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Biomedical subjects

G L Culton

Publications and source records attributed to G L Culton.

10 recordsLinked to original sources
PubMed1998

Current trends in laryngectomy rehabilitation: a survey of speech-language pathologists.

This study determined the perceptions of experienced speech-language pathologists regarding current practices in the speech rehabilitation of laryngectomy patients since the introduction of the tracheoesophageal puncture-voice prosthesis technique in 1980. The sample population consisted of 151 experienced speech-language pathologists, or 43% of those who were sent questionnaires. The speech-language pathologists ranked tracheoesophageal puncture-voice prosthesis as their most preferred speech rehabilitation method and the electrolarynx as their least preferred, even though the electrolarynx continues to be the most frequently used method. Variable use of the tracheoesophageal puncture procedure by otolaryngologists was reported, with only a small portion perceived as using it routinely. About 65% of the speech-language pathologists reported that more than half of the laryngectomy patients were being given choices among speech rehabilitation methods. Nearly 50% of the speech-language pathologists reported that fewer than six speech therapy sessions were necessary with tracheoesophageal puncture patients, whereas more than 20% reported the need for 10 sessions or more. Use of manual closure of the tracheostoma by tracheoesophageal puncture patients far outweighed their use of automatic speaking valves. Most speech-language pathologists reported that they were involved in teams with otolaryngologists to determine patient suitability for tracheoesophageal puncture and to troubleshoot problems. Eighteen different categories of medical and speech production problems were reported.

Equipment Failure↗
PubMed1987

Parents' perceptual preferences between compensatory articulation and nasal escape of air in children with cleft palate.

Two groups of parents (27 parents of children with cleft palate and 25 parents of normal children) listened to 14 pairs of tape-recorded words produced by two children with cleft palate. In each pair, one word was produced with compensatory articulation and the other with audible nasal escape of air. The parents indicated their preference by selecting from each pair the word that sounded better. Parents considered single words produced with compensatory articulation to be better than single words produced with nasal escape of air. Results are interpreted in terms of existing hypotheses and information concerning the acquisition of speech by children with cleft palate.

Adult↗
PubMed1986

Speech disorders among college freshmen: a 13-year survey.

This report provides data collected over a 13-year period on communicative disorders among college freshmen. The students were examined for existing speech disorders and questioned about recovery from previous disorders, with and without treatment. At examination, 2.42% exhibited articulation, voice, or fluency disorders; whereas an additional 2.34%, no longer exhibiting problems, reported recovery from previous disorders. Articulation therapy was reportedly effective in recovery (46%), whereas therapy for fluency disorders was less effective (24%) than spontaneous recovery (35%). Although voice disorders were evident at examination, self-perception of previous voice problems was almost nonexistent. The data, compared with those from other reports, confirm that direct examination produces prevalence rates higher than those found via informant interview methods.

Adolescent↗
PubMed1979

Comprehension training with aphasic subjects: the development and application of five automated language programs.

Automated comprehension training was utilized to present five original language programs to seven aphasic adults. Subjects were required to attend to visual and auditory stimuli and to solve problems through language comprehension by pressing transparent panels over four pictured choices. Subjects were pre- and posttested with an automated probe containing those linguistic structures presented in the training programs. Results indicated significant improvement in the comprehension of certain linguistic structures as measured by performances on repeated program trials and by probe testing. Qualitative information relative to program construction and administration is included in the discussion.

Adult↗
PubMedDate not supplied

Prosthetic voice restoration with the tracheostomal valve: a clinical experience.

INTRODUCTION: Tracheoesophageal puncture (TEP) and use of a voice prosthesis is not a panacea for all laryngectomies. This report presents results of longitudinal treatment of 24 patients with secondary TEP followed longitudinally for 10 years in a private practice setting. Unique to this report is a focus on the use of the entire voice restoration system including both the voice prosthesis and the automatic tracheostomal valve. METHODS: All patients referred for secondary TEP between 1982 and 1992 are included. Voice quality and the longevity of vocal restoration were ascertained. Clinical problems and their solutions are reported. RESULTS: Immediate vocal restitution was achieved in 19 of 24 patients. Voicing was produced in two more patients within a few weeks. Four patients were not available for long-term follow-up because of death due to recurrent disease. Overall, 60% of patients were rated excellent and 5% rated fair in communication over a long-term period. Thirty-five percent were rated failure. DISCUSSION: TEP and the use of the voice restoration system enabled both hands to be free during speaking and is achieved by many laryngectomies. Patient evaluation, training, and follow-up with team problem-solving may increase success rates using this approach.

Esophagus↗