with the Heelys with the wheel. The visual gait analysis showed a diminished heel strike and a more rapid forefoot loading. These results demonstrate that Heelys do in fact affect the biomechanics of gait. (J Am Podiatr Med Assoc 99(3): 247–250, 2009)

scholarly journals Study on the Influence of Psychological Intervention on Mood State and Coping Styles for High-Level Athletes: A Case Study for Wushu Sport in China

SAGE Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. 215824402093251
Author(s):  
Hua Li
Keyword(s):  
Positive Impact ◽  
Mood State ◽  
Psychological Intervention ◽  
Coping Styles ◽  
Single Subject ◽  
Negative Coping ◽  
And Performance ◽  
High Level ◽  
And Coping

Psychological intervention has a positive impact on the competitive psychological ability and performance of athletes, while there are few studies on this subject. To improve the psychological ability of athletes’ mood and coping styles and promote the smooth progress of the competition, a single-subject experimental design model is used carry out psychological intervention on four high-level athletes for 8 months. According to the characteristics of Wushu routines, the psychological measurement and social validity evaluation are combined to explore the effect of psychological intervention. The results show that the mood state of four athletes improved obviously with the same trend. The coping styles showed a positive upward trend after psychological intervention. The results of three athletes also improved in the City Games. In addition, the results of “social validation” obtained from the coaches and athletes support the effectiveness of the intervention. Psychological intervention can effectively improve the bad mood and negative coping style of Wushu routine athletes so as to improve the competition of athletes.

Cultural ergonomics in interactional and experiential design: Conceptual framework and case study of the Taiwanese twin cup

2016 ◽  
Vol 52 ◽  
pp. 242-252 ◽  
Author(s):  
Chih-Long Lin ◽  
Si-Jing Chen ◽  
Wen-Hsin Hsiao ◽  
Rungtai Lin
Keyword(s):  
Conceptual Framework ◽  
Experiential Design
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