{"title":"Prioritisation Systems Used in Adult Speech and Language Therapy Settings: A Scoping Review","authors":"Orla Gilheaney, Carolyn Hulbert, Roisin Cullen, Kathleen McTiernan","doi":"10.1111/1460-6984.70123","DOIUrl":"10.1111/1460-6984.70123","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Prioritisation is an important and necessary practice in speech and language therapy (SLT) departments, as the increasing demand for services often exceeds available resources. Despite being a key clinical activity within the profession, however, there is limited research on evidence-based methods for prioritisation systems (PS) used in adult SLT settings. As a result, the absence of standardised guidelines poses a risk of inconsistency in current prioritisation practices. This may lead to an unequal distribution of resources, potentially affecting patient well-being and outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping review was carried out which aimed to identify the PS used in adult SLT settings and to determine the facilitators and barriers to the development and implementation of effective PS in these settings. This study was conducted in line with PRISMA-ScR guidelines, with a protocol prospectively published (https://osf.io/dbtsf/). Six academic databases, three professional body websites, and two national health service websites were searched using a multi-tiered search strategy with assistance from a subject expert librarian. Data was charted regarding outcomes of interest, and critical appraisal using study design-specific tools was completed by two independent researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 10 studies eligible for inclusion, 60% identified dysphagia as a high priority for earliest intervention, with 30% consistently prioritising dysphagia over any communication deficits due to the medical implications of unmanaged swallowing problems. The majority did not address facilitators (60%) or barriers (80%) to developing or implementing PS. The absence of a standardised prioritisation system was noted throughout the included studies, with clinical judgement alone, non-standardised systems, or chronological order of referral commonly used in prioritisation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This scoping review examines the limited existing literature on PS in adult SLT settings, noting the lack of evidence-based or standardised systems. Further research is now needed to identify the critical factors which influence a clinician's prioritisation process prior to ultimately conducting subsequent research into the facilitators and barriers to developing and implementing evidence-based PS in order to establish best practices to improve patient care, experiences, and outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Havva Sumeyye Eroglu, Audrey Bowen, Matthew Checketts, Claire Mitchell
{"title":"Managing Facial Palsy After Stroke: Results From an Online Survey of Health Professionals","authors":"Havva Sumeyye Eroglu, Audrey Bowen, Matthew Checketts, Claire Mitchell","doi":"10.1111/1460-6984.70127","DOIUrl":"10.1111/1460-6984.70127","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Post-stroke facial palsy significantly impacts patients' communication, eating and overall quality of life. Despite its prevalence, standardised management guidelines are lacking and evidence for assessment and treatment approaches remains limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To describe UK clinical practice for assessing and treating post-stroke facial palsy and which healthcare professionals play a role.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional online survey was conducted using Qualtrics to collect data on participants' professional lives, assessment and treatment practices. UK healthcare professionals in stroke or facial palsy care were recruited through social media, conferences and professional networks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ninety-six out of 150 professionals completed the survey, mainly speech and language therapists (40%) and physiotherapists (43%), including 17 others (occupational therapists, nurses, doctors and orthoptists). Speech and language therapists and physiotherapists were the most likely professions involved in the collaborative management of post-stroke facial palsy. The most common assessment was clinical observation (84%). Some assessments were more favoured by certain professions, for example, 71% of nurses and doctors used the National Institutes of Health Stroke Scale; speech and language therapists and physiotherapists used the Sunnybrook Facial Grading System and clinical observational methods more than the ‘Other group’. The most commonly used treatments were orofacial exercises (60%) and facial massage (52%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study describes current UK practice for managing post-stroke facial palsy and underscores the critical roles of speech and language therapists and physiotherapists. Now that we know what is used and by whom, we should explore the evidence underpinning this practice to guide assessment and treatment and improve outcomes for stroke survivors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>Post-stroke facial palsy affects 45%–60% of acute stroke patients, significantly impacting physical appearance, communication and qu","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neus Calaf, Jiri Mekyska, Jan Mucha, Marcos Faundez-Zanuy
{"title":"Dysarthria Assessment Across Spain: A Survey Study of Tools, Practices, and Needs","authors":"Neus Calaf, Jiri Mekyska, Jan Mucha, Marcos Faundez-Zanuy","doi":"10.1111/1460-6984.70122","DOIUrl":"https://doi.org/10.1111/1460-6984.70122","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Dysarthria, a motor speech disorder that has a significant impact on communication, requires precise assessment for accurate diagnosis and intervention. Although internationally recognised assessment tools exist, many are not culturally or linguistically adapted for Spanish-speaking populations. The objective of this study was to investigate how speech-language pathologists (SLPs) in Spain navigate the lack of appropriate dysarthria assessment tools and identify the additional resources and tools required to enhance evaluation practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This cross-sectional study surveyed 73 licensed SLPs in Spain using a 36-question online questionnaire, collecting data on a broad spectrum of topics, such as clinical experience, dysarthria assessment tools, tasks, and bilingual/multilingual practices. Descriptive statistical analysis was used to identify and highlight the key trends.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings revealed that participants commonly relied on informal tools for dysarthria assessment, with frequent use of linguistically dependent tasks, such as word repetition, loud reading, and sentence repetition, in addition to orofacial motricity. Participants also reported low use of patient-reported outcome measures (PROMs) and showed confusion regarding the validation status of the tools they used. Additionally, many expressed dissatisfaction with the current tools, highlighting the lack of comprehensive and culturally adapted instruments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study underscores the urgent need for validated, standardised, culturally and linguistically adapted tools for dysarthria assessment in Spain. The reliance on informal assessments and the combination of multiple tools highlights gaps in current resources. Future efforts should focus on developing comprehensive, adaptable tools that address the full range of dysarthria symptoms and raise awareness about the importance of tool validation to ensure consistent and effective care for Spain's diverse population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>Effective dysarthria assessment requires precise, standardised tools to inform diagnosis and intervention. While different tools are available internationally, they are mostly in English, with a few culturally adapted versions. This study was needed to address the lack of adapt","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145062736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Phonetic Inventory and Syllable Structure Types Amongst Typically Developing Children and Late-Talkers Speaking Tamil at 2 Years of Age: A Cross-Sectional Study","authors":"Roshini Leninkumar, Adhirai Garibaldi, Lakshmi Venkatesh","doi":"10.1111/1460-6984.70120","DOIUrl":"https://doi.org/10.1111/1460-6984.70120","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Tamil is a member of the Dravidian language family, and it is spoken extensively in several South Asian countries, including India, Sri Lanka, Malaysia and Singapore. The phonological development of Tamil-speaking children is examined in the current study within the context of lexical development by including children with typical language development (TD) and late talkers (LTs). The current study was conducted amongst Tamil-speaking children in Tamil Nadu, a southern state of India.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The study aimed to compare the size and nature of the phonetic inventory, the proportion of consonants, vowels and syllable structure types amongst Tamil-speaking children with TD and LTs around 24 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>The study included 68 Tamil-speaking children, comprising 34 LTs and 34 age- and gender-matched TD children. All children were born preterm and were assessed after their second birthdays as per their adjusted age for prematurity (<i>M</i> = 24.38 months; SD = 1.45). Language samples were recorded during free play and interaction with the caregiver. The transcription of children's spontaneous speech was subjected to independent analyses of speech to derive the phonological characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>LTs produced a significantly lower phonetic inventory (Mdn = 8.5) than TD children (Mdn = 15.5). Only consonants /p/ and /m/ were produced by 90% of Tamil-speaking LTs. In comparison, 90% of TD children produced a wide range of consonants over different manners of articulation, including nasals, semi-vowels and stops. Tamil's retroflex consonants and geminate clusters emerged early in TD children's productions; fricatives and affricates were limited. LTs produced a significantly higher proportion of front vowels and a significantly lower proportion of mid- and back vowels than TD children. Syllable structures produced by LTs predominantly consisted of monosyllables and reduplicated syllables compared to TD children's wide range of complex structures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>The data contribute to an emerging database on early phonological development in Tamil as spoken in Tamil Nadu, India. Observations from 2-year-old LTs and TD children speaking Tamil revealed similarities with English (bilabials, alveolar stops, disyllable and monosyllable production) and differences in line with distinct phonological characteristics of Tamil (lesser product","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Use of the Capability, Opportunity, Motivation-Behaviour Model and Theoretical Domains Framework to Understand Barriers and Enablers of Research Capacity and Culture for Speech and Language Therapy Staff","authors":"Katie Dooley Cawley, Helen Stringer","doi":"10.1111/1460-6984.70116","DOIUrl":"https://doi.org/10.1111/1460-6984.70116","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Research Capacity and Culture (RCC) is important for research engagement. Little is known of what speech and language therapy staff perceives to be the barriers or enablers to this at individual, team and organisational levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To identify the barriers and enablers to RCC among speech and language therapy staff, using behaviour change theory as a framework, and to explore their self-reported level of research engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants completed an online survey through purposive sampling. The survey and results were analysed following the Theoretical Domains Framework (TDF) and Capability, Opportunity and Motivation (COM-B) model, informed by the RCC Tool. Quantitative data were analysed using descriptive statistics. Percentage responses for ‘Yes’, ‘No’ and ‘Don't Know’ were categorised as barriers, enablers and don't know. Total percentage scores were classified as weak (0%–33.33%), moderate (33.34%–66.66%) or strong (66.67%–100%). Free text responses were analysed using NVivo (v12.0) and a structured categorisation matrix of barrier and enabler. Labelled emotions were the unit of analysis. Finally, participants selected a category reflecting their level of research engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Fifty-seven (response rate 73.08%) speech and language therapy staff members from an NHS Trust participated. Barriers and enablers were represented across eight domains of the TDF. At the individual level, knowledge and skill for activities linked to research-related professional standards from the HCPC were strong or moderate enablers, except one. More advanced research activities were rated as strong or moderate level barriers. For motivation, participants' beliefs about the benefit to clinical practice and desire to engage in more research activity (91.23% and 71.93%) were strong enablers. At the team and organisational level, time was a moderate strength barrier. Overall, there was poor knowledge of the availability of support and supervision. For environmental context and resources, library access was a strong enabler (98.25%); all other factors were weak enablers. For the level of research engagement, 52.63% were ‘Research Conscious’, 24.56% ‘Research Participative’, 21.05% ‘Research Active’ and 1.75% unknown.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>Barriers","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145021975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk Factors Associated With Swallowing Complaints and Oral Sensory Problems in Children With a History of Preterm Birth","authors":"Hilal Berber Çiftci, Özgül Akın Şenkal, Müge Müzeyyen Çiyiltepe, Ali Tunç","doi":"10.1111/1460-6984.70121","DOIUrl":"https://doi.org/10.1111/1460-6984.70121","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Although previous studies have investigated feeding difficulties in preterm children, research exploring contextual risk factors within low- and middle-income countries like Turkey remains limited. This prospective cross-sectional study aims to identify factors associated with swallowing difficulties and oral sensory problems in children aged 3–10 years who were born preterm.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A total of 158 parents of preterm children aged 3–10 years completed the Pediatric Eating Assessment Tool (PEDI-EAT-10) and the Oral Sensory Profile (Oral-SP). Data collected included age, gender, gestational age, growth metrics (height and weight), neonatal intensive care unit (NICU) stay duration, feeding methods (e.g., tube feeding, pacifier, or bottle use), medical history, and prior interventions like speech-language therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 27.2% of participants were at risk of dysphagia based on PEDI-EAT-10 scores, while 58.9% demonstrated definite oral sensory differences. Swallowing difficulties were significantly associated with younger age, lower gestational age, shorter height, lower weight, longer NICU stay, and longer pacifier use. A strong negative correlation was found between swallowing difficulties and oral sensory functioning (<i>r</i> = −0.594, <i>p</i> < 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings highlight the importance of early identification of swallowing and oral sensory issues in preterm children. Early neonatal interventions, particularly during NICU hospitalization, may reduce long-term feeding difficulties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>Preterm birth is well known to be associated with feeding and swallowing difficulties from the neonatal stage, which may persist throughout early childhood.</li>\u0000 </ul>\u0000 </div>\u0000 \u0000 <div><i>What this paper adds to existing knowledge</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>This study highlights the high prevalence of oral sensory processing difficulties in children born preterm, and a strong correlation between swallowing complaints and oral sensory differences. The association between pacifier use duration and swallowing complaints is a novel finding in the context of preterm populations.</li>\u0000 </ul>\u0000 </div>\u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Language, Speech, and Oral Motor Performance in Children With Developmental Coordination Disorder: A Systematic Review","authors":"Anna Fäldt, Evelien D'haeseleer, Amy De Roubaix","doi":"10.1111/1460-6984.70117","DOIUrl":"https://doi.org/10.1111/1460-6984.70117","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Developmental coordination disorder is a neurodevelopmental disorder characterised by motor difficulties that significantly and persistently impact activities of daily living and participation. It has been suggested that children with (probable) developmental coordination disorder (pDCD) experience challenges in the domain of language, speech, and oral motor development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This systematic review provides an overview of recent studies assessing challenges in these domains in children with (p)DCD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic search was performed in PubMed, Web of Science, EMBASE, and CINAHL, including all peer-reviewed articles published since January 2002 and up to November 2023 reporting on language, speech, or oral motor performance in children with (p)DCD assessed by standardised instruments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Contribution</h3>\u0000 \u0000 <p>A total of fourteen papers were included. The evidence suggests a higher prevalence of speech, language, and oral motor difficulties in children with pDCD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>More high-quality research, preferably longitudinal, is necessary to examine the prevalence of language, speech, and oral motor difficulties in children with DCD. The review highlights the heightened speech, language, and oral motor challenges faced by children with pDCD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>Developmental coordination disorder impacts the lives of many children. Parents report that children with developmental coordination disorder also may have challenges in language, speech, and oral motor development.</li>\u0000 </ul>\u0000 </div>\u0000 \u0000 <div><i>What this paper adds to the existing knowledge</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>This study suggests a high prevalence of speech, language, and oral motor difficulties in children with developmental coordination disorder based on standardised measures or diagnosis.</li>\u0000 </ul>\u0000 </div>\u0000 \u0000 <div><i>What are the potential ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70117","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144923589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Consonant Proficiency in Children With and Without Hearing Impairment Assessed With Profiles of Early Expressive Phonological Skills – Swedish (PEEPS-SE)","authors":"Anna Persson, Dyveke Christensen Karlström, Traci Flynn, Ulrika Marklund, Anette Lohmander","doi":"10.1111/1460-6984.70118","DOIUrl":"https://doi.org/10.1111/1460-6984.70118","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children with hearing impairment (HI) are at risk for language difficulties, which can persist during childhood. There is a lack of clinical language tests adapted for young preschool children, enabling early identification of language delays. The expressive phonological test PEEPS-SE could enable such testing in these ages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The present study sought to compare the phonological abilities of children with and without HI at ages 24 and 30 months and to contribute to the development of the test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>Outcomes of children with HI (<i>n</i> = 9) were compared to children with normal hearing (<i>n</i> = 21) with regard to the number of different established true consonants, fricatives, and percentage of consonants correct (PCC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>The HI group had significantly fewer consonants at 24 months and lower PCC at both ages, displaying no differences regarding fricatives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>The results from this study indicate that language delays occur in children with HI during early preschool years and that PEEPS-SE can identify these children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>It is well known that children born with hearing impairment are at risk for speech and language delays, but studies on the early auditory and speech development of children with hearing impairment that have been followed with the current recommendations in paediatric healthcare are lacking. Until recently, speech-language pathologists have lacked age-appropriate tests to measure phonological development in children under 3 years of age. This is particularly true for languages with few speakers (e.g., Swedish).</li>\u0000 </ul>\u0000 </div>\u0000 \u0000 <div><i>What this paper adds to the existing knowledge</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>In this paper, we report on results on early phonological skills in a group of Swedish children with hearing loss in comparison to a group of children with","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of Elicitation Method on Functionally Relevant Item Selection in Spanish and English Monolinguals and Bilinguals","authors":"Dallin J. Bailey, Esther Barahona Wilkes","doi":"10.1111/1460-6984.70109","DOIUrl":"https://doi.org/10.1111/1460-6984.70109","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>One important decision speech language pathologists make when planning anomia treatment is the identification and selection of the specific vocabulary items to target during therapy. However, this process is not entirely straightforward. Although ‘functional relevance’ has high face validity for the identification of target items, interpretations differ, which may impact which words are selected for therapy. As such, target item selection methods vary, with resulting items impacted by the specific method used. There are also many person-level variables that may impact the functional relevance of specific items, such as the heritage language of the patient or their bilingualism status. The overall purpose of this study is to determine how elicitation methods affect the selection of functionally relevant targets for anomia treatment. A secondary aim is to determine how heritage language and bilingualism status influence the specific targets selected.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twenty-three monolingual Spanish speakers, 81 monolingual English speakers and 59 English–Spanish bilingual participants were sampled according to two different elicitation methods: First, a ‘blank canvas’ question (which requested a list of 25 words the participant would choose if they only had them to communicate), followed by a series of open-ended questions (which represented realistic communication scenarios to elicit naturalistic responses). Responses were organized into corpora by elicitation method and by language group. Psycholinguistic characteristics, part of speech category and thematic analysis category of the top words in each corpus were identified. Effects of the independent variables on the dependent variables were compared descriptively and analysed inferentially using Kruskal–Wallis and Mann–Whitney tests and chi-square analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results indicated effects of the elicitation method on all of the psycholinguistic characteristics examined. Language group had fewer effects. Effects were replicated when analyses were repeated with function words removed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results showed significant effects of elicitation method on the selection of functionally relevant vocabulary items, with lists developed using the blank canvas method being significantly more concrete and noun-heavy compared to those developed using frequency data from functional communication prompt responses. This was true regardless of bilingualism status or Spanish or English background. These findings speak to the differences between ling","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144897647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Influence of Physical Exercise on Head and Neck Structures and Functions Related to Swallowing: A Scoping Review Protocol","authors":"Anittha Mappanasingam, Erin Langman, Rebecca Affoo, Ashwini Namasivayam-MacDonald","doi":"10.1111/1460-6984.70119","DOIUrl":"https://doi.org/10.1111/1460-6984.70119","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dysphagia (swallowing impairment) can lead to malnutrition, dehydration, aspiration pneumonia, social isolation and even death. Current interventions for dysphagia include rehabilitation that improves swallowing physiology and function. Physical exercise is known to directly benefit skeletal muscles and may also benefit non-targeted skeletal muscles involved in swallowing, as these muscles are often engaged during vigorous exercise. Implementing physical exercise as a dysphagia intervention may help counteract sarcopenic dysphagia and delay symptoms associated with frailty. The objective of this review is to describe current evidence exploring the impact of different forms of physical exercise on structures and functions related to swallowing in both adult humans and animals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study will use PRISMA-ScR protocol guidelines and JBI methods to ensure proper reporting. Quantitative studies (experimental and quasi-experimental study designs) and case studies/series that examined either mature animal models or adults who engaged in physical exercise programs. This review will assess any physiological or functional changes to the head and neck structures involved in swallowing assessed by swallowing-related outcome measures and consider physical exercise programs for the intervention. Studies that include children do not provide details regarding exercises (e.g., dose and type of exercise), or qualitative studies will be excluded. The following databases were searched on 7 April 2024 by an experienced health sciences librarian: MEDLINE, Embase, CINAHL and Scopus. English language articles will be included in the review with no restrictions on publication date. Title and abstract screening will be performed, followed by full-text screening according to the inclusion criteria. Data regarding type and dose of exercise, along with its effect on the structures involved in swallowing, will be extracted using a proposed data charting tool and presented in tables and figures as appropriate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This scoping review aims to comprehensively describe existing literature examining the relationship between physical exercise and swallowing-related structures and functions. A detailed synthesis of the current evidence is essential to advance multidisciplinary approaches to dysphagia care, including the integration of physical exercise. Such efforts will enable clinicians to take proactive steps in supporting adults to maintain swallowing function.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144897666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}