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Seminars in speech and language 11건

  1. [해외논문]   Self-Assessment Questions   SCIE


    Seminars in speech and language v.39 no.1 ,pp. C1 - C10 , 2018 , 0734-0478 ,

    초록

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  2. [해외논문]   Erratum: Implementing a Standardized Assessment Battery for Aphasia in Acute Care   SCIE

    Vallila-Rohter, Sofia (Department of Communication Sciences and Disorders, MGH-Institute of Health Professions, Boston, Massachusetts ) , Kasparian, Laura (Speech and Swallow Department, Brigham and Women's Hospital, Boston, Massachusetts ) , Kaminski, Olga (Speech and Swallow Department, Brigham and Women's Hospital, Boston, Massachusetts ) , Schliep, Megan (Department of Communication Sciences and Disorders, MGH-Institute of Health Professions, Boston, Massachusetts ) , Koymen, Semra (Speech and Swallow Department, Brigham and Women's Hospital, Boston, Massachusetts)
    Seminars in speech and language v.39 no.1 ,pp. e1 - e1 , 2018 , 0734-0478 ,

    초록

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  3. [해외논문]   Acute Care Management of Stroke   SCIE

    Tippett, Donna (Department of Otolaryngology—Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland)
    Seminars in speech and language v.39 no.1 ,pp. 001 - 002 , 2018 , 0734-0478 ,

    초록

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  4. [해외논문]   Clinical Application of Flexible Endoscopic Evaluation of Swallowing in Stroke   SCIE

    Pisegna, Jessica (Boston Medical Center, Boston, Massachusetts ) , Murray, Joseph (VA Ann Arbor Healthcare System, Ann Arbor, Michigan)
    Seminars in speech and language v.39 no.1 ,pp. 003 - 014 , 2018 , 0734-0478 ,

    초록

    Abstract This article aims to review the use of laryngoscopy to assess swallowing function in the stroke population. Since its inception in 1988, fiberoptic endoscopic evaluation of swallowing (FEES) has become an established procedure with distinct objective findings and practical applications, enabling many to choose it as the primary instrumental tool in evaluating poststroke dysphagia. In this article, we outline the decision-making process of when to use FEES. We highlight considerations for the acute stroke patient and visual signs that guide decision making during a FEES, such as secretions, swallowing frequency, and pharyngeal squeeze elicitation. The application of the ice chip protocol for stroke patients who have been nil per os is discussed, along with common observable events on FEES performed on stroke patients like a delay, penetration/aspiration, and bolus retention. Finally, we briefly review testing interventions and follow-up readiness with FEES.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  5. [해외논문]   Dysarthria following Stroke   SCIE

    Spencer, Kristie (Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington ) , Brown, Katherine (Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington)
    Seminars in speech and language v.39 no.1 ,pp. 015 - 024 , 2018 , 0734-0478 ,

    초록

    Abstract Dysarthria is a common consequence of stroke and can have a detrimental influence on communication and quality of life. Speech-language pathologists (SLPs) play an important role in the evaluation and rehabilitation of stroke survivors who present with dysarthria. An understanding of the physiologic reason behind the altered speech characteristics, such as weakness or incoordination, can facilitate differential diagnosis, guide evaluation strategies, and influence treatment approaches. An initial comprehensive speech evaluation is comprised of examination of the speech mechanism, screening of speech subsystems, perceptual assessment, and intelligibility measurement. Management strategies focus on optimizing communication through compensatory strategies as well as providing physiologic support. The SLP is also responsible for educating family and staff regarding strategies that can facilitate communication.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  6. [해외논문]   Contemporary Approaches to the Management of Post-stroke Apraxia of Speech   SCIE

    Basilakos, Alexandra (Arnold School of Public Health, Department of Communication Sciences and Disorders, University of South Carolina, Columbia, South Carolina)
    Seminars in speech and language v.39 no.1 ,pp. 025 - 036 , 2018 , 0734-0478 ,

    초록

    Abstract Apraxia of speech (AOS) is a motor speech disorder that disrupts the planning and programming of speech motor movements. In the acute stage of stroke recovery, AOS following unilateral (typically) left hemisphere stroke can occur alongside dysarthria, an impairment in speech execution and control, and/or aphasia, a higher-level impairment in language function. At this time, perceptual evaluation (the systematic, although subjective, description of speech and voice characteristics) is perhaps the only “gold standard” for differential diagnosis when it comes to motor speech disorders. This poses a challenge for speech-language pathologists charged with the evaluation of poststroke communication abilities, as distinguishing production impairments associated with AOS from those that can occur in aphasia and/or dysarthria can be difficult, especially when more than one deficit is present. Given the need for more objective, reliable methods to identify and diagnose AOS, several studies have turned to acoustic evaluation and neuroimaging to supplement clinical assessment. This article focuses on these recent advances. Studies investigating acoustic evaluation of AOS will be reviewed, as well as those that have considered the extent that neuroimaging can guide clinical decision making. Developments in the treatment of AOS will also be discussed. Although more research is needed regarding the use of these methods in everyday clinical practice, the studies reviewed here show promise as emerging tools for the management of AOS.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  7. [해외논문]   Implementing a Standardized Assessment Battery for Aphasia in Acute Care   SCIE

    Vallila-Rohter, Sofia (Department of Communication Sciences and Disorders, MGH-Institute of Health Professions, Boston, Massachusetts ) , Kasparian, Laura (Speech and Swallow Department, Brigham and Women's Hospital, Boston, Massachusetts ) , Kaminski, Olga (Speech and Swallow Department, Brigham and Women's Hospital, Boston, Massachusetts ) , Schliep, Megan (Department of Communication Sciences and Disorders, MGH-Institute of Health Professions, Boston, Massachusetts ) , Koymen, Semra (Speech and Swallow Department, Brigham and Women's Hospital, Boston, Massachusetts)
    Seminars in speech and language v.39 no.1 ,pp. 037 - 052 , 2018 , 0734-0478 ,

    초록

    Abstract In this article, the implementation of a standardized assessment battery for the evaluation of language in an acute care setting is described. Following an institutional shift to adopt electronic medical records, researchers and clinicians worked together to develop a technology-assisted evaluation of aphasia that would be used to assess all patients admitted to our facility with stroke. The project goal was to devise a clinical process to improve aphasia diagnosis and evaluation while remaining feasible within constraints imposed by the acute care setting and the electronic medical record. Utilizing frameworks from implementation science, the four key phases were: (1) initial considerations of the host setting, (2) creation of a structure for implementation, (3) maintenance of this structure once implementation began, and (4) improvement for future applications. A pilot implementation demonstrated that establishing and executing a minimum standardized assessment for aphasia in acute care is feasible. Retrospective medical record review of 50 aphasia evaluations in the setting of first incidence of left hemisphere stroke affecting the middle cerebral artery (25 preimplementation and 25 postimplementation) revealed that information content of medical notes was more consistent and complete postimplementation than preimplementation. Clinical implications and future directions are discussed.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  8. [해외논문]   Providing Effective Speech-Language Pathology Group Treatment in the Comprehensive Inpatient Rehabilitation Setting   SCIE

    Baron, Christine (Inpatient Speech-Language Pathology Service, MedStar National Rehabilitation Hospital, Washington, District of Columbia ) , Holcombe, Molly (Inpatient Speech-Language Pathology Service, MedStar National Rehabilitation Hospital, Washington, District of Columbia ) , van der Stelt, Candace (Inpatient Speech-Language Pathology Service, MedStar National Rehabilitation Hospital, Washington, District of Columbia)
    Seminars in speech and language v.39 no.1 ,pp. 053 - 065 , 2018 , 0734-0478 ,

    초록

    Abstract Group treatment is an integral part of speech-language pathology (SLP) practice. The majority of SLP literature concerns group treatment provided in outpatient settings. This article describes the goals, procedures, and benefits of providing quality SLP group therapy in the comprehensive inpatient rehabilitation (CIR) setting. Effective CIR groups must be designed with attention to type and severity of communication impairment, as well physical stamina of group members. Group leaders need to target individualized patient goals while creating a challenging, complex, and dynamic group context that supports participation by all group members. Direct patient-to-patient interaction is fostered as much as possible. Peer feedback supports goal acquisition by fellow group members. The rich, complex group context fosters improved insight, initiation, social connectedness, and generalization of communication skills. Group treatment provides a unique type of treatment not easily replicated with individual treatment. SLP group treatment in a CIR is an essential component of an intensive, high-quality program. Continued advocacy for group therapy provision and research into its efficacy and effectiveness are warranted.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  9. [해외논문]   Contributions of Neuroimaging to Understanding Language Deficits in Acute Stroke   SCIE

    Sebastian, Rajani (Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland ) , Breining, Bonnie (Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland)
    Seminars in speech and language v.39 no.1 ,pp. 066 - 078 , 2018 , 0734-0478 ,

    초록

    Abstract Advances in structural and functional imaging techniques have provided new insights into our understanding of brain and language relationships. In this article, we review the various structural and functional imaging methods currently used to study language deficits in acute stroke. We also discuss the advantages and the limitations of each imaging modality and the applications of each modality in the clinical and research settings in the study of language deficits.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  10. [해외논문]   Regional Brain Dysfunction Associated with Semantic Errors in Comprehension   SCIE

    Shahid, Hinna (Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland ) , Sebastian, Rajani (Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland ) , Tippett, Donna (Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland ) , Saxena, Sadhvi (Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland ) , Wright, Amy (Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland ) , Hanayik, Taylor (University of South Carolina, Columbia, South Carolina ) , Breining, Bonnie (Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland ) , Bonilha, Leonardo (Department of Neurology, Medical University of South Carolina, Columbia, South Carolina ) , Fridriksson, Julius (University of South Carolina, Columbia, South Carolina ) , Rorden, Chris (University of South Carolina, Columbia, South Carolina ) , Hillis, Argye (Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland)
    Seminars in speech and language v.39 no.1 ,pp. 079 - 086 , 2018 , 0734-0478 ,

    초록

    Abstract Here we illustrate how investigation of individuals acutely after stroke, before structure/function reorganization through recovery or rehabilitation, can be helpful in answering questions about the role of specific brain regions in language functions. Although there is converging evidence from a variety of sources that the left posterior-superior temporal gyrus plays some role in spoken word comprehension, its precise role in this function has not been established. We hypothesized that this region is essential for distinguishing between semantically related words, because it is critical for linking the spoken word to the complete semantic representation. We tested this hypothesis in 127 individuals with 48 hours of acute ischemic stroke, before the opportunity for reorganization or recovery. We identified tissue dysfunction (acute infarct and/or hypoperfusion) in gray and white matter parcels of the left hemisphere, and we evaluated the association between rate of semantic errors in a word-picture verification tasks and extent of tissue dysfunction in each region. We found that after correcting for lesion volume and multiple comparisons, the rate of semantic errors correlated with the extent of tissue dysfunction in left posterior-superior temporal gyrus and retrolenticular white matter.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지

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