摘要 :
Objective: To determine the effects of a phonological remediation reading and writing program in individuals with dyslexia, through behavioral and objective evaluations. Patients and Methods: Twenty children diagnosed with dyslexi...
展开
Objective: To determine the effects of a phonological remediation reading and writing program in individuals with dyslexia, through behavioral and objective evaluations. Patients and Methods: Twenty children diagnosed with dyslexia, aged 8–14 years, were included in this study. Group I (GI) was composed of 10 children who took part in the program, and group II (GII) consisted of 10 subjects who did not take the remediation. The pre-testing evaluated phonological awareness, rapid naming, working memory, reading and writing of words and nonwords, thematic writing, and auditory evoked potential – P300. The type of stimulus used was the speech (20% of rare stimulus and 80% of frequent stimulus), intensity of 80 dBNa. The rare stimulus was the syllable /da/, and the frequent stimulus was the syllable /ba/. Next, the Phonological Reading and Writing Remediation Program was applied in 24 cumulative sessions, twice a week, each with a duration of 30 min. In the post-testing (at the end of the program), all the tests of the pre-testing were reapplied. Results: There was a statistically significant difference (between pre- and post-testing) in phonological awareness, rapid naming, working memory, thematic writing, writing and reading words and nonwords, as well as in the latency of the P3 component of P300 in GI, while GII maintained the same difficulties. Conclusion: The phonological remediation program showed to be a therapeutic method of fast beneficial effects in written language of individuals with dyslexia. However, the wide age range and the size of the sample could be considered a limitation of this study – it interferes with the generalization of results.
收起
摘要 :
? 2021 Informa UK Limited, trading as Taylor & Francis Group.Purpose: Tele-speech therapy refers to the application of telecommunication technologies to provide speech-language pathology services at a distance and establishes communication between a specialist and a patient for assessment, intervention, or consultation. Due to the shortage of speech therapists, the use of tele-speech therapy services can be helpful, especially for those who do not have access to speech-language therapists. The aim of this study was to investigate speech therapists' perspectives about using tele-speech therapy. Methods: This was a qualitative study conducted in 2020. Data were collected through conducting in-depth semi-structured interviews with 12 faculty members who worked in three different medical universities. The interviews were recorded digitally and transcribed verbatim. The data were analysed by using framework analysis method and MAXQDA version 10. Results: Having analysed the data, four themes, 10 categories, and 26 subcategories emerged. The main findings included necessary requirements for implementing and using tele-speech therapy in terms of developing academic courses, guidelines, and necessary technical infrastructure, advantages of using tele-speech therapy for specialists and patients, challenges of, and opportunities for, using tele-speech therapy. Conclusion: Although tele-speech therapy has several benefits for specialists and patients, challenges of using this technology should not be underestimated. There are also a number of research opportunities in this field and their results can be helpful for successful implementation of this technology in the future.Implications for rehabilitation The clinical assessment and treatment of patients with speech-language disorders are sometimes difficult mainly due to the limited healthcare resources or the patient heath condition. Tele-speech therapy can be regarded as an alternative approach or a complementary method for face-to-face visits, especially for patients who are not able to attend clinics. Despite the advantages, the challenges of providing special groups of patients with tele-speech therapy should be taken into account. Telerehabiliation and rehabilitation research centres can support future research in the field of tele-speech therapy to present more evidence regarding the strengths and weaknesses of this technology. Implications for practice Technical and non-technical infrastructures should be taken into account before implementing tele-speech therapy services. Tele-speech therapy has a number of advantages for patients and specialists. Challenges of providing tele-speech therapy services, such as risk of inaccurate evaluation and difficulty in interaction with patients should not be underestimated. There are a number of research opportunities in the field of tele-speech therapy and tele-rehabilitation centres can support further research in this area. The findings of this study can facilitate utilisation of tele-speech therapy in different settings....
展开
? 2021 Informa UK Limited, trading as Taylor & Francis Group.Purpose: Tele-speech therapy refers to the application of telecommunication technologies to provide speech-language pathology services at a distance and establishes communication between a specialist and a patient for assessment, intervention, or consultation. Due to the shortage of speech therapists, the use of tele-speech therapy services can be helpful, especially for those who do not have access to speech-language therapists. The aim of this study was to investigate speech therapists' perspectives about using tele-speech therapy. Methods: This was a qualitative study conducted in 2020. Data were collected through conducting in-depth semi-structured interviews with 12 faculty members who worked in three different medical universities. The interviews were recorded digitally and transcribed verbatim. The data were analysed by using framework analysis method and MAXQDA version 10. Results: Having analysed the data, four themes, 10 categories, and 26 subcategories emerged. The main findings included necessary requirements for implementing and using tele-speech therapy in terms of developing academic courses, guidelines, and necessary technical infrastructure, advantages of using tele-speech therapy for specialists and patients, challenges of, and opportunities for, using tele-speech therapy. Conclusion: Although tele-speech therapy has several benefits for specialists and patients, challenges of using this technology should not be underestimated. There are also a number of research opportunities in this field and their results can be helpful for successful implementation of this technology in the future.Implications for rehabilitation The clinical assessment and treatment of patients with speech-language disorders are sometimes difficult mainly due to the limited healthcare resources or the patient heath condition. Tele-speech therapy can be regarded as an alternative approach or a complementary method for face-to-face visits, especially for patients who are not able to attend clinics. Despite the advantages, the challenges of providing special groups of patients with tele-speech therapy should be taken into account. Telerehabiliation and rehabilitation research centres can support future research in the field of tele-speech therapy to present more evidence regarding the strengths and weaknesses of this technology. Implications for practice Technical and non-technical infrastructures should be taken into account before implementing tele-speech therapy services. Tele-speech therapy has a number of advantages for patients and specialists. Challenges of providing tele-speech therapy services, such as risk of inaccurate evaluation and difficulty in interaction with patients should not be underestimated. There are a number of research opportunities in the field of tele-speech therapy and tele-rehabilitation centres can support further research in this area. The findings of this study can facilitate utilisation of tele-speech therapy in different settings.
收起
摘要 :
OBJECTIVE: To determine the association of malnutrition with delayed speech children who underwent speech therapy. METHODOLOGY: A descriptive cross-sectional study was conducted enrolling 138 children age 2 to 6 years, with delaye...
展开
OBJECTIVE: To determine the association of malnutrition with delayed speech children who underwent speech therapy. METHODOLOGY: A descriptive cross-sectional study was conducted enrolling 138 children age 2 to 6 years, with delayed speech, and of both gender, using non-probability consecutive sampling technique at the speech therapy department of National Institute of Rehabilitation Medicine, Islamabad from October 2019-March 2020. Children with all congenital abnormalities which can impaired speech, deaf, age more than 06 or below 2 years, and cases whose parents do not provide consent to participate in the study were excluded. Data was collected after seeking consent from the guardian of the respondent through a pre-developed scale to assess nutrition status and delayed speech was assessed by underachievement of verbal, reading, and spelling. The data were analyzed through SPSS 23.0. RESULTS: Most of the respondents were male (72.5%), residents of urban areas (84.1%), and not going to schools (60.9%). 79% were rich and well-nourished (68.1%), in speech level-I (59.4%). No relationship was observed between malnutrition and delayed speech level (p-value=0.30). Age, education status, residential status, and monthly income were found in association with delayed speech (p-value <0.00). CONCLUSION: There was no significant relationship between malnutrition and delayed speech level. ? 2021, Liaquat University of Medical and Health Sciences. All rights reserved.
收起
摘要 :
Automatic speech recognition is being used in a variety of assistive contexts, including mobile telephones, and various public and private telephony services. Despite their growing presence, commercial speech recognition technolog...
展开
Automatic speech recognition is being used in a variety of assistive contexts, including mobile telephones, and various public and private telephony services. Despite their growing presence, commercial speech recognition technologies are still not easily employed by individuals who have speech or communication disorders. While speech disorders in children who delayed in their milestones are common, there has been relatively recent research on automatic speech recognition performance of children with disorders. This paper presents a review on the techniques and classifiers used for Automatic Speech recognition in recent years and explained about the automatic evaluation of speech disorders in children especially who have fluency disorders like stuttering. Along with this the discussion about the difficulties in computer assisted therapy, tools and technologies, existing communication device, developing multimedia interface and identification of emotional behavior are discussed.
收起
摘要 :
Introduction: Children with cleft palate frequently show speech disorders known as compensatory articulation. Compensatory articulation requires a prolonged period of speech intervention that should include reinforcement at home. ...
展开
Introduction: Children with cleft palate frequently show speech disorders known as compensatory articulation. Compensatory articulation requires a prolonged period of speech intervention that should include reinforcement at home. However, frequently relatives do not know how to work with their children at home.
收起
摘要 :
? 2022 Elsevier LtdBackground: Speech-induced action myoclonus may occur as a component of a generalized myoclonus syndrome. However, it may also present in isolation, or with a paucity of other findings, and be diagnostically cha...
展开
? 2022 Elsevier LtdBackground: Speech-induced action myoclonus may occur as a component of a generalized myoclonus syndrome. However, it may also present in isolation, or with a paucity of other findings, and be diagnostically challenging. Objectives: To report a retrospective case series of restricted speech-induced action myoclonus. Methods: We reviewed cases of speech-induced action myoclonus evaluated at Mayo Clinic Rochester from 1989 to 2020. We eliminated cases where a more generalized myoclonic disorder was also present. Clinical, imaging, and electrophysiologic data were extracted. Results: Four cases were identified in which speech-induced action myoclonus of craniofacial muscles was the predominant clinical presentation. All described cranial muscle twitching induced by speaking, and two cases also reported speech interruptions. Diagnosis was confirmed by expert speech pathologists in all cases. Diagnostic aids included modulation with different speech tasks and speaking rates, and surface electrophysiology which confirmed craniofacial myoclonus induced by speaking tasks (three cases). Previous misdiagnosis included functional, dystonic, neuromuscular junction pathology, or hemifacial spasm. Two cases had isolated speech-induced myoclonus, and the other two had coexistent upper limb tremor. Potential etiologic factors were identified in three cases – medication (2), epilepsy (1) – while in one patient no cause was identified. One patient partially improved with anti-myoclonic medication and speech therapy. Conclusions: Speech-induced action myoclonus may occur in isolation and is frequently misdiagnosed. Diagnostic aids include modulation with different speech tasks and speaking rates, and surface electrophysiology.
收起
摘要 :
Increased SGB is currently more often recognized not only in patients with belching as a main symptom, but also in patients with reflux like symptoms that are refractory to PPI treatment or patients with reflux hypersensitivity. D...
展开
Increased SGB is currently more often recognized not only in patients with belching as a main symptom, but also in patients with reflux like symptoms that are refractory to PPI treatment or patients with reflux hypersensitivity. Detection of increased SGB during analysis of impedance-pHmetry can help to better understand the pathophysiology of symptoms in individual patients and to provide more focused and specific treatment. At the moment, the most efficient treatments for increased SGB are CBT and Speech therapies, pharmacological treatment being less effective and prone to mild secondary effects.In this issue of Neurogastroenterology and Motility, Punkinnen et al demonstrate, in controlled clinical trial, that behavioral therapy was superior to follow-up without intervention in patients with SGB. We present a critical review of the different treatment modalities currently available for patients with pathological SGB.
收起
摘要 :
Situation Awareness (SA) involves the correct interpretation of a situation, allowing a system to respond to the observed environment and providing support for decision making in many systems domains. Speech therapy is an example ...
展开
Situation Awareness (SA) involves the correct interpretation of a situation, allowing a system to respond to the observed environment and providing support for decision making in many systems domains. Speech therapy is an example of domain where situation awareness can provide benefits, since practitioners should monitor the patient in order to perform therapeutic actions. However, there are a few studies in the area that address reasoning about a situation to improve these tasks. For this reason, this systematic mapping study aims to identify and compare different proposals in the speech therapy domain in order to verify which aspects related to obtaining and maintaining SA are supported. Our analyzes provide useful insights on whats aspects of SA are best integrated in the speech domain - such as knowledge bases and adaptation - and other aspects that remain to be improved like the action support and projection abilities. Also, this paper includes statistics, methodologies used by different authors and other issues involving research processes. As main contributions, this work presents an overview of the SA integration in the speech therapy domain, discussing challenges in the area and providing directions for further research. (C) 2018 Elsevier Ltd. All rights reserved.
收起
摘要 :
We present a multitier system for the remote administration of speech therapy to children with apraxia of speech. The system uses a client-server architecture model and facilitates task-oriented remote therapeutic training in both...
展开
We present a multitier system for the remote administration of speech therapy to children with apraxia of speech. The system uses a client-server architecture model and facilitates task-oriented remote therapeutic training in both in-home and clinical settings. The system allows a speech language pathologist (SLP) to remotely assign speech production exercises to each child through a web interface and the child to practice these exercises in the form of a game on a mobile device. The mobile app records the child's utterances and streams them to a back-end server for automated scoring by a speech-analysis engine. The SLP can then review the individual recordings and the automated scores through a web interface, provide feedback to the child, and adapt the training program as needed. We have validated the system through a pilot study with children diagnosed with apraxia of speech, their parents, and SLPs. Here, we describe the overall client-server architecture, middleware tools used to build the system, speech-analysis tools for automatic scoring of utterances, and present results from a clinical study. Our results support the feasibility of the system as a complement to traditional face-to-face therapy through the use of mobile tools and automated speech analysis algorithms.
收起
摘要 :
Objective: To evaluate the efficacy of the combination of a speech bulb with an intensive speech therapy program in hypernasal participants with cleft palate.
原文获取