Survey of UK speech and language therapists' assessment and treatment practices for people with progressive dysarthria.

Abstract:

BACKGROUND:Dysarthria knowledge is predominantly impairment-based. As a result, speech and language therapists (SLTs) have traditionally adopted impairment-focused management practices. However, guidance for best practice suggests that SLTs should consider the client holistically, including the impact of dysarthria beyond the impairment. AIMS:To investigate the current assessment and treatment practices used by UK SLTs with clients with progressive dysarthria and to identify whether these satisfy the needs of SLTs in their everyday practice. To investigate the extent to which they consider oromotor abilities, intelligibility, functional communication, participation and interaction to be important regarding assessment and treatment decisions. To explore whether management decisions are affected by level of clinical experience or settings in which SLTs work. METHODS & PROCEDURES:An online survey of UK SLTs working with adults with progressive dysarthria. OUTCOMES & RESULTS:A total of 119 SLTs completed the survey. Respondents considered that targeting the levels of impairment, activity and participation are important in the management of clients with progressive dysarthria, as recommended by clinical guidelines and recent research. However a particularly high proportion of respondents reported the use of impairment-based assessments. Respondents reported lacking the necessary tools to target interaction in assessment and intervention. The intervention that respondents use with clients varies according to the progressive disorder and dysarthria severity. There is evidence for a trend that less experienced SLTs and those working predominantly in hospital-based settings focus on the impairment, whereas more SLTs with more experience and those based in predominantly community-based settings look beyond the impairment. CONCLUSIONS & IMPLICATIONS:The values held by SLTs match guideline recommendations for best practice, however the clinical reality is that the assessment of progressive dysarthria remains predominantly impairment-focused. New tools need to be developed and integrated into practice to target interaction in assessment and intervention, to reduce the gap between best practice recommendations and clinical reality. Ongoing research into the effectiveness of SLT intervention with clients with progressive dysarthria is required to guide clinical management decisions.

authors

Collis J,Bloch S

doi

10.1111/j.1460-6984.2012.00183.x

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

725-37

issue

6

eissn

1368-2822

issn

1460-6984

journal_volume

47

pub_type

杂志文章
  • Prognostication in post-stroke aphasia: How do speech pathologists formulate and deliver information about recovery?

    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

    authors: Cheng BBY,Worrall LE,Copland DA,Wallace SJ

    更新日期:2020-07-01 00:00:00

  • Executive and intellectual functioning in school-aged children with specific language impairment.

    abstract:BACKGROUND:Earlier research and clinical practice show that specific language impairment (SLI) is often associated with nonverbal cognitive deficits and weakened skills in executive functions (EFs). Executive deficits may have a remarkable influence on a child's everyday activities in the home and school environments. ...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12263

    authors: Kuusisto MA,Nieminen PE,Helminen MT,Kleemola L

    更新日期:2017-03-01 00:00:00

  • Phonological systems of a set of Putonghua-speaking twins.

    abstract::Impaired phonology is reported to be the most salient characteristic of the communication profiles of twin children. However, little is known about the phonological development of twins speaking languages other than English. This case study described the phonological systems of a set of Putonghua-speaking twins, using...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1080/136828200750001250

    authors: Hua Z,Dodd B

    更新日期:2000-10-01 00:00:00

  • Can individuals with Down syndrome improve their grammar?

    abstract::Morphosyntax constitutes one of the most complex areas of language. It takes into account the structure of the word and that of the sentence, and its development allows one to establish adequately agreements both within the nominal phrase and in the rest of the sentence. Morphosyntax is particularly impaired in indivi...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12002

    authors: Sepúlveda EM,López-Villaseñor ML,Heinze EG

    更新日期:2013-05-01 00:00:00

  • Narrative skill and syntactic complexity in school-age children with and without late language emergence.

    abstract:BACKGROUND:Children who do not produce single words by the expected age have been described as 'late talkers' or as demonstrating 'late language emergence' (LLE). Although their short-term growth in vocabulary is often strong, longer-term consequences of LLE remain in dispute. It has been argued that the majority of sc...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/j.1460-6984.2011.00095.x

    authors: Domsch C,Richels C,Saldana M,Coleman C,Wimberly C,Maxwell L

    更新日期:2012-03-01 00:00:00

  • Preferred communication modes: prelinguistic and linguistic communication in non-speaking preschool children with cerebral palsy.

    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

    authors: Falkman KW,Sandberg AD,Hjelmquist E

    更新日期:2002-01-01 00:00:00

  • Examining the association between language, expository discourse and offending behaviour: an investigation of direction, strength and independence.

    abstract:BACKGROUND:A high prevalence of Developmental Language Disorder (DLD) is reported in the population of Young Offenders (YO). However, little is known about the extent of the association between language and offending behaviour relative to social disadvantage, education attendance and non-verbal intelligence (IQ), and n...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12330

    authors: Hopkins T,Clegg J,Stackhouse J

    更新日期:2018-01-01 00:00:00

  • Conversational repair in speakers with autism spectrum disorder.

    abstract:BACKGROUND:The ability to repair communicative breakdown is an important pragmatic language skill, yet very little is known about it in the population of children with autism spectrum disorder (ASD). Previous investigations have shown that people with ASD, across a variety of ages and language levels, recognized commun...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1080/13682820410001663252

    authors: Volden J

    更新日期:2004-04-01 00:00:00

  • Autonomic and emotional responses of graduate student clinicians in speech-language pathology to stuttered speech.

    abstract:BACKGROUND:Fluent speakers and people who stutter manifest alterations in autonomic and emotional responses as they view stuttered relative to fluent speech samples. These reactions are indicative of an aroused autonomic state and are hypothesized to be triggered by the abrupt breakdown in fluency exemplified in stutte...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/j.1460-6984.2012.00162.x

    authors: Guntupalli VK,Nanjundeswaran C,Dayalu VN,Kalinowski J

    更新日期:2012-09-01 00:00:00

  • Semantic fluency difficulties in developmental dyslexia and developmental language disorder (DLD): poor semantic structure of the lexicon or slower retrieval processes?

    abstract:BACKGROUND:Children with dyslexia and/or developmental language disorder (hereafter children with DDLD) have been reported to retrieve fewer words than their typically developing (TD) peers in semantic fluency tasks. It is not known whether this retrieval difficulty can be attributed to the semantic structure of their ...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12512

    authors: Mengisidou M,Marshall CR,Stavrakaki S

    更新日期:2020-03-01 00:00:00

  • Picture naming in typically developing and language-impaired children: the role of sustained attention.

    abstract:BACKGROUND:Children with specific language impairment (SLI) have problems not only with language performance but also with sustained attention, which is the ability to maintain alertness over an extended period of time. Although there is consensus that this ability is impaired with respect to processing stimuli in the ...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12275

    authors: Jongman SR,Roelofs A,Scheper AR,Meyer AS

    更新日期:2017-05-01 00:00:00

  • Parent-implemented early language intervention programme for late talkers: parental communicative behaviour change and child language outcomes at 3 and 4 years of age.

    abstract:BACKGROUND:Late language emergence is a risk indicator for developmental language disorder. Parent-implemented early language intervention programmes (parent programmes) have been shown to have positive effects on children's receptive and expressive language skills. However, long-term effectiveness has rarely been stud...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12451

    authors: Kruythoff-Broekman A,Wiefferink C,Rieffe C,Uilenburg N

    更新日期:2019-05-01 00:00:00

  • Extended follow-up of a randomized controlled trial of the Lidcombe Program of Early Stuttering Intervention.

    abstract:BACKGROUND:In the Lidcombe Program of Early Stuttering Intervention, parents present verbal contingencies for stutter-free and stuttered speech in everyday situations. A previous randomized controlled trial of the programme with preschool-age children from 2005, conducted in two public speech clinics in New Zealand, sh...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1080/13682820801895599

    authors: Jones M,Onslow M,Packman A,O'Brian S,Hearne A,Williams S,Ormond T,Schwarz I

    更新日期:2008-11-01 00:00:00

  • Articulation rate in preschool children: a 3-year longitudinal study.

    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

    authors: Walker JF,Archibald LM

    更新日期:2006-09-01 00:00:00

  • Deficits in narrative abilities in child British Sign Language users with specific language impairment.

    abstract::This study details the first ever investigation of narrative skills in a group of 17 deaf signing children who have been diagnosed with disorders in their British Sign Language development compared with a control group of 17 deaf child signers matched for age, gender, education, quantity, and quality of language expos...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12078

    authors: Herman R,Rowley K,Mason K,Morgan G

    更新日期:2014-05-01 00:00:00

  • Setting up a cohort study in speech and language therapy: lessons from The UK Cleft Collective Speech and Language (CC-SL) study.

    abstract:BACKGROUND:Efforts to increase the evidence base in speech and language therapy are often limited by methodological factors that have restricted the strength of the evidence to the lower levels of the evidence hierarchy. Where higher graded studies, such as randomized controlled trials, have been carried out, it has so...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12364

    authors: Wren Y,Humphries K,Stock NM,Rumsey N,Lewis S,Davies A,Bennett R,Sandy J

    更新日期:2018-05-01 00:00:00

  • Aphasia and spelling to dictation: Analysis of spelling errors and editing.

    abstract:INTRODUCTION:Spelling difficulty is a common symptom of aphasia and can entail editing difficulties. Previous research has shown that extensive editing is related to a lower production rate in text writing for persons with aphasia, yet editing difficulty is not commonly examined. It is not known if editing difficulty i...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12591

    authors: Johansson-Malmeling C,Wengelin Å,Henriksson I

    更新日期:2020-12-27 00:00:00

  • Effectiveness of semantic therapy for word-finding difficulties in pupils with persistent language impairments: a randomized control trial.

    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

    authors: Ebbels SH,Nicoll H,Clark B,Eachus B,Gallagher AL,Horniman K,Jennings M,McEvoy K,Nimmo L,Turner G

    更新日期:2012-01-01 00:00:00

  • Modelling the consultation process in a secondary referral unit for children.

    abstract::This paper overviews a detailed study of a consultation service for children with severe and/or intractable speech and language difficulties. The Speech Therapy Clinical Unit at the University of Central England in Birmingham (UCE) offered multidisciplinary, in-depth assessment of such children to speech and language ...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.3109/13682829809179481

    authors: David R,Whitehouse J

    更新日期:1998-01-01 00:00:00

  • Competent in evidence-based practice (EBP): validation of a measurement tool that measures EBP self-efficacy and task value in speech-language therapy students.

    abstract:BACKGROUND:Worldwide speech-language therapy (SLT) students are educated in evidence-based practice (EBP). For students to use EBP in their future day-to-day clinical practice, they must value EBP as positive and must feel confident in using it. For curricula developers it is therefore important to know the impact thei...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12015

    authors: Spek B,Wieringa-de Waard M,Lucas C,van Dijk N

    更新日期:2013-07-01 00:00:00

  • Semantic fluency in deaf children who use spoken and signed language in comparison with hearing peers.

    abstract:BACKGROUND:Deafness has an adverse impact on children's ability to acquire spoken languages. Signed languages offer a more accessible input for deaf children, but because the vast majority are born to hearing parents who do not sign, their early exposure to sign language is limited. Deaf children as a whole are therefo...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12333

    authors: Marshall CR,Jones A,Fastelli A,Atkinson J,Botting N,Morgan G

    更新日期:2018-01-01 00:00:00

  • Challenging communication: people with learning disabilities who challenge services.

    abstract::This paper describes a project designed to equip direct care workers with the knowledge and skills to address communication as a central factor in the lives of people with learning disabilities who challenge services. The elements of the approach taken--'Challenging Communication'--are described, outcomes discussed an...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.3109/13682829809179461

    authors: Sutton K,Thurman S

    更新日期:1998-01-01 00:00:00

  • Concordance rates between parent and teacher clinical evaluation of language fundamentals observational rating scale.

    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

    authors: Massa J,Gomes H,Tartter V,Wolfson V,Halperin JM

    更新日期:2008-01-01 00:00:00

  • Developing a scale to measure parental attitudes towards preschool speech and language therapy services.

    abstract::In the past decade, there has been growing recognition of the need to involve clients in decisions about the healthcare they receive and in the evaluation of services offered. In health services research, survey and scaling methods have become important tools for research into 'consumer views' and the perspectives of ...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1080/13682820110075006

    authors: Glogowska M,Campbell R,Peters TJ,Roulstone S,Enderby P

    更新日期:2001-10-01 00:00:00

  • Using principles of learning to inform language therapy design for children with specific language impairment.

    abstract:BACKGROUND:Language treatment for children with specific language impairment (SLI) often takes months to achieve moderate results. Interventions often do not incorporate the principles that are known to affect learning in unimpaired learners. AIMS:To outline some key findings about learning in typical populations and ...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章,评审

    doi:10.1111/j.1460-6984.2012.00169.x

    authors: Alt M,Meyers C,Ancharski A

    更新日期:2012-09-01 00:00:00

  • Core subjects at the end of primary school: identifying and explaining relative strengths of children with specific language impairment (SLI).

    abstract:BACKGROUND:In general, children with specific language impairment (SLI) tend to fall behind their typically developing (TD) peers in educational attainment. Less is known about how children with SLI fare in particular areas of the curriculum and what predicts their levels of performance. AIMS:To compare the distributi...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12137

    authors: Durkin K,Mok PL,Conti-Ramsden G

    更新日期:2015-03-01 00:00:00

  • Voice therapy outcomes in vocal fold nodules: a retrospective audit.

    abstract::Twenty-six speech and language therapy (SLT) clinical files, in which patients presented with a medical diagnosis of bilateral or unilateral vocal fold nodule(s), were audited retrospectively over a six year period (1992-1998). The objective of the study was to evaluate current practice within our trust in the managem...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.3109/13682820109177852

    authors: McCrory E

    更新日期:2001-01-01 00:00:00

  • Listening to the voice of living life with aphasia: Anne's story.

    abstract:BACKGROUND:Listening to how people talk about the consequences of acquired aphasia helps one gain insight into how people construe disability and communication disability in particular. It has been found that some of these construals can be more of a disabling barrier in re-engaging with life than the communication imp...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1080/13682820701697947

    authors: Barrow R

    更新日期:2008-05-01 00:00:00

  • Ten questions about terminology for children with unexplained language problems.

    abstract:BACKGROUND:In domains other than language, there is fairly consistent diagnostic terminology to refer to children's developmental difficulties. For instance, the terms 'dyslexia', 'attention deficit hyperactivity disorder' and 'autistic spectrum disorder' are used for difficulties with reading, attention or social cogn...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章,评审

    doi:10.1111/1460-6984.12101

    authors: Bishop DV

    更新日期:2014-07-01 00:00:00

  • Clinical teaching and mentoring: vital in the development of competent therapists.

    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

    authors: Anderson H

    更新日期:2001-01-01 00:00:00