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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: 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: 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: 5.0, ASHA CEUs*: 0.5
Summary: For people experiencing dizziness, what are possible options for vestibular and balance rehabilitation? This self-study from Perspectives of the ASHA Special Interest Groups (SIG 7) addresses treatment choices in vestibular and balance rehabilitation, the state of the evidence on their efficacy, and future directions for interdisciplinary research and practice. Written by clinicians and scholars with expertise in audiology and physical therapy, the four articles present an interdisciplinary and life span approach to vestibular and balance rehabilitation for children and adults. The first article by Christy is on the use of vestibular and balance rehabilitation therapy for dizziness in children. Next, the review by Herdman focuses on the evolution of vestibular function tests and rehabilitation for major vestibular disorders as well as areas in which research and clinical practice may grow in the future. In Holmberg, the relatively new but common diagnosis of persistent postural-perceptual dizziness (PPPD) is presented in terms of its pathophysiology, differential diagnosis, and treatment protocols. Finally, Clendaniel provides a review on the use of vestibular rehabilitation in the treatment of benign paroxysmal positional vertigo. Included are detailed photos and illustrations of current techniques and exercises. As described in the introduction to the forum by Guest Editor Neil Shepard, PhD, “It is hoped that these four articles will provide a needed look at vestibular and balance rehabilitation therapy (VBRT) so the audiologist can serve as a productive member of the treatment team and have a good understanding as to everything that
Credit(s): PDHs: 1.5, ASHA CEUs*: 0.15
Summary: These SIG 7 Perspectives articles focus on auditory rehabilitation (AR) for adults with cochlear implants. While the benefits of AR in the population are recognized in the literature, service-delivery models are variable, and there is no gold standard approach to developing and implementing a comprehensive AR program. Glade and colleagues provide an overview of clinical models currently being used for the provision of AR for adults with cochlear implants from nine clinics across the country. The article highlights the importance of interprofessional practice in AR and outlines the roles of professionals included on care teams. There is a discussion about barriers to successful implementation of AR programs, including distance to services, and recommendations for potential solutions, such as teletherapy. In the second article, Mosley describes the process of creating and implementing a comprehensive teleaudiology AR program for older adults who use cochlear implants at the University of South Alabama Speech & Hearing Center.
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: How can audiologists enhance patient-centered communication, even during the COVID-19 pandemic? This self-study is from the journal, Perspectives of the ASHA Special Interest Groups, SIG 7: Auditory Rehabilitation and Its Instrumentation. It features two articles focused on patient-centered strategies for effective communication, from initial consultations to prioritizing follow-up care, during COVID-19. It also includes the article that won the 2021 ASHA Journals Editor’s Award for Perspectives (for SIGs 6, 7, 8, and 9) by Davidson and Marrone. The first article is, “How to Provide Accessible Hearing Health Information to Promote Patient-Centered Care.” Kelly-Campbell and Manchaiah review the literature within audiology on patient-provider communication. They focus on research studies of communication during initial audiology consultation sessions. Through a summary of themes in the literature, they categorize important research findings that provide insight into communication between patients and their audiologists. Finally, they identify five key strategies for effective patient-centered communication. Each strategy is then reviewed in detail, with clinical examples and specific recommendations that can be immediately implemented in practice. The second article is, “A Clinically Valuable Interaction in the Midst of COVID-19 and Beyond: A Viewpoint on the Importance of Patient-Centered Outcomes in Rehabilitative Audiology.” Davidson and Marrone discuss patient-centered communication following hearing aid device fittings. They identify challenges facing patients and audiologists related to follow-up hearing aid services as a result of the COVID-19 pandemic. Based on a literature review and their own recent research, they developed a decision-tree algorithm to help audiologists prioritize clinical activities following hearing aid fittings, including remote formats for care. The algorithm was based on use of a patient-centered outcome measure, the Measure of Audiologic Rehabilitation Self-Efficacy. Patient-centered outcomes measurement is suggested as an engagement strategy for continued communication with patients during the COVID-19 pandemic and beyond.