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Instructional Level
Credit(s): PDHs: 3.5, ASHA CEUs*: 0.35
Summary: This SIG 5 activity includes three articles from a forum aimed at sharing research conducted in clinical settings around the world. Two research articles analyzed surgical and parent-led therapy approaches for improved speech and resonance outcomes. A third tutorial described characteristics needed in an evaluation to analyze clinically obtained data for research purposes. The first research article is based in Brazil. It demonstrates positive long-term outcomes in children with hypernasality/velopharyngeal dysfunction using the Sommerlad procedure of palatal re-repair to treat residual velopharyngeal insufficiency. The reported scores were in the categories of: “hypernasality, global impression of velopharyngeal function, and/or active speech symptoms.” Overall, this study shows significant improvement in a large percentage of children, with less effect on older individuals ages 17–22 years. The second research article includes parents from a previously published twocenter study in Ireland and the United Kingdom. The aim was to analyze parents’ experiences with parent-led articulation therapy (PLAT) following in-depth training. After a detailed outline is provided regarding inclusion and teaching of the participants, four main themes are identified. These include growth of parents, undertaking PLAT, changes in children, and the future. Ultimately, the majority of parents are in favor of a parent-led therapy approach with the caveat that in-depth training and direct supervision from a speech-language pathologist is needed. The third article, a tutorial, addresses the research–clinical practice gap. A description is provided of a perceptual speech assessment protocol for cleft palate speech, to enable clinical data to be used for research purposes. The article provides detail related to determining the most appropriate standardized assessment tools as well as the best ways to collect and analyze this data. Further details related to implementation within the clinical setting are outlined. The data is easily accessible through networking between cleft teams and Sweden’s national cleft lip and palate registry, making retrospective research attainable in a clinical setting.
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: In this SIG 2 activity, participants explore innovative articles regarding a range of topics in the assessment and treatment of motor speech disorders. The first article describes a case of anarthria in which the speech-language pathologist thoroughly described the patient’s motor speech presentation, thereby contributing to his overall neurologic diagnosis. The second article examines the effects of transcranial direct current stimulation (tDCS), a promising method of eliciting behavior change through brain stimulation, on the speech of individuals with Parkinson’s disease. The third article explores the speech and language profiles of children with apraxia of speech as their primary diagnosis, as compared to children with other concomitant diagnoses.
Credit(s): PDHs: 4.5, ASHA CEUs*: 0.45
Summary: Meta-therapy is an integral pillar of clinical practice; however, the lack of formal training in this area often makes the concept and application of meta-therapy elusive to clinicians. The goal of this SIG 3 activity is to disseminate how meta-therapy can be effectively utilized in the clinical domains of voice disorders, fluency, dysphagia, and cognitive communication and aphasia.
Credit(s): PDHs: 3.5, ASHA CEUs*: 0.35
Summary: This collection of articles provides valuable information on clinical practice in the elderly, including the relationship between physical frailty and cognitive functioning in older adults, communication challenges in older adults in group care settings and the potential factors that contribute to meaningful interactions and engaged communication in these settings, and the importance of providing graduate students opportunities for skill development for end-of-life situations.
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: This Perspectives course contains three articles that focus on social considerations in the elderly, with emphases on risk factors for dementia and treatment of Parkinson’s disease.
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.
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: 3.0, ASHA CEUs*: 0.3
Summary: This course is composed of three articles that center around quality of life: at end of life, following a stroke, and among individuals with voice disorders.