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At least 451 records · Page 25Linked to original sources
PubMed1987

Stimulation of sentence production in a case with agrammatism.

A multiple base-line single-subject experimental design was employed to study effects of a sentence stimulation treatment on sentence production in an aphasic patient with agrammatism. Prior to this seven-week study, the subject had not been using speech functionally for six months. Treatment was applied sequentially across three sets of picture stimuli. Performance was measured with probes of verbal description for each set. Results showed that treatment influenced description of the pictures being treated and that some generalization occurred with sets not being treated. However, formal pre-post testing indicated that a broader effect had not been obtained.

Adult↗
PubMed1988

Language training with autistic children using four different modes of presentation.

The purpose of this study was to determine (1) whether comprehension, production, and spontaneous use of language are greater following language training by sign-alone, speech-alone, simultaneous communication, or alternating between speech and sign; (2) whether high- and low-verbal imitators benefit from the same mode of treatment; and (3) whether retention of the language skills differs among the four training conditions. Subjects were 60 moderate to severe autistic children randomly assigned to one of four treatment conditions. Subjects were divided into high- and low-verbal imitators based on verbal imitation performances. The results indicated that the high-verbal imitators did equally well in all four treatment conditions, while the low-verbal imitators did poorest in the speech-alone condition. The high-verbal imitators performed better than did the low-verbal imitators in all of the treatment conditions. Words or signs learned were retained for three months after treatment regardless of the treatment condition or level of imitative ability. The results were discussed in terms of the efficacy of using sign language with autistic children.

Autistic Disorder↗
PubMed2006

Making evidence-based decisions about child language intervention in schools.

PURPOSE: The results of recent survey studies suggest that speech-language pathologists base most of their clinical decisions on information they were taught during their graduate programs, their clinical experience, and the opinions of colleagues (T. Wolf & J. Balderson, 2005; R. Zipoli & M. Kennedy, 2005). This is contrary to the principles of evidence-based practice (EBP), in which clinical decisions arise from the integration of scientific evidence, clinician experience, and client needs. Our field's interest in EBP is relatively young. Currently, there are no published committee-derived EBP guidelines for providing language intervention services for children with language disorders. Until national or international organizations publish recommendations from EBP guideline writing panels, clinicians will need to make personal evidence-based decisions with relatively little assistance from outside sources. The purpose of this article is to summarize a seven-step process for making local EBP decisions. METHOD: The authors provide information about a method for forming clinical questions, finding relevant scientific studies, and evaluating those studies that requires relatively little time and few external resources. The authors also provide a system for integrating scientific evidence with their own expertise and training within the context of their employment settings. Finally, an example is provided to show clinicians how to use the evidence-based decision-making process to answer a clinical question about clinical methods for improving grammatical morphology in children with speech-language impairment. CONCLUSION: It is possible for clinicians to make time- and resource-efficient evidence-based decisions that integrate scientific evidence, clinical expertise, and student-parent preferences.

Child↗
PubMed2006

Commentary on "making evidence-based decisions about child language intervention in schools" by Gillam and Gillam.

PURPOSE: This paper is a personal reaction to Gillam and Gillam's treatise on evidence-based decision making in schools. This evaluation focuses principally on the costs and benefits of clinicians' search for external evidence, potential problems associated with efforts to grade that evidence, and the integration of this evidence with "internal" evidence related to specific children and their families, clinician preferences and experience, and the school setting. METHOD: Descriptive methods (that are not evidence-based) are used to evaluate critically Gillam and Gillam's proposals on the implementation of evidence-based practice (EBP) in schools. CONCLUSION: Early efforts to implement the plan for EBP illustrated by Gillam and Gillam are likely to be difficult, forcing clinicians to be flexible and patient. Nevertheless, if the plan is followed, it will result ultimately in improved speech-language pathology services in the schools and improved clinical research to support those services.

Child↗
PubMed1995

Speech and language disorders in children and adolescents with schizophrenia.

This study examines communication characteristics and specific language deficits in 47 children and adolescents diagnosed with early-onset schizophrenia using DSM-III-R criteria. All had been referred for speech and language services because of apparent communication problems. Standardized tests and formal measures were used to identify impairment in discrete areas of communication, including pragmatics, receptive and expressive vocabulary and syntax, abstract language, auditory processing, and speech production. Results showed that these discrete areas were variably involved, with pragmatics, prosody, auditory processing, and abstract language having the greatest involvement. The communication deficits identified in the early-onset group closely resembled the phenomenology reported in studies of the communication characteristics of adults with schizophrenia. This comparison thus lends further support to the presence of the same disorder as seen in adults. The roles of gender, mental retardation, and seizure disorders are also discussed as additional risk factors in the development of communication problems and schizophrenia.

Adolescent↗
PubMed1997

Secondary prevention of paediatric language disability: a comparison of parents and nurses as screening agents.

The purpose of this investigation was to compare the ability of nurses and parents to detect speech and language disability. The methodology included development and validation of a parent questionnaire to detect speech and language disability in 398 3-year-old English-speaking children. The parent questionnaire and a standard developmental screen administered by child health nurses were compared with a gold standard (a speech and language assessment). International criteria for screening tools were applied. The tools were comparable in performance. A simple parent questionnaire, completed without professional assistance, was a viable alternative to professional screening. Parents' education and parity had no influence on their ability to detect language disorders. Although size of sibship had no association with the occurrence of speech and language disability, third-born children were more likely to have a speech and language disability than any other birth order.

Child, Preschool↗
PubMed1987

[Group therapy of aphasia patients--a professional report].

Theoretical considerations in, and an exemplary instance of, group speech therapy with aphasic patients are submitted for discussion. Contrary to current practice, individual and group therapy are considered of equal rank, as all aspects of speech and language can be realized in the latter, with both approaches having similar goals. Group work contents is characterized as verbal coping with guided verbal tasks. Group composition is recommended to emphasize speech and language criteria, as opposed to social and psychosocial criteria. Also dealt with is the position of the speech therapist.

Adult↗
PubMed1980

Manual communication and mental retardation: a review of research and implications.

The use of manual communication systems with individuals classified as mentally retarded is increasing; the extent to which that therapy is guided by systematic practices and principles was investigated. An analysis of the research literature suggested that a variety of sign systems have been used with retarded individuals of varying ages. The application or success or failure of that therapy does not seem to be determined by a particular treatment model and/or set of guidelines. Implications for development of language-training programs were discussed.

Adolescent↗
PubMed1997

Attitudes of a group of South African speech-language pathologists towards stutterers and stuttering therapy.

The present study aimed to examine the attitudes of a group of South African speech-language pathologists towards stuttering and stuttering therapy. Further aims were to investigate whether a stereotype of stutterers was found among these speech-language pathologists, and to determine whether there was any relationship between the attitudes held about stutterers, and the therapists' training and experience. A random probability sample of respondents was selected from the population of speech therapists registered with the Interim Medical and Dental Council of South Africa (I.M.D.C.S.A.). A self-administered mailed questionnaire was employed to realise the aims of the study. The main result of this investigation indicated that almost 50% of the sample of qualified clinicians surveyed, viewed stutterers as a group characterised by specific personality traits and psychological problems. This belief held true irrespective of the number of years of experience working in the field, the time of graduation, the frequency of treating stutterers, or the training emphasis. Implications of these results are considered with respect to student training, continuing education of qualified practitioners and future research.

Adult↗
PubMed1978

[Neuropsychological and psychiatric aspects of language development disorder of a nine year old patient.(author's transl)].

Problems of terminology, differential diagnosis, etiology and therapy of language development disorders are demonstrated by a casuistic example. Besides the importance of clinical date special attention was laid on neuropsychological diagnostic procedures and their therapeutic implications. Therapeutic interventions concerning language deficits should be developed individually and in accordance to the diagnostic findings. An early and reliable objectivation of etiology as well as of the degree of the language development disorder is necessary in order to avoid detours of the children through different intitutions.

Age Factors↗
PubMed1992

A review and critical analysis of treatment research related to articulation and phonological disorders.

This article contains a summary of aspects of research designs and strategies found in 63 published reports in which the effectiveness of treatment of articulation or phonological disorders was evaluated. These research reports were published in four nationally refereed journals that contained most of the literature published in the decades of the 1970s and 1980s. A total of 91 items were evaluated in each report by two reviewers working independently, including types of research designs, details about subjects, sampling, and types of independent and dependent variables used by researchers. Comparisons were made within each decade and across both decades to identify strengths and limitations. Some significant differences in research designs and variables under investigation occurred between the decades. A critical analysis was performed, and suggestions for changes are discussed.

Articulation Disorders↗
PubMed2001

Indirect interventions to facilitate communication in Alzheimer's disease.

Indirect interventions are designed to maximize the functioning of individuals with Alzheimer's disease (AD) through training of caregivers, modifying the physical environment, and developing therapeutic routines and activities. In this article, characteristics of AD caregivers are described, caregiver communication strategies are discussed, and examples of caregiver communication training programs are provided. Environmental modifications and routines and activities to improve communication are detailed.

Adaptation, Psychological↗