Perspectives of the ASHA special interest groups最新文献

{"title":"Speech Science as the Foundation for Voice and Motor Speech Disorders","authors":"Monica A. McHenry, Vikas Grover","doi":"10.1044/2023_persp-23-00212","DOIUrl":"https://doi.org/10.1044/2023_persp-23-00212","url":null,"abstract":"\u0000 \u0000 Physiological concepts can be effectively taught in speech science. These will serve as the foundation for understanding the physiological changes associated with neurogenic and voice disorders. In this tutorial, relevant concepts are highlighted across the respiratory, phonatory, velopharyngeal, and articulatory systems. Student activities and illustrative videos are presented. The culminating activity is based on a speech sample of an individual with moderate flaccid–spastic dysarthria. Students relate the physiological changes associated with dysarthria to the acoustic outcomes.\u0000 \u0000 \u0000 \u0000 Although traditionally speech science focuses on acoustics, this tutorial provides guidance on shaping the class to highlight the physiology underlying the acoustics. In this manner, students more easily see the clinical relevance.\u0000","PeriodicalId":74424,"journal":{"name":"Perspectives of the ASHA special interest groups","volume":"52 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139797296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proactive Strategies for Breaking Barriers: Advancing Justice Initiatives in Speech-Language Pathology for Diverse Populations in Voice Management and Upper Airway Disorders","authors":"Sean U. Moonsammy, Teresa Procter, Maurice E. Goodwin, Phoebe Crumpton","doi":"10.1044/2023_persp-23-00138","DOIUrl":"https://doi.org/10.1044/2023_persp-23-00138","url":null,"abstract":"\u0000 \u0000 This clinical focus article examines the importance of justice, equity, diversity, and inclusion (JEDI) initiatives in the field of speech-language pathology, particularly in the context of voice management and upper airway disorders.\u0000 \u0000 \u0000 \u0000 We begin by acknowledging the growing focus on JEDI-related strategies, such as supporting students from diverse cultural backgrounds, measuring clinician competence in working with diverse clients, and increasing awareness of cultural and linguistic diversity in patient populations. We emphasize the need for both individual and systemic efforts to develop competence in JEDI initiatives. However, challenges exist in developing culturally responsive materials and documentation at a macro level, including the lack of research and resources in understanding the needs of diverse patient populations in voice and upper airway disorders. The clinical focus article highlights the absence of demographic data related to cultural and linguistic diversity in this field and discusses the challenges in developing language-specific materials, culturally relevant assessment tools, and therapeutic interventions aligned with cultural values and standards. Limited funding and resources further impede progress in JEDI initiatives and the development of tailored intervention models. Recognizing the impossibility of accounting for every unique intersectionality, the clinical focus article offers foundational steps toward creating an inclusive space and providing culturally responsive health care. It specifically focuses on gender-inclusive care, diagnostic considerations for socially linguistically diverse individuals, and addressing issues of clinical ableism.\u0000 \u0000 \u0000 \u0000 The clinical focus article aims to identify and expand upon current resources for culturally responsive practice in the American Speech-Language-Hearing Association, particularly in the context of voice and upper airway disorders.\u0000","PeriodicalId":74424,"journal":{"name":"Perspectives of the ASHA special interest groups","volume":"17 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139869335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proactive Strategies for Breaking Barriers: Advancing Justice Initiatives in Speech-Language Pathology for Diverse Populations in Voice Management and Upper Airway Disorders","authors":"Sean U. Moonsammy, Teresa Procter, Maurice E. Goodwin, Phoebe Crumpton","doi":"10.1044/2023_persp-23-00138","DOIUrl":"https://doi.org/10.1044/2023_persp-23-00138","url":null,"abstract":"\u0000 \u0000 This clinical focus article examines the importance of justice, equity, diversity, and inclusion (JEDI) initiatives in the field of speech-language pathology, particularly in the context of voice management and upper airway disorders.\u0000 \u0000 \u0000 \u0000 We begin by acknowledging the growing focus on JEDI-related strategies, such as supporting students from diverse cultural backgrounds, measuring clinician competence in working with diverse clients, and increasing awareness of cultural and linguistic diversity in patient populations. We emphasize the need for both individual and systemic efforts to develop competence in JEDI initiatives. However, challenges exist in developing culturally responsive materials and documentation at a macro level, including the lack of research and resources in understanding the needs of diverse patient populations in voice and upper airway disorders. The clinical focus article highlights the absence of demographic data related to cultural and linguistic diversity in this field and discusses the challenges in developing language-specific materials, culturally relevant assessment tools, and therapeutic interventions aligned with cultural values and standards. Limited funding and resources further impede progress in JEDI initiatives and the development of tailored intervention models. Recognizing the impossibility of accounting for every unique intersectionality, the clinical focus article offers foundational steps toward creating an inclusive space and providing culturally responsive health care. It specifically focuses on gender-inclusive care, diagnostic considerations for socially linguistically diverse individuals, and addressing issues of clinical ableism.\u0000 \u0000 \u0000 \u0000 The clinical focus article aims to identify and expand upon current resources for culturally responsive practice in the American Speech-Language-Hearing Association, particularly in the context of voice and upper airway disorders.\u0000","PeriodicalId":74424,"journal":{"name":"Perspectives of the ASHA special interest groups","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139809466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing Clinical Decision Making Through Trauma-Informed Care in Pediatric Hearing Health Care","authors":"Brittney J. Sprouse","doi":"10.1044/2023_persp-23-00058","DOIUrl":"https://doi.org/10.1044/2023_persp-23-00058","url":null,"abstract":"\u0000 \u0000 Adverse childhood experiences affect early brain development and future health outcomes. The principles of trauma-informed care (TIC) incorporate safety, screening, understanding context, avoiding retraumatization, and discharge planning to provide optimal care for patients and families. Secondary traumatic stress is the trauma providers' experience when serving patients and families who have experienced trauma. The purpose of this article is to examine the impact of trauma, investigate the principles of TIC, and identify the ways to implement it in hearing health care.\u0000 \u0000 \u0000 \u0000 Providers working with children and families who have experienced trauma should be trained to provide a trauma-informed approach and learn the signs, symptoms, and risks of secondary traumatic stress. To improve the quality of care for children with hearing loss who have experienced trauma, their adverse experiences must be considered with trauma-informed techniques incorporated into the hearing health care model of care.\u0000","PeriodicalId":74424,"journal":{"name":"Perspectives of the ASHA special interest groups","volume":"322 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140480975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic Biofeedback Training for Cough and Swallowing: The What, Why, and How","authors":"James A. Curtis","doi":"10.1044/2023_persp-23-00190","DOIUrl":"https://doi.org/10.1044/2023_persp-23-00190","url":null,"abstract":"\u0000 \u0000 Endoscopic biofeedback training is a type of augmented extrinsic feedback that provides information about physiological processes and bolus flow information through the use of flexible endoscopy. The goal of this tutorial is to describe why and how to incorporate endoscopic biofeedback training into cough and swallowing treatment when working with people with dystussia and dysphagia.\u0000 \u0000 \u0000 \u0000 In this tutorial, we will review the diagnostic advantages and limitations of flexible endoscopic evaluation of swallowing as it relates to biofeedback training. We will then (a) review what is known about endoscopic biofeedback training in the field of speech-language pathology; (b) identify which airway protective behaviors clinicians might be best suited for endoscopic biofeedback training; and (c) provide a guide, including sample scripts and video demonstrations, that clinicians can use to aide in the implementation of endoscopic biofeedback training.\u0000 \u0000 \u0000 \u0000 Endoscopic biofeedback training for cough and swallowing habilitation and rehabilitation may be a useful addition to a speech-language pathologist's therapeutic armamentarium. However, more research is needed to comprehensively characterize the long-term effects on endoscopic biofeedback training on cough and swallowing treatment-related outcomes.\u0000 \u0000 \u0000 \u0000 \u0000 https://doi.org/10.23641/asha.25043579\u0000 \u0000","PeriodicalId":74424,"journal":{"name":"Perspectives of the ASHA special interest groups","volume":"356 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140483081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives on Device-Facilitated Therapy in Management of Pediatric Dysphagia in the Neonatal Intensive Care Unit","authors":"Alaina Martens, Angela Melkonian, Sophia Shaughnessy, Emily Zimmerman","doi":"10.1044/2023_persp-23-00172","DOIUrl":"https://doi.org/10.1044/2023_persp-23-00172","url":null,"abstract":"\u0000 \u0000 Most infants born preterm will experience some difficulty with sucking and feeding. As clinicians in the neonatal intensive care unit (NICU), it is important to understand the available technologies so that they may be implemented, when appropriate and accessible, to support these infants in their sucking and feeding performance. The purpose of this review is to highlight devices that are available to assist clinicians in the management of pediatric dysphagia in the NICU. We will review the literature surrounding the use of devices in the management of pediatric dysphagia. This is followed by a clinical perspective from a NICU speech-language pathologist (SLP) who shares important considerations, recommendations, and limitations of device use.\u0000 \u0000 \u0000 \u0000 By reviewing device-facilitated therapies for the management of pediatric dysphagia and discussing their implementation and effectiveness, we hope that SLPs will gain an understanding of the available technologies and insight into their use in the NICU environment. While the research highlighted shows many benefits of the use of device-facilitated therapies in the NICU, this is an emerging area of the field that is continually evolving and more research is needed to establish the pathway to individualized, developmentally supportive, device-facilitated intervention.\u0000","PeriodicalId":74424,"journal":{"name":"Perspectives of the ASHA special interest groups","volume":"74 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139381552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ecosystemic Clinical Assessment of Linguistic Diversity: Greek-Dominant Speech","authors":"E. Babatsouli","doi":"10.1044/2023_persp-23-00088","DOIUrl":"https://doi.org/10.1044/2023_persp-23-00088","url":null,"abstract":"Diversity considerations are of paramount significance in the clinical assessment and treatment of speech disorders in bilingual children and adults who speak a less common language (and/or its dialects). While comprehensive assessment is essential for culturally and linguistically diverse (CLD) populations, this is clinically challenging due to the indeterminacy entailed in the process and incumbrances in access to resources. This clinical tutorial outlines key considerations necessary for holistic, ecological, and dynamic assessments of speech disorders internationally, focusing on Greek. Pertinent literature is reviewed to provide the relevant theoretical backdrop for the ecosystemic protocol, both conceptually and schematically. Greek is utilized as an example language, aiming to underscore knowledge, tools, and other resources on clinically relevant aspects of dialectal, interlanguage (adult second language [L2]), and child multilingual (L2/third language) variation in Greek-dominant speakers. The tutorial highlights facets of Greek speech and scripts a primary assessment model for clinical use mostly targeting clinicians that are not speakers or cognizant of the language, also viewing speech in linguistic diversity as a sociolinguistic construct. Recommendations for clinical practices are outlined proposing a specific action plan, exemplified by a case scenario. The demonstrated ecosystemic paradigm in holistic, ecological protocols for clinical assessment of speech disorder in CLD speakers addresses the need for nonlinear, multilevel assessment of variable language exposure and use; being sensitive to individual speaker specificities; the sociolinguistic environment; and employing people-first, culturally sensitive, and dynamic strategies in clinical assessment. The stance also simplifies disambiguation tasks regarding the difference disorder dichotomy, enhancing existing clinical procedures.","PeriodicalId":74424,"journal":{"name":"Perspectives of the ASHA special interest groups","volume":"60 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139146535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Speech Production in Mandarin–English Bilingual Children: Comparison of Mandarin and English Sound Systems and Special Considerations","authors":"Jie Yang, Maria Resendiz","doi":"10.1044/2023_persp-23-00101","DOIUrl":"https://doi.org/10.1044/2023_persp-23-00101","url":null,"abstract":"When assessing bilingual children's speech, it is important to determine whether the errors are indicative of a true speech sound disorder or a speech sound difference. The purpose of this tutorial is to provide cultural and linguistic background of Mandarin in comparison to English and to outline the process of speech production assessment for Mandarin–English bilingual children. Pertinent literature was reviewed around varieties of Chinese, unique features of the Mandarin sound system, commonly used transcription methods (International Phonetic Alphabet and Pinyin ), and patterns of Mandarin-influenced English. Previous research findings on the acquisition of consonants, vowels, and tones in monolingual Mandarin-speaking children were summarized. The assessment process including consonants, vowels, tones, syllable structures, and lexical stress was described and illustrated with flow charts. Recourses related to cultural and linguistic information of Mandarin and accessible assessment materials are referenced. A thorough knowledge of a child's language background is crucial in planning assessment of speech production for Mandarin–English bilingual children. A comparative understanding of the sound systems of Mandarin and English facilitates clinical decision making.","PeriodicalId":74424,"journal":{"name":"Perspectives of the ASHA special interest groups","volume":" 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139144755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterizing Gelatin-Based Desserts Using International Dysphagia Diet Standardisation Initiative Testing Methods","authors":"Deirdre Larsen, Mathew Vansant, Meghan Eisenhardt","doi":"10.1044/2023_persp-23-00159","DOIUrl":"https://doi.org/10.1044/2023_persp-23-00159","url":null,"abstract":"\u0000 \u0000 Gelatin-based desserts are a popular method to promote liquid consumption for individuals with dysphagia. Unique characteristics of these desserts in the United States pose a challenge for appropriate presentation to patients in relation to their clinically approved International Dysphagia Diet Standardisation Initiative (IDDSI) level. The purpose of this study was to determine the constancy of IDDSI level and transitional food status for 16 nationally available gelatin-based desserts based on preparation (premade and ready-to-make) and formulation (regular and sugar-free).\u0000 \u0000 \u0000 \u0000 Three semiblinded raters used IDDSI testing methods to assign an IDDSI level and transitional food rating immediately, 15 min, and 60 min after removing from the refrigerator.\u0000 \u0000 \u0000 \u0000 \u0000 The majority (89.6%) of the samples were rated as Level 7 Easy to Chew, across all time intervals, with good interrater agreement (Mann–Whitney\u0000 U\u0000 Test, immediately\u0000 U\u0000 = 101.0,\u0000 p\u0000 = .934; 15 min\u0000 U\u0000 = 101.0,\u0000 p\u0000 = .934; 60 min\u0000 U\u0000 = 94.5,\u0000 p\u0000 = .711). Approximately a quarter of samples were categorized as a transitional food, though 4% could not be categorized using current IDDSI characteristics.\u0000 \u0000 \u0000 \u0000 \u0000 Overall, this study presents that the current characteristics and physiological rationale may overestimate the skills required for gelatin-based desserts and inappropriately classify them as nontransitional foods. As with all products, individual gelatin-based desserts should be tested at the time of presentation to the patient. However, clinical evaluation should further determine the appropriateness of the dessert for each patient.\u0000","PeriodicalId":74424,"journal":{"name":"Perspectives of the ASHA special interest groups","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138956410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cough: An Introductory Guide for Speech-Language Pathologists","authors":"Carolyn K. Novaleski, Lucille A. Near, R. Benzo","doi":"10.1044/2023_persp-23-00203","DOIUrl":"https://doi.org/10.1044/2023_persp-23-00203","url":null,"abstract":"\u0000 \u0000 The airway defense mechanism of cough is essential for human survival. Recognition is growing about the distinct role of speech-language pathologists in the nonpharmacological management of various cough disorders. This clinical focus article aims to deliver relevant education about normal and pathological cough to strengthen existing clinical knowledge and skills.\u0000 \u0000 \u0000 \u0000 The neuronal pathways underlying normal cough function are complex. Cough problems refer to either reduced or heightened cough stemming from various disease processes, and both clinical presentations have detrimental consequences. Current evidence supports that patients who suffer from cough dysfunction benefit from nonpharmacological interventions offered via speech therapy as an adjunct to medical treatments. Speech therapy strategies apply the higher cognitive components of cough by focusing on the deliberate modification and coordination of respiration. Future research priorities are positioned toward improving clinical outcomes for cough disorders.\u0000","PeriodicalId":74424,"journal":{"name":"Perspectives of the ASHA special interest groups","volume":"51 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138955449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}