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A Review of Aphasia Couples Therapy 失语症夫妻治疗综述
Pub Date : 2011-09-01 DOI: 10.1179/jslh.2011.14.3.159
L. Boles
Abstract Aphasia couples therapy (Boles, 2009) has a brief and all too obscure history. A variety of terms have been applied to this form of therapy. This paper reviews evidence for the efficacy of the approach that recruits the significant others of people with aphasia to assume the role of therapist, with the speech-language therapist assuming the role of “coach.”
失语症夫妻治疗(Boles, 2009)的历史很短,也很模糊。各种各样的术语被应用于这种形式的治疗。本文回顾了招募失语症患者的重要他人承担治疗师角色,语言治疗师承担“教练”角色的方法的有效性的证据。
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引用次数: 12
New Zealand Children and the Preschool Language Assessment Instrument 新西兰儿童和学前语言评估工具
Pub Date : 2011-09-01 DOI: 10.1179/jslh.2011.14.3.165
S. Robinson, L. Hand
Abstract Blank's examination of children's abilities in abstract language was implemented in the Preschool Language Assessment Instrument (2nd edition). The PLAI-2 has four distinct levels of increasing difficulty: matching, selective analysis, reordering, and reasoning. This study showed that the reordering and reasoning levels (III and IV) overlapped in terms of difficulty for 5-year-old New Zealand children. This may require a re-examination of Blank's construct. Overlap was also seen for matching and selective analysis, but this can be explained in terms of the children performing at ceiling.
摘要《学前语言评估工具(第二版)》对儿童抽象语言能力进行了空白测试。PLAI-2有四个不同的难度增加级别:匹配,选择性分析,重新排序和推理。本研究表明,5岁新西兰儿童的重新排序和推理水平(III和IV)在难度方面重叠。这可能需要重新审视布兰克的构想。在匹配和选择性分析中也发现了重叠,但这可以用儿童在天花板上的表现来解释。
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引用次数: 1
Changes to Stuttering Measurement During the Lidcombe Program Treatment Process 在Lidcombe计划治疗过程中口吃测量的变化
Pub Date : 2011-09-01 DOI: 10.1179/jslh.2011.14.3.147
K. Bridgman, M. Onslow, S. O'brian, S. Block
Abstract It is arguable that the Lidcombe Program warrants best practice status for early intervention. Meta-analysis of randomized clinical evidence shows an odds of recovery 7 to 8 times that of natural recovery. However, during recent years there have been accumulating logical, conceptual, and empirical challenges to one of the fundamental Lidcombe Program components: clinician use of percent syllable stuttered measures during the treatment process. This article outlines those challenges, with particular reference to evidence that emerged during a recent randomized controlled trial. Following deliberations by the International Lidcombe Program Trainers' Consortium and the Australian community of early stuttering intervention specialists, a decision was made to remove percent syllables stuttered as a manualized treatment component. This article explores how the Lidcombe Program treatment process now works, and the impact of this change on routine clinical practice.
摘要Lidcombe项目在早期干预方面的最佳实践地位值得商榷。随机临床证据的荟萃分析显示,恢复的几率是自然恢复的7至8倍。然而,近年来,对Lidcombe计划的一个基本组成部分,即临床医生在治疗过程中使用的音节口吃百分比测量,在逻辑上、概念上和经验上都有越来越多的挑战。本文概述了这些挑战,并特别提到了最近一项随机对照试验中出现的证据。经过国际利德库姆项目培训师联盟和澳大利亚早期口吃干预专家社区的讨论,决定将百分之百的音节口吃作为人工治疗的组成部分。这篇文章探讨了利德库姆计划治疗过程现在是如何工作的,以及这种变化对常规临床实践的影响。
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引用次数: 10
Native Speaker and Non-Native Speaker Communication During Job Interviews 工作面试中母语人士与非母语人士的沟通
Pub Date : 2011-09-01 DOI: 10.1179/jslh.2011.14.3.171
Helen L. Blake, S. Hewat, Elizabeth Spencer
Abstract This study explored an alternative methodology for analyzing communication interactions, to determine whether it could be applied to interventions designed to improve the communication competence of university graduates who are non-native speakers of English (NNSE). Qualitative research methods examined the communication of both interlocutors in job interviews to determine if there was a relationship between performance and perceptual judgements of accent, intelligibility, comprehensibility and employability. Detailed conversational analysis allowed for in-depth consideration of typical conversation breakdown and repair strategies used by native speakers of English (NSE) and NNSE. The results indicated that the majority of participant errors were accent differences and minor grammatical errors. The type and quantity of repair strategies utilized in response to the errors varied depending on communication and interactional competence. We predicted that there would be a relationship between participant's performance and interlocutor's perceptions. This proved to be the case in the NSE-NNSE interactions, but not in the NSE-NSE interview. This methodology offers a promising framework which could be utilized in future investigations into communication skills of NNSE and their interlocutors. Analyzing data from a job interview provided preliminary information about the context contingent aspects of communication that are problematic for graduates who are NNSE.
摘要本研究探索了一种分析交际互动的替代方法,以确定它是否可以应用于旨在提高非英语母语大学毕业生交际能力的干预措施。定性研究方法检查了工作面试中双方对话者的沟通,以确定表现与口音、可理解性、可理解性和可就业性的感性判断之间是否存在关系。详细的会话分析允许深入考虑英语母语者(NSE)和NNSE使用的典型会话中断和修复策略。结果表明,参与者的错误主要是口音差异和轻微的语法错误。修复策略的类型和数量因沟通和互动能力的不同而不同。我们预测参与者的表现与对话者的感知之间存在关系。这在NSE-NNSE互动中被证明是如此,但在NSE-NSE访谈中却并非如此。这种方法提供了一个有希望的框架,可以用于未来调查NNSE及其对话者的沟通技巧。通过对工作面试数据的分析,我们初步了解了NNSE毕业生在沟通过程中可能遇到的问题。
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引用次数: 0
Early Phonation Ability from the Perspective of Infant Cries: A Case Study 幼儿哭声视角下的早期发声能力研究
Pub Date : 2011-09-01 DOI: 10.1179/jslh.2011.14.3.153
Yi-ling Chang, J. Jeng, C. Tseng
Abstract The purpose of this study was to investigate the acoustic patterns of crying sounds produced by a healthy one-month-old infant, with a special focus on various melody contours of fundamental frequency in a single cry and the coordination patterns between crying and respiration. Crying sounds were collected by the mother of the infant using a digital recorder in a natural home setting. The crying sounds collected were produced spontaneously by the infant without any elicited or invasive procedure. Acoustic analysis was conducted to examine crying characteristics on the dimension of frequency and regularity. Different kinds of melody contours were identified, including rising-falling, falling-rising, rising, falling, and fluctuated variations. Both regular and irregular coordination patterns between respiration and crying were found in the cries. The variations of crying pattern identified suggest that the ability to produce different crying sounds with various compositions of melody patterns had already developed for a one-month-old infant.
摘要:本研究的目的是研究一个健康的1月龄婴儿啼哭声音的声学模式,特别关注一次啼哭中各种基本频率的旋律轮廓以及啼哭与呼吸之间的协调模式。婴儿的母亲在自然的家庭环境中使用数字录音机收集婴儿的哭声。收集到的哭声是婴儿自发产生的,没有任何诱导或侵入性的程序。通过声学分析,从频率和规律性两个维度来考察哭喊特征。不同类型的旋律轮廓被识别,包括上升-下降,下降-上升,上升,下降和波动变化。在哭声中发现呼吸和哭泣之间有规律和不规律的协调模式。所发现的哭泣模式的变化表明,一个月大的婴儿已经具备了用不同旋律模式组成不同哭声的能力。
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引用次数: 0
Using Tongue-Strengthening Exercise Programs in Dysphagia Intervention 在吞咽困难干预中使用舌头强化训练项目
Pub Date : 2011-09-01 DOI: 10.1179/jslh.2011.14.3.139
Valerie Adams, R. Callister, B. Mathisen
Abstract Purpose: The purpose of this article was to review the literature with regard to use of tongue-strengthening exercise in the management of swallowing disorders (dysphagia) such as those with cerebrovascular accident (stroke) or head and neck cancer. Methods: A database of articles published from 1984 to June 2010 was compiled from MEDLINE, CINAHL, and PubMed using combinations of the following key words: exercise, exercise therapy, swallowing, dysphagia, stroke, cerebrovascular disorder, tongue strength, tongue-strength exercise, lingual strength, age, intensity, head and neck cancer, and swallowing rehabilitation. References listed in identified publications as well as abstracts were examined. Studies that satisfied the following selection criteria were included: (1) individuals had a diagnosis of dysphagia after stroke or head and neck cancer; (2) effects of tongue-strength exercises were examined; and (3) the design of the studies was either randomized control trial (RCT), prospective cohort intervention study, or case study. Results: Analysis of candidate studies showed that tongue-strengthening exercise is applicable to dysphagia intervention in general. However, the optimum dose, frequency, and duration of the exercise required to rehabilitate tongue function has yet to be established. Conclusion: Tongue-strengthening exercise has the potential to be a simple yet effective therapeutic tool to add to the options for swallowing rehabilitation in adults.
摘要目的:本文的目的是回顾有关使用舌强化运动治疗吞咽障碍(吞咽困难)的文献,如脑血管意外(中风)或头颈癌。方法:结合以下关键词:运动、运动疗法、吞咽、吞咽困难、中风、脑血管疾病、舌力、舌力运动、舌力、年龄、强度、头颈癌、吞咽康复,从MEDLINE、CINAHL和PubMed检索1984年至2010年6月发表的文章数据库。审查了已确定出版物中列出的参考文献以及摘要。满足以下选择标准的研究被纳入:(1)中风或头颈癌后被诊断为吞咽困难的个体;(2)考察了舌力练习的效果;(3)研究设计为随机对照试验(RCT)、前瞻性队列干预研究或个案研究。结果:对候选研究的分析表明,舌强化运动一般适用于吞咽困难的干预。然而,恢复舌头功能所需的最佳剂量、频率和持续时间尚未确定。结论:舌强化训练有潜力成为一种简单而有效的治疗工具,可以增加成人吞咽康复的选择。
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引用次数: 3
Acoustic Stapedial Reflex Test Modification in Ears with High Static Admittance and Asymmetric Hearing Loss: A Case Study 高静导纳和不对称听力损失耳的镫骨反射测试修改:一个案例研究
Pub Date : 2011-06-01 DOI: 10.1179/136132811805334821
S. Atcherson, Tina M. Stoody
Abstract Patients with high peak compensated static acoustic admittance (Ytm) tympanograms often have normal-appearing audiometric presentations. However, this tympanometric condition may render acoustic stapedial reflex (ASR) thresholds immeasurable because of fluctuating ear canal pressure and responselike artifacts obtained irrespective of the stimulus level. There is a paucity of information in the literature about this responselike artifact and a potential technical modification to manage it. Here we describe for the first time the use of the ASR test modification with a case of bilateral high peak Ytm tympanograms and audiometrically determined uniunilateral sensorineural hearing loss in the left ear with concerns about retrocochlear pathology. Standard audiologic procedures were completed along with a modified ASR test, and distortion-product otoacoustic emission (DPOAE) and auditory brainstem response (ABR) testing. Fluctuating ear canal pressure prevented reliable acoustic reflex measurements. After adding positive pressure to the ear canals relative to the tympanometric peak pressure, ipsilateral ASRs were present but elevated, yet more consistent with pure-tone audiometry. Offsetting ear canal pressure may be a useful clinical modification for ASR testing in cases of high peak Ytm tympanograms.
高频补偿静态声导纳(Ytm)鼓室图患者通常有正常的听力表现。然而,这种鼓室测量条件可能导致声镫骨反射(ASR)阈值无法测量,因为无论刺激水平如何,耳道压力波动和反应样人工产物都会产生。文献中缺乏关于这种类似响应的工件和管理它的潜在技术修改的信息。在这里,我们首次描述了使用ASR测试修改与双侧高峰Ytm鼓室图和听力测定确定的单侧感音神经性听力损失在左耳的病例,并关注耳蜗后病理。完成标准听力学检查,并进行改进的ASR测试、畸变产物耳声发射(DPOAE)和听觉脑干反应(ABR)测试。波动的耳道压力妨碍了可靠的声反射测量。相对于鼓室峰值压力增加耳道正压后,同侧asr存在,但升高,但与纯音听力学更一致。抵消耳道压力可能是一个有用的临床修改ASR测试的情况下,高峰Ytm鼓室图。
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引用次数: 1
An Acoustics-Based Assessment of Error Patterns in English Sounds Produced by Cantonese ESL Speakers 基于声学的广东人英语发音错误模式评估
Pub Date : 2011-06-01 DOI: 10.1179/136132811805334867
Lan Zhang, M. Ng
Abstract Pronunciation problem has always been the major challenge for Cantonese ESL speakers due to discrepancy between the Cantonese and English sound inventories. Traditionally, accent identification was done by listening to the accented English produced by Cantonese speakers. This is a subjective and unreliable method for learning a second language (L2). The present study made use of automatic speech recognition (ASR) technologies in identifying the error pattern associated with accented English produced by Cantonese ESL speakers. Cantonese ESL speakers are instructed to produce a list of isolated English words and a short passage. Pattern and frequency of errors in L2 English pronunciation were objectively identified from the speech samples using ASR software. Results of error analysis were compared with what linguists predicted. Results on L2 English error pattern were discussed in relation to L1 Cantonese.
摘要由于粤语和英语的发音差异,发音问题一直是粤语ESL学习者面临的主要挑战。传统上,口音识别是通过听说广东话的人的口音来完成的。这是一种主观的、不可靠的学习第二语言的方法。本研究利用自动语音识别技术识别粤语非母语英语使用者的英语重音错误模式。以粤语为母语的学生被要求写出一份英语单字表和一篇短文。使用ASR软件从语音样本中客观识别二语英语发音中的错误模式和频率。错误分析结果与语言学家的预测结果进行了比较。本文讨论了二语英语错误模式与母语粤语的关系。
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引用次数: 0
Rates of Ear Disease in Children Visiting a Mobile Community Ear Clinic in New Zealand—Two-Year Study of Over 2,000 Children 访问新西兰流动社区耳科诊所的儿童患耳部疾病的比率——对2000多名儿童进行的为期两年的研究
Pub Date : 2011-06-01 DOI: 10.1179/136132811805334858
E. Collins, Felix S. F. Ram
Abstract Aims: To describe rates of middle ear disease in children attending a nurse-led mobile community ear clinic over a 2-year period in Wellington, New Zealand. Methods: Analysis of records of ear examination carried out over a 2-year period to identify rates of middle ear disease in children aged 0 to 18 years. All data were collected at the time of consultation. Otitis media with effusion (OME) being a common middle ear disease in children was investigated in more detail. Results: 2,273 children were seen in the ear clinic between July 2004 and June 2006. Nearly one in three children (28%) was diagnosed as having OME at their first ear clinic visit. Males of Pacific Island ethnicity, aged between 0 to 4 years had the highest rates (48.3%) of OME. Conclusions: Chronic middle ear disease continues to be a significant problem for children in New Zealand, particularly in the Hutt Valley (Wellington) region. This study showed that the childhood rate of ear disease continues to be unacceptably high. Chronic middle ear disease is a serious health risk for children, and could reach epidemic proportions if more resources are not allocated to the management of this disease in New Zealand. Repeated episodes of otitis media can result in hearing loss, language delay, difficulties in literacy, lowered school achievement, and other areas of learning at school. Effective prevention, detection, and intervention continue to be a significant public health challenge for this ever increasing disease, especially in children of Pacific Island origin. It is important that all children are seen as early as possible to ensure timely and appropriate care to minimize the impact of impaired hearing on early childhood development. Greater public health resources are required to minimize the impact of this disease, especially in Pacific Island children.
摘要:目的:描述在新西兰惠灵顿护士领导的流动社区耳科诊所就诊的儿童中耳疾病的发生率。方法:对2年的耳部检查记录进行分析,确定0 ~ 18岁儿童中耳疾病的发生率。所有数据均在咨询时收集。本文对儿童中耳常见病中耳炎伴渗出性中耳炎(OME)进行了详细的研究。结果:在2004年7月至2006年6月期间,有2273名儿童在耳科诊所就诊。近三分之一(28%)的儿童在第一次就诊时被诊断为OME。年龄在0 - 4岁之间的太平洋岛国男性OME发病率最高(48.3%)。结论:慢性中耳疾病仍然是新西兰儿童的一个重大问题,特别是在赫特谷(惠灵顿)地区。这项研究表明,儿童患耳部疾病的比率仍然高得令人无法接受。慢性中耳病对儿童的健康构成严重威胁,如果新西兰不拨出更多的资源来管理这种疾病,就可能达到流行病的程度。中耳炎反复发作可导致听力丧失、语言迟缓、读写困难、学习成绩下降和其他方面的学习。有效的预防、发现和干预仍然是这一日益增加的疾病的重大公共卫生挑战,特别是在太平洋岛屿裔儿童中。重要的是要尽早看到所有儿童,以确保及时和适当的护理,以尽量减少听力受损对儿童早期发展的影响。需要更多的公共卫生资源,以尽量减少这种疾病的影响,特别是对太平洋岛屿儿童的影响。
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引用次数: 1
Effect of Filtering on Perception of Monosyllables (CV) and Words 过滤对单音节和单词感知的影响
Pub Date : 2011-06-01 DOI: 10.1179/136132811805334885
P. P, V. Avilala, A. Barman
Abstract The present study attempted to compare the effect of filtering of words and monosyllables on perception of speech in young normal-hearing adults. Thirty normal-hearing adults participated in the study. The monosyllables developed by Mayadevi (1974) were filtered at four low-pass (800 Hz, 1200 Hz, 1500 Hz, and 1700 Hz) and four high-pass (1700 Hz, 2100 Hz, 2500 Hz, and 3000 Hz) cutoff frequencies. The speech identification scores were determined at all low-pass and high-pass cutoff frequencies. The obtained scores were compared with the speech identification scores obtained for words by Avilala et al. (2010). The results showed that the scores obtained for monosyllables were lower than words at all cutoff frequencies studied. The low-pass cutoff frequency at which 70% speech identification scores were obtained was 1500 Hz for monosyllables whereas it was 1200 Hz for words. The study showed that the spectral information between 1200 Hz and 2100 Hz are important for perception of words in Kannada. However, the spectral information between 1500 Hz and 2100 Hz is important for perception of monosyllables. It highlights the importance of studying filtered speech using different speech materials as the present study shows difference in lower cutoff frequencies between words and monosyllables.
摘要本研究旨在比较单词过滤和单音节过滤对正常听力青少年言语知觉的影响。30名听力正常的成年人参加了这项研究。由Mayadevi(1974)开发的单音节在四个低通(800 Hz, 1200 Hz, 1500 Hz和1700 Hz)和四个高通(1700 Hz, 2100 Hz, 2500 Hz和3000 Hz)截止频率下进行滤波。在所有低通和高通截止频率下确定语音识别分数。将所得分数与Avilala et al.(2010)对单词的语音识别分数进行比较。结果表明,在所有研究的截断频率下,单音节的得分都低于单词。获得70%语音识别分数的低通截止频率为单音节1500 Hz,而单词为1200 Hz。研究表明,在1200hz到2100 Hz之间的频谱信息对卡纳达语词汇的感知很重要。然而,1500 ~ 2100 Hz之间的频谱信息对于单音节的感知是重要的。它强调了使用不同语音材料研究过滤语音的重要性,因为本研究显示单词和单音节之间的低截止频率存在差异。
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引用次数: 1
期刊
Asia Pacific journal of speech, language, and hearing
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