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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.
Presenter(s): Sarah Warren, MA
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Audiologists in clinics and private practices who bill Medicare have needed an order from a physician to provide hearing assessment services since the inception of the program. However, for 2023, Medicare removed the physician's order requirement in a way that has the potential to improve access to care for Medicare beneficiaries but also includes some limitations. This on demand webinar walks through the logistics of successfully taking advantage of the Medicare changes and provides practical tips for avoiding mistakes that could be costly for you and your patients.
Credit(s): PDHs: 3.5, ASHA CEUs*: 0.35
Summary: This SIG 19 activity bundles four articles providing perspectives on a broad variety of topics in speech-language pathology. First, Holt provides an overview of current and historical discussions of gender and race, challenging the reader to accept that one’s perspective is indebted to a specific belief system. Readers are to evaluate how gender and race are used to categorize people and examine whether a member of a marginalized or minoritized group affects that person’s access to or use of intervention services. Next, Cox and Koenig define speech privacy and provide a brief history and applications in the health care setting. A general perspective is outlined, including threats to speech privacy, and speakers who use an electrolarynx are used as an example to highlight specific issues clinicians may encounter. Ramanarayanan et al. discuss the use of speech as a biomarker in therapy and research. In summary, robustness of analytics—specificity, diversity, and physiological interpretability—must be further developed. Finally, Weerathunge, Tomassi, and Stepp review a number of populations with voice disorders that have been studied using altered auditory feedback. Many have hyperactive auditory feedback responses and the differing underling reasons are reviewed. Therapy considerations are also described.
Presenter(s): Kristine Tanner, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session highlights up-to-date, evidence-based vocal hygiene recommendations that can produce desired clinical outcomes without causing undue burden on patients. This course is a recorded session from the 2020 online conference “Voice Evaluation and Treatment: Improving Outcomes for Children and Adults.”
Presenter(s): Brian E. Petty, MA, CCC-SLP
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: This session examines best practices for working with performing artists, a special population that on the one hand has unique stressors and needs but on the other hand shares many issues and concerns with the broader community of patients with voice disorders. The speaker discusses how clinicians can ensure that the therapeutic process is effective and relevant for vocal performing artists. This course is a recorded session from the 2020 online conference “Voice Evaluation and Treatment: Improving Outcomes for Children and Adults.”
Presenter(s): Ishan S Bhatt; Nilesh Washnik
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: Young musicians are exposed to traumatic sound levels that might increase their risk for tinnitus and noise-induced hearing loss (NIHL). Music and noise are known environmental risk factors for tinnitus and NIHL. This course examines a hypothesis that genetic variants might further explain clinical heterogeneity in tinnitus and NIHL.
Credit(s): PDHs: 4.0, ASHA CEUs*: 0.4
Summary: The first two articles in this SIG 19 activity provide information to better our assessment and treatment of individuals in the area of voice, while the latter two articles focus on treatment of individuals in the area of speech production. The authors for all four articles present a review of the literature as well as challenges and future directions. First, Van Hook and Duffy conducted a pilot study to trial the Gender Spectrum Voice Inventory. This article provides a review, discussion of validity, and speech-language pathologists’ perceptions of the inventory in an effort to address a gap in available clinical tools for transgender and nonbinary people. Next, Hammer reviews the relationship between air flow with sound pressure level during syllable production while holding fundamental frequency and subglottic air pressure constant. The results have clinical implications that stress the importance of an increase in air flow and focus on vocal fold contact. Then, Gritsyk et al. describe their study to determine which measures of somatosensory acuity best predicted change in production accuracy during vowel learning tasks while controlling auditory acuity. Results indicate only bite block adaptation with auditory masking was significantly associated with performance. Finally, Zajac et al. discuss their preliminary study that indicated cleft type contributes to production errors, specifically backing, in children with repaired cleft palate. Additionally, a history of otitis media affects the spectral contrast of alveolar consonants in children without clefts.
Presenter(s): Jessica Kisenwether, PhD, CCC-SLP, CIP; Skye Lewis, PhD, CCC-SLP; Amy Neel, PhD, CCC-SLP; Susan Shaiman, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This on demand webinar demonstrates how to incorporate cultural and linguistic diversity in an authentic way when teaching basic speech science courses. Speakers provide examples of teaching activities for speech science, anatomy, and phonetics courses to expand students’ perspectives on foundational science concepts and help them develop an appreciation for the diversity present in speech production.
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.
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.
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