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PubMed1997

The curriculum of practice: a conceptual framework for speech-language therapy and audiology practice with a black African first language clientele.

This paper discusses the use of a conceptual framework (i.e., the curriculum of practice) to guide the transformation of professional practice toward equitable service provision, rooted in a research finding that South African Speech-Language Therapy & Audiology has a favourable service bias toward White English/Afrikaans first language speakers (Pillay, 1997b). Three perspectives of practice are discussed, i.e., the official, espoused and actual perspectives. Also, the various elements of practice are reviewed, and include clinical practice activities, resources and their utilization, professional education curricular and professional policies. It is asserted that re-constructing the profession's knowledge base in a presently (1996-) transforming South Africa, mostly requires the use of a critical (versus, for e.g., a scientific) paradigm.

Attitude of Health Personnel↗

PubMed1984

Screening Kit of Language Development: a preschool language screening instrument.

The Screening Kit of Language Development ( SKOLD ) was designed to meet the following criteria: Validity for 2.5-4 year old children, standardization for speakers of standard and Black English, and appropriateness for paraprofessional screeners . This paper describes the development, content, administration, scoring, reliability, and validity of SKOLD .

Child, Preschool↗

PubMed2005

Hearing lips in a second language: visual articulatory information enables the perception of second language sounds.

We investigated the effects of visual speech information (articulatory gestures) on the perception of second language (L2) sounds. Previous studies have demonstrated that listeners often fail to hear the difference between certain non-native phonemic contrasts, such as in the case of Spanish native speakers regarding the Catalan sounds /epsilon/ and /e/. Here, we tested whether adding visual information about the articulatory gestures (i.e., lip movements) could enhance this perceptual ability. We found that, for auditory-only presentations, Spanish-dominant bilinguals failed to show sensitivity to the /epsilon/-/e/ contrast, whereas Catalan-dominant bilinguals did. Yet, when the same speech events were presented audiovisually, Spanish-dominants (as well as Catalan-dominants) were sensitive to the phonemic contrast. Finally, when the stimuli were presented only visually (in the absence of sound), none of the two groups presented clear signs of discrimination. Our results suggest that visual speech gestures enhance second language perception at the level of phonological processing especially by way of multisensory integration.

Humans↗

PubMed1998

Learning, language, memory, and reading: the role of language automatization and its impact on complex cognitive activities.

Two related models of the role of developing and automatized language skills in the cognitive processing of deaf and hearing children are presented. One model focuses on explaining apparent delays in the emergence of a memory strategy (cumulative rehearsal) in children who are deaf, linking strategy use with the child's emerging language skills and the automatization of those skills. The second model is larger in scope and integrates this rehearsal model with added components relevant for higher-level cognitive activities such as reading. A program of research is reviewed that provides support for various components of the models with deaf children. Implications of the models for potential concurrent learning disabilities are discussed.

Journal Article↗

PubMedDate not supplied

[Language development disorders in childhood: nonverbal intelligence and language comprehension].

33 children with Specific Language Impairment (F 80, ICD 10) were randomly selected and their results regarding nonverbal intelligence, passive vocabulary and sentence comprehension were compared with data of 33 control children matched by age and sex. Although cognitive performance is average in both groups, significant differences regarding nonverbal intelligence are found. Whereas nonverbal intelligence is predictable from sentence comprehension to a high degree in den SLI-group, it is not predictable in the control group.

Austria↗

PubMed2000

Language assessment of Swedish 3-year-olds using a protocol of natural speech: PLUS-3--productive language USe at 3.

PLUS-3 is a new Swedish protocol of natural speech in 3-year-old children. Two studies are reported with 27 (11 girls and 16 boys) and 12 children (4 girls and 8 boys), respectively. The children were tape-recorded by their parents in dialogues based on picture books. The reliability of PLUS-3 was satisfactory (88%; inter-rater agreement), as was the concurrent validity measured by correlation with a grammar scale (rs = 0.53; p < 0.01). PLUS-3 correlated significantly with slightly modified mean length of utterance (MLU) measures (rs = 0.80; p < 0.01) and with lexical diversity (rs = 0.68; p < 0.02). In total, 30 two-morpheme utterances were sufficient to capture the language level of a child. PLUS-3 was significantly associated with communicative measures collected 14 months earlier (5 out of 8 measures, p < 0.05).

Child Development↗

PubMed1979

A study of timing in a manual and a spoken language: American sign language and English.

A comparative analysis of the time variables in the production of speech and sign reveals that signers modify their global physical rate primarily by altering the time they spend articulating, whereas speakers do so by chaning the time they spend pausing. When signers increase or decrease their pause time, however little they do so, they alter the number and the length of the pauses equally, whereas speakers primarily alter the number of pauses and leave their pause durations relatively constant. An analysis of the durations of signs reveals that signs are longer at the end of sentences than within sentences and that the first occurrence of a sign is longer than the second when syntactic location is controlled (both these findings have already been reported for spoken language). The inherent duration of a sign can be accounted for almost totally by the movement characteristic; handshape, location, and number of hands in a sign are of little importance. Finally, signers retain their regular "quiet-breathing" respiratory pattern across signing rates and inhale at locations independent of syntactic importance. In this they are quite unlike speakers, who breathe at syntactic breaks.

Adult↗

PubMed1979

A comparison of EEG activity in the left and right cerebral hemispheres by power-spectrum analysis during language and non-language tasks.

In 10 female subjects, power-spectrum analysis was performed on the alpha activity elicted during the resting state, 4 right hemispheric tasks, and 3 left hemispheric tasks. The data were treated in 3 ways: approach 1, comparing the right and left hemispheric alpha activity; approach 2, comparing the right and left hemispheric alpha activity adjusted for the resting state; and approach 3, comparing the right and left hemispheric alpha activity adjusted for the previous task. Approaches 1 and 2 revealed few significant differences in the alpha activity of the hemispheres, but approach 3 provided data that better fit the theory of decreased power spectrum of attenuation of activity in the activated hemisphere. Thus, approach 3 may be useful in developing an electroencephalographic test for determining cerebral dominance for language.

Adult↗

PubMed1983

The comprehension of english language texts among paramedical students normally using another language.

Comprehension of English language texts was tested among paramedical students. Tests were carried out using the cloze procedure on texts thought appropriate for these students, and previously tested to determine the expected number of years of schooling needed to comprehend them by using the Fog Index. In only 2% of 225 papers completed by 75 students did the participants achieve a score expected of an 'independent reader'. The importance of testing material for suitability is emphasized. The results are discussed and the need for further research on indices for students in developing countries is suggested.

Allied Health Personnel↗

PubMed2006

The Spanish language version of the Eating Disorder Examination Questionnaire: comparison with the Spanish language version of the eating disorder examination and test-retest reliability.

This study compared the Spanish language questionnaire (S-EDE-Q) and interview (S-EDE) versions of the Eating Disorder Examination and examined the short-term test-retest reliability of the questionnaire version. Seventy-seven monolingual Spanish-speaking Latina women recruited from the community completed the S-EDE-Q and were then administered the S-EDE by fully bilingual doctoral-level research clinicians. The same assessment was repeated after approximately one week (5-14 days). The S-EDE-Q and the S-EDE were significantly correlated on frequencies of binge eating and all four subscales. Mean differences in the frequency of binge eating and the Restraint subscale were not significant, but scores on the Eating Concern, Weight Concern, and Shape Concern subscales differed significantly, with the S-EDE-Q yielding higher scores. Test-retest reliability for the S-EDE-Q was modest for binge eating but was excellent for the subscales (Spearman rho ranged 0.71-0.81), albeit somewhat variable for the individual items. Overall, the acceptable convergence between the S-EDE-Q and the S-EDE for many features of eating disorders and the good short-term test-retest findings provide preliminary support for the use of the S-EDE-Q. These findings, derived using a non-clinical sample of monolingual Spanish-speaking Latina women, require replication and extension. Evaluation with a clinical sample is necessary to further establish the reliability of the S-EDE-Q with an eating disordered group.

Adult↗

PubMed2004

Subcortical pathways serving cortical language sites: initial experience with diffusion tensor imaging fiber tracking combined with intraoperative language mapping.

The combination of mapping functional cortical neurons by intraoperative cortical stimulation and axonal architecture by diffusion tensor MRI fiber tracking can be used to delineate the pathways between functional regions. In this study the authors investigated the feasibility of combining these techniques to yield connectivity associated with motor speech and naming. Diffusion tensor MRI fiber tracking provides maps of axonal bundles and was combined with intraoperative mapping of eloquent cortex for a patient undergoing brain tumor surgery. Tracks from eight stimulated sites in the inferior frontal cortex including mouth motor, speech arrest, and anomia were generated from the diffusion tensor MRI data. The regions connected by the fiber tracking were compared to foci from previous functional imaging reports on language tasks. Connections were found between speech arrest, mouth motor, and anomia sites and the SMA proper and cerebral peduncle. The speech arrest and a mouth motor site were also seen to connect to the putamen via the external capsule. This is the first demonstration of delineation of subcortical pathways using diffusion tensor MRI fiber tracking with intraoperative cortical stimulation. The combined techniques may provide improved preservation of eloquent regions during neurological surgery, and may provide access to direct connectivity information between functional regions of the brain.

Adult↗

PubMed2005

Specific language impairment is not specific to language: the procedural deficit hypothesis.

Specific Language Impairment (SLI) has been explained by two broad classes of hypotheses, which posit either a deficit specific to grammar, or a non-linguistic processing impairment. Here we advance an alternative perspective. According to the Procedural Deficit Hypothesis (PDH), SLI can be largely explained by the abnormal development of brain structures that constitute the procedural memory system. This system, which is composed of a network of inter-connected structures rooted in frontal/basal-ganglia circuits, subserves the learning and execution of motor and cognitive skills. Crucially, recent evidence also implicates this system in important aspects of grammar. The PDH posits that a significant proportion of individuals with SLI suffer from abnormalities of this brain network, leading to impairments of the linguistic and non-linguistic functions that depend on it. In contrast, functions such as lexical and declarative memory, which depend on other brain structures, are expected to remain largely spared. Evidence from an in-depth retrospective examination of the literature is presented. It is argued that the data support the predictions of the PDH, and particularly implicate Broca's area within frontal cortex, and the caudate nucleus within the basal ganglia. Finally, broader implications are discussed, and predictions for future research are presented. It is argued that the PDH forms the basis of a novel and potentially productive perspective on SLI.

Basal Ganglia↗

PubMed2000

Early lexical development in English- and Korean-speaking children: language-general and language-specific patterns.

The present study examined the composition of the early productive vocabulary of eight Korean- and eight English-learning children and the morpho-syntactic, semantic, and pragmatic characteristics of their caregivers' input in order to determine parallels between caregiver input and early lexical development. Vocabulary acquisition was followed using maternal diary and checklists for the Korean-learning children (from a mean age of 1;6 to 1;9) and for the English-learning children (from a mean age of 1;4 to 1;8). Results showed that both Korean-learning and English-learning children acquired significantly more nouns than verbs at the 50-word mark. However, Korean children learned significantly more verbs than did English-learning children. The relative ease with which Korean learners, as compared to English learners, acquired verbs parallels several differences in the linguistic and socio-pragmatic characteristics of the input addressed to them. Korean-speaking caregivers presented more activity-oriented utterances, more verbs, and more salient cues to verbs than did English-speaking caregivers. These data suggest that both general and language-specific factors shape the early lexicon.

Child Language↗

PubMed2006

Basic numeracy in children with specific language impairment: heterogeneity and connections to language.

PURPOSE: This study examined basic numerical skills in children with specific language impairment (SLI) and how well linguistic factors explain the variance in these children's number skills. METHOD: The performance of children with SLI (n=29) was compared with that of typically developing children along a continuum ranging from preschool to 3rd grade (n=20, 47, 40, and 33). This facilitated both linguistic and educational age comparisons. To study number skills within the SLI group more closely, this group was divided into subgroups on the basis of their performance in verbal and nonverbal numerical skills. The performance of the different SLI subgroups on the linguistic and nonverbal reasoning task was analyzed. RESULTS: As a single group, the children with SLI lagged behind their educational age controls in both verbal and nonverbal numerical skills. Subgroup analyses revealed that the ability to retrieve arithmetic facts from the memory was connected to naming fluency, whereas the differences in nonverbal numerical skills were not explained by the cognitive skills measured (nonverbal reasoning skill, verbal short-term memory, vocabulary, comprehension, and naming fluency). CONCLUSIONS: This study demonstrates that children with SLI form a very heterogeneous group in their numerical skills, and thus specific hypotheses concerning the influence of linguistic deficits on developing numerical skills are required. The cognitive components of serial naming speed present a promising domain for further exploration.

Case-Control Studies↗

PubMed1998

Initial results of 'Language for Health': cardiovascular disease nutrition education for English-as-a-second-language students.

Low literacy skills may negatively affect health through misuse of medication, inability to follow medical directions or due to limitations placed on the consumer's ability to access health information. The association between low literacy among adults and cardiovascular disease has not been thoroughly investigated in some ethnic groups. The purpose of this comprehensive study is to describe the results of a nutritional-related cardiovascular health program for limited English proficient adults enrolled in English-as-a-second-language (ESL) classes. Subjects (n = 408), nearly 87% of whom were Latino, were exposed to either nutrition education (intervention group) or stress management (attention-placebo control group) classes designed specifically for ESL classes. Subjects completed physiological measures assessing blood pressure, total and high-density lipoprotein (HDL) cholesterol, waist and hip circumference, and body mass. Self-report surveys were administered to collect students' nutrition-related knowledge, attitudes and behaviors. Data were collected at baseline, 3 month post-test and 6 month follow-up. Analyses showed that differential group change was seen for fat avoidance, nutrition knowledge, HDL and total cholesterol:HDL ratio, but, for the two latter variables, the effect was not maintained at the 6 month follow-up. Both groups showed positive changes in blood pressure, total cholesterol and nutrition-related attitudes. Results showed moderate success of the intervention, but suggest contamination between experimental groups may have occurred.

Adult↗

PubMed2003

Rana computatrix to human language: towards a computational neuroethology of language evolution.

Walter's Machina speculatrix inspired the name Rana computatrix for a family of models of visuomotor coordination in the frog, which contributed to the development of computational neuroethology. We offer here an 'evolutionary' perspective on models in the same tradition for rat, monkey and human. For rat, we show how the frog-like taxon affordance model provides a basis for the spatial navigation mechanisms that involve the hippocampus and other brain regions. For monkey, we recall two models of neural mechanisms for visuomotor coordination. The first, for saccades, shows how interactions between the parietal and frontal cortex augment superior colliculus seen as the homologue of frog tectum. The second, for grasping, continues the theme of parieto-frontal interactions, linking parietal affordances to motor schemas in premotor cortex. It further emphasizes the mirror system for grasping, in which neurons are active both when the monkey executes a specific grasp and when it observes a similar grasp executed by others. The model of human-brain mechanisms is based on the mirror-system hypothesis of the evolution of the language-ready brain, which sees the human Broca's area as an evolved extension of the mirror system for grasping.

Adaptation, Physiological↗

PubMed2006

First-language phonotactics in second-language listening.

Highly proficient German users of English as a second language, and native speakers of American English, listened to nonsense sequences and responded whenever they detected an embedded English word. The responses of both groups were equivalently facilitated by preceding context that both by English and by German phonotactic constraints forced a boundary at word onset (e.g., lecture was easier to detect in moinlecture than in gorklecture, and wish in yarlwish than in plookwish). The American L1 speakers' responses were strongly facilitated, and the German listeners' responses almost as strongly facilitated, by contexts that forced a boundary in English but not in German (thrarshlecture, glarshwish). The German listeners' responses were significantly facilitated also by contexts that forced a boundary in German but not in English (moycelecture, loitwish), while L1 listeners were sensitive to acoustic boundary cues in these materials but not to the phonotactic sequences. The pattern of results suggests that proficient L2 listeners can acquire the phonotactic probabilities of an L2 and use them to good effect in segmenting continuous speech, but at the same time they may not be able to prevent interference from L1 constraints in their L2 listening.

Analysis of Variance↗

PubMed2002

Thought and Language Index: an instrument for assessing thought and language in schizophrenia.

BACKGROUND: Subtle formal thought disorders are difficult to quantify. Their relationship to florid thought disorder is unknown. AIMS: To assess the interrater reliability, sensitivity and factor structure of a new assessment instrument, the Thought and Language Index (TLI), and to determine if minor aberrations detectable in the speech of healthy individuals are related to the more severe formal thought disorders characteristic of schizophrenia. METHOD: Interrater reliability was evaluated by determining the intraclass correlation for the ratings by five assessors. Factor analysis of the TLI scores of 87 patients was performed, and TLI scores in matched patients and controls were compared. RESULTS: The intraclass correlation was good for individual TLI items, and excellent for sub-scale scores. Factor analysis identified three groups of approximately orthogonal disorders. Mild speech aberrations were observed in healthy participants and in patients with schizophrenia. The prevalence of mild aberrations was correlated with the prevalence of definite formal thought disorders. CONCLUSIONS: The TLI is reliable and capable of detecting subtle disorders. Some mild aberrations occurring in the speech of healthy individuals appear to be attenuated forms of the florid disorders characteristic of schizophrenia.

Adult↗