American Journal of Speech-Language Pathology最新文献

{"title":"What Matters When Providing Conversational Recast Treatment? A Multilevel Modeling Analysis.","authors":"Alexander Choi-Tucci, Alyssa Sachs, Rebecca Burton, Rebecca Vance, Elena Plante","doi":"10.1044/2024_AJSLP-24-00138","DOIUrl":"10.1044/2024_AJSLP-24-00138","url":null,"abstract":"<p><strong>Purpose: </strong>Conversational recasting treatment is generally effective. However, different versions of this treatment and different targets may yield different outcomes for children. Here, we directly compare multiple variations of conversational recasting to determine how modifications to delivery and target impact treatment outcomes.</p><p><strong>Method: </strong>Using Bayesian hierarchical linear mixed modeling, we compared outcome data from 141 children with developmental language disorder (DLD) across 10 versions of recast treatment compared with enhanced conversational recast treatment (a version that incorporates linguistic variability and attentional cues). We also compared data from a subset of 132 children treated for one of five morphological targets to determine the relative difficulty of learning each target.</p><p><strong>Results: </strong>Results suggest that seven of the 10 treatment conditions resulted in an average decrease in generalization probe performance relative to enhanced conversational recasting alone. These conditions resulted in probe performance that was between 47% and 84% worse than performance of children who received enhanced conversational recasting with no variations. The remaining three conditions were no better or worse than enhanced conversational recasting. One treatment target was easier to remediate, while the other four were no easier or harder to acquire through treatment.</p><p><strong>Conclusions: </strong>These results suggest that different variations of conversational recasting facilitate or diminish learning by children with DLD and that clinicians' attention to the form and structure of treatment delivery is necessary to implement best practice for this treatment method. In contrast, clinicians may have more flexibility when selecting targets.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28055207.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":"34 2","pages":"469-486"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587698","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":"Work-Related Physical Discomfort and Ergonomics Among Speech-Language Pathologists Performing Flexible Endoscopic Evaluations of Swallowing.","authors":"Andrew Keltz, Ciara Leydon, Jacqueline A Vernarelli, Danielle Livecchi, Michael Z Lerner","doi":"10.1044/2024_AJSLP-24-00258","DOIUrl":"10.1044/2024_AJSLP-24-00258","url":null,"abstract":"<p><strong>Purpose: </strong>Flexible endoscopic evaluation of swallowing (FEES) is a common component of a comprehensive dysphagia assessment. Endoscopy-related musculoskeletal symptoms resulting from clinician, environment, or equipment factors have been reported among health care professionals. The purpose of this work was to uncover the prevalence and nature of physical discomfort among speech-language pathologists (SLPs) who perform FEES. Investigators also explored SLPs' strategies to reduce endoscopy-related discomfort and their perceived benefit of ergonomics training.</p><p><strong>Method: </strong>A survey was distributed electronically to SLPs to gather information about demographics, work environment, FEES practice, ergonomics, and physical discomfort. Data were analyzed using logistic regression and Spearman rank correlations.</p><p><strong>Results: </strong>One hundred sixty SLPs who conduct FEES completed the survey. The majority of participants (73%) experienced physical discomfort, at least sometimes, when performing FEES, most notably in the shoulder, back, and neck. Participants who reported suboptimal ergonomics demonstrated fivefold increased odds of experiencing discomfort, indicating insight into physical challenges. Participants with fewer years of experience, less frequent ability to achieve optimal positioning, and increased frequency of physical discomfort were more likely to anticipate benefit from training.</p><p><strong>Conclusions: </strong>Physical discomfort was common and was not predicted by demographics, work environment, years of FEES practice, or dose. Further studies are needed to identify factors that predict discomfort and strategies to support comfort and well-being.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"559-570"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866030","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":"Collaborative Referencing Intervention (CRI) in Aphasia: A Replication and Extension of the Phase II Efficacy Study.","authors":"Suma R Devanga","doi":"10.1044/2024_AJSLP-24-00226","DOIUrl":"10.1044/2024_AJSLP-24-00226","url":null,"abstract":"<p><strong>Purpose: </strong>A Phase II study on collaborative referencing intervention (CRI) documented significant positive treatment effects on a traditional confrontation naming measure in four participants with aphasia (PWAs). We replicated the 2021 study and extended it by studying the treatment effect on dyadic conversations and perceptions of communication confidence.</p><p><strong>Method: </strong>Three PWAs participated in this multiple-probe, single-case experimental study composed of (a) three preparatory sessions, (b) five baseline sessions, (c) 15 CRI sessions with five treatment probes, and (d) five maintenance sessions. The dependent variables included a collaborative confrontation naming (CCN) probe, the Communication Confidence Rating Scale for Aphasia (CCRSA; Babbitt et al., 2011), and 10-min conversations each with clinician and a communication partner. Each CRI session (i.e., independent variable) consisted of a photo-matching game with the participant and clinician taking alternative turns identifying and matching personally relevant treatment cards. CCN probes were scored using a multidimensional rating scale. Analyses of correct information units_conv (CIU_conv), trouble sources, and repairs were conducted on the conversations across the study. The CCRSA scores were also analyzed across the study.</p><p><strong>Results: </strong>Multiple-probe analysis revealed significant positive treatment effects on (a) confrontation naming (consistent with the previous study), (b) conversations (on trouble sources and repairs with clinician only, with no significant changes in CIU_conv across partners), and (c) perceived communication confidence across participants.</p><p><strong>Conclusions: </strong>CRI emerges as a promising intervention for individuals with aphasia with potential impacts on conversations and perceived communication confidence. Future research endeavors will further augment our understanding and evidence base regarding this treatment.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"739-765"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460329","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":"Incorrect Statements and Citing Errors Regarding the Effect of Ankyloglossia on Speech in Cordray et al., 2023.","authors":"Ann W Kummer","doi":"10.1044/2024_AJSLP-24-00231","DOIUrl":"10.1044/2024_AJSLP-24-00231","url":null,"abstract":"<p><strong>Purpose: </strong>There is a great deal of misinformation among professionals about the effect (or lack thereof) of ankyloglossia on speech. Consequently, many children undergo unnecessary frenotomy procedures that do not improve their speech and may cause unnecessary complications. This letter points out several erroneous statements in Cordray et al. (2023) about the effect of ankyloglossia on speech. In addition, it identifies articles that were incorrectly cited to support these statements. This letter also reveals significant errors of omission, including the results of the systematic review from the Agency for Healthcare Research and Quality, which found that there is insufficient evidence to conclude that ankyloglossia affects speech. Another omission was the consensus statement from the American Academy of Otolaryngology-Head and Neck Surgery Consensus Report, which states that ankyloglossia does not typically affect speech. Finally, this letter details the reasons why ankyloglossia is highly unlikely to affect speech.</p><p><strong>Conclusion: </strong>Contrary to statements made in Cordray et al. (2023), there is no evidence that ankyloglossia affects speech production, and therefore, it is highly unlikely to be the cause of a speech sound disorder. This is because even with severe restriction of tongue tip movement, a compensation (or alternative method of production) can be used to produce lingual phonemes with the same acoustic output.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"982-984"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366214","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":"Benefits of a Virtual, Adapted Yoga Practice for People With Aphasia: A Pilot Cohort Study.","authors":"Lauren Bislick, Aimee Dietz, Karen Cornelius, E Susan Duncan, Amy E R Engelhoven, Michelle K Hart","doi":"10.1044/2024_AJSLP-24-00325","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00325","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to extend previous work using a pilot delayed cohort design with a more geographically and linguistically diverse group of people with aphasia (PWA) to explore the impact of a virtual, adapted, and aphasia-friendly yoga program; expand our original outcome measures to include a self-report of aphasia impact in addition to measures of resilience, stress, sleep disturbance, and pain management; and continue programmatic development through participant feedback about the program structure.</p><p><strong>Method: </strong>A delayed cohort design was used to document the benefits of a virtual, adapted, and aphasia-friendly yoga program for persons with moderate-severe aphasia, replicating our previous work with persons with mild-moderate aphasia. Fourteen PWA participated in an 8-week community yoga program. Perceived stress, resilience, sleep disturbance, pain management, and aphasia impact were assessed pre- and postparticipation in the yoga program via self-report. A brief questionnaire was given at the end of the yoga program to inform programmatic development.</p><p><strong>Results: </strong>Results of group comparisons suggest that participation in an 8-week adapted yoga program may positively impact perceptions of resilience (medium effect), sleep disturbance (medium effect), perceived stress (small effect), and aphasia impact (small effect). No effect was found for pain. Overall, participants reported a positive experience and offered feedback to enhance the structure of the program.</p><p><strong>Conclusions: </strong>Findings are promising and support yoga as a potent adjunct to traditional rehabilitation efforts to support resilience and psychosocial variables that impact quality of life in people with moderate-severe aphasia.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28514249.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-10"},"PeriodicalIF":2.3,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143575995","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":"Approaches to Training Speech-Language Pathologists to Work With People With Aphasia: A Systematic Review.","authors":"Imran Musaji, Erin L O'Bryan, Aaron Bowen","doi":"10.1044/2024_AJSLP-24-00350","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00350","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this systematic review was to analyze the published research on training approaches for preparing current and future speech-language pathologists (SLPs) to work effectively with people with aphasia (PWA). The review addresses key questions regarding the described training approaches, their key features, research quality, and efficacy.</p><p><strong>Method: </strong>The review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and registered with International Prospective Register of Systematic Reviews (CRD42024453742). The literature search spanned nine databases. Eligibility criteria included peer-reviewed publications in English that reported on training programs involving current or future SLPs working with PWA. Studies were assessed for research quality using the American Speech-Language-Hearing Association's (ASHA's) levels of evidence framework. Narrative synthesis was used to identify key features in the training programs.</p><p><strong>Results: </strong>A total of 920 citations were identified, with 50 studies meeting the inclusion criteria for analysis. Included studies represented a broad range of training approaches, research designs, and research quality. The 50 studies fell into ASHA levels of evidence Ib, IIa, IIb, III, and IV. Statistical meta-analysis was not possible because of variability in research design and outcome measures, but the studies revealed statistically significant findings relevant to the question of what makes training effective for preparing clinicians to work with people with aphasia.</p><p><strong>Conclusions: </strong>The current literature related to training of clinicians to work with PWA is heterogeneous in approach, outcome metrics, and methodological quality. There is evidence supporting several recommendations for training clinicians including integrating direct interactions with PWA during training, combining didactic and experiential learning, and incorporating reflective practices. Overall, the review highlights the need for well-described evidence-based training standards for speech-language pathology students working with PWA. Future research should aim to develop and validate comprehensive training guidelines to improve care quality for individuals with aphasia.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-39"},"PeriodicalIF":2.3,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143575869","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":"Perspectives on Airway Protection: A Mixed Methods Investigation in People With Parkinson's Disease.","authors":"Jordanna S Sevitz, Nicole Rogus-Pulia, Michelle S Troche","doi":"10.1044/2024_AJSLP-24-00353","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00353","url":null,"abstract":"<p><strong>Purpose: </strong>Disordered airway protection, including both disordered swallowing (dysphagia) and disordered cough (dystussia), is highly prevalent among persons with Parkinson's disease (pwPD). A comprehensive understanding of the perspectives of pwPD as it relates to airway protection is currently lacking and is necessary to provide relevant, person-centered care. Therefore, this study used a parallel-convergent mixed methods design to quantitatively and qualitatively investigate pwPD's perspectives on airway protection.</p><p><strong>Method: </strong>Thirteen pwPD were consecutively recruited from a cough training trial. Quantitative data (obtained from the Swallowing Quality of Life questionnaire [SWAL-QOL] and the modified Canadian Occupational Performance Measure [mCOPM]) and qualitative data (obtained from semistructured interviews) were integrated to define participant knowledge, perceived importance, perceived performance, and psychosocial implications of airway protective deficits.</p><p><strong>Results: </strong>All participants reported basic knowledge about airway protection, which centered around four themes-physiology, the interconnectedness between bulbar functions, danger, and impaired airway protection as a consequence of PD. All participants believed that airway protection was important (median mCOPM score = 10), with three primary themes related to importance-survival, anticipated future decline, and maintaining oral intake. We identified a split between participants who perceived themselves to have \"a swallowing problem\" and those who did not, with three themes relating to perceived impairment-use of eating strategies, unpredictable and inconsistent symptom experience, and vigilance required to mitigate symptoms. Psychosocial ramifications centered on three key themes that aligned with three SWAL-QOL domains-overall burden, fear of future decline, and social embarrassment.</p><p><strong>Conclusion: </strong>The integration of quantitative and qualitative data in this study highlights the importance of considering unique patient perspectives to develop personalized and relevant management plans for each unique pwPD that integrate objective and clinical findings with patient priorities and needs.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28489280.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-21"},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568591","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":"Examining How U.S.-Educated Students Navigate International Clinical Practice in Audiology and Speech-Language Pathology.","authors":"Fauzia Abdalla, Ishara Ramkissoon, Samantha Ghali, Lemmietta McNeilly","doi":"10.1044/2024_AJSLP-24-00127","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00127","url":null,"abstract":"<p><strong>Purpose: </strong>The current qualitative study aimed to explore the experiences and challenges reported by United States (U.S.)-educated international clinicians practicing outside of the U.S. upon graduate degree completion. Identification of strategies for international practice was sought.</p><p><strong>Method: </strong>Nine participants, including seven speech-language pathologists (six women, one man) and two male audiologists practicing in 10 countries, were interviewed. Content analysis was used to systematically structure interview data, and a phenomenological orientation with qualitative analyses was adopted to explore the value and significance of the international practitioners' experiences.</p><p><strong>Results: </strong>Data analysis revealed three overarching themes that emphasized the influence of local context on clinical practice, professional autonomy, and navigating strategies for professional success. These thematic results were supported by several subthemes addressing a range of topics, such as evidence-based practice, colonialism, encroachment, resilience, and self-care. Analysis and interpretation of themes led to specific outcomes, including (a) suggestions for curricular and clinical changes within graduate programs, (b) optimal personal skills and strategies professionals utilize to achieve success during international engagements, and (c) recommendations for universities and professional organizations to enhance graduate personnel preparation of clinicians.</p><p><strong>Conclusions: </strong>Study implications offered recommendations that graduate programs and professional organizations could use to optimize the preparation of the audiology and speech-language pathology workforce internationally. The implications include advising, mentoring, curriculum, service provision coaching, clinical placement, and alumni relations that benefit international graduate degree candidates, departments, and universities. Insights from this study are an invaluable resource for academicians and future graduate students planning to work internationally.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-19"},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568582","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":"How Caregivers of Children in Early Intervention Feel About Simplified Language Input.","authors":"Julia Andary, Megan Nylund-Hackbarth, Emily Lorang, Bridget Walsh, Sarah N Douglas, Courtney E Venker","doi":"10.1044/2024_AJSLP-24-00380","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00380","url":null,"abstract":"<p><strong>Purpose: </strong>Caregivers of children in early intervention (EI) are commonly taught to simplify their speech, yet there is little research on caregivers' perspectives on recommended simplification strategies. We explored caregivers' opinions about using shortened and telegraphic speech and examined what caregiver and child characteristics are associated with caregiver views on simplified linguistic input.</p><p><strong>Method: </strong>Seventy-seven caregivers of children in EI completed an online survey on caregivers' perspectives on the language input provided to children with language delays. Using Likert scales, caregivers indicated their beliefs regarding speaking in shortened utterances (i.e., utterances with very few words) and telegraphic input (i.e., utterances that include content words such as nouns and verbs but remove function words and grammatical markings). In addition, caregivers were asked to rate the importance of a number of different factors (i.e., receptive language, expressive language, age, cognitive abilities, and diagnosis) when deciding how to speak to their children.</p><p><strong>Results: </strong>Caregivers reported a range of views, with few feeling neutral about shortened utterances or telegraphic input. Overall, caregivers perceived telegraphic utterances as less beneficial than shortened utterances. Caregivers with less formal education had a more positive view of telegraphic utterances compared to those with more formal education. Caregivers rated receptive language as the most important factor when deciding how to speak to a child.</p><p><strong>Conclusions: </strong>Caregivers of children in EI have differing views about simplified language input. Practitioners should provide a clear rationale and discuss caregivers' views about simplification approaches to better tailor their recommendations.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28452668.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-8"},"PeriodicalIF":2.3,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606127","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":"Cough Suppression Therapy in Patients With Chronic Refractory Cough and Oropharyngeal Dysphagia.","authors":"ShengYing A Chen, Jessica F Kim, Priya Krishna, Ethan Simmons, Brianna K Crawley, Thomas Murry","doi":"10.1044/2024_AJSLP-24-00345","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00345","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic refractory cough (CRC), defined as cough lasting over 8 weeks despite medical intervention, is a prevalent condition with a number of associated comorbidities. Cough suppression therapy (CST) has been demonstrated to be a promising avenue for treating CRC by improving airway control and coordination. However, little is known about the effects of CST in CRC patients diagnosed with comorbid oropharyngeal dysphagia (DYS) despite a large subset of patients with both conditions. The purpose of this study was to determine if CST affects self-assessment of DYS severity in patients diagnosed with both CRC and oropharyngeal DYS.</p><p><strong>Method: </strong>The charts of 106 patients with a primary diagnosis of CRC who completed CST were reviewed. A total of 30 age- and gender-matched individuals, 15 with CRC and oropharyngeal DYS (CRC + DYS) and 15 with CRC only, were identified. All patients underwent stroboscopic examinations by an otolaryngologist and completed the Cough Severity Index and Eating Assessment Tool-10 surveys. Statistical analyses were conducted to compare pre- and posttreatment symptom severity, gender, age, race/ethnicity, and comorbidities.</p><p><strong>Results: </strong>Self-reported severity of DYS decreased in all 15 CRC + DYS patients, and their average post-treatment score was statistically similar to that of patients with only CRC. Both groups had comparable reductions in their self-assessment of cough severity. The two groups presented no statistically significant difference in pretreatment cough severity, treatment duration, number of treatment sessions, comorbidities, age, and gender.</p><p><strong>Conclusion: </strong>These findings suggest that CRC patients with oropharyngeal DYS and no evidence of aspiration had statistically significant improved self-assessment of swallowing disorder severity when treated with CST.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-7"},"PeriodicalIF":2.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517262","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}