Abstract：
:Purpose The swallowing motor system and, specifically, its cortical substrates appear to have certain unique properties that make it highly susceptible to brain plasticity, both driven and following injury. Furthermore, neurogenic dysphagia is a common complication of brain disease, associated with poor outcomes, and yet treatment options remain limited. Therefore, translating the physiology of neurostimulation into clinical populations becomes imperative. In this review, we describe therapeutic application of neuroplasticity in the human swallowing motor system by initially examining the role of pharyngeal electrical stimulation from a mechanistic perspective and then reporting on clinical studies using this approach. Thereafter, we explore the application of noninvasive brain stimulation, which has previously been used to treat nervous system disorders such as depression, pain modulation, and cognitive impairment. Transcranial brain stimulations, in particular, transcranial magnetic stimulation and transcranial direct current stimulation, have been utilized by a number of investigators for rehabilitation in early-stage clinical trials, including dysphagia after neurological disease. In this review, we assess its usefulness in neurogenic dysphagia. Conclusion Early studies indicate these emerging neurostimulatory techniques hold future therapeutic promise. However, both a greater number of and larger clinical trials are required to provide evidence delineating their efficacy and scope of application.
journal_name
Am J Speech Lang Patholjournal_title
American journal of speech-language pathologyauthors
Sasegbon A,Cheng I,Zhang M,Hamdy Sdoi
10.1044/2020_AJSLP-19-00073subject
Has Abstractpub_date
2020-07-10 00:00:00pages
1044-1064issue
2Seissn
1058-0360issn
1558-9110journal_volume
29pub_type
杂志文章abstract：PURPOSE:This clinical focus article describes an exploratory case study addressing reduction of vocal loudness in a young adult with a history of autism spectrum disorder and developmental delay. The need for a short-term pullout individual intervention arose from his participation in the Advancing Language and Literac...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/2015_AJSLP-14-0209
更新日期：2015-11-01 00:00:00
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 rehabil...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/2016_AJSLP-15-0043
更新日期：2016-11-01 00:00:00
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
更新日期：2016-12-01 00:00:00
abstract：:Children with Down syndrome (DS) have cognitive disabilities resulting from trisomy 21. Language-learning difficulties, especially expressive language problems, are an important component of the phenotype of this population. Many individuals with DS are born into bilingual environments. To date, however, there is almo...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/1058-0360(2005/019)
更新日期：2005-08-01 00:00:00
abstract：PURPOSE:To introduce a Clinical Forum focused on the Complexity Account of Treatment Efficacy (C. K. Thompson, L. P. Shapiro, S. Kiran, & J. Sobecks, 2003), a counterintuitive but effective approach for treating language disorders. This approach espouses training complex structures to promote generalized improvement of...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/1058-0360(2007/002)
更新日期：2007-02-01 00:00:00
abstract：PURPOSE:Magnetic resonance imaging (MRI), an influential experimental approach, provides valuable information about clinical disorders that can be used to select and/or refine speech and language interventions. Functional MRI (fMRI) in particular is becoming a widespread methodological tool for investigating speech and...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/2016_AJSLP-15-0013
更新日期：2016-08-01 00:00:00
abstract：:Background Down syndrome (DS) is a disorder characterized by impairments in global cognitive abilities and adaptive function. In addition, individuals with DS demonstrate pronounced speech and language deficits. However, little is known about the linguistic correlates of impaired adaptive functioning in DS. Method Usi...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/2020_AJSLP-20-00054
更新日期：2021-01-27 00:00:00
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
更新日期：2018-05-03 00:00:00
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
更新日期：2015-08-01 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-19-00015
更新日期：2019-11-19 00:00:00
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)
更新日期：2012-11-01 00:00:00
abstract：Purpose:Ambulatory voice biofeedback (AVB) has the potential to significantly improve voice therapy effectiveness by targeting one of the most challenging aspects of rehabilitation: carryover of desired behaviors outside of the therapy session. Although initial evidence indicates that AVB can alter vocal behavior in da...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/2016_AJSLP-15-0187
更新日期：2017-02-01 00:00:00
abstract：:Purpose The purpose of this systematic review was to identify parent education procedures implemented in intervention studies focused on expressive verbal communication for nonverbal (NV) or minimally verbal (MV) children with autism spectrum disorder (ASD). Parent education has been shown to be an essential component...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/2019_AJSLP-19-00007
更新日期：2020-05-08 00:00:00
abstract：:Purpose Every adult with aphasia displays a unique constellation of language comprehension skills and varies in the benefit derived from different content presentation formats. For many, multiple modality presentation enhances comprehension. This study's purpose was to determine the comprehension benefits for people w...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/2018_AJSLP-17-0132
更新日期：2019-03-11 00:00:00
abstract：PURPOSE:The purpose of this study was to examine the associations between vocabulary knowledge and word retrieval in younger and older adults. METHOD:Three tests of word retrieval and 2 tests of word knowledge were administered to 140 Hebrew-speaking adults, half of whom were younger (M(age) = 24.20 years) and half of...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/1058-0360(2013/12-0136)
更新日期：2014-02-01 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：:Purpose Taxonomic awareness is central to vocabulary development and assessment. While taxonomic development appears largely unaffected by environmental factors, the impact of divided language input on distinct levels of the taxonomic hierarchy is unclear. The influence of scoring method on tasks that target distinct ...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/2019_AJSLP-19-00143
更新日期：2020-08-04 00:00:00
abstract：PURPOSE:Voluntary stuttering is a strategy that has been suggested for use in the clinical literature but has minimal empirical data regarding treatment outcomes. The purpose of the present study is to explore client perspectives regarding the impact of the use of this strategy on the affective, behavioral, and cogniti...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/2016_AJSLP-15-0018
更新日期：2016-08-01 00:00:00
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:We investigated the feasibility of using a virtual clinician (VC) to promote functional communication abilities of persons with aphasia (PWAs). We aimed to determine whether the quantity and quality of verbal output in dialogues with a VC would be the same or greater than those with a human clinician (HC). MET...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/2015_AJSLP-14-0160
更新日期：2015-11-01 00:00:00
abstract：:Purpose This research aims to examine the effects of error experience when learning to speak with lowered nasalance level. Method A total of 45 typical speakers were instructed to learn to lower speech nasalance level in either an errorless (restricted possibility for committing errors) or an errorful (unrestricted po...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/2018_AJSLP-18-0033
更新日期：2019-05-27 00:00:00
abstract：PURPOSE:The purpose of this study was to investigate how maternal gesture relates to speech production by children with fragile X syndrome (FXS). METHOD:Participants were 27 young children with FXS (23 boys, 4 girls) and their mothers. Videotaped home observations were conducted between the ages of 25 and 37 months (t...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/2013_AJSLP-13-0046
更新日期：2014-05-01 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
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)
更新日期：2013-05-01 00:00:00
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)
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: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：: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
更新日期：2021-01-27 00:00:00
abstract：:This study examined the concurrent validity of the Language Development Survey (LDS), a 310-word parent report screening tool for language delay in toddlers, by testing its associations with the MacArthur-Bates Communicative Development Inventories: Words and Sentences (CDI:WS), a 680-word parent report instrument. Pa...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章
doi：10.1044/1058-0360(2005/016)
更新日期：2005-05-01 00:00:00
abstract：PURPOSE:The purpose of this meta-analysis was to systematically evaluate the effects of parent-implemented language interventions on the language skills of children between 18 and 60 months of age with primary and secondary language impairments. METHOD:A systematic literature search yielded 18 studies that met the pre...
journal_title：American journal of speech-language pathology
pub_type： 杂志文章,meta分析
doi：10.1044/1058-0360(2011/10-0055)
更新日期：2011-08-01 00:00:00
