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Results 51 - 60 of 60
Credit(s): PDHs: 1.5, ASHA CEUs*: 0.15
Summary: This Perspectives activity highlights two articles with objective measures for both evaluation and treatment of velopharyngeal dysfunction. The first article discusses the palatal closure efficiency (PaCE) index. This is an aerodynamic tool used to estimate the velopharyngeal opening during certain speech contexts. This is done by measuring a percentage of change between nasal and oral cognates of an individual. The second article describes the nasometer in depth, highlighting its use as an evaluation and treatment tool for decreasing hypernasality. It goes into further detail on the differences between hypernasality and measured nasalance, highlighting both strengths and limitations of the nasalance score.
Credit(s): PDHs: 6.0, ASHA CEUs*: 0.6
Summary: This collection of articles presents clinicians with evidence on a variety of topics in dysphagia that can be utilized in practice immediately. Alaina Martens and Emily Zimmerman offer insight regarding changes to feeding patterns in infants diagnosed with bronchopulmonary dysplasia after prolonged oxygen therapy in the newborn intensive care unit. Paula Leslie and colleagues provide a framework of health and illness and how food and drink are much more. They stress the importance of clinician appreciation as a cultural guest in our patients’ lives. Bonnie Martin-Harris and colleagues stress the importance of instrumentation with a thorough review of available practice guidelines and appropriateness criteria issued to date, revealing a deficit of up-to-date, comprehensive, evidence-based information on the diagnosis and evaluation of oropharyngeal dysphagia. Specifically, a lack of quality guidance on the ordering, performance, and reporting of the modified barium swallow study has hindered efforts to improve standardization and ensure quality continuity of care. Naomi Gurevich and colleagues stress the need to clarify guidelines and increase interprofessional education between both professions to improve patient care. George Barnes and Nancy Toms highlight speech-language pathologists’ need for a solid foundation of knowledge when it comes to patients with highly complex disease processes and care plans. Deirdre Muldoon and colleagues conduct a review of published literature regarding management of feeding difficulties at the oral phase of feeding in children with autism spectrum disorder and/or developmental disability. Finally, Paul M. Evitts and colleagues reveal a potential way to track aspiration in healthy adults using an app.
Credit(s): PDHs: 3.5, ASHA CEUs*: 0.35
Summary: This activity presents a variety of topics related to telepractice service provision. The first article offers a case study on the effects of a hybrid telepractice/onsite treatment program for a child who stutters. The following article discusses common technical issues encountered during telepractice and a process for managing them with English- and Spanish-speaking clients. The final article details the findings of a study on integrating technology through telepractice to support clients with dementia.
Credit(s): PDHs: 4.0, ASHA CEUs*: 0.4
Summary: This activity presents a diverse perspective, including four different speech science articles focused on a variety of topics. Kimball and Sayce discuss the pros and cons of research using behavior and functional assessment and treatment in the areas of speech science and voice, specifically their limitation in outlining etiology or explaining treatment resistance. They also provide an overview of genetic research approaches as a possible path forward to develop additional evidence-based treatment approaches. Neel reviews the production and perception of extralinguistic information regarding sex/gender, sexual orientation, age, non-native accent, regional and social dialect, and race and ethnicity. The article explores the literature in the above areas reviewing acoustical features and common misperceptions, concluding with instructional activities to enhance student awareness of indexical characteristics. McAllister et al. studied the effects of biofeedback for residual rhotic errors in a preliminary case series. Participants were five native English speakers who had not yet generalized rhotic production. Treatment consisted of either electropalatographic or visual-acoustic biofeedback using the Challenge Point Program software. Although participant responses to treatment were variable, the median effect size tended to exceed the minimum value considered clinically significant. Gritsyk et al. examined three measures to determine which best predicted change in production accuracy during a vowel learning task. Using 20 female college students, researchers administered three tasks: an oral stereognosis task, a bite block task using auditory making, and a new phonetic awareness task. The bite block task with auditory masking, measuring proprioceptive awareness, was the only task significantly related to performance in speech learning.
Credit(s): PDHs: 4.0, ASHA CEUs*: 0.4
Summary: The assemblage of articles presents clinicians with information on a variety of topics in dysphagia that can be utilized in practice. Laura L. Madhoun, Laura C. Merrell, Amanda Smith, Emily Snow, and Kristen M. Cherosky stress the importance of individualized and comprehensive feeding management for craniofacial anomalies through interdisciplinary collaboration. Lena G. Caesar and Meretu Kitila study clinicians’ perceptions and confidence with dysphagia service delivery. Aliaa Sabry, Amanda S. Mahoney, Shitong Mao, Yassin Khalifa, Ervin Sejdić, and James L. Coyle point out an objective way to assess laryngeal vestibule closure and opening at beside. Marie Jardine, Anna Miles, Jacqui Allen, and Rebecca Leonard give an interesting take of assessment of the aging swallow. Kelsey L. Thompson and Wanqing Zhang provide description and examples of mixed method research to comprehensively and holistically report of pediatric feeding disorders.
Presenter(s): Don MacLennan, MA, CCC-SLP; McKay Moore Sohlberg, PhD, CCC-SLP
Credit(s): PDHs: 4.0, ASHA CEUs*: 0.4
Summary: This course presents a practical framework for cognitive rehabilitation for patients suffering from a traumatic brain injury (TBI). Clinicians can use the framework to identify functional treatments that are evidence-based, matched to individualized patient needs, and feasible given the time and resource constraints of the current health care environment. The course explores specific cognitive rehabilitation interventions that patients with a brain injury may find particularly valuable and motivating. The presenters use case studies to discuss how to write functional goals and identify optimum outcome measures.
Presenter(s): Kendrea L. (Focht) Garand, PhD, CScD, CCC-SLP, BCS-S, CBIS
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: A thorough cranial nerve examination is an essential part of the speech-language pathologist’s evaluation of every patient. When performed, it is useful in the diagnosis of speech and swallowing disorders, and accurate diagnosis is crucial for development of a targeted, individualized treatment plan. This video course provides an overview of the neuroanatomy and physiology of the cranial nerve examination. Participants will receive detailed instructions for testing and interpreting findings of the cranial nerve examination. The course also describes common abnormalities observed for patients with impairment of cranial nerve function.
Presenter(s): Joseph Murray, PhD, CCC-SLP
Credit(s): PDHs: 3.0, ASHA CEUs*: 0.3
Summary: An information-rich videofluoroscopic assessment can help clinicians determine which components of the complex oropharyngeal swallow need to be targeted for intervention. Visualizing all of the elements that contribute to a well-integrated or disordered swallow mechanism requires an ordered and disciplined review. This video course demonstrates methods to enhance clinicians' ability to perform a videofluoroscopic assessment and discern the discrete elements of the oropharyngeal swallow. Participants can practice determining the integrity or disorder of the swallow mechanism by viewing and interpreting case study video.
Presenter(s): Judith Trost-Cardamone, PhD, CCC-SLP
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: This is the second in a two-part course is designed to bring you comprehensive information on cleft palate assessment and treatment. With this program, you will gain a comfort level in treating cleft palate/VPI and in working collaboratively with the cleft palate/craniofacial team. You’ll hone your knowledge and clinical practice skills in treating speech disorders, from glottal stops to learned nasal emission. We’ll provide treatment rationales, procedures, and techniques that are supplemented with video clips. You’ll also learn how to distinguish “learned” from “obligatory”/physically based problems.
Presenter(s): Judith Trost-Cardamone, PhD, CCC-SLP
Credit(s): PDHs: 5.0, ASHA CEUs*: 0.5
Summary: This is the first in a two-part course is designed to bring you comprehensive information on cleft palate assessment and treatment. From glottal stops to learned nasal emission, this course will help you hone your knowledge and clinical practice skills in assessing speech disorders associated with cleft palate/VPI. The speaker will discuss procedures and techniques, and share audio and video clips to demonstrate how to assess the variety and uniqueness of speech deviations seen in cleft palate cases. You’ll also learn how to distinguish “learned” from “obligatory”/physically based problems.
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