Abstract:
BACKGROUND:Telerehabilitation may be a feasible solution to the current problems faced by people with Parkinson's disease in accessing speech pathology services. AIM:To investigate the validity and reliability of online delivery of the Lee Silverman Voice Treatment (LSVT®) for the speech and voice disorder associated with Parkinson's disease. METHOD & PROCEDURES:Thirty-four participants with Parkinson's disease and mild-to-moderate hypokinetic dysarthria took part in the randomized controlled non-inferiority laboratory trial and received the LSVT® in either the online or the face-to-face environment. Online sessions were conducted via two personal computer-based videoconferencing systems with real-time and store-and-forward capabilities operating on a 128 kbit/s Internet connection. Participants were assessed pre- and post-treatment on acoustic measures of mean vocal sound pressure level, phonation time, maximum fundamental frequency range, and perceptual measures of voice, articulatory precision and speech intelligibility. OUTCOMES & RESULTS:Non-inferiority of the online LSVT® modality was confirmed for the primary outcome measure of mean change in sound pressure level on a monologue task. Additionally, non-significant main effects for the LSVT® environment, dysarthria severity, and interaction effects were obtained for all outcomes measures. Significant improvements following the LSVT® were also noted on the majority of measures. The LSVT® was successfully delivered online, although some networking difficulties were encountered on a few occasions. High participant satisfaction was reported overall. CONCLUSIONS & IMPLICATIONS:Online treatment for hypokinetic dysarthria associated with Parkinson's disease appears to be clinically valid and reliable. Suggestions for future research are outlined.
journal_name
Int J Lang Commun Disordauthors
Constantinescu G,Theodoros D,Russell T,Ward E,Wilson S,Wootton Rdoi
10.3109/13682822.2010.484848subject
Has Abstractpub_date
2011-01-01 00:00:00pages
1-16issue
1eissn
1368-2822issn
1460-6984journal_volume
46pub_type
杂志文章,随机对照试验abstract::Improvement or maintenance of speech intelligibility is a central aim in a whole range of conditions in speech-language therapy, both developmental and acquired. Best clinical practice and pursuance of the evidence base for interventions would suggest measurement of intelligibility forms a vital role in clinical decis...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,评审
doi:10.1111/1460-6984.12061
更新日期:2013-11-01 00:00:00
abstract::The present study investigated how a dementing illness such as Alzheimer's disease, might affect an individual's recourse to higher order contextual information in the access and integration of lexical material in on-line discourse comprehension. More specifically, the experiment investigated the priming of homophones...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/136828298247703
更新日期:1998-10-01 00:00:00
abstract::Seven non-speaking preschool children with severe cerebral palsy, 5-7 years of age, were studied with respect to the amount of prelinguistic versus linguistic modes of communication used in communicative interaction with a previously unknown adult. An attempt was also made to analyse this in relation to the childrens'...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,多中心研究
doi:10.1080/13682820110096661
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Research has shown that early identification of children with language issues is critical for effective intervention, and yet many children are not identified until school age. The use of parent-completed rating scales, especially in urban, minority populations, might improve early identification if parent r...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820701261827
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Respiratory muscle impairment following cervical spinal cord injury (CSCI) may lead to reduced voice function, although the individual variation is large. Voice problems in this population may not always receive attention since individuals with CSCI face other, more acute and life-threatening issues that nee...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12380
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:Intelligibility is a speaker's ability to convey a message to a listener. Including an assessment of intelligibility is essential in both research and clinical work relating to individuals with communication disorders due to speech impairment. Assessment of the intelligibility of spontaneous speech can be us...
journal_title:International journal of language & communication disorders
pub_type: 临床试验,杂志文章
doi:10.1111/1460-6984.12067
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:Children who show disproportionate difficulty with the pragmatic as compared with the structural aspects of language are described as having pragmatic language impairment (PLI) or social communication disorder (SCD). Some children who have PLI also show mild social impairments associated with high-functionin...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1460-6984.2011.00146.x
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Mechanical ventilatory support seriously affects speaking and communication, and earlier studies show that many ventilator-supported patients experience difficulties and frustration with their speech and voice production. Since there is a growing number of individuals who require mechanical ventilatory suppo...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/j.1460-6984.2011.00040.x
更新日期:2011-11-01 00:00:00
abstract::The primary aim of western-trained speech and language therapists (SLTs) working in the 'South' is not to train further SLTs but to transfer a range of practical skills to carers, health and education workers working directly with under-served populations. Considering current areas of service need in the UK, a model o...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682820109177901
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Along with the severity of the disorder, the motivation of the children and their parents is an important element in explaining the extensive variance in therapeutic success. There is consensus that parental cooperation and homework are important for successful therapy. Systematic investigation into the effe...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820903026762
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:Both direct (clinician to child) and indirect (clinician to carer) approaches are currently used in the management of children with language delay, but there is as yet little evidence about their relative effects or resource implications. AIMS:This research project compared the Hanen Parent Programme (HPP) ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/1368282031000121651
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:Word-finding difficulties (WFDs) in children have been hypothesized to be caused at least partly by poor semantic knowledge. Therefore, improving semantic knowledge should decrease word-finding errors. Previous studies of semantic therapy for WFDs are inconclusive. AIMS:To investigate the effectiveness of s...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1460-6984.2011.00073.x
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:A survey of clinicians made by Joffe and Pring in 2008 revealed that different approaches exist between researchers and clinicians in the treatment of children with phonological problems. Researchers have examined specific approaches to treatment often giving substantial amounts of therapy and have obtained ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,随机对照试验
doi:10.3109/13682820902818888
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:The psychosocial impact of acquired dysarthria on the speaker is well recognized. To date, speech-and-language therapists have no instrument available to measure this construct. This has implications for outcome measurement and for planning intervention. This paper describes the Dysarthria Impact Profile (DI...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820802317536
更新日期:2009-09-01 00:00:00
abstract::The needs of under-graduate students and newly qualified speech and language therapists (SLTs) are discussed. The results of a small-scale survey of final year SLT students and one of newly qualified therapists are presented. Similarities between clinical teaching of under-graduates and mentoring of newly qualified th...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682820109177873
更新日期:2001-01-01 00:00:00
abstract::A recent project entitled CATALISE used the Delphi method to reach a consensus on terminology for unexplained language problems in children. 'Developmental language disorder' (DLD) was the term agreed by a panel of 57 experts. Here I reflect on points of difficulty that arose when attempting to reach a consensus, usin...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12335
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Speech and language therapy (SLT) for aphasia can be difficult to access in the later stages of stroke recovery, despite evidence of continued improvement with sufficient therapeutic intensity. Computerized aphasia therapy has been reported to be useful for independent language practice, providing new opport...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,随机对照试验
doi:10.1111/1460-6984.12024
更新日期:2013-09-01 00:00:00
abstract::One approach to outcome measures for speech and language therapy is to display measures of the physical, acoustic, correlates of the perceptually salient features of the structure of speech. A difficulty with this approach is that there is no simple mapping of physical correlates onto speech percepts. In this workshop...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682829809179441
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Altered auditory feedback can facilitate speech fluency in adults who stutter. However, other findings suggest that adults who stutter show anomalies in 'audiovocal integration', such as longer phonation reaction times to auditory stimuli and less effective pitch tracking. AIMS:To study audiovocal integrati...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/j.1460-6984.2011.00111.x
更新日期:2012-07-01 00:00:00
abstract::Research indicates that joint attention is an important factor in determining the rate and nature of early vocabulary development in typically developing children. Studies conducted with deaf children acquiring sign language indicate that caregivers adopt special strategies for achieving joint attention with this grou...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820210136287
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:Speaking rate has implications for both clinical practice and an understanding of normal and disordered communication processes. Fundamental information on speaking rate is required by the clinician for the appropriate management of those disorders with disturbances of rate or those in which rate modificatio...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/10428190500343043
更新日期:2006-09-01 00:00:00
abstract::The aim of this pilot study was to employ a qualitative research methodology to explore students' perceptions of learning and assessment of that learning whilst on clinical placement. The students' perceptions were sampled by questionnaire both pre- and post-placement (ten weeks block placement). The analysis of the d...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682829809179431
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:The speech intelligibility of children with dysarthria and cerebral palsy has been observed to increase following therapy focusing on respiration and phonation. AIMS:To determine if speech intelligibility change following intervention is associated with change in acoustic measures of voice. METHODS & PROCE...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12336
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND AND AIMS:The Ward Infant Language Screening Test, Assessment, Acceleration and Remediation (WILSTAAR) comprises a programme for identifying and helping 8-10-month-old infants showing early signs of language and communication difficulty. The study addresses one of the queries raised by critics of the programm...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820400006861
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:Speech and language therapists (SLTs) are increasingly engaging in school-based interventions targeting children with language difficulties. Collaborative work between teachers and SLTs has shown to be beneficial in fostering language development in all children. Both groups of professionals have different b...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12576
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:A manualized language therapy developed via a randomized controlled trial had proved efficacious in the short-term in developing expressive language for mainstream primary school children with persistent language impairment. This therapy had been delivered to a predetermined schedule by speech and language t...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.3109/13682820903560302
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:There is increasing recognition that dysphagia has significant implications for a person's psychological well-being, social participation and quality of life (QOL). However, a paucity of research exists regarding the clinical management of this area. To inform future research and the development of appropria...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12429
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The risk of developing a negative attitude to communication as a consequence of having a speech disorder has been in focus for decades in research concerning fluency disorders in relation to both children and adults. The Communication Attitude Test (CAT), which was created to measure children's attitudes tow...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:Those who stutter have a proclivity to social anxiety. Yet, to date, there is no comprehensive measure of thoughts and beliefs about stuttering that represent the cognitions associated with that anxiety. AIMS:The present paper describes the development of a measure to assess unhelpful thoughts and beliefs a...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820802067529
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Prognostication is a complex clinical task that involves forming a prediction about recovery and communicating prognostic information to patients and families. In aphasia, recovery is difficult to predict and evidence-based guidance on prognosis delivery is lacking. Questions about aphasia prognosis commonly...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12534
更新日期:2020-07-01 00:00:00