The Challenges of Dysphagia Management and Rehabilitation in Two Complex Cases Post Chemical Ingestion Injury.

Abstract:

Purpose:Dysphagia is common sequelae of chemical ingestion injury, resulting from damage to critical swallowing structures. From a speech-language pathology perspective, this study outlines the physiological deficits in 2 individuals with severe injury (1 woman, acid; 1 man, alkali) and the pattern of dysphagia rehabilitation and recovery. Method:A retrospective chart review of clinical and instrumental assessments was conducted to examine swallow characteristics and speech-language pathology management (compensatory and rehabilitation strategies) at multiple time points. Results:Chemical ingestion injury resulted in severe pharyngeal dysphagia for both participants, warranting speech-language pathology management. Dysphagia was characterized by poor base of tongue mobility and reduced laryngeal excursion. Decreased airway patency and protection, secondary to mucosal sloughing, widespread edema, and structural deficits necessitated tracheostomy. Recovery was complicated by physical alterations of pharyngeal and laryngeal structures (e.g., interarytenoid adhesions) and esophageal strictures. Participant 1 was discharged (Day 135) consuming a texture-modified diet; Participant 2 remained nil by mouth (Day 329). Conclusions:Dysphagia recovery subsequent to chemical ingestion is protracted and complex. Clinical outcomes may be improved through individualized and intensive rehabilitation by speech-language pathologists.

authors

Rumbach AF,Cremer R,Chatwood A,Fink S,Haider S,Yee M

doi

10.1044/2016_AJSLP-15-0043

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

470-480

issue

4

eissn

1058-0360

issn

1558-9110

pii

2553568

journal_volume

25

pub_type

杂志文章
  • Abstract Semantic Associative Network Training: A Replication and Update of an Abstract Word Retrieval Therapy Program.

    abstract::Purpose We report on a study that replicates previous treatment studies using Abstract Semantic Associative Network Training (AbSANT), which was developed to help persons with aphasia improve their ability to retrieve abstract words, as well as thematically related concrete words. We hypothesized that previous results...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2020_AJSLP-19-00066

    authors: Sandberg CW,Gray T

    更新日期:2020-08-04 00:00:00

  • Properties of the narrative scoring scheme using narrative retells in young school-age children.

    abstract:PURPOSE:To evaluate the clinical utility of the narrative scoring scheme (NSS) as an index of narrative macrostructure for young school-age children. METHOD:Oral retells of a wordless picture book were elicited from 129 typically developing children, ages 5-7. A series of correlations and hierarchical regression equat...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/1058-0360(2009/08-0024)

    authors: Heilmann J,Miller JF,Nockerts A,Dunaway C

    更新日期:2010-05-01 00:00:00

  • Editor's Column: A Reflection on Studies Using Retrospective Record Review.

    abstract:PURPOSE:In this column, the Editor of the American Journal of Speech-Language Pathology reflects on the value of retrospective record review and considers the design elements that contribute to sound methodology in this format. ...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2016_AJSLP-15-0201

    authors: Wilkinson K

    更新日期:2016-05-01 00:00:00

  • Evaluating Treatment and Generalization Patterns of Two Theoretically Motivated Sentence Comprehension Therapies.

    abstract:Purpose:The current study examined treatment outcomes and generalization patterns following 2 sentence comprehension therapies: object manipulation (OM) and sentence-to-picture matching (SPM). Findings were interpreted within the framework of specific deficit and resource reduction accounts, which were extended in orde...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2016_AJSLP-15-0134

    authors: Des Roches CA,Vallila-Rohter S,Villard S,Tripodis Y,Caplan D,Kiran S

    更新日期:2016-12-01 00:00:00

  • The Most Important Therapy Outcomes for School-Aged Children Who Stutter: An Exploratory Study.

    abstract:Purpose:The aim of this article was to identify what school-aged children who stutter consider to be the most important outcomes from therapy. Method:A Delphi approach was employed for the study. Eighteen participants aged 9-13 years completed a survey, generating 90 statements that would constitute successful therapy...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2018_AJSLP-ODC11-17-0195

    authors: Cooke K,Millard SK

    更新日期:2018-10-19 00:00:00

  • Learning, forgetting, and relearning: skill learning in children with language impairment.

    abstract:PURPOSE:The current study tested whether the difficulties of children with specific language impairment (SLI) in skill acquisition are related to learning processes that occur while practicing a new skill or to the passage of time between practice and later performance. METHOD:The acquisition and retention of a new co...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2014_AJSLP-13-0031

    authors: Adi-Japha E,Abu-Asba H

    更新日期:2014-11-01 00:00:00

  • Validating dynamic assessment of triadic gaze for young children with severe disabilities.

    abstract:PURPOSE:This research investigated the use of a dynamic assessment (DA) to identify differences among young children with severe disabilities, which would predict progress in learning behaviors indicating coordinated joint attention (CJA). METHOD:Six children 10-24 months of age were enrolled in a 16-week treatment fo...

    journal_title:American journal of speech-language pathology

    pub_type: 临床试验,杂志文章

    doi:10.1044/1058-0360(2012/12-0013)

    authors: Olswang LB,Feuerstein JL,Pinder GL,Dowden P

    更新日期:2013-08-01 00:00:00

  • Evaluation of manometric measures during tongue-hold swallows.

    abstract:PURPOSE:Based on visual inspection, prior research documented increased movement of the posterior pharyngeal wall in healthy volunteers during tongue-hold swallows. This manometric study investigated the immediate effects of the tongue-hold maneuver on pharyngeal peak pressure generation, duration of pressure generatio...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/1058-0360(2008/06-0061)

    authors: Doeltgen SH,Witte U,Gumbley F,Huckabee ML

    更新日期:2009-02-01 00:00:00

  • Evidence-Based Systematic Review: Effects of Speech-Language Pathology Treatment for Individuals With Paradoxical Vocal Fold Motion.

    abstract:PURPOSE:In this article, our goal was to determine the state of the evidence and the effect of speech-language pathology (SLP) treatment for individuals with paradoxical vocal fold motion (PVFM). METHOD:The American Speech-Language-Hearing Association's National Center for Evidence-Based Practice in Communication Diso...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章,评审

    doi:10.1044/2015_AJSLP-14-0120

    authors: Patel RR,Venediktov R,Schooling T,Wang B

    更新日期:2015-08-01 00:00:00

  • Early Development of Emotional Competence (EDEC) Assessment Tool for Children With Complex Communication Needs: Development and Evidence.

    abstract:Purpose:This article introduces and provides initial data supporting "The Early Development of Emotional Competence (EDEC): A tool for children with complex communication needs (CCNs)." The EDEC was developed to raise awareness about the relation of language and emotional competence and to maximize the likelihood that ...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2017_AJSLP-16-0058

    authors: Na JY,Wilkinson K,Liang J

    更新日期:2018-02-06 00:00:00

  • Single-subject experimental design for evidence-based practice.

    abstract:PURPOSE:Single-subject experimental designs (SSEDs) represent an important tool in the development and implementation of evidence-based practice in communication sciences and disorders. The purpose of this article is to review the strategies and tactics of SSEDs and their application in speech-language pathology resear...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章,评审

    doi:10.1044/1058-0360(2012/11-0036)

    authors: Byiers BJ,Reichle J,Symons FJ

    更新日期:2012-11-01 00:00:00

  • An Acoustic Study of Vowels Produced by Alaryngeal Speakers in Taiwan.

    abstract:Purpose:This study investigated the acoustic properties of 6 Taiwan Southern Min vowels produced by 10 laryngeal speakers (LA), 10 speakers with a pneumatic artificial larynx (PA), and 8 esophageal speakers (ES). Method:Each of the 6 monophthongs of Taiwan Southern Min (/i, e, a, ɔ, u, ə/) was represented by a Taiwan ...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2016_AJSLP-15-0068

    authors: Liao JS

    更新日期:2016-11-01 00:00:00

  • Grammatical Abilities in Young Cochlear Implant Recipients and Children With Normal Hearing Matched by Vocabulary Size.

    abstract:Purpose:This study sought to expand understanding of the impact of cochlear implantation on grammatical acquisition by comparing young children who have vocabularies of comparable size. Two research questions were investigated: (a) Do young cochlear implant (CI) recipients have grammatical skills comparable to those of...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2018_AJSLP-16-0164

    authors: Jung J,Ertmer DJ

    更新日期:2018-05-03 00:00:00

  • Macrostructural Analyses of Cinderella Narratives in a Large Nonclinical Sample.

    abstract::Purpose Macrostructural narrative analyses are important clinical measures, revealing age-related declines and disorder-related impairments in the accuracy, completeness, logical sequencing, and organization of content. The current study aims to provide preliminary data on typical aging and psychometric evidence suppo...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2020_AJSLP-19-00151

    authors: Greenslade KJ,Stuart JEB,Richardson JD,Dalton SG,Ramage AE

    更新日期:2020-11-12 00:00:00

  • Narrative performance of gifted African American school-aged children from low-income backgrounds.

    abstract:PURPOSE:This study investigated classroom differences in the narrative performance of school-age African American English (AAE)-speaking children in gifted and general education classrooms. METHOD:Forty-three children, Grades 2-5, each generated fictional narratives in response to the book Frog, Where Are You? (Mayer,...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2014_AJSLP-13-0150

    authors: Mills MT

    更新日期:2015-02-01 00:00:00

  • Delivering Bad News: Attitudes, Feelings, and Practice Characteristics Among Speech-Language Pathologists.

    abstract:Purpose:The purpose of this study was to examine the attitudes, feelings, and practice characteristics of speech-language pathologists (SLPs) in Israel regarding the subject of delivering bad news. Method:One hundred and seventy-three Israeli SLPs answered an online survey. Respondents represented SLPs in Israel in al...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2017_AJSLP-17-0045

    authors: Gold R,Gold A

    更新日期:2018-02-06 00:00:00

  • Investigating a Multimodal Intervention for Children With Limited Expressive Vocabularies Associated With Autism.

    abstract:PURPOSE:This study investigated a new intervention package aimed at increasing expressive word learning by school-age children with autism who have limited expressive vocabularies. This pilot investigation was intended to show proof of concept. METHOD:Ten children between the ages of 6 and 10 years participated, with ...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章,随机对照试验

    doi:10.1044/2015_AJSLP-14-0093

    authors: Brady NC,Storkel HL,Bushnell P,Barker RM,Saunders K,Daniels D,Fleming K

    更新日期:2015-08-01 00:00:00

  • Potential for Cognitive Communication Impairment in COVID-19 Survivors: A Call to Action for Speech-Language Pathologists.

    abstract::Purpose Severe acute respiratory syndrome coronavirus 2 is the virus resulting in COVID-19 infections in nearly 4.3 million Americans with COVID-19 in the United States as of July 29, 2020, with nearly 150,000 deaths and hundreds of thousands of survivors (https://www.coronavirus.jhu.edu/map.html). This tutorial revie...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章,评审

    doi:10.1044/2020_AJSLP-20-00147

    authors: Ramage AE

    更新日期:2020-11-12 00:00:00

  • Evidence-Based Practice in Speech-Language Pathology: Where Are We Now?

    abstract::Purpose In 2004, American Speech-Language-Hearing Association established its position statement on evidence-based practice (EBP). Since 2008, the Council on Academic Accreditation has required accredited graduate education programs in speech-language pathology to incorporate research methodology and EBP principles in...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2020_AJSLP-20-00194

    authors: Greenwell T,Walsh B

    更新日期:2021-01-27 00:00:00

  • Examining dynamic visual scene displays: implications for arranging and teaching symbol selection.

    abstract:PURPOSE:Evidence supports using visual scene displays (VSDs) with young children using speech-generating devices. This study examined initial and subsequent performance during VSD use by children age 24-27 and 33-36 months to explore child characteristics that may relate to navigational skill differences. METHOD:Child...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/1058-0360(2010/09-0001)

    authors: Olin AR,Reichle J,Johnson L,Monn E

    更新日期:2010-11-01 00:00:00

  • The importance of production frequency in therapy for childhood apraxia of speech.

    abstract:PURPOSE:This study explores the importance of production frequency during speech therapy to determine whether more practice of speech targets leads to increased performance within a treatment session, as well as to motor learning, in the form of generalization to untrained words. METHOD:Two children with childhood apr...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/1058-0360(2011/09-0005)

    authors: Edeal DM,Gildersleeve-Neumann CE

    更新日期:2011-05-01 00:00:00

  • Concurrent Validity and Reliability for the Communication Complexity Scale.

    abstract:Purpose:The Communication Complexity Scale (CCS; Brady et al., 2012) was created to fill a void in measures of expressive communication skills in individuals who communicate primarily with presymbolic or early symbolic means. CCS scores reflect expressive communication observed during interactive communication contexts...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2017_AJSLP-17-0106

    authors: Brady NC,Fleming K,Romine RS,Holbrook A,Muller K,Kasari C

    更新日期:2018-02-06 00:00:00

  • State-of-the-science symposium on postacute rehabilitation: setting a research agenda and developing an evidence base for practice and public policy executive summary.

    abstract:PURPOSE:The Rehabilitation Research and Training Center on Measuring Rehabilitation Outcomes and Effectiveness along with academic, professional, provider, and accreditor organizations sponsored a symposium with the aim of serving as a catalyst for expanded research on postacute care (PAC) rehabilitation. The goals wer...

    journal_title:American journal of speech-language pathology

    pub_type:

    doi:10.1044/1058-0360(2007/034)

    authors: Heinemann AW

    更新日期:2007-11-01 00:00:00

  • An aphasia mentoring program: perspectives of speech-language pathology students and of mentors with aphasia.

    abstract:PURPOSE:In contrast to clinician-as-expert models, social models of clinical practice typically acknowledge people with aphasia as equal partners in intervention. Given this, there may be a place within speech-language pathology education for programs situating people with aphasia as experts. This paper describes an ap...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/1058-0360(2013/12-0071)

    authors: Purves BA,Petersen J,Puurveen G

    更新日期:2013-05-01 00:00:00

  • Late Dysphagia Following Radiotherapy After Nasopharyngeal Carcinoma: A Case Series.

    abstract::Purpose Standard treatment for nasopharyngeal carcinoma (NPC) is radiation therapy (RT); however, long-term effects of RT frequently include significant swallowing impairments (dysphagia; Gaziano, 2002; Hui, Chan, & Le, 2018). Our objective was to describe swallowing physiology in consecutive outpatients with a histor...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2019_AJSLP-19-0116

    authors: Schreiber AM,Dawson C,Skoretz SA

    更新日期:2020-02-07 00:00:00

  • Miranda rights comprehension in young adults with specific language impairment.

    abstract:PURPOSE:The purpose of this study was to determine whether citizens with language impairment understand legal rights as conveyed in Miranda warnings. METHOD:Grisso's Instruments for Assessing Understanding and Appreciation of Miranda Rights (1998) was administered to 34 young adults, half of whom met the diagnostic cr...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/1058-0360(2011/10-0094)

    authors: Rost GC,McGregor KK

    更新日期:2012-05-01 00:00:00

  • Preparation, clinical support, and confidence of speech-language pathologists managing clients with a tracheostomy in Australia.

    abstract:PURPOSE:To describe the preparation and training, clinical support, and confidence of speech-language pathologists (SLPs) in relation to tracheostomy client care in Australia. METHOD:A survey was sent to 90 SLPs involved in tracheostomy management across Australia. The survey contained questions relating to preparatio...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/1058-0360(2008/024)

    authors: Ward E,Agius E,Solley M,Cornwell P,Jones C

    更新日期:2008-08-01 00:00:00

  • Experimental Assessment and Future Applications of the Shikani Tracheostomy Speaking Valve.

    abstract:PURPOSE:Tracheostomy speaking valve use may increase airflow resistance and work of breathing. It remains unclear which valve offers the best performance characteristics. We compared the performance characteristics of the Shikani speaking valve (SSV; unidirectional-flow ball valve) with those of the Passy-Muir valve (P...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2015_AJSLP-14-0115

    authors: Shikani AH,Miller AC,Elamin EM

    更新日期:2015-11-01 00:00:00

  • A comparison of intention and pantomime gesture treatment for noun retrieval in people with aphasia.

    abstract:PURPOSE:The effects of intention gesture treatment (IGT) and pantomime gesture treatment (PGT) on word retrieval were compared in people with aphasia. METHOD:Four individuals with aphasia and word retrieval impairments subsequent to left-hemisphere stroke participated in a single-participant crossover treatment design...

    journal_title:American journal of speech-language pathology

    pub_type: 临床试验,杂志文章

    doi:10.1044/1058-0360(2012/11-0076)

    authors: Ferguson NF,Evans K,Raymer AM

    更新日期:2012-05-01 00:00:00

  • Language Sampling for Preschoolers With Severe Speech Impairments.

    abstract:Purpose:The purposes of this investigation were to determine if measures such as mean length of utterance (MLU) and percentage of comprehensible words can be derived reliably from language samples of children with severe speech impairments and if such measures correlate with tools that measure constructs assumed to be ...

    journal_title:American journal of speech-language pathology

    pub_type: 杂志文章

    doi:10.1044/2016_AJSLP-15-0100

    authors: Binger C,Ragsdale J,Bustos A

    更新日期:2016-11-01 00:00:00