Megan Urban, E. Massey, Samantha Cabla, Harrison N Jones
{"title":"Oropharyngeal Dysphagia in Wound Botulism","authors":"Megan Urban, E. Massey, Samantha Cabla, Harrison N Jones","doi":"10.1179/136132809805335238","DOIUrl":"https://doi.org/10.1179/136132809805335238","url":null,"abstract":"Abstract Botulism results in a symmetric bulbar paralysis due to neuroparalytic toxins produced by Clostridium botulinum. These toxins block release of the neurotransmitter acetylcholine at the neuromuscular junction, resulting in paralysis. Several forms of botulism occur, all rare in the United States. The prominent bulbar involvement suggests oropharyngeal dysphagia is common in botulism. This article reviews the botulism literature with an emphasis on dysphagia, the swallowing signs, and clinical course in a single case of noninjection drug use wound botulism. The patient was admitted to an outside hospital with dysphagia and dysarthria 11 days after suffering a traumatic sports injury. He was later transferred to our tertiary care facility, diagnosed with wound botulism, and administered botulinum antitoxins. Repeated clinical swallow examinations were notable for decreased hyolaryngeal excursion, coughing after swallowing, and poor secretion management. Eight days after administration of botulinum antitoxins, a clinical improvement in swallow function was noted. Videofluoroscopy revealed normal oral stage function, decreased hyolaryngeal movement, reduced upper esophageal sphincter opening, pharyngeal residue, and penetration. Swallowing sensation appeared intact throughout his clinical course. An oral diet and dysphagia therapy including the use of compensatory and rehabilitative swallow techniques were recommended. During telephone follow-up one month later, the patient reported complete resolution of swallowing difficulty despite lack of compliance with the program of swallow rehabilitation.","PeriodicalId":88385,"journal":{"name":"Asia Pacific journal of speech, language, and hearing","volume":"17 1","pages":"293 - 301"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78329968","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":"Comparison of the Phonological Awareness Abilities of Monolingual Cantonese and Putonghua-Speaking Children","authors":"L. So, B. Dodd","doi":"10.1179/136132809805335274","DOIUrl":"https://doi.org/10.1179/136132809805335274","url":null,"abstract":"Abstract The experiment reported here examined the phonological awareness (PA) abilities of four- and five-year-old children learning Cantonese in Hong Kong and Putonghua in China. The four-year-olds had no exposure to formal literacy teaching, whereas the five-year-olds were exposed to different orthographic systems: the Puntonghua-speaking children learned Pinyin (a Romanized alphabet) and the Cantonese-speaking children learned to recognize words in a logographic orthographic system. These data allow investigation of the effect of the acquisition of an alphabetic orthography on phonological awareness. The purpose of the study was to investigate whether syllable and onset-rime awareness emerge in the absence of knowledge about alphabetically written words. Two syllable tasks, one rhyme task, a word-initial phoneme detection tasks and a task assessing tone discrimination were administered. The results indicated that exposure to Pinyin (the five-year-old Putonghua-speakers) significantly enhanced their overall phonological awareness mean score. The only task showing a significantly better performance by the older Putonghua participants in comparison to all other groups was phoneme detection. The older Putonghua children also performed better than the younger Putonghua-speakers on the syllable deletion and rhyme detection task. The performance of the younger and older Cantonese-speakers, who were exposed to a logographic orthography, did not differ. These data suggest that knowledge of alphabetic orthography is important for phonological awareness at the phoneme level, and also contributes some advantage at syllable and rhyme levels. The relationship between phonological awareness and the acquisition of alphabetic literacy is considered in the discussion.","PeriodicalId":88385,"journal":{"name":"Asia Pacific journal of speech, language, and hearing","volume":"22 1","pages":"275 - 291"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81543322","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}
Venkataraja Aithal U., Veena K. D., G. James, Rajashekhar B.
{"title":"Morphosyntactic Deficits in Malayalam-Speaking Broca's Aphasics","authors":"Venkataraja Aithal U., Veena K. D., G. James, Rajashekhar B.","doi":"10.1179/136132809805335283","DOIUrl":"https://doi.org/10.1179/136132809805335283","url":null,"abstract":"Abstract Broca's aphasia is the most classic form of nonfluent aphasia resulting in the reduction of linguistic proficiency termed as agrammatism. Syntactic deficit in Broca's aphasics has been investigated in various languages. The present study attempted to investigate morphosyntactic deficits in Malayalam-speaking Broca's aphasics. Eleven Broca's aphasics with etiology of cerebrovascular accident served as subjects. Comprehension and expression of different morphosyntactic categories were investigated. Picture cards were used to elicit responses for syntactic comprehension and expression. A hierarchical order of difficulty in syntax evolved for both comprehension and expression. Future tense was the most difficult category to comprehend and participle construction and comparatives were the most difficult categories to express. A statistically significant difference existed between comprehension and expression performance in all the categories included excepting the present tense, past tense, and negatives. Findings of the morphosyntactic structures observed in Malayalamspeaking Broca's aphasia are discussed.","PeriodicalId":88385,"journal":{"name":"Asia Pacific journal of speech, language, and hearing","volume":"09 1","pages":"303 - 314"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85862982","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":"Subject Index Volume 12, Numbers 1–4","authors":"","doi":"10.1179/136132809805335265","DOIUrl":"https://doi.org/10.1179/136132809805335265","url":null,"abstract":"Communication functions, modalities, and maternal responses in children with severe speech and physical impairment. Balan P., & Majula, R. March 2009, 27–56. Crossed nonaphasia and its implications for brain-language relationships in righthanded subjects. Krishnan, G., Tiwari, S., Rao, S. N., & Rajashekar, B. March 2009, 71–78. Dysarthric processes in first and second language used by patients with traumatic brain injury. Połczyńska, M. June 2009, 137–156. Oropharyngeal dysphagia in wound botulism. Urban, M. M., Massey, E. W., Cabla, S., & Jones, H. N. December 2009, 293–301. Processes in post-traumatic dysarthria: A longitudinal case study. Połczyńska, M., & Tobin, Y. June 2009, 157–172.","PeriodicalId":88385,"journal":{"name":"Asia Pacific journal of speech, language, and hearing","volume":"1 1","pages":"337 - 338"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89524816","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":"A Survey of Malaysian Speech-Language Pathologists' Perception of Articulation and Phonological Assessments","authors":"Hooi San Phoon, M. Maclagan","doi":"10.1179/136132809805335256","DOIUrl":"https://doi.org/10.1179/136132809805335256","url":null,"abstract":"Abstract The critical shortage of culturally and linguistically appropriate assessment tools has been an ongoing issue highlighted by Malaysian speech-language pathologists (SLPs). The present study was designed to provide insight into Malaysian SLPs' perspectives on the current use of articulation and phonology assessments in the country. It reports the results of a survey of 38 Malaysian SLPs in term of the types of articulation and phonological assessments currently used; SLPs' perceptions about the adequacy and accuracy of current articulation and phonological assessment in meeting clinical needs; the experiences of SLPs in using current articulation and phonological assessments; as well as the need for further research in the areas of articulation and phonology. The findings indicate that informal articulation or phonological assessments were widely used. Only a minority of the respondents used standardized articulation or phonological assessments. The majority of the respondents felt that the lack of locally developed standardized tests and the utilization of informal assessments of articulation and phonology in their clinics did not provide accurate diagnoses or intervention plans. They felt that there was a need for collecting phonological socialdevelopmental data and creating articulation and phonology assessments for Malaysian children.","PeriodicalId":88385,"journal":{"name":"Asia Pacific journal of speech, language, and hearing","volume":"124 1","pages":"315 - 332"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83528578","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":"The Contribution of Language in Shaping Clinical Culture: Palestinian Aphasics and Families Living in Israel","authors":"B. M. Kardosh, Jack S. Damico","doi":"10.1179/136132809805335292","DOIUrl":"https://doi.org/10.1179/136132809805335292","url":null,"abstract":"Abstract This article explores the ways that one's language and culture shapes the expectations and clinical recovery of individuals with aphasia and the expectations and reactions of their families. Employing interview data from five Jewish individuals with aphasia, five Palestinian individuals with aphasia, and six caregivers, phenomenological analyses were performed to determine the extent to which cultural elements contribute to the shaping of treatment perspectives. Careful analysis demonstrated that the specific cultural values and traditions of an individual with aphasia and his or her family, as manifested in one's lexicon, idiomatic usage, and metaphoric language, greatly impacts the social construction of one's recovery from aphasia.","PeriodicalId":88385,"journal":{"name":"Asia Pacific journal of speech, language, and hearing","volume":"122 1","pages":"243 - 252"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76387318","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":"Investigating Dandy-Walker Syndrome: Integrating Conversation Analysis and Reading Eye-Movements","authors":"Sunny Seeberger, Ryan L. Nelson, Nikki Curtis","doi":"10.1179/136132809805335319","DOIUrl":"https://doi.org/10.1179/136132809805335319","url":null,"abstract":"Abstract This paper presents an investigation into the reading eye movements of a 12-year-old child with Dandy-Walker syndrome and late onset stuttering. Conversation Analysis, video analysis, and Eye Movement Miscue Analysis (Paulson, 2000) were employed to evaluate visual sampling and oral production of this individual during a 27-second moment of difficulty during her reading of authentic texts. Initial clinical interpretations of this child's behavior during the period of difficulty suggested that she had opted-out of the reading process. However, fine-grain analysis of eye movement patterns during the selected segment of text demonstrates the structural and sequential ordering of her active engagement with the text throughout the period in question. Additionally, use of these multiple analyses revealed the meaningful confirmation strategies utilized by the child as she worked to make sense of print.","PeriodicalId":88385,"journal":{"name":"Asia Pacific journal of speech, language, and hearing","volume":"93 1","pages":"235 - 242"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86171763","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}
Catherine Herrera, Sunny Seeberger, Ryan L. Nelson, Kathleen J. Abendroth
{"title":"Interpreting Finger-Flapping in the Reading Behaviors of an Individual with Asperger Syndrome","authors":"Catherine Herrera, Sunny Seeberger, Ryan L. Nelson, Kathleen J. Abendroth","doi":"10.1179/136132809805335346","DOIUrl":"https://doi.org/10.1179/136132809805335346","url":null,"abstract":"Abstract This investigation explores the detailed results of a qualitative study into the strategic use of finger-flapping during the oral reading of an eightyear-old boy identified with Asperger syndrome. Of particular interest was how the individual with AS attempted to make sense of text as he engaged in shared reading in a clinical setting. Findings indicate that finger-flapping by this child served at least three primary functions including consolidating information, demonstrating breakdowns in comprehension, and requesting mediation. This paper includes a detailed discussion of the methodology, clinical implications, and intervention strategies pertaining to this investigation.","PeriodicalId":88385,"journal":{"name":"Asia Pacific journal of speech, language, and hearing","volume":"11 1","pages":"253 - 261"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89358335","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}
K. E. Lynch, Jack S. Damico, Holly L. Damico, J. Tetnowski, J. Tetnowski
{"title":"Reading Skills in an Individual with Aphasia: The Usefulness of Meaning-Based Clinical Applications","authors":"K. E. Lynch, Jack S. Damico, Holly L. Damico, J. Tetnowski, J. Tetnowski","doi":"10.1179/136132809805335328","DOIUrl":"https://doi.org/10.1179/136132809805335328","url":null,"abstract":"Abstract This case study investigates the impact of a meaning-based reading intervention program on an individual with aphasia. Through this qualitative method of inquiry, pretreatment and post-treatment change is documented and results indicate that the meaning-based approach had an impact on the recovery of literacy skills—particularly comprehension. In addition to describing the individual with aphasia and her reaction to the intervention, the program itself is detailed. Considerations of how the program is organized, its treatments objectives, the materials employed, and the various procedures that incorporate authentic reading and writing into the program are described.","PeriodicalId":88385,"journal":{"name":"Asia Pacific journal of speech, language, and hearing","volume":"149 1","pages":"221 - 234"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78289034","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}