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 reviews (a) what has been reported about neurological insults in cases of COVID-19 infection, (b) what is known from similar conditions in other disorders, and (c) how that combined information can inform clinical decision making. Method PubMed and the Cochrane Central Register of Controlled Trials were searched for COVID-19 or other coronavirus infections, cognitive impairment observed following critical care, and disorders for which intermittent or chronic hypoxia is characteristic. These were combined with searches relating to cognition, brain, and communication. All searches were conducted between April 8 and May 23, 2020. Meta-analyses and randomized clinical trials addressing other critical illnesses were also included to extend findings to potential cognitive communication outcomes following COVID-19. Results COVID-19 infection results in a combination of (a) respiratory infection with mechanical ventilation secondary to inadequate oxygenation, (b) inflammatory system reactivity, and (c) increased blood clotting factors. These affect central nervous system function incurring long-term cognitive communication impairment in a proportion of survivors. Diagnostic and intervention approaches for such impairments are discussed. Conclusions The existing literature on cognitive sequela of COVID-19 infection is small to date, but much can be learned from similar viral infections and disorders. Although COVID-19 is novel, the speech-language pathology approaches to evaluation and intervention of other populations of critical care patients are applicable. However, speech-language pathologists have not routinely been involved in these patients' acute care. As such, this is a call to action to speech-language pathologists to address the unprecedented numbers of patients who will need their services early in the disease process and throughout recovery.
journal_name
Am J Speech Lang Patholjournal_title
American journal of speech-language pathologyauthors
Ramage AEdoi
10.1044/2020_AJSLP-20-00147subject
Has Abstractpub_date
2020-11-12 00:00:00pages
1821-1832issue
4eissn
1058-0360issn
1558-9110journal_volume
29pub_type
杂志文章,评审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 The purpose of this article was to examine the current state of counseling education and to present examples of strategies for teaching counseling based on the author's 40 years of university teaching. Conclusion Current research suggests that students and clinicians are not getting sufficient training in pers...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2019_AJSLP-19-00013
更新日期:2020-05-08 00:00:00
abstract:PURPOSE:This study investigated the effects of a communication partner instruction strategy for parents of children using augmentative and alternative communication (AAC) on the communicative turn taking of their children. Instruction was provided within storybook-reading contexts. METHOD:Two single-subject multiple-p...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2010/09-0014)
更新日期:2010-05-01 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: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: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: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: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: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: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 presents a piloted training model of experiential instruction in outer and middle ear (OE-ME) screening for graduate speech-language pathology students with peer teaching by doctor of audiology (AuD) students. METHOD:Six individual experiential training sessions in screening otoscopy and tympanometr...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2015_AJSLP-14-0074
更新日期:2015-05-01 00:00:00
abstract::Normal elderly and mildly aphasic individuals may exhibit similar impairments in comprehension and expression. The discriminative validity between normal and aphasic performance on most standardized measures of aphasia has not been reported. The authors compared the performance of 18 aphasic and 18 normal adults to de...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2003/077)
更新日期:2003-08-01 00:00:00
abstract:Purpose:Visuographic supports in the form of images are utilized during assessment and treatment for individuals with aphasia to supplement speech, language, and cognitive losses limiting communication. Clinicians rely on prior experience and intuition to make decisions regarding image-based support design and selectio...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章,评审
doi:10.1044/2017_AJSLP-16-0190
更新日期:2018-03-01 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::Purpose The purpose of this clinical focus article is to describe the frequency, indications, and outcomes of fenestrated tracheostomy tube use in a large academic institution. Method A retrospective chart review was conducted to evaluate the use of fenestrated tracheostomy tubes between 2007 and 2017. Patients were i...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2019_AJSLP-18-0187
更新日期:2019-08-09 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 The purpose of this study was to provide preliminary data on differences in lexical diversity and lexical-semantic errors in the language samples of children with developmental language disorder (DLD) and children with typical language development (TLD) of the same age. Method We analyzed word use in the narra...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2019_AJSLP-18-0143
更新日期:2019-08-09 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:Purpose:Designing augmentative and alternative communication (AAC) displays that minimize operational demands is an important aspect of AAC intervention. The current study compared the effect of 2 display designs on the speed of locating target words by preschoolers without disabilities. Method:Across 5 sessions, part...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2018_AJSLP-17-0129
更新日期:2018-08-06 00:00:00
abstract::Purpose This investigation was designed to provide interrater reliability data for the Apraxia of Speech Rating Scale 3.0 (ASRS 3.0; Strand, Duffy, Clark, & Josephs, 2014 ). Importantly, ratings were completed by investigators who were not involved with the ASRS development. Another aim was to evaluate the relationshi...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2018_AJSLP-MSC18-18-0099
更新日期:2019-07-15 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
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2006/018)
更新日期:2006-05-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
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更新日期:2015-05-01 00:00:00
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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: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
更新日期:2018-02-06 00:00:00
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)
更新日期:2010-11-01 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
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2019_AJSLP-19-0116
更新日期:2020-02-07 00:00:00
abstract::Purpose Literature was reviewed on the development of vowels in children's speech and on vowel disorders in children and adults, with an emphasis on studies using acoustic methods. Method Searches were conducted with PubMed/MEDLINE, Google Scholar, CINAHL, HighWire Press, and legacy sources in retrieved articles. The ...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2020_AJSLP-19-00178
更新日期:2020-08-04 00:00:00
abstract:PURPOSE:To develop a method for clinicians to evaluate stuttering treatment efficacy research with very little burden of work. METHOD:The clinical trial is the most fundamental, clinically interpretable, and useful output unit of stuttering treatment research. We define a clinical trial of a stuttering treatment and s...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2008/07-0047)
更新日期:2008-11-01 00:00:00