Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 6.431
Filtrar
1.
Zh Nevrol Psikhiatr Im S S Korsakova ; 119(8. Vyp. 2): 90-94, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31825368

RESUMO

AIM: To determine the dependence of speech recovery on the type of aphasia in patients with acute ischemic stroke in the carotid territory. MATERIAL AND METHODS: Three hundred and fifty-one patients, aged 61 [55; 72] years, with ischemic stroke were examined. The degree of speech recovery was characterized by an increase in the score on the Speech Questionnaire (SQ) on the 21st day from the beginning of the disease compared to baseline. Patients were divided into 2 groups: low (ΔSQ ≤6) and high (ΔSQ >6) recovery. Speech disorders were represented by motor, sensorimotor and subcortical aphasia. RESULTS: The group ΔSQ ≤6 was dominated by patients with sensorimotor aphasia (n=141, (76,6%)). In the ΔSQ >6 group, motor aphasia was more frequent (119 people (71.3%)), sensorimotor aphasia was observed in 48 patients (28.7%) (p=0.0001). Patients of the group with the worst speech restoration more often had cortical aphasia (n=108; 73.0%), and patients with subcortical aphasia slightly prevailed in the group with the best recovery: 40 (27.0%) in group I and 57 (47.5%) in group II (p=0.001). CONCLUSION: Motor aphasia and subcortical aphasia are associated with good recovery of speech function in the acute period of ischemic stroke.


Assuntos
Afasia , Isquemia Encefálica , Fonoterapia , Reabilitação do Acidente Vascular Cerebral , Acidente Vascular Cerebral , Idoso , Humanos , Fala , Acidente Vascular Cerebral/complicações
2.
Zh Nevrol Psikhiatr Im S S Korsakova ; 119(9. Vyp. 2): 32-36, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31825387

RESUMO

Speech disorders are widely spread in patients with Parkinson's disease, and these symptoms are only getting worse as the disease progresses. Nevertheless, only a few percent of the population have an access to an adequate and qualified care. This review describes the pathophysiology of parkinsonian speech disorders, methods of diagnostics and monitoring and treatment modalities, which include pharmacotherapy, speech therapy and surgical approaches. The authors believe that treatment of parkinsonism-related speech disorder is an integral part of a multidisciplinary patient care.


Assuntos
Doença de Parkinson , Distúrbios da Fala , Disartria , Humanos , Doença de Parkinson/complicações , Distúrbios da Fala/etiologia , Distúrbios da Fala/terapia , Fonoterapia
4.
Nervenarzt ; 90(12): 1279-1291, 2019 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-31776592

RESUMO

Due to their high prevalence, Parkinson's syndromes are exemplary geriatric syndromes. In addition to idiopathic Parkinson's disease, drug-induced and vascular Parkinson's syndromes are especially relevant in older age. A comprehensive anamnesis, thorough clinical neurological examination and rational additional diagnostics ensure the correct differential diagnostic classification. The multidimensional geriatric assessment is used to quantify the syndrome-specific ability impairments. The primary therapeutic objective in old age is the preservation of everyday competences. Drug treatment is centered around L­dopa because of its favorable effect-side effect ratio. In cases of motor fluctuations, entacapone, opicapone or safinamide can be added, whereas dopamine agonists are generally unsuitable. Rivastigmine is indicated in mild to moderate Parkinson's dementia and furthermore can possibly improve gait stability. Speech therapy, as well as physical and occupational therapy, including the Parkinson's disease-specific Lee Silverman voice treatment are indispensable components of the multiprofessional treatment concept.


Assuntos
Doença de Parkinson , Idoso , Alemanha/epidemiologia , Humanos , Levodopa , Doença de Parkinson/diagnóstico , Doença de Parkinson/epidemiologia , Doença de Parkinson/terapia , Fonoterapia , Síndrome
5.
BMJ ; 367: l4962, 2019 11 04.
Artigo em Inglês | MEDLINE | ID: mdl-31685480

RESUMO

The studyEveritt H, Landau G, Little P. Therapist telephone-delivered CBT and web-based CBT compared with treatment as usual in refractory irritable bowel syndrome: the ACTIB three-arm RCT. Health Technol Assess 2019;23:1-154.This project was funded by the NIHR Health Technology Assessment Programme (project number 11/69/02).To read the full NIHR Signal, go to https://discover.dc.nihr.ac.uk/content/signal-000784/irritable-bowel-syndrome-helped-by-telephone-or-internet-cbt.


Assuntos
Síndrome do Intestino Irritável , Humanos , Internet , Fonoterapia , Avaliação da Tecnologia Biomédica , Telefone
6.
Codas ; 31(5): e20180274, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31721913

RESUMO

PURPOSE: To verify the effect of dog intervention on the regular session of speech therapy for developmental stuttering in adults. METHODS: The study involved young adults and adults with developmental stuttering. The study sample was composed of eight participants, six males and two females, ranging in age from 16 to 45 years. Participants were divided into two groups: G1 - those who underwent treatment for stuttering with the presence of a dog-therapist in the therapy room and G2 - those who underwent treatment for stuttering without the presence of the dog therapist. We included a control group, G3, composed of fluent participants, matched in age and sex to G1 and G2 to control the natural variability of speech fluency. RESULTS: Comparative results between the groups indicated that the group that performed the treatment without the presence of the dog achieved better performance, evolution and efficacy rates. CONCLUSION: for the population in this study, the dog intervention on speech therapy did not improve treatment.


Assuntos
Terapia Assistida por Animais/métodos , Fonoterapia/métodos , Gagueira/terapia , Adolescente , Adulto , Animais , Cães , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Adulto Jovem
7.
Codas ; 32(1): e20180306, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31664312

RESUMO

PURPOSE: Search for reliability and validity evidence for the Montreal Communication Evaluation Brief Battery (MEC B) for adults with right brain damage. METHODS: Three hundred twenty-four healthy adults and 26 adults with right brain damage, aged 19-75 years, with two or more years of education were evaluated with MEC B. The MEC B Battery contains nine tasks that aim to evaluate communicative abilities as discourse, prosody, lexical-semantic and pragmatic process. Two sources of reliability evidence were used: internal consistency (Cronbach's alpha) and interrater reliability. Construct validity was evaluated comparing the Montreal Communication Evaluation Battery (MEC), expanded version and MEC B tasks. RESULTS: Internal consistence was satisfactory and the interrater reliability was considered excellent, as were correlations between MEC Battery and MEC B Battery tasks. CONCLUSION: The MEC B Battery showed satisfactory reliability and validity evidences. It can be used as outcome measure of intervention programs and assist speech therapists to plan rehabilitation programs.


Assuntos
Lesões Encefálicas/fisiopatologia , Transtornos da Comunicação/diagnóstico , Testes Neuropsicológicos/estatística & dados numéricos , Adulto , Idoso , Brasil , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Fonoterapia/métodos
8.
Codas ; 31(5): e20190004, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31664371

RESUMO

PURPOSE: To review the Speech-Language Pathology literature studies from the epidemiology and causality perspective. RESEARCH STRATEGIES: A national and international literature survey was carried out with searches from PubMed, SciELO and gray literature bases, conducted according to the instructions of the Cochrane Collaboration and published until January 9th, 2019. The review guiding question asks if Speech-Language Pathology uses methods in their evidence to infer causality. SELECTION CRITERIA: All studies that presented a causal epidemiological approach in speech therapy were included, as well as excluded those that did not present an appropriate methodological approach for cause and effect analysis. DATA ANALYSIS: Two authors of this study independently reviewed all citations. A priori determined form was used to extract the following data: author, year of publication, country of origin, theoretical conception, application or not of the study and central discussion addressed in the article. RESULTS: From the search performed 3842 articles were found. However, none of them investigated their outcomes from the causality point of view, not allowing cause and effect inference. CONCLUSION: There is a shortage of studies that evidence causality in Speech-Language Pathology, which may alter the effectiveness and reliable handling of diagnosis and speech-language therapy, since it is still based on association and not on cause and effect based on studies designed to that.


Assuntos
Distúrbios da Fala/epidemiologia , Distúrbios da Fala/etiologia , Patologia da Fala e Linguagem , Causalidade , Métodos Epidemiológicos , Humanos , Fonoterapia
9.
Prensa méd. argent ; 105(9 especial): 628-633, oct 2019.
Artigo em Inglês | LILACS, BINACIS | ID: biblio-1046836

RESUMO

The article reveals the features of the study and development of the tempo-rhythmic speech components of children with disabilities as exemplified by preschool children with a stutter. The article describes the course and methods of an ascertaining experiment to identify the initial state of the tempo-rhythmic speech components of children with stuttering. Games and tasks, with the help which it is possible to determine the state of the tempo and rhythm of children's speech, are offered and the obtained results are described. The stages of correctional work with children on the development of the tempo-rhythmic speech components of children with stuttering are given.


Assuntos
Humanos , Pré-Escolar , Criança , Fala , Fonoterapia/métodos , Gagueira/etiologia , Tempo , Métodos Epidemiológicos , Crianças com Deficiência/reabilitação , Jogos Experimentais
10.
Biomed Res Int ; 2019: 4589056, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31467892

RESUMO

Objective: To evaluate and compare the effects of repetitive transcranial magnetic stimulation (rTMS) over the right pars triangularis of the posterior inferior frontal gyrus (pIFG) and the right posterior superior temporal gyrus (pSMG) in global aphasia following subacute stroke. Methods: Fifty-four patients with subacute poststroke global aphasia were randomized to 15-day protocols of 20-minute inhibitory 1 Hz rTMS over either the right triangular part of the pIFG (the rTMS-b group) or the right pSTG (the rTMS-w group) or to sham stimulation, followed by 30 minutes of speech and language therapy. Language outcomes were assessed by aphasia quotient (AQ) scores obtained from the Chinese version of the Western Aphasia Battery (WAB) at baseline and immediately after 3 weeks (15 days) of experimental treatment. Results: Forty-five patients completed the entire study. The primary outcome measures include the changes in WAB-AQ score, spontaneous speech, auditory comprehension, and repetition. These measures indicated significant main effect between the baseline of the rTMS-w, rTMS-b, and sham groups and immediately after stimulation (P<0.05). Compared with the sham group, the increases were significant for auditory comprehension, repetition, and AQ in the rTMS-w group (P<0.05), whereas the changes in repetition, spontaneous speech, and AQ tended to be higher in the rTMS-b group (P<0.05). Conclusions: Inhibitory rTMS targeting the right pIFG and pSTG can be an effective treatment for subacute stroke patients with global aphasia. The effect of rTMS may depend on the stimulation site. Low-frequency rTMS inhibited the right pSTG and significantly improved language recovery in terms of auditory comprehension and repetition, whereas LF-rTMS inhibited the right pIFG, leading to apparent changes in spontaneous speech and repetition.


Assuntos
Afasia/terapia , Acidente Vascular Cerebral/terapia , Lobo Temporal/fisiopatologia , Estimulação Magnética Transcraniana , Idoso , Afasia/complicações , Afasia/fisiopatologia , Feminino , Humanos , Linguagem , Masculino , Pessoa de Meia-Idade , Fala/efeitos da radiação , Fonoterapia/métodos , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/fisiopatologia , Reabilitação do Acidente Vascular Cerebral , Lobo Temporal/efeitos da radiação , Resultado do Tratamento
12.
Cochrane Database Syst Rev ; 7: CD013067, 2019 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-31335963

RESUMO

BACKGROUND: Cough both protects and clears the airway. Cough has three phases: breathing in (inspiration), closure of the glottis, and a forced expiratory effort. Chronic cough has a negative, far-reaching impact on quality of life. Few effective medical treatments for individuals with unexplained (idiopathic/refractory) chronic cough (UCC) are known. For this group, current guidelines advocate the use of gabapentin. Speech and language therapy (SLT) has been considered as a non-pharmacological option for managing UCC without the risks and side effects associated with pharmacological agents, and this review considers the evidence from randomised controlled trials (RCTs) evaluating the effectiveness of SLT in this context. OBJECTIVES: To evaluate the effectiveness of speech and language therapy for treatment of people with unexplained (idiopathic/refractory) chronic cough. SEARCH METHODS: We searched the Cochrane Airways Trials Register, CENTRAL, MEDLINE, Embase, CINAHL, trials registries, and reference lists of included studies. Our most recent search was 8 February 2019. SELECTION CRITERIA: We included RCTs in which participants had a diagnosis of UCC having undergone a full diagnostic workup to exclude an underlying cause, as per published guidelines or local protocols, and where the intervention included speech and language therapy techniques for UCC. DATA COLLECTION AND ANALYSIS: Two review authors independently screened the titles and abstracts of 94 records. Two clinical trials, represented in 10 study reports, met our predefined inclusion criteria. Two review authors independently assessed risk of bias for each study and extracted outcome data. We analysed dichotomous data as odds ratios (ORs), and continuous data as mean differences (MDs) or geometric mean differences. We used standard methods recommended by Cochrane. Our primary outcomes were health-related quality of life (HRQoL) and serious adverse events (SAEs). MAIN RESULTS: We found two studies involving 162 adults that met our inclusion criteria. Neither of the two studies included children. The duration of treatment and length of sessions varied between studies from four sessions delivered weekly, to four sessions over two months. Similarly, length of sessions varied slightly from one 60-minute session and three 45-minute sessions to four 30-minute sessions. The control interventions were healthy lifestyle advice in both studies.One study contributed HRQoL data, using the Leicester Cough Questionnaire (LCQ), and we judged the quality of the evidence to be low using the GRADE approach. Data were reported as between-group difference from baseline to four weeks (MD 1.53, 95% confidence interval (CI) 0.21 to 2.85; participants = 71), revealing a statistically significant benefit for people receiving a physiotherapy and speech and language therapy intervention (PSALTI) versus control. However, the difference between PSALTI and control was not observed between week four and three months. The same study provided information on SAEs, and there were no SAEs in either the PSALTI or control arms. Using the GRADE approach we judged the quality of evidence for this outcome to be low.Data were also available for our prespecified secondary outcomes. In each case data were provided by only one study, therefore there were no opportunities for aggregation; we judged the quality of this evidence to be low for each outcome. A significant difference favouring therapy was demonstrated for: objective cough counts (ratio for mean coughs per hour on treatment was 59% (95% CI 37% to 95%) relative to control; participants = 71); symptom score (MD 9.80, 95% CI 4.50 to 15.10; participants = 87); and clinical improvement as defined by trialists (OR 48.13, 95% CI 13.53 to 171.25; participants = 87). There was no significant difference between therapy and control regarding subjective measures of cough (MD on visual analogue scale of cough severity: -9.72, 95% CI -20.80 to 1.36; participants = 71) and cough reflex sensitivity (capsaicin concentration to induce five coughs: 1.11 (95% CI 0.80 to 1.54; participants = 49) times higher on treatment than on control). One study reported data on adverse events, and there were no adverse events reported in either the therapy or control arms of the study. AUTHORS' CONCLUSIONS: The paucity of data in this review highlights the need for more controlled trial data examining the efficacy of SLT interventions in the management of UCC. Although a large number of studies were found in the initial search as per protocol, we could include only two studies in the review. In addition, this review highlights that endpoints vary between published studies.The improvements in HRQoL (LCQ) and reduction in 24-hour cough frequency seen with the PSALTI intervention were statistically significant but short-lived, with the between-group difference lasting up to four weeks only. Further studies are required to replicate these findings and to investigate the effects of SLT interventions over time. It is clear that SLT interventions vary between studies. Further research is needed to understand which aspects of SLT interventions are most effective in reducing cough (both objective cough frequency and subjective measures of cough) and improving HRQoL. We consider these endpoints to be clinically important. It is also important for future studies to report information on adverse events.Because of the paucity of data, we can draw no robust conclusions regarding the efficacy of SLT interventions for improving outcomes in unexplained chronic cough. Our review identifies the need for further high-quality research, with comparable endpoints to inform robust conclusions.


Assuntos
Tosse/terapia , Terapia da Linguagem , Fonoterapia , Doença Crônica , Humanos , Modalidades de Fisioterapia , Ensaios Clínicos Controlados Aleatórios como Assunto
13.
Stud Health Technol Inform ; 262: 252-255, 2019 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-31349315

RESUMO

This paper's objective is to present a proposed solution of Computer-based Speech Therapy System (CBST) for dyslalia screening. The problem of Speech Sound Disorders (SSD) is enunciated, and a brief presentation of several general CBST solutions is made. An Entropy-based method is proposed and the current state of advancement in the development and experimental validation of this solution is presented and discussed. Conclusions related to future improvements of the method are drawn based on the consequences identified in the final section.


Assuntos
Diagnóstico por Computador , Distúrbios da Fala , Transtorno Fonológico , Entropia , Humanos , Distúrbios da Fala/diagnóstico , Fonoterapia
14.
S Afr Med J ; 109(6): 426-430, 2019 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-31266562

RESUMO

BACKGROUND: Cleft lip and/or palate (CLP) is the most common congenital anomaly of the craniofacial complex, with an estimated worldwide prevalence of 1/500 - 700 live births. Affected children require immediate medical treatment and prolonged management by a multidisciplinary team of health professionals. OBJECTIVES: To describe and compare healthcare provision to individuals with CLP at specialised care centres in South Africa (SA). METHODS: The study was conducted at all CLP care centres in 6 of SA's 9 provinces that provide specialised treatment and care to individuals with CLP. At each centre, the team leader was interviewed using a semi-structured questionnaire that focused on the point-of-care entry for CLP patients; type of services provided; whether treatment protocols were used, which treatment protocols were used and internal referral systems; and members of the healthcare team. Stata 13 (StataCorp., USA) was used to analyse the data. RESULTS: Eleven CLP team leaders participated in the study, of whom 5 were from Gauteng Province. The point-of-care for CLP patients in the majority of centres was plastic surgery (n=9/11; 81.8%). The majority of centres (n=10/11; 90.9%) followed similar treatment protocols and only 1 centre performed lip surgery at 12 - 18 months. Although all centres reported a multidisciplinary team approach for CLP care provision, there were gaps in the health professions categories, which influenced the type of treatment provided. Hence, surgical repair of the lip and palate (n=10/11; 90.9%) and speech therapy (n=7/11; 63.6%) dominated the type of treatment provided, and patients were referred to other provinces or to the private health sector for other types of treatment. CONCLUSIONS: The gaps in services at the CLP care centres in SA need to be addressed to ensure integrated, holistic care provision.


Assuntos
Fenda Labial/terapia , Fissura Palatina/terapia , Procedimentos Cirúrgicos Reconstrutivos , Fonoterapia , Centros Médicos Acadêmicos , Enxerto de Osso Alveolar , Aconselhamento Genético , Humanos , Ortodontia , Equipe de Assistência ao Paciente , Padrões de Prática Médica , Encaminhamento e Consulta , África do Sul , Cirurgia Bucal , Cirurgia Plástica
15.
Recurso na Internet em Inglês | LIS - Localizador de Informação em Saúde, LIS-bvsms | ID: lis-LISBR1.1-46641

RESUMO

Autism Speaks is dedicated to promoting solutions, across the spectrum and throughout the life span, for the needs of individuals with autism and their families through advocacy and support; increasing understanding and acceptance of people with autism spectrum disorder; and advancing research into causes and better interventions for autism spectrum disorder and related conditions.


Assuntos
Transtorno Autístico , Síndrome de Asperger , Transtorno de Comunicação Social , Hipersensibilidade , Comunicação não Verbal , Ansiedade , Depressão , Terapia Cognitivo-Comportamental , Habilidades Sociais , Fonoterapia , Terapia Ocupacional , Fisioterapia , Psicotrópicos , Transtorno do Deficit de Atenção com Hiperatividade , Transtorno do Espectro Autista
16.
Geriatr Psychol Neuropsychiatr Vieil ; 17(2): 199-210, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31162120

RESUMO

Dementia with Lewy bodies (DLB) is the second most common form of dementia, after Alzheimer's disease (AD). Subjects with DLB remain under-diagnosed, especially in the early stage of the disease, when they can show subtle neurocognitive disorders similar to subjects with AD. In order to refine the differential diagnosis between these two neurodegenerative diseases and to improve patients' care, our speech therapy study aimed to analyze their ability to tell a story by producing a narrative discourse (ND). METHOD: 25 participants with DLB and 12 participants with AD underwent a ND test based on an illustrated story. The test was selected from the French language assessment corpus GREMOTS. The grading of the ND was done according to the following six parameters: lexicon, syntax, pragmatics, presence of the main actions, quality of discourse and informativeness. RESULTS: In the early stage, a quarter of the participants with DLB are under cut-off score for ND, and this proportion strongly increases in the advanced stage. In contrast, all the participants with AD show a pathological ND in both stages. In the early stage, the ND abilities appear significantly better preserved in participants with DLB than in participants with AD. No difference is found in the advanced stage. This result highlights two distinct language profiles, with the participants with AD being significantly less informative than the participants with DLB in the early stage. Furthermore, the participants with DLB show pathological scores spreading over the six parameters, whereas the participants with AD have more selective impairments. Indeed, the informativeness of participants with AD is 100% pathological while their syntax is 100% preserved. DISCUSSION: These results are encouraging as they could enable speech therapists to better adjust their follow-up according to the linguistic profile of the patients and to educate caregivers more appropriately. Further research on language issues in DLB and AD is essential.


Assuntos
Doença de Alzheimer/psicologia , Doença por Corpos de Lewy/psicologia , Idoso , Idoso de 80 Anos ou mais , Doença de Alzheimer/diagnóstico , Doença de Alzheimer/terapia , Diagnóstico Diferencial , Progressão da Doença , Feminino , Humanos , Testes de Linguagem , Doença por Corpos de Lewy/diagnóstico , Doença por Corpos de Lewy/terapia , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Escalas de Graduação Psiquiátrica , Valores de Referência , Fonoterapia
17.
Medicine (Baltimore) ; 98(23): e15775, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31169676

RESUMO

The relationship between the left arcuate fasciculus (AF) and stroke-related aphasia is unclear. In this retrospective study, we aimed to investigate the role of subcomponents of the left AF in predicting prognosis of aphasia after stroke. Twenty stroke patients with aphasia were recruited and received language assessment as well as diffusion tensor tractography scanning at admission. According to injury of the left AF, the participants were classified into four groups: group A (4 cases), the AF preserved intactly; group B (6 cases), the anterior segment injured; group C (4 cases), the posterior segment injured; and group D (6 cases), completely injured. After a consecutive speech therapy, language assessment was performed again. Changes of language functions among the groups were compared and the relation between these changes with segments injury of the AF was analyzed. After therapy, relatively high increase score percentage changes in terms of all the subcategories of language assessment were observed both in group A and C; by contrast, only naming in group B, and spontaneous speech in group D. Although no statistical difference was demonstrated among the four groups. In addition, there was no significant correlation between improvement of language function with segments injury of the AF. The predictive role of subcomponents of the left AF in prognosis of aphasia is obscure in our study. Nevertheless, it indicates the importance of integrity of the left AF for recovery of aphasia, namely that preservation of the left AF on diffusion tensor tractography could mean recovery potential of aphasia after stroke.


Assuntos
Afasia/diagnóstico por imagem , Imagem de Tensor de Difusão/estatística & dados numéricos , Via Perfurante/diagnóstico por imagem , Acidente Vascular Cerebral/diagnóstico por imagem , Adulto , Idoso , Afasia/etiologia , Afasia/fisiopatologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Via Perfurante/fisiopatologia , Valor Preditivo dos Testes , Prognóstico , Recuperação de Função Fisiológica , Estudos Retrospectivos , Fala , Fonoterapia , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/fisiopatologia , Reabilitação do Acidente Vascular Cerebral
18.
Prehosp Disaster Med ; 34(4): 456-457, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31237226

RESUMO

Natural disasters, particularly earthquakes, in addition to physical complications, have always had psychological consequences for those affected by them. Stuttering is one of the psychological consequences of shocking events. After a 6.6 magnitude earthquake in Hojedk, Kerman, Iran, two 5-year-old children and a 4-year-old child with symptoms of discontinuous speech (including repeated sound, syllable, and words) were referred to the Kerman Welfare Organization's rehabilitation center (Kerman, Iran). After history-taking, it became clear that the children had begun to stutter after the earthquake due to fear and stress. Considering the importance of negative emotional experiences in the onset of stuttering, it cannot really be said with certainty that the negative experience of the earthquake initiated the stuttering. Rather, the stuttering had not been present before the earthquake and appeared after the event. These cases indicate the importance of psychosocial support and speech therapy after disasters, especially for children that have higher psychological vulnerability than other age groups.


Assuntos
Terremotos , Transtornos de Estresse Pós-Traumáticos/etiologia , Transtornos de Estresse Pós-Traumáticos/terapia , Gagueira/etiologia , Fatores Etários , Pré-Escolar , Feminino , Humanos , Irã (Geográfico) , Masculino , Medição de Risco , Amostragem , Índice de Gravidade de Doença , Fonoterapia/métodos , Transtornos de Estresse Pós-Traumáticos/psicologia , Gagueira/psicologia , Gagueira/terapia , Sobreviventes/psicologia
19.
Int J Pediatr Otorhinolaryngol ; 125: 23-31, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31238158

RESUMO

BACKGROUND: Despite early identification and intervention, many children who are deaf/hard of hearing (D/HH) demonstrate significant gaps in language development which can directly impact social interactions. AIMS: The objective of this pilot study was to determine whether integrating augmentative and alternative communication (AAC) core word language strategies into a speech-language therapy program for young children who are D/HH improves spoken language outcomes. METHODS: Eleven young children, median age 5 years 7 months (range 3y;11 m to 10y;8 m) with bilateral hearing loss were enrolled in a single-case experimental design and completed a 24-week intervention that incorporated high-tech AAC strategies into a traditional speech-language therapy model (technology-assisted language intervention or TALI). The goal of the TALI was to improve spoken language development in children who were D/HH. Language samples were collected throughout the study and pragmatic language was assessed pre and post intervention. RESULTS: At the end of 24 weeks, children demonstrated a significant increase in their mean length of utterance, number of words spoken, and mean turn length according to language samples. Children also made gains in their pragmatic skills pre to post intervention. CONCLUSIONS: Results of this study suggest that using AAC core word language strategies delivered via iPad technology may support continued and rapid spoken language skill growth among young school-age children who are D/HH. By leveraging AAC technology, we are pioneering a structured and dynamic approach to language learning, building an effective foundation for concepts and grammar for children who are D/HH.


Assuntos
Comunicação , Surdez/reabilitação , Pessoas com Deficiência Auditiva/reabilitação , Terapia Assistida por Computador , Criança , Pré-Escolar , Computadores de Mão , Feminino , Humanos , Desenvolvimento da Linguagem , Terapia da Linguagem , Masculino , Projetos Piloto , Software , Fonoterapia
20.
Laryngorhinootologie ; 98(8): 555-561, 2019 Aug.
Artigo em Alemão | MEDLINE | ID: mdl-31242523

RESUMO

INTRODUCTION: There are merely heterogenous therapy modalities for contact granulomas (CG) without evidenced efficacy. The intention of our study was to evaluate possible risk factors as well as to demonstrate therapeutic successful approaches. METHODS: Based on a retrospective analysis on 79 patients with CG we evaluated personal data for the first patient contact, for the first follow-up appointment (FA) averaged 3-4 months after the first contact, for the second follow-up appointment (SA) averaged 6-8 months after the first contact and for the last follow-up (LA) averaged 13 months after the first contact with collecting information concerning a possible gastrolaryngeal reflux disease as well as symptoms like harrumphing, hoarseness, hyperfunctional dysphonia as well as videostroboscopic signs. The therapeutic methods were prohibition of harrumphing, speech therapy, antazida therapy, surgical resection or a combination of therapy modalities. The group of FA and SA were divided into groups of complete remission group and incomplete remission group, symptoms and stroboscopic signs were statistically compared. RESULTS: Harrumphing was an important cofactor in developing a CG. Although we couldn't verify a superior therapy modality a complete remission was archieved in 2/3rd of the reviewed cases. Even if there was an incomplete remission of the contact granuloma we were able to show a reduction of symptoms. Surgical resections of CG showed a significantly higher recurrence rate. DISCUSSION: Even if we couldn't confirm a superior therapy modality we recommend a symptomatic therapy of CG with overall good remission rates. Primary surgical interventions are not advised owing to high recurrence rates.


Assuntos
Granuloma , Fonoterapia , Humanos , Estudos Retrospectivos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA