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Inferior Longitudinal Fascicle and Reading: Exploring Their Relationship Through a Brain Stimulation Case Study 下纵束与阅读:透过脑刺激个案研究探讨其关系
IF 0.9 4区 医学 Q4 REHABILITATION Pub Date : 2021-11-22 DOI: 10.1177/15257401211056857
Christos Papatzalas, I. Papathanasiou, T. Paschalis, C. Tzerefos, E. Kapsalaki, A. Petsiti, K. Fountas
Awake brain surgery allows for maximal tumor resection, while minimizing postoperative deficits, even when the tumor is located within eloquent brain regions. In the current study, we present the case of a patient who underwent awake craniotomy to remove a space-occupying lesion located at the left (dominant) temporal lobe. During subcortical mapping, electrical stimulation of the inferior longitudinal fasciculus caused severe errors (paralexias) on a semantic odd-word out task but not on other tasks that use different input routes and processes. The cognitive neuropsychological model for single word processing assisted us to associate a specific structure (inferior longitudinal fascicle [ILF]) with a specific cognitive process (i.e., access to the semantic system). Our results highlight the importance of subcortical fascicles in reading and agree with previous studies regarding the critical role of ILF in reading comprehension.
醒脑手术可以最大限度地切除肿瘤,同时最大限度地减少术后缺陷,即使肿瘤位于有说服力的大脑区域。在目前的研究中,我们介绍了一例患者,他接受了清醒开颅手术,切除了位于左(主)颞叶的占位病变。在皮层下标测过程中,对下纵束的电刺激在语义奇数单词输出任务中会导致严重错误(视差),但在使用不同输入途径和过程的其他任务中不会。单个单词处理的认知神经心理学模型帮助我们将特定的结构(下纵束[ILF])与特定的认知过程(即进入语义系统)联系起来。我们的研究结果强调了皮层下分支在阅读中的重要性,并与之前关于ILF在阅读理解中的关键作用的研究一致。
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引用次数: 0
Effects of a Coaching Intervention on Paraeducator Use of Aided Language Modeling in Classroom Settings: A Pilot Investigation 辅导干预对辅助教育工作者使用课堂辅助语言建模的影响:一项试点调查
IF 0.9 4区 医学 Q4 REHABILITATION Pub Date : 2021-09-30 DOI: 10.1177/15257401211046871
Shubha Kashinath, Elena Dukhovny, Prema Polit
Paraeducators are the most frequent communication partners during the school day for students who use augmentative and alternative communication (AAC), yet they often lack training in AAC best practices. This intervention study examined the effect of an in-class coaching intervention on the aided language modeling (ALM) skills of paraeducators who work with students who use AAC. An intervention protocol using evidence-based coaching strategies was used to support paraeducator implementation of ALM in typical classroom activities. The multiple-baseline single-subject design measured the use of ALM by four paraeducators. Data were analyzed visually and by calculating Tau-U and gain scores. Results suggest a strong effect from the coaching intervention on ALM skills for each of the paraeducators. Challenges and benefits of paraeducator-focused interventions in classroom settings are presented.
辅助教育工作者是使用辅助和替代交流(AAC)的学生在上学期间最常见的交流伙伴,但他们往往缺乏AAC最佳实践方面的培训。本干预研究考察了课堂辅导干预对辅助语言建模(ALM)技能的影响,这些辅助教育工作者与使用辅助语言建模的学生一起工作。采用循证辅导策略的干预方案,支持辅助教育工作者在典型课堂活动中实施ALM。多基线单主题设计测量了四位辅助教育工作者对ALM的使用。通过目测和计算Tau-U和增益评分对数据进行分析。结果表明,教练干预对每个辅助教育工作者的ALM技能都有很强的影响。提出了以辅助教育工作者为中心的课堂干预的挑战和好处。
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引用次数: 0
Graduate Students’ Clinical Self-Efficacy: Impact of an Intensive Cleft Lip and Palate Clinical Practicum 研究生临床自我效能感:唇腭裂强化临床实习的影响
IF 0.9 4区 医学 Q4 REHABILITATION Pub Date : 2021-08-01 DOI: 10.1177/1525740120942463
Miriam Baigorri, C. Crowley, Chelsea L. Sommer, Jessica Baquero, Gemma Moya-Galé
This study aimed to examine self-efficacy as graduate students gained clinical skills during an intensive international cleft lip and palate (CLP) clinical practicum. A total of 17 graduate students in the Communication Sciences and Disorders program at Teachers College (TC), Columbia University, participated in a CLP clinical practicum for 5 days and completed a self-efficacy survey that measured their confidence in evaluation, treatment, and professional behavior at the beginning and end of their CLP clinical practicum. Clinical supervisors answered questions regarding graduate students’ performance at the end of their CLP clinical practicum. A significant pre-to-post-practicum group effect was found for all dependent variables under the self-efficacy evaluation and treatment categories. Supervisors’ perceptions of students’ initial performance and progression were overall consistent with the students’ ratings of self-efficacy. This intensive practicum program for CLP may be an effective way to increase graduate students’ experiences in working with children with CLP.
本研究旨在检验研究生在强化的国际唇腭裂临床实习中获得临床技能时的自我效能感。哥伦比亚大学师范学院(TC)传播科学与障碍项目共有17名研究生参加了为期5天的CLP临床实习,并完成了一项自我效能感调查,测量了他们在CLP临床实习开始和结束时对评估、治疗和职业行为的信心。临床导师在CLP临床实习结束时回答了有关研究生表现的问题。在自我效能评估和治疗类别下,所有因变量都存在显著的实习前后群体效应。导师对学生最初表现和进步的看法与学生的自我效能感评分总体一致。这种针对CLP的强化实习计划可能是增加研究生与CLP儿童合作经验的有效方法。
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引用次数: 1
Improving Reading Comprehension for Adolescents With Language and Learning Disorders 提高语言和学习障碍青少年的阅读理解能力
IF 0.9 4区 医学 Q4 REHABILITATION Pub Date : 2021-07-20 DOI: 10.1177/15257401211031463
Shannon S. Hall-Mills, Leesa Marante, Breanna Tonello, L. Johnson
The present case study illustrates the use of explicit text structure intervention for expository reading comprehension with three adolescents with language learning disabilities (LLD). We investigated whether it was feasible to provide direct instruction on the identification of signal words that denote compare–contrast relations between concepts, the purpose and nature of expository text structures, and the use of graphic organizers to assist in retell of target passages and compare–contrast text comprehension. The intervention was effective in improving participants’ text structure identification, signal word recognition, and comprehension of compare–contrast text. This preliminary case study demonstrates that a short-term text structure intervention is feasible and can benefit adolescents with LLD who struggle with expository reading comprehension. Implications for clinical and educational services and future directions for research are provided.
本研究以三名语言学习障碍青少年为研究对象,探讨显性文本结构干预对说明文阅读理解的影响。我们调查了是否可以直接指导学生识别表示概念间比较对比关系的信号词、说明性文本结构的目的和性质,以及使用图形组织来辅助复述目标段落和比较对比文本理解。干预有效地提高了被试的文本结构识别、信号词识别和对比文本理解能力。本初步的个案研究表明,短期的文本结构干预是可行的,可以帮助那些在说明文阅读理解方面有困难的LLD青少年。对临床和教育服务的启示以及未来的研究方向提出了建议。
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引用次数: 0
Visual Analysis Plus Hierarchical Linear Model Regressions: Morphosyntax Intervention with Deaf-and-Hard-of-Hearing Students 视觉分析加层次线性模型回归:聋哑和听障学生的形态句法干预
IF 0.9 4区 医学 Q4 REHABILITATION Pub Date : 2021-07-08 DOI: 10.1177/15257401211026206
Janna Hasko, M. C. Rivera, Monica K. Erbacher, S. Antia
We conducted a pilot study using intentional teaching strategies with specially designed materials to improve accuracy and production of targeted English morphosyntax structures with six deaf and hard-of-hearing students (kindergarten to first grade). A multiple baseline single-case research design (SCRD) consisting of 20-minute sessions four times per week for the duration of a school year was implemented to determine the effect of the supplemental syntax curriculum. The data were inconsistent and highly variable. Visual analyses were problematic; therefore, hierarchical linear model (HLM) regression analyses were conducted with the time series SCRD data as an additional analysis. HLM regression analyses were used to interpret data that might otherwise be overlooked in SCRDs to provide specific values for the rate students were learning during the intervention phase of the study. This pilot study demonstrates that the syntax intervention produces promising results when data that are too messy for visual analysis are analyzed with HLM.
我们对六名聋哑和重听学生(幼儿园到一年级)进行了一项试点研究,使用专门设计的材料,采用有意的教学策略,以提高英语形态句法结构的准确性和生成性。实施了一项多基线单案例研究设计(SCRD),包括在一学年内每周四次20分钟的课程,以确定补充语法课程的效果。数据不一致,变化很大。视觉分析有问题;因此,对时间序列SCRD数据进行了分层线性模型(HLM)回归分析作为附加分析。HLM回归分析用于解释SCRD中可能被忽视的数据,以提供学生在研究干预阶段学习率的具体值。这项试点研究表明,当用HLM分析过于混乱而无法进行视觉分析的数据时,语法干预会产生有希望的结果。
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引用次数: 2
Systematic Review of Studies on Visual Phonics 视觉语音研究的系统综述
IF 0.9 4区 医学 Q4 REHABILITATION Pub Date : 2021-06-26 DOI: 10.1177/15257401211024536
Ayse N. Kart
Visual Phonics is a multisensory teaching tool that has the potential to improve reading outcomes. The purpose of this systematic review is to examine studies on Visual Phonics to provide a comprehensive understanding of the effects on code-related skills. Thirteen studies met the inclusion criteria. The results demonstrate that Visual Phonics can be an effective strategy to teach code-related skills for at-risk hearing kindergarteners and d/Deaf and hard of hearing students, regardless of the degree of hearing loss, grade placement, communication method, home language, and prevalence of an additional disability. A number of these studies contain limitations such as a small sample size, difficulty with obtaining a randomized sample, lack of a control group, and difficulty with the generalization of findings. Therefore, there is a need for additional research on the effects of Visual Phonics and its progression to becoming an evidence-based practice.
视觉语音是一种多感官教学工具,有可能提高阅读效果。本系统综述的目的是检查视觉语音的研究,以全面了解其对代码相关技能的影响。13项研究符合纳入标准。研究结果表明,无论听力损失程度、年级安排、沟通方式、家庭语言和额外残疾的发生率如何,视觉语音都可以成为一种有效的策略,为有听力风险的幼儿园儿童、聋哑学生和重听学生教授代码相关技能。其中许多研究存在局限性,如样本量小、难以获得随机样本、缺乏对照组以及难以推广研究结果。因此,有必要对视觉语音的影响及其发展成为循证实践进行进一步的研究。
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引用次数: 2
Book Sharing With AAC Over Telepractice: A Tutorial 图书共享与AAC远程实践:教程
IF 0.9 4区 医学 Q4 REHABILITATION Pub Date : 2021-06-24 DOI: 10.1177/15257401211024539
Kathleen J. Abendroth, Judith Oxley, Kathy Hays
Telepractice offers speech-language pathologists (SLPs) increased flexibility to support language development, including emergent literacy in clients with complex communication needs. However, clinicians may feel uncertain how to pair books with augmentative and alternative communication (AAC) over telepractice. Following an overview of telepractice, book sharing, and e-helpers, we describe four practical ways to combine storybooks with AAC online. These include: (a) using accessible books, (b) screen sharing e-books and communication aid, (c) adapting slide shows, and (d) creating asynchronous videos. Finally, we offer suggestions for modeling AAC, prioritizing emotions in storybooks, and tips for clinical supervisors. This topic can direct future researchers and is relevant to practicing clinicians who want to support language development for clients using aided communication systems.
远程实践为言语病理学家(SLP)提供了更大的灵活性来支持语言发展,包括为有复杂沟通需求的客户提供紧急识字能力。然而,临床医生可能不确定如何将书籍与增强和替代通信(AAC)相结合,而不是远程实践。在概述了远程实践、图书共享和电子助手之后,我们描述了将故事书与AAC在线结合的四种实用方法。其中包括:(a)使用可访问的书籍,(b)屏幕共享电子书和通信辅助工具,(c)改编幻灯片,以及(d)创建异步视频。最后,我们为AAC建模、在故事书中优先考虑情绪以及临床主管提供建议。该主题可以指导未来的研究人员,并与希望使用辅助通信系统为客户支持语言开发的执业临床医生相关。
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引用次数: 0
Evaluation of Diadochokinesis in Greek Preschoolers With Speech Sound Disorders Using a Diadochokinetic Rates Protocol 用代动速率协议评价希腊学龄前言语语音障碍儿童代动功能
IF 0.9 4区 医学 Q4 REHABILITATION Pub Date : 2021-06-11 DOI: 10.1177/15257401211017065
D. Tafiadis, Vasiliki Zarokanellou, Louiza Voniati, Alexandra Prentza, Konstantinos Drosos, A. Papadopoulos, Nafsika Ziavra
The study aimed at evaluating the diadochokinetic (DDK) skills of Greek-speaking preschool children with phonological disorder (PD) by means of a structured evaluation protocol and at proposing cut-off points for children at risk of speech impairment. The participants were 36 children with PD and 60 typically developing (TD) peers. The groups were matched on age and gender. The PD group performed significantly slower than the TD group in all speech DDK tasks but not in the oral-motor tasks. The ROC analysis showed a statistically significant positive discrimination for all speech tasks. The internal consistency of the protocol was excellent (Cronbach’s α = .844), while complex stimuli showed a better discriminatory ability. The obtained results agree with Dodd’s classification for speech sound disorders (SSDs). Different types of speech stimuli must be included in the evaluation of DDK performance as a clinical predictor for preschoolers with SSDs who face difficulties in speech maturation.
本研究旨在通过结构化评估方案评估患有语音障碍(PD)的希腊语学龄前儿童的发音技能,并为有语言障碍风险的儿童提出分界点。参与者是36名患有帕金森病的儿童和60名典型发育中的同龄人。两组在年龄和性别上相匹配。PD组在所有语音DDK任务中的表现明显慢于TD组,但在口腔运动任务中没有。ROC分析显示,在所有言语任务中都存在统计学上显著的正向差异。该方案的内部一致性非常好(Cronbachα=0.844),而复杂刺激显示出更好的辨别能力。所获得的结果与多德对语音障碍(SSD)的分类一致。不同类型的言语刺激必须包括在DDK表现的评估中,作为在言语成熟方面面临困难的患有SSD的学龄前儿童的临床预测指标。
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引用次数: 5
Augmentative and Alternative Communication Assessment in Adults With Amyotrophic Lateral Sclerosis: Results of Semi-Structured Interviews 肌萎缩性侧索硬化症成人的辅助和替代沟通评估:半结构化访谈的结果
IF 0.9 4区 医学 Q4 REHABILITATION Pub Date : 2021-06-10 DOI: 10.1177/15257401211017143
Miechelle McKelvey, K. Weissling, Shelley K. Lund, W. Quach, Aimee Dietz
This phenomenological qualitative study explored how eight speech-language pathology specialists in augmentative and alternative communication (AAC) (who self-identified as adult-focused) would approach the AAC assessment process when presented with a case study of an adult with amyotrophic lateral sclerosis (ALS). The general research questions were: What areas are assessed by AAC specialists evaluating individuals with ALS? How do specialists evaluate the areas identified: In all, four themes emerged: (a) Area of Assessment, (b) Method of Assessment, (c) Patient Education, and (d) Decision Criteria. These results support authoritative models of AAC assessment. AAC assessment is a complex task and understanding the behaviors of specialists, as outlined in this article, may be a first step in assisting general practice SLPs to complete AAC assessments for individuals with ALS with greater confidence and comfort.
这项现象学定性研究探讨了八名增强和替代沟通(AAC)言语语言病理学专家(他们自称以成年人为中心)在对一名患有肌萎缩侧索硬化症(ALS)的成年人进行案例研究时,将如何处理AAC评估过程。一般的研究问题是:AAC专家评估ALS患者的哪些领域?专家如何评估确定的领域:总共出现了四个主题:(a)评估领域,(b)评估方法,(c)患者教育,以及(d)决策标准。这些结果支持审咨委评估的权威模型。AAC评估是一项复杂的任务,如本文所述,了解专家的行为可能是帮助全科SLP更自信、更舒适地完成ALS患者AAC评估的第一步。
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引用次数: 0
Speech-Language Pathologists’ Knowledge of Spanish-Influenced English and Dialectical Differences: A Survey 语言病理学家对西班牙语影响英语的认识及其辩证差异的调查
IF 0.9 4区 医学 Q4 REHABILITATION Pub Date : 2021-05-28 DOI: 10.1177/15257401211018863
Kelsey Smith, Allison M. Plumb, Mary J. Sandage
The purpose of this study was to assess the competence of speech-language pathologists (SLPs) in serving bilingual or English-language learning children. Specifically, are SLPs able to identify acceptable English productions of a native Spanish speaker when described and/or given in context? Data were collected through an anonymous 28-question, web-based survey designed for practicing SLPs who worked with children. A total of 99 completed responses were received. The majority of SLPs demonstrated a basic understanding of aspects of Spanish-Influenced English (SIE) and dialectal features associated with native speakers of Spanish; however, SLPs were better able to identify errors in context than features of SIE. To ensure best practice in service provision for children who are English-language learners, SLPs need an understanding of the features of SIE and other English variants. Training programs should therefore provide education on the specific contrasts between languages/dialects while encouraging critical thinking and self-study.
本研究的目的是评估言语语言病理学家(slp)服务双语或英语学习儿童的能力。具体地说,当在上下文中描述和/或给定时,slp是否能够识别出以西班牙语为母语的人的可接受的英语作品?数据是通过一项有28个问题的匿名网络调查收集的,该调查是为从事儿童工作的专业语言服务提供者设计的。我们共收到99份填妥的回复。大多数slp表现出对西班牙影响英语(SIE)的基本理解以及与西班牙语母语者相关的方言特征;然而,slp比SIE的特征更能识别上下文中的错误。为了确保为英语学习者的儿童提供最佳的服务,特殊语言服务提供者需要了解SIE和其他英语变体的特点。因此,培训项目应该在鼓励批判性思维和自学的同时,提供语言/方言之间具体对比的教育。
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引用次数: 0
期刊
Communication Disorders Quarterly
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