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Visit the ASHA coronavirus resource pages to stay on top of all the latest resources and supports specific to issues related to COVID-19.

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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: 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.
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: 2.0, ASHA CEUs*: 0.2
Summary: This journal self-study course highlights the impacts of the COVID-19 pandemic on people with aphasia, patients with cognitive communication impairments, and patient-provider communication. The findings can inform decision-making and assist SLPs in optimizing treatment for communication challenges for patients with COVID-19 as well as those for whom treatment has been altered as a result of the pandemic.
Credit(s): PDHs: 3.0, ASHA CEUs*: 0.3
Summary: These Perspectives (SIG 5) articles focus on the functional problems caused by the structural anomalies of the craniofacial complex and pathways for intervention. Articles describes the impact of submucous cleft palate, dental/skeletal anomalies, and distraction osteogenesis on speech and resonance outcomes for individuals with craniofacial anomalies. Multidisciplinary roles and best practice recommendations are also provided.
Credit(s): PDHs: 11.5, ASHA CEUs*: 1.15
Summary: This journal self-study course is composed of papers from the 7th Aging and Speech Communication Conference (April 2019). The articles cover a range of topics about speech processing in normal aging, including changes in auditory pathways and cortical structures in older adults with and without hearing loss; the relationship between cognitive skills and hearing performance in older adults; speech perception of older and younger adults when certain linguistic factors are manipulated; and age-related effects of processing accented speech in native and non-native speakers.
Credit(s): PDHs: 8.0, ASHA CEUs*: 0.8
Summary: This journal self-study course is composed of papers from the Research Symposium at the 2018 ASHA Convention. The articles summarize much of the accumulating evidence regarding neurological change in post-stroke aphasia recovery. The range of topics covered in this self-study include neurological recovery patterns according to phase of recovery and treatment target (e.g., word vs. sentence), neurological and genetic factors that influence recovery, and methodological considerations to increase validity of findings. These articles will appeal to researchers and clinicians looking for current evidence on dependent neuroplasticity after stroke.
Credit(s): PDHs: 4.5, ASHA CEUs*: 0.45
Summary: This Perspectives (SIG 19) includes four different speech science articles that focus on speech production, speech perception, or both. Akbari and Aoyama examine epenthetic vowels produced by Persian L2 speakers of English corroborating previous research findings regarding acoustical characteristics of anaptyctic epenthetic vowels—prothetic epenthetic vowels differ from the phonemic vowels they precede. Hitchcock et al. examine speech perception of typical adults, typical children, and children with speech sound disorders, finding that children with speech sound disorders differ as compared to both typical groups. Rong conducted a preliminary examination of the articulatory control of speech and speech-like tasks. The results revealed shared and task-specific articulatory features in speech and speech-like tasks, specifically sharing that alternating motion rate tasks may be more useful for assessing temporal aspects of articulation whereas sequential motion rate tasks may be more useful for assessing spatial aspects of articulation and coordination. Lastly, Boyd-Pratt and Donai review evidence that the high frequency region contains perceptual cues regarding segmental, speaker identity, and speaker sex as well as improved speech recognition in the presence of noise.
Credit(s): PDHs: 5.0, ASHA CEUs*: 0.5
Summary: First, Julie Case and Maria Grigos provide a review of speech motor control literature in childhood apraxia of speech (CAS) and give clinical implications to the assessment and treatment of CAS. Second, Kristen Allison reviews approaches to measuring speech intelligibility in children with motor speech disorders. Third, Tricia McCabe, Donna Thomas, and Elizabeth Murray describe Rapid Syllable Transition Treatment (ReST) as a treatment for CAS. Fourth, Nancy Tarshis, Michelle Winner, and Pamela Crooke explore how communication challenges in CAS impact social competency and how speech motor challenges impact social development. Finally, Nina Benway and Jonathan Preston evaluate if features of CAS in the literature could be replicated in a sample of school-age children. Readers will describe how speech motor skills have been found to change with practice in CAS, list the linguistic factors that can influence intelligibility, describe the quality of the research that supports ReST, explain ways to consider social cognition in therapy for CAS, and rank the speech features that distinguish the narrow phonetic transcriptions of children with CAS and speech sound disorders.
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