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 history of NPC following RT using standardized methods. Understanding dysphagia characteristics in this patient population could ultimately inform rehabilitation strategies and improve patient outcomes. Method We conducted a retrospective, observational, descriptive study of consecutive outpatients undergoing videofluoroscopic swallowing (VFS) exams at our clinic, from 2009 to 2014. We included those with a diagnosis of NPC treated with RT. Those with other cancer diagnoses; previous tracheostomy; acute neurological injury; and progressive, degenerative neurological conditions were excluded. Two registered MBSImP clinicians, blinded to each other, reviewed and scored the VFS exams according to previously published methods (Martin-Harris et al., 2008). Following unblinding, a single reviewer collected demographic data from the electronic medical record. We reported overall impairment and MBSImP component scores descriptively. Results Of 158 outpatients undergoing VFS, 6 (N) met our inclusion criteria. The median time from completion of RT to outpatient VFS was 21.0 years. Patients reported a variety of dysphagia symptoms. All patients had high oral and pharyngeal residue scores (scores ≥ 2) and high impairment scores on components contributing to bolus transport and airway closure. Conclusions All patients presented with impairments in oral-pharyngeal bolus transport and airway protection. Our results identify specific swallowing impairments for this patient group highlighting possible latent RT effects on swallowing. This population would benefit from dysphagia rehabilitation and maintenance programs informed by multimodal diagnostic approaches.
journal_name
Am J Speech Lang Patholjournal_title
American journal of speech-language pathologyauthors
Schreiber AM,Dawson C,Skoretz SAdoi
10.1044/2019_AJSLP-19-0116subject
Has Abstractpub_date
2020-02-07 00:00:00pages
319-326issue
1eissn
1058-0360issn
1558-9110journal_volume
29pub_type
杂志文章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
更新日期:2015-11-01 00:00:00
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
更新日期:2018-02-06 00:00:00
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
更新日期:2014-11-01 00:00:00
abstract:PURPOSE:Although conversational recasting has been a generally successful treatment approach, the precise factors that influence children's learning through recasts are not yet understood. In this study, we examined details of the relationship between child utterance and clinician utterance that seemed likely to influe...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2010/09-0083)
更新日期:2010-08-01 00:00:00
abstract:PURPOSE:This study examined assessment procedures used by speech-language pathologists (SLPs) when assessing children suspected of having speech sound disorders (SSD). This national survey also determined the information participants obtained from clients' speech samples, evaluation of non-native English speakers, and ...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2007/029)
更新日期:2007-08-01 00:00:00
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
更新日期:2018-02-06 00:00:00
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
更新日期:2015-02-01 00:00:00
abstract::Purpose Parkinson's disease (PD) impacts language in multiple ways, though important questions remain. The current article explores 2 main issues: what type of everyday language difficulties (ELDs) are noted by care partners and how do ELDs relate to cognition, daily activities, and motor disability in PD. Method Care...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2018_AJSLP-18-0091
更新日期:2019-02-21 00:00:00
abstract::[Figure: see text]. ...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章,已发布勘误
doi:10.1044/2019_AJSLP-19-00014
更新日期:2019-11-19 00:00:00
abstract:Purpose:The aim of this study was to establish reliability and validity for self-ratings of vocal status obtained during the daily activities of patients with vocal hyperfunction (VH) and matched controls. Method:Eight-four patients with VH and 74 participants with normal voices answered 3 vocal status questions-diffi...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2017_AJSLP-17-0031
更新日期:2017-11-08 00:00:00
abstract::Background and Purpose The severity of aphasic impairment in chronic stroke survivors is typically thought to be stable by 6 months postonset. However, a recent study showed that stroke survivors with aphasia experience language improvement or decline in the chronic phase, years beyond onset. Little is known about why...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2018_AJSLP-18-0123
更新日期:2019-05-27 00:00:00
abstract::Purpose Individuals with Down syndrome (DS) often receive speech-language therapy services starting in infancy or toddlerhood. When providing speech-language therapy services for children with DS, speech-language pathologists (SLPs) need to consider the impact of other developmental and comorbid disorders that can aff...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2020_AJSLP-20-00050
更新日期:2021-01-27 00:00:00
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)
更新日期:2011-05-01 00:00:00
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)
更新日期:2008-08-01 00:00:00
abstract::Best practice in speech-language pathology should be informed by current research findings. Traditional research methods are not always geared to address some of the complex, individual questions that arise in clinical intervention, however. Qualitative research methods may provide useful tools for bridging the gap fr...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2003/063)
更新日期:2003-05-01 00:00:00
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)
更新日期:2010-05-01 00:00:00
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
更新日期:2015-08-01 00:00:00
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)
更新日期:2012-05-01 00:00:00
abstract::Purpose This study continued Phase I investigation of a modified Phonomotor Treatment (PMT) Program on motor planning in two individuals with apraxia of speech (AOS) and aphasia and, with support from prior work, refined Phase I methodology for treatment intensity and duration, a measure of communicative participation...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2020_AJSLP-19-00116
更新日期:2020-11-12 00:00:00
abstract::Background In 2014, Kraft et al. assessed the temperament, home environment, and significant life events of 69 North American children who stutter to examine the combined and compounded effects of these individualized factors on mediating overt stuttering severity. The temperament domain of effortful control was singu...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2018_AJSLP-17-0097
更新日期:2019-02-21 00:00:00
abstract:PURPOSE:To examine the kinds of explicit and implicit statements generated by school-age children with and without language impairments during comprehension of expository texts and to determine the relationship of these statements to comprehension performance. METHOD:Forty 4th-grade children with and without language ...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2008/07-0074)
更新日期:2009-02-01 00:00:00
abstract::Positive behavior support interventions such as functional communication training (FCT) and visual schedules are increasingly being used with individuals with autism and other severe developmental disabilities who engage in problem behavior and use augmentative and alternative communication (AAC). The increasing use o...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章,评审
doi:10.1044/1058-0360(2004/003)
更新日期:2004-02-01 00:00:00
abstract:Purpose:Annually, nearly 700,000 U.S. children and adolescents experience a traumatic brain injury (TBI). Many of them struggle academically, despite failing to qualify for special education services because their cognitive communication impairments are subtle. Method:In this exploratory study, five adolescents with T...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2017_AJSLP-16-0131
更新日期:2018-02-06 00:00:00
abstract:PURPOSE:Evidence-based practice (EBP) entails a critical mindset and rigorous methods that foster the judicious integration of scientific evidence into clinical decision making. The purpose of this tutorial is to present strategies, resources, and examples to help speech-language pathologists get started in EBP for chi...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章,评审
doi:10.1044/1058-0360(2006/004)
更新日期:2006-02-01 00:00:00
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)
更新日期:2007-11-01 00:00:00
abstract:PURPOSE:To explore the similarities and differences in self-reported restrictions in communicative participation across different communication disorders in community-dwelling adults. METHOD:Interviews were conducted with 44 adults representing 7 different medical conditions: spasmodic dysphonia, multiple sclerosis, s...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2011/10-0084)
更新日期:2011-11-01 00:00:00
abstract:PURPOSE:Unanswered questions regarding the nature of auditory processing disorders (APDs), how best to identify at-risk students, how best to diagnose and differentiate APDs from other disorders, and concerns about the lack of valid treatments have resulted in ongoing confusion and skepticism about the diagnostic valid...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2008/002)
更新日期:2008-02-01 00:00:00
abstract:PURPOSE:This study compared a new adult stuttering treatment program (Modifying Phonation Intervals, or MPI) with the standard of care for reducing stuttered speech in adults (prolonged speech). METHOD:Twenty-seven adults who stutter were assigned to either MPI or prolonged speech treatment, both of which used similar...
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-14-0076
更新日期:2015-05-01 00:00:00
abstract:PURPOSE:Syntactic development in adolescents was examined using a spoken discourse task and standardized testing. The primary goal was to determine whether adolescents with a history of language impairments would differ from those with a history of typical language development (TLD). This is a companion study to one th...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2008/08-0022)
更新日期:2009-08-01 00:00:00
abstract::The purpose of this article is to describe a structured behavior modification approach to the reduction of voice use by clients with voice disorders. The Voice Use Reduction (VUR) Program is conceptualized as part of a comprehensive approach to the treatment of voice. The VUR Program provides guidelines for the classi...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2004/022)
更新日期:2004-08-01 00:00:00