ASHA Learning Pass

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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.
Credit(s): PDHs: 7.0, ASHA CEUs*: 0.7
Summary: First, Katie Strong and Barbara Shadden provide an overview of the relationship between narrative, identity, and social co-construction for persons with aphasia and narrative treatment approaches for identity renegotiation. Second, Jamie Azios and Jack Damico relate the Lifetime Participation Approach to Aphasia (LPAA) and issues in longterm care (LTC) along with practice recommendations for implementing LPAA in LTC. Third, Jerry Hoepner and Tom Sather examine the potential approaches for teaching and mentoring students in LPAA. Fourth, Rochelle Cohen-Schneider, Melodie Chan, Denise McCall, Allison Tedesco, and Ann Abramson explore balancing relationshipcentered care and professionalism. Finally, Sarah Wallace, Elena Donoso Brown, Anna Saylor, Erica Lapp, and Joanna Eskander describe aphasia-friendly modifications for occupational therapy assessments and home programs.
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: These Perspectives (SIG 2) articles focus on approaches for early identification, service delivery, and treatment of traumatic brain injury (TBI). In the first article, Juliet Haarbauer-Drupa and Michael Brink describe the existing literature on preschool children with traumatic brain injury (TBI) and illustrate a model of care for a community. Next, Lori Cook, Nellie Caulkins, and Sandra Chapman explore the potential for cognitive training delivered via telepractice to enhance cognitive performance after mild TBI in adolescence. Lastly, Mary Kennedy offers an update on the evidence the provides possible explanations for speech-language pathologists’ experiences while implementing a coaching approach with college students with TBI.
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: 3.0, ASHA CEUs*: 0.3
Summary: These Perspectives (SIG 19) articles focus on perceptual considerations and the use of a system to investigate lingual coordination as a clinical tool. In the first article Rakerd et al. review the resonant effects of performers, resonance associated with nasality, and resonant voice for both normal and disordered populations. In the second article Grover et al. use the bubble noise method, which places noise randomly in time and frequency with “holes” or “bubbles” that give glimpses into the target signal, to determine what is perceptually important in the speech signal for native/first language listeners versus nonnative/second language listeners. In the final article, Dugan et al. review TonguePART, an image processing system used to track the tongue surface, as a reliable, fast method to track articulatory movement of the tongue for syllables
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: These Perspectives (SIG 6) articles describe current research, diagnostic, and management techniques for three different vestibular populations, including individuals with Usher Syndrome, Meniere’s Disease, and aging populations. The first article examines age-related changes in vestibular function and discusses findings in animal studies examining specific structural and functional changes occurring within the system. The second article is a review designed to advance understanding of the clinical presentation of individuals with Usher Syndrome and discuss the importance of a multi-disciplinary team in diagnosis and management. Additionally, the latest research in gene-therapy treatments for Usher Syndrome are discussed. The final article is a large scale retrospective study of patients with an active Meniere’s Disease diagnosis. The study examines correlations between disease duration and diagnostic assessment findings.
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: 3.0, ASHA CEUs*: 0.3
Summary: These three articles describe current issues and advances related to hearing diagnostics, treatment, and prevention. The first article is a detailed description of the impact that COVID-19 face masks and social distancing regulations have had on speech recognition and how face masks affect the acoustic signal and increase cognitive effort in listeners with hearing loss. Suggestions for mitigating these deleterious impacts on communication are provided. The second article is a research study examining the correlation between self-perceived hearing difficulty, determined using a questionnaire (Adult Auditory Performance Scale), and speech-in-noise performance (Listening in Spatialized Noise–Sentences Test) in listeners with normal pure-tone thresholds. Results highlight the relationship between self-perceived hearing abilities and binaural speech-in-noise performance supporting the inclusion of speech-in-noise testing even in those with normal pure-tone thresholds. The third article is a review of current genetic, stem cell, and pharmacotherapy research for treatment and prevention of hearing loss. Animal models are discussed, as well as steps to translate this research into clinical practice.