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Brief tiered collaborative narrative intervention for kindergarten students: An exploratory study 幼儿园学生分层协作叙事干预的探索性研究
Q4 Health Professions Pub Date : 2019-12-31 DOI: 10.21849/cacd.2019.00115
Jessica E. Garzarek, Rebecca S. Becknal, Jennifer A. Brown
Collaborative tiered narrative intervention for at-risk kindergarten students Early language and emergent literacy skills are predictive of subsequent academic success [1,2]. Children’s oral narratives are important in understanding this relationship because limited narrative skills have been demonstrated to be predictive of poor language outcomes [3]. Narrative discourse bridges the gap between contextualized oral and decontextualized literate language and is foundational in the development of reading and writing skills [4]. Beyond its foundation in literacy, narrative discourse is an important component of oral language that is essential to the human experience. Stories allow us to build connections with the people around us, which influences social competence [5]. Children begin school with varying levels of oral language competency Purpose: Children enter school with varying levels of oral language skills and exposure to the narrative structure used in academic contexts based on individual, family, and environmental factors. Multi-tiered instructional models can be used to appropriately identify and support students who need intensive intervention while minimizing over-identification of students. The purpose of this increasing intensity study was to explore the clinical applicability of a tiered narrative language intervention for kindergarten students at-risk for academic difficulties.
针对高危幼儿园学生的协作分层叙事干预早期语言和新兴识字技能可以预测随后的学业成功[1,2]。儿童的口头叙述在理解这种关系方面很重要,因为有限的叙述技能已被证明可以预测糟糕的语言结果[3]。叙事话语弥合了语境化口语和非语境化识字语言之间的差距,是阅读和写作技能发展的基础[4]。除了识字的基础之外,叙事话语还是口语的重要组成部分,对人类体验至关重要。故事使我们能够与周围的人建立联系,这会影响社会能力[5]。孩子们开始上学时具有不同水平的口语能力目的:孩子们进入学校时具有不同程度的口语技能,并接触到基于个人、家庭和环境因素的学术环境中使用的叙事结构。多层教学模式可用于适当识别和支持需要强化干预的学生,同时最大限度地减少对学生的过度识别。这项强度越来越大的研究的目的是探索分级叙事语言干预对有学习困难风险的幼儿园学生的临床适用性。
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引用次数: 1
Bouncing back: The role of resilience in therapy for school-aged children who stutter 反弹:恢复力在学龄期口吃儿童治疗中的作用
Q4 Health Professions Pub Date : 2019-12-31 DOI: 10.21849/cacd.2019.00122
Courtney Leigh Craft, Brent A. Gregg
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引用次数: 1
Effects of aging on speech perception of individuals with and without Parkinson disease 衰老对帕金森病患者和非帕金森病患者言语知觉的影响
Q4 Health Professions Pub Date : 2019-08-31 DOI: 10.21849/cacd.2019.00059
S. Parveen, Anna Slaten
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引用次数: 1
The influence of limited scope formulae on children’s subject-copula combinations 限定范围方剂对儿童主体-联结组合的影响
Q4 Health Professions Pub Date : 2019-08-31 DOI: 10.21849/cacd.2019.00094
Colleen E. Fitzgerald, Amanda M. Spangenberg
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引用次数: 1
Perceptual confusions for temporally smoothed envelope of consonants in normal hearing listeners 正常听者对时间平滑的辅音包络的知觉混淆
Q4 Health Professions Pub Date : 2019-08-31 DOI: 10.21849/cacd.2019.00045
Yang-Soo Yoon, D. Gooler, Jae-sook Gho
The slow time-intensity modulation of the speech envelope, defined as fluctuations in the overall amplitude at rates between about 2 Hz and 50 Hz, can convey important linguistic information, manner of articulation, the presence of voicing, and some prosodic information [1]. The importance of these temporal envelope cues to speech perception has been demonstrated because it is believed that the cues can be treated as the only information available to people with severe or profound sensorineural hearing loss and for cochlear implant (CI) users [2-5]. If listeners with severe or profound hearing loss can only utilize limited fine spectral and temporal information [6], temporal envelope Purpose: The goal of the present study was to investigate the effect of temporal envelope cues on consonant confusions.
语音包络的缓慢时间强度调制(定义为总振幅以约2hz至50hz的速率波动)可以传递重要的语言信息、发音方式、声音的存在以及一些韵律信息[1]。这些时间包络线索对言语感知的重要性已经得到证明,因为人们认为这些线索可以被视为严重或深度感音神经性听力损失患者和人工耳蜗(CI)使用者唯一可用的信息[2-5]。当重度或重度听力损失的听者只能利用有限的精细频谱和时间信息时,目的:本研究的目的是探讨时间包络线索对辅音混淆的影响。
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引用次数: 0
Enhancing swallowing quality of life in older individuals after the oropharyngeal strengthening exercise 口咽强化运动后提高老年人吞咽生活质量
Q4 Health Professions Pub Date : 2019-08-31 DOI: 10.21849/cacd.2019.00066
T. Park, Youngsun Kim
Changes in swallowing occur in all adults over time. Physical changes in older individuals are associated with increased risk for disordered swallowing [1-6]. It is estimated that 40% of adults aged 60 and older currently suffer from swallowing difficulties [4-6]. This high percentage is associated with the motor and sensory functions of swallowing that change with age and age-related disease. Healthy older adults do not present swallowing disorders, but neurologic and neuromuscular age-related changes may increase the risk for swallowing disorder. This phenomenon is referred to as presbyphagia [7]. Presbyphagia involves neuromuscular degeneration of anatomy, physiology, sensory feedback, motor control, and central processing of swallowing [8-11]. Although they can compensate and adjust their swallowing performances based on their necessities, changes in swallowing function influence their quality of life [12,13]. Older individuals are sociable and desire to have opportunities to share mealtimes durPurpose: Older individuals may be vulnerable to swallowing disorders due to age-related neuromuscular changes. Although older individuals have swallowing difficulties, they can improve swallowing by the preventive exercise of swallowing. The purpose of this investigation was to examine whether the oropharyngeal strengthening exercise (OSE) has effects on swallowing quality of life in older individuals.
随着时间的推移,所有成年人的吞咽都会发生变化。老年人的身体变化与吞咽障碍的风险增加有关[1-6]。据估计,目前有40%的60岁及以上的成年人患有吞咽困难[4-6]。这一高百分比与吞咽的运动和感觉功能有关,这些功能会随着年龄和年龄相关疾病的变化而变化。健康的老年人不会出现吞咽障碍,但与年龄相关的神经和神经肌肉变化可能会增加吞咽障碍的风险。这种现象被称为先兆子痫[7]。吞咽前涉及解剖、生理、感觉反馈、运动控制和吞咽中枢处理的神经肌肉变性[8-11]。尽管他们可以根据需要补偿和调整吞咽性能,但吞咽功能的变化会影响他们的生活质量[12,13]。老年人善于交际,希望有机会分享用餐时间目的:由于年龄相关的神经肌肉变化,老年人可能容易患上吞咽障碍。尽管老年人有吞咽困难,但他们可以通过预防性吞咽运动来改善吞咽。本研究的目的是检验口咽强化运动(OSE)是否对老年人的吞咽生活质量有影响。
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引用次数: 0
Treatment of auditory processing in noise in individuals with mild aphasia: pilot study 轻度失语症患者噪声听觉处理的初步研究
Q4 Health Professions Pub Date : 2019-08-31 DOI: 10.21849/cacd.2019.00087
A. Raymer, Hilary M. Sandberg, Kathryn Schwartz, G. Watson, S. Ringleb
Auditory comprehension impairments are a common manifestation of aphasia in individuals who incur left cerebral damage. Even individuals with mild aphasia often report difficulties with auditory processing in daily activities, such as listening to the television or movies. These difficulties tend to be exacerbated in deleterious listening conditions, such as noisy medical facilities where these individuals participate in rehabilitation, or in noisy restaurants once they resume daily activities. A large literature has examined factors that impact auditory comprehension impairments in individuals with aphasia, such as linguistic components [1] and processing conditions (e.g., rate of speech, time to respond) [2]. One area with more limited systematic study is the impact of degraded listening conditions for auditory processing abilities in individuals with aphasia. In the distant past, Basili et al. [3] reported that individuals with aphasia had inordinate difficulty listening to speech when presented in the presence of either white noise or speech noise as compared to healthy control subjects. More recent studies have reported the detrimental effects of white noise or MRI Purpose: Listening in noise challenges listeners with auditory comprehension impairments in aphasia. We examined the effects of Trivia Game, a computerized program with questions spoken in increasing levels of background noise with success in the game. Methods: We piloted Trivia Game in four individuals with chronic aphasia and mild auditory comprehension impairments. Participants played Trivia Game for 12 twenty-minute sessions. In addition to the Western Aphasia Battery (WAB), we measured outcomes on Quick Speech in Noise (QSIN), a sentence repetition test, administered in auditory (AUD) and auditory+visual (AV) conditions as signal-to-noise ratio varied from 25 to 0 dB. Results: All four participants showed progress within the game in the noise level attained. Increases in repetition accuracy were seen in two participants for the QSIN AUD condition (average of 5.5 words), and in three participants for QSIN AV (average of 16.5 words). One individual increased performance on the WAB. Conclusions: Use of Trivia Game led to improved auditory processing abilities in all four individuals with aphasia. Greater gains noted in the AV condition over AUD suggest that Trivia Game may facilitate speech-reading skills to support comprehension of speech in situations with background noise.
听觉理解障碍是左脑损伤患者失语症的常见表现。即使是轻度失语症患者,在日常活动中,如听电视或电影时,也经常报告听觉处理困难。在有害的听力条件下,这些困难往往会加剧,例如这些人参加康复的嘈杂医疗设施,或者他们恢复日常活动后在嘈杂的餐馆里。大量文献研究了影响失语症患者听觉理解障碍的因素,如语言成分[1]和处理条件(如语速、反应时间)[2]。系统研究较为有限的一个领域是失语症患者听力条件退化对听觉处理能力的影响。在遥远的过去,Basili等人[3]报道称,与健康对照受试者相比,失语症患者在白噪声或语音噪声存在的情况下,听力异常困难。最近的研究报道了白噪声或MRI的有害影响目的:在噪音中听力对失语症听力理解障碍的听众提出了挑战。我们研究了Trivia Game的效果,这是一个计算机程序,随着游戏的成功,在不断增加的背景噪音中提出问题。方法:我们在四名患有慢性失语症和轻度听觉理解障碍的患者中试用Trivia Game。参与者玩了12个20分钟的Trivia游戏。除了西方失语症成套测验(WAB)外,我们还测量了噪声中快速语音(QSIN)的结果,这是一种句子重复测试,在听觉(AUD)和听觉+视觉(AV)条件下进行,信噪比从25到0dB不等。结果:所有四名参与者在达到的噪音水平上都表现出了在游戏中的进步。两名参与者的QSIN AUD条件(平均5.5个单词)和三名参与者的QS AV条件(平均16.5个单词)的重复准确性有所提高。一个人在WAB上的表现有所提高。结论:使用Trivia Game可以改善四名失语症患者的听觉处理能力。与AUD相比,AV条件下的更大收益表明,Trivia Game可能有助于提高语音阅读技能,以支持在有背景噪声的情况下理解语音。
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引用次数: 1
Neurolinguistic analysis of a case of phonological alexia in Arabic language 阿拉伯语语音失读症一例的神经语言学分析
Q4 Health Professions Pub Date : 2019-08-31 DOI: 10.21849/cacd.2019.00080
Mohamed Taiebine, M. E. Faris
nouns 17 85 3 15 Verbs+suffix 12 37.5 5 15.62 15 46.86 Verbs+prefix 3 10.71 11 39.28 14 50 Verbs (infinitive)+inflection 3 37.5 1 12.5 4 50 Verbs (infinitive)inflection 8 44.44 1 6.66 6 40 Verbs+inflection+suffix 3 33.33 1 11.11 5 55.55 Verbs+prefix+ germination 1 12.5 2 25 5 62.5 Verbs+prefix+ germination+suffix 2 16.66 3 25 7 58.33 Functors 8 53.33 5 46.66 Table 5. Reading vocalized vs non-vowelized text in Arabic (Montreal Toulouse Linguistic ProtocolMT86) Parts of speech Vowelized text (number of words 88) Non-Vowelized text (number of words 47) Number of errors Percentage Number of errors Percentage Functions 3/32 9.3 3/18 16.6 Abstract words 7/15 46.6 2/10 20words 7/15 46.6 2/10 20 Concrete words 5/25 20 0/7 Adjectives 1/7 14.2 1/6 16.6 Verbs 1/9 11.1 3/6 50 Table 6. Examples of the type of errors in reading 331 words according to the classification [28] Target word Transcription of the target word Patient’s response Transcription of the patient’s response Type of errors /ġafara/ /ġafūrٌ/ Morphological or derivational errors /wifāqٌ/ /rifāqٌ/ Visual errors /fataḥa/ /fatْḥٌ/ Semiphonetic errors /ānْta/ /nْta/ Omissions errors /daẖalْtu/ /daẖalْtunwa/ Addition errors /ḥasada/ /ḥasanٌ/ Substitution errors
名词17 85 3 15动词+后缀12 37.5 5 15.62 15 46.86动词+前缀3 10.71 11 39.28 14 50动词(不定式)+屈折3 37.5 1 12.5 4 50动词(无定式)屈折8 44.44 1 6.66 6 40动词+屈折+后缀3 33.33 1 11.11 5 55.55动词+前缀+发芽1 12.5 2 25 5 62.5动词+前缀+发芽+后缀2 16.66 3 25 7 58.33 Functor 8 53.33 5 46.66表5。阅读阿拉伯语发音文本与非元音文本(蒙特利尔-图卢兹语言协议MT86)词性元音文本(字数88)非元音文字(字数47)错误数量错误数量百分比函数3/32 9.3 3/18 16.6抽象单词7/15 46.6 2/10 20单词7/15 46.6 2/10 20具体单词5/25 20 0/7形容词1/7 14.2 1/6 16.6动词1/9 11.13/6 50表6。根据分类阅读331个单词时的错误类型示例[28]目标词目标词患者反应的转录患者反应的翻译错误类型/ġafara//ġ; afārٌ/形态或派生错误/wifāqḥa//脂肪ḥ发音错误ẖal-tu//daẖal-tunwa/添加错误/ḥ阿萨达//ḥasanٌ/替换错误
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引用次数: 0
Replication of a dynamic coaching program for college students with acquired brain injury 获得性脑损伤大学生动态辅导项目的复制
Q4 Health Professions Pub Date : 2019-08-31 DOI: 10.21849/cacd.2019.00101
J. Hoepner, Mandi Salo, Haley Weich
For the 2.2 million Americans who sustain a traumatic brain injury (TBI) each year [1], the process of returning to pre-injury roles and productivity can be a daunting, though feasible task. An estimated 3.2-5.3 million people live with TBI related disabilities [2-4]. Because teenagers and young adults ages 15-19 are some of the most common victims of TBI [5], the challenge overcoming brain damage while being enrolled in post-secondary education is of particular importance. Among these young persons with TBI, there is great variation in cognitive abilities as well as awareness of the impairment [610]. Taking such variations into account, survivors of TBI tend to display some level of learning difficulty, especially in acquiring and recalling new information, as well as the use of necessary learning strategies to do so [6-13]. In a survey given to students with TBI concerning their college experiences, the most commonly reported issues were of academic difficulty as a result of memory deficits. Kennedy and colleagues distributed the survey in two, separate studies [14,15]. The first study included 35 individuals with TBI [14]. Forty-one adults with TBI and 36 controls were included in the second study [15]. An overwhelming 97% of survey participants self-reported the need to review maPurpose: To replicate a dynamic, individualized coaching intervention for two students with acquired brain injury who were transitioning back to college after their injury. Methods: Two individuals with acquired brain injury participated in a two-semester coaching intervention. A case study comparison was used to compare quantitative and qualitative outcomes. Results: Students improved on cognitive standardized test scores, as well as grades. Use of prompted and unprompted metacognitive statements improved for both students. One student increased reported use of strategies, while the second student was inconsistent with strategy use. One student completed the majority of credits attempted, moving toward fulltime status by completion of coaching intervention. The second student dropped about one third of her enrolled credits each semester and withdrew from the university in the semester following the coaching intervention. Conclusions: It is feasible to replicate a dynamic, individualized coaching intervention to foster strategy use and self-regulatory behaviors in students with acquired brain injuries. Given the heterogeneity of acquired brain injuries, outcomes varied substantially between students.
对于每年遭受创伤性脑损伤(TBI)的220万美国人来说,恢复到损伤前的角色和生产力的过程可能是一项艰巨的任务,尽管这是可行的。估计有320万至530万人患有脑外伤相关残疾[2-4]。由于15-19岁的青少年和年轻人是创伤性脑损伤最常见的受害者,因此在接受高等教育的同时克服脑损伤的挑战尤为重要。在这些患有TBI的年轻人中,认知能力和对损伤的认识存在很大差异[610]。考虑到这些差异,TBI幸存者往往表现出一定程度的学习困难,特别是在获取和回忆新信息以及使用必要的学习策略方面[6-13]。在一项针对TBI学生的大学经历的调查中,最常见的问题是由于记忆缺陷导致的学习困难。Kennedy和他的同事将调查分为两个独立的研究[14,15]。第一项研究包括35名脑外伤患者。41名成年TBI患者和36名对照者被纳入第二项研究bbb。压倒性的97%的调查参与者自我报告需要审查mapmap目的:为两名后发性脑损伤的学生复制动态的,个性化的指导干预,他们在受伤后正在过渡回大学。方法:对两名获得性脑损伤患者进行为期两个学期的训练干预。案例研究比较用于比较定量和定性结果。结果:学生在认知标准化测试成绩和成绩上都有所提高。两名学生对提示和非提示元认知陈述的使用都有所改善。一名学生增加了策略的使用,而另一名学生的策略使用不一致。一名学生完成了大部分学分,通过完成指导干预,进入全职状态。第二名学生每学期都要减掉大约三分之一的注册学分,并在辅导干预后的那个学期退学。结论:复制一种动态的、个性化的教练干预来促进后发性脑损伤学生的策略使用和自我调节行为是可行的。鉴于获得性脑损伤的异质性,学生之间的结果差异很大。
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引用次数: 2
Effects of leaning workstation on oxygenation in the prefrontal cortex and cognitive performance 倾斜工作站对前额皮质氧合和认知能力的影响
Q4 Health Professions Pub Date : 2019-08-31 DOI: 10.21849/cacd.2019.00073
Veera Aneesh Kuppam, In-sop Kim, Sai Akhil Penumudi, Jaejin Hwang
Children and adults in the United States typically spend 55% of their waking time as a sedentary behavior [1]. Prolonged sitting and sedentary work have been associated with many negative health outcomes including the risk of work-related musculoskeletal disorders (MSDs) [2], cardiovascular disorders [3], impaired cognition [4], and type II diabetes [5]. It is known that moderate to vigorous physical activity could lower the rates of morbidity and mortality [6]. To make sedentary work more dynamic, several studies have examined the efficacy of various engineering controls such as the sit-stand desks and walking while working [7-9]. It was found that these interventions could significantly reduce the sitting time and improve the posture and productivity, although the long-term health benefits have not been proven. Previous studies have shown that capillary blood glucose responses and energy expenditure of 10 subjects were significantly alternated during standing deskwork than a sitting deskwork [7]. Even though standing or walking while working Purpose: The objective of this study was to evaluate the effect of different workstations on prefrontal brain activity and cognitive performance during standardized neurocognitive tasks.
在美国,儿童和成人醒着的时候,通常有55%的时间是久坐不动的。久坐和久坐工作与许多负面健康结果相关,包括与工作相关的肌肉骨骼疾病(MSDs)[2]、心血管疾病[3]、认知障碍[4]和II型糖尿病[5]的风险。众所周知,适度到剧烈的体育活动可以降低发病率和死亡率。为了使久坐不动的工作更有活力,一些研究检验了各种工程控制的效果,如坐立两用办公桌和边走边工作[7-9]。研究发现,这些干预措施可以显著减少坐着的时间,改善坐姿和工作效率,尽管长期健康效益尚未得到证实。先前的研究表明,10名受试者的毛细血管血糖反应和能量消耗在站立办公时与坐着办公时有明显的变化。目的:本研究的目的是评估在标准化的神经认知任务中,不同的工作站对前额叶大脑活动和认知表现的影响。
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引用次数: 0
期刊
Clinical Archives of Communication Disorders
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