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Presenter(s): Kristen M Allison, PhD, CCC-SLP; Jenya Iuzzini-Seigel, PhD, CCC-SLP; Ruth B Stoeckel, PhD, CCC-SLP
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: This on demand webinar introduces practical clinical decision-making frameworks for evaluating and treating children with dysarthria and illustrates their application through clinical case examples. The course strives to increase SLPs' confidence in evaluating and treating children with dysarthria.
Credit(s): PDHs: 4.5, ASHA CEUs*: 0.45
Summary: These SIG 2 Perspectives articles focus on counseling skills for working with persons with aphasia, “counseling+” activities for patients with mild cognitive impairment and dementia, and resilience in neurorehabilitation. Topics include counseling skills; counseling roles of SLPs; care partner training; and resilience in persons with acquired brain injury, aphasia, dementia, and Alzheimer’s disease.
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: This Perspectives activity contains three articles, all with emphasis on social considerations in the elderly, with emphases on risk factors for dementia and treatment of Parkinson’s Disease. The first article seeks to describe the validity and reliability of the Fun and Social Engagement Evaluation (FUSE). The authors explain that this is an important topic because lack of physical activity and low social engagement are risk factors for dementia and could impact the rate of decline associated with dementia. Furthermore, physical inactivity has been identified by the World Health Organization as a leading risk factor for global mortality. Nursing home residents were evaluated using the FUSE during “Bingocize” sessions; the program combines a bingo-like game and physical activity and is scaled for differing cognitive and physical levels of ability. Results indicate that the FUSE is a valid and reliable method to measure engagement, and this is important because this measure can be recommended to nursing homes to measure engagement, as well as used in future research. The second article attempts to determine which of a variety of factors were associated with communicative participation and measured this based on the social network size of an individual. The author feels that this is important because social isolation is linked to cognitive decline and depression, both of which are risk factors for developing dementia. This study builds on previous research related to social participation and communication as predictors of successful health outcomes. Two research questions are addressed: What numbers of communication partners exist in the self-reported social network of older adults? And what factors are included in a model for predicting the social network size of older adults? They studied 337 seniors in Central Arkansas by collecting interviews and conducting standardized assessments. Results indicate that cognition and education are factors that are related to communicative participation. The results of this study, along with additional literature on this topic, suggest that there is benefit in recognizing a decrease in communicative participation and the role that cognitive decline may play in restricting communicative participation. The final article describes the program developed at Long Island University Brooklyn, which is multidisciplinary in nature, in contrast to previous treatment models which have traditionally focused on a monodisciplinary approach. In the past decade, there has been a shift from monodisciplinary models and research to a multidisciplinary approach, which is more effective in holistically treating the multifaceted effects of Parkinson’s Disease (PD), resulting in better outcomes and social participation for individuals with PD. The article describes use of the Fitness for PD exercise program twice per week for ten weeks, targeting strength, balance, agility, stretching, and aerobic exercises. Students at the university are engaged in taking vitals, facilitating resistance training, and enhancing safety; students and participants find benefit in working together. One hour Speech Clinic for PD sessions are conducted after each fitness class, including voice evaluations and therapy focusing on maximizing voice production and improving breathing patterns. The first half of sessions are conducted in game format, which encourages interpersonal interactions and collaboration and facilitates carryover into conversational contexts. Sessions incorporate Motor Learning Principles, LSVT LOUD, and respiratory exercises. The second half of sessions are conducted in whole-group format and speech practice in small groups.
Credit(s): PDHs: 6.0, ASHA CEUs*: 0.6
Summary: Concussion - or mild traumatic brain injury (mTBI) - is a unique injury that is different from more severe brain injury, and addressing the associated cognitive deficits requires personalized, targeted interventions These articles discuss research and practical implications for the management of cognitive symptoms of mTBI, including defining the role of the SLP on interdisciplinary management teams, exploring specific assessment and treatment strategies, and emphasizing functional, personalized goals. The articles are from a 2021 American Journal of Speech-Language Pathology forum "Interdisciplinary Management of Concussion or Mild TBI." The articles provide evidence and strategies to increase clinician confidence and effectiveness when working with individuals with concussion or mTBI.
Credit(s): PDHs: 5.0, ASHA CEUs*: 0.5
Summary: This journal self-study includes select papers on conversation and discourse production that were presented at the 49th Clinical Aphasiology Conference (2019) in Whitefish, Montana. The articles reflect the current state of research on treatments to improve conversation and discourse production for people with aphasia.
Credit(s): PDHs: 3.0, ASHA CEUs*: 0.3
Summary: The theme for this Perspectives course is clinical considerations in assessment of children and adults from culturally and linguistically diverse (CLD) backgrounds and providing culturally supporting treatment settings. Topics include (a) acoustic parameters of retroflex sounds, (b) the two-question method for assessing gender identity, (c) assessment recommendations for new language learners, and (d) creating culturally supportive settings to foster literacy development.
Presenter(s): Holly Storkel, PhD, CCC-SLP
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: This recorded session from ASHA’s 2021 Schools Connect online conference reviews three evidence-based approaches to selecting and contrasting two or more sounds during speech sound disorder treatment: minimal pair (one misarticulated sound paired with its typical substitution), maximal opposition (two misarticulated sounds that differ greatly from one another), and multiple opposition (multiple misarticulated sounds that are all replaced within the same substitute). The speaker shares evidence supporting each treatment approach and uses hypothetical clinical cases to illustrate sound selection and treatment activities.
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: These SIG 2 articles focus on clinical assessment and practices for individuals with aphasia. Topics covered included challenges associated with diagnosing primary progressive aphasia (PPA) and the impact of adaptive yoga programs for persons with aphasia. First, Aimee Dietz, E. Susan Duncan, Lauren Bislick, Sarah Stegman, Jenna Collins, Chitrali Mamlekar, Rachel Gleason, and Michael J. McCarthy provide an overview of the potential impact adapted yoga programs can have for people with stroke-induced aphasia. Second, Adithya Chandregowda raises awareness about the challenges associated with encountering primary progressive aphasia (PPA) patients in the acute hospital setting.
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.
Presenter(s): Megan C. Leece, MA, CCC-SLP; Jonathan Preston, PhD, CCC-SLP
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: Persisting /r/ distortions are common speech sound errors for many children and adolescents. This on demand webinar describes /r/ intervention approaches that are rooted in sound science about the phonetics of /r/, basic principles of speech motor control, and evidence-based solutions.
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