Laryngopharyngeal reflux (LPR) is a condition that affects up to 10% of the general population. It contributes to breathing, hearing, voicing, and swallowing problems. By incorporating knowledge of this phenomenon into their practice, clinicians may better address these concerns. This Spotlight on Nature, Assessment, and Management of Laryngopharyngeal Reflux equips clinicians with a current understanding of how and why LPR occurs, and what to do about it. Practical recommendations are provided to support immediate implementation of knowledge, and to improve patient care.
{"title":"Spotlight on: Nature, assessment, and management of laryngopharyngeal reflux","authors":"C. Kenny","doi":"10.3233/acs-230011","DOIUrl":"https://doi.org/10.3233/acs-230011","url":null,"abstract":"Laryngopharyngeal reflux (LPR) is a condition that affects up to 10% of the general population. It contributes to breathing, hearing, voicing, and swallowing problems. By incorporating knowledge of this phenomenon into their practice, clinicians may better address these concerns. This Spotlight on Nature, Assessment, and Management of Laryngopharyngeal Reflux equips clinicians with a current understanding of how and why LPR occurs, and what to do about it. Practical recommendations are provided to support immediate implementation of knowledge, and to improve patient care.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139212626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND: Long-COVID is an illness which can be experienced after contracting COVID-19, which has affected millions worldwide to date. Long-COVID is characterised by symptoms of COVID-19 which persist 12 weeks post initial onset of the virus and cannot be attributed to a pre-existing diagnosis. In the acute phase of COVID-19, swallowing and communication difficulties are common, however, to date, no studies have investigated the specific effects of Long-COVID on communication and swallowing. OBJECTIVE: The aim of this study was to investigate the prevalence, nature, and severity of communication and swallowing difficulties in adults with Long-COVID. METHODS: This online cross-sectional design survey was hosted via Qualtrics. Adults living with Long-COVID were recruited via online social media to complete a 16-item anonymous survey regarding the prevalence, nature, and severity of communication and swallowing difficulties associated with Long-COVID. The data was quantitatively analyzed using SPSS, with thematic analysis used for qualitative data. RESULTS: 108 participants completed the survey. 79 of these individuals were eligible for inclusion in analysis, with 96.67% reporting communication difficulties, and 73.42% reporting swallowing difficulties as a result of Long-COVID. The nature of the difficulties experienced by adults with Long-COVID varied. The majority of the participants found their difficulties to be moderate in severity. CONCLUSIONS: There is a high prevalence of communication and swallowing difficulties among adults with Long-COVID, which vary in nature and severity. The high prevalence of communication and swallowing difficulties experienced by individuals with Long-COVID indicates the need for further research into the MDT identification and management of these difficulties, with particular involvement of SLTs in care provision and research, to promote well-being and recovery where possible.
{"title":"The prevalence and nature of communication and swallowing difficulties among adults with long-COVID","authors":"Ó. Gilheaney, Aoife McIntyre, K. McTiernan","doi":"10.3233/acs-230004","DOIUrl":"https://doi.org/10.3233/acs-230004","url":null,"abstract":"BACKGROUND: Long-COVID is an illness which can be experienced after contracting COVID-19, which has affected millions worldwide to date. Long-COVID is characterised by symptoms of COVID-19 which persist 12 weeks post initial onset of the virus and cannot be attributed to a pre-existing diagnosis. In the acute phase of COVID-19, swallowing and communication difficulties are common, however, to date, no studies have investigated the specific effects of Long-COVID on communication and swallowing. OBJECTIVE: The aim of this study was to investigate the prevalence, nature, and severity of communication and swallowing difficulties in adults with Long-COVID. METHODS: This online cross-sectional design survey was hosted via Qualtrics. Adults living with Long-COVID were recruited via online social media to complete a 16-item anonymous survey regarding the prevalence, nature, and severity of communication and swallowing difficulties associated with Long-COVID. The data was quantitatively analyzed using SPSS, with thematic analysis used for qualitative data. RESULTS: 108 participants completed the survey. 79 of these individuals were eligible for inclusion in analysis, with 96.67% reporting communication difficulties, and 73.42% reporting swallowing difficulties as a result of Long-COVID. The nature of the difficulties experienced by adults with Long-COVID varied. The majority of the participants found their difficulties to be moderate in severity. CONCLUSIONS: There is a high prevalence of communication and swallowing difficulties among adults with Long-COVID, which vary in nature and severity. The high prevalence of communication and swallowing difficulties experienced by individuals with Long-COVID indicates the need for further research into the MDT identification and management of these difficulties, with particular involvement of SLTs in care provision and research, to promote well-being and recovery where possible.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139261230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND: Despite acknowledgement by various stakeholders that therapeutic alliance (TA) is an essential component of stuttering intervention, a comprehensive understanding of this concept is lacking in the field of speech and language therapy. There continues to be a significant gap in our knowledge regarding what adults who stutter (AWS) perceive to be the qualities and activities required by both themselves and the speech and language therapist (SLT) to facilitate an effective TA. Collection of such knowledge will support the establishment and maintenance of positive TA in clinical contexts and enhance treatment outcomes for those who stutter. OBJECTIVE: To explore the perspectives of AWS on the meaning of TA and the variables that influence its establishment and maintenance. METHODS: Semi-structured interviews were completed with eight AWS. The interview questions centred on three key topics: the conceptualisation of TA through the perspective of AWS; the activities and personal qualities of the SLT that influence TA; and the activities and personal qualities of the AWS that influence TA. RESULTS: Reflexive thematic analysis identified two overarching themes: ‘Recognising stuttering in a biopsychosocial context in order to enhance therapeutic alliance’ and ‘Person-related variables influencing therapeutic alliance’. In addition, five subthemes were identified which further illuminated each overarching theme. CONCLUSIONS: Findings of this study highlight the benefit of collecting patient-based evidence to support our understanding of TA. Results demonstrate the complexity of TA in stuttering intervention, and the impact that person-related variables have on its quality.
{"title":"Identifying perspectives of adults who stutter on therapeutic alliance in stuttering intervention","authors":"Emma Byrne, Amy Connery","doi":"10.3233/acs-230009","DOIUrl":"https://doi.org/10.3233/acs-230009","url":null,"abstract":"BACKGROUND: Despite acknowledgement by various stakeholders that therapeutic alliance (TA) is an essential component of stuttering intervention, a comprehensive understanding of this concept is lacking in the field of speech and language therapy. There continues to be a significant gap in our knowledge regarding what adults who stutter (AWS) perceive to be the qualities and activities required by both themselves and the speech and language therapist (SLT) to facilitate an effective TA. Collection of such knowledge will support the establishment and maintenance of positive TA in clinical contexts and enhance treatment outcomes for those who stutter. OBJECTIVE: To explore the perspectives of AWS on the meaning of TA and the variables that influence its establishment and maintenance. METHODS: Semi-structured interviews were completed with eight AWS. The interview questions centred on three key topics: the conceptualisation of TA through the perspective of AWS; the activities and personal qualities of the SLT that influence TA; and the activities and personal qualities of the AWS that influence TA. RESULTS: Reflexive thematic analysis identified two overarching themes: ‘Recognising stuttering in a biopsychosocial context in order to enhance therapeutic alliance’ and ‘Person-related variables influencing therapeutic alliance’. In addition, five subthemes were identified which further illuminated each overarching theme. CONCLUSIONS: Findings of this study highlight the benefit of collecting patient-based evidence to support our understanding of TA. Results demonstrate the complexity of TA in stuttering intervention, and the impact that person-related variables have on its quality.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136193181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Brady, J. Roe, V. Paleri, P. Lagergren, Mary Wells
BACKGROUND: National guidance recommends counselling on functional (swallowing/ speech/ voice) and quality of life outcomes (QoL) for patients with recurrent, residual or new primary head and neck cancer (HNC) in a previously radiated field (ReRuNeR). AIM: To investigate the measurement and reporting of function and QoL outcomes and patient/carer experience for ReRuNeR, focussing exclusively on oropharyngeal cancer (OPC). METHODS: Systematic narrative review of quantitative/qualitative studies. RESULTS: Seventeen articles reporting functional/ QoL outcomes following surgery were included. Gastrostomy dependence was the primary method of reporting function. Previously validated outcome measures (OMs)were used for reporting swallowing in four s, speech in one and QoL in two trials. Qualitative data or non-surgical studies reporting function/QoL outcomes specific to ReRuNeR OPC were not identified. Methodological issues and heterogeneity noted across studies including absent baseline data, varying/ undefined timepoints for outcome measurement and the use of unvalidated tools. Patient-reported swallowing outcomes were mixed. whereas instrumental assessment of swallowing showed a deterioration in safety/ efficiency.. A post-surgical decline in speech was noted. stable overall HR-QoL was reported but an increase in specific symptoms including speech, saliva and swallowing as noted. Pooled long term gastrostomy feeding rate was 23.42% (95% CI 10.2 to 36.6) (n = 108). CONCLUSION: A core dataset of patient and clinician-rated OMs is required to provide a comprehensive understanding of functional and QoL complications with ReRuNeR OPC. In combination with patient/carer experience data, these data can be used to inform pre-treatment counselling, rehabilitation and future clinical trial design.
{"title":"Patient experience, functional and quality of life outcomes in patients receiving surgical and non-surgical treatment for residual, recurrent, or new oropharyngeal cancer in a previously radiated field: A systematic review","authors":"G. Brady, J. Roe, V. Paleri, P. Lagergren, Mary Wells","doi":"10.3233/acs-230001","DOIUrl":"https://doi.org/10.3233/acs-230001","url":null,"abstract":"BACKGROUND: National guidance recommends counselling on functional (swallowing/ speech/ voice) and quality of life outcomes (QoL) for patients with recurrent, residual or new primary head and neck cancer (HNC) in a previously radiated field (ReRuNeR). AIM: To investigate the measurement and reporting of function and QoL outcomes and patient/carer experience for ReRuNeR, focussing exclusively on oropharyngeal cancer (OPC). METHODS: Systematic narrative review of quantitative/qualitative studies. RESULTS: Seventeen articles reporting functional/ QoL outcomes following surgery were included. Gastrostomy dependence was the primary method of reporting function. Previously validated outcome measures (OMs)were used for reporting swallowing in four s, speech in one and QoL in two trials. Qualitative data or non-surgical studies reporting function/QoL outcomes specific to ReRuNeR OPC were not identified. Methodological issues and heterogeneity noted across studies including absent baseline data, varying/ undefined timepoints for outcome measurement and the use of unvalidated tools. Patient-reported swallowing outcomes were mixed. whereas instrumental assessment of swallowing showed a deterioration in safety/ efficiency.. A post-surgical decline in speech was noted. stable overall HR-QoL was reported but an increase in specific symptoms including speech, saliva and swallowing as noted. Pooled long term gastrostomy feeding rate was 23.42% (95% CI 10.2 to 36.6) (n = 108). CONCLUSION: A core dataset of patient and clinician-rated OMs is required to provide a comprehensive understanding of functional and QoL complications with ReRuNeR OPC. In combination with patient/carer experience data, these data can be used to inform pre-treatment counselling, rehabilitation and future clinical trial design.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86485172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jane Dunton, J. Patterson, Kate Baker, Sarah H. Woodman, Carol Glaister, Elizabeth Rowe, R. Govender
BACKGROUND: People with total laryngectomy (PTL) are advised to use a tracheostoma cover to protect their altered airway and optimise pulmonary health. Despite evidence for efficacy, variable adherence rates are reported. OBJECTIVE: To investigate the use of tracheostoma humidification by PTL in England and Wales and explore influencing factors. METHODS: A national multi-centre audit of PTL was completed in response to the Covid-19 pandemic over a six-month period (March to September 2020). This paper reports secondary analysis of data collected on type of humidification used by PTL. Type of humidification was dichotomised as ‘HME’ (closed-system heat moisture exchanger) or ‘non-HME’ (alternative stoma cover or no stoma cover). Univariable analysis was performed to determine the association with several potential explanatory variables including gender, age, living circumstances, distance from treatment centre, communication method and time elapsed since laryngectomy. A backwards selection procedure was used to determine the final model for multiple regression analysis. RESULTS: Data were obtained from 1216 PTL from 26 centres; information on type of tracheostoma humidification used was available for 1097 PTL. Most PTL (69%) used an HME. Following multiple regression analysis, time elapsed since laryngectomy (p = <0.001), living circumstances (p = 0.002) and communication method (p = <0.001) were statistically significant factors in HME use. CONCLUSIONS: In England and Wales most PTL use a closed-system HME, though there is marked variability across centres. HME use is influenced by time elapsed since laryngectomy, living circumstances and communication method.
{"title":"The use of tracheostoma humidification by people with total laryngectomy in England and Wales: A cross-sectional survey","authors":"Jane Dunton, J. Patterson, Kate Baker, Sarah H. Woodman, Carol Glaister, Elizabeth Rowe, R. Govender","doi":"10.3233/acs-230002","DOIUrl":"https://doi.org/10.3233/acs-230002","url":null,"abstract":"BACKGROUND: People with total laryngectomy (PTL) are advised to use a tracheostoma cover to protect their altered airway and optimise pulmonary health. Despite evidence for efficacy, variable adherence rates are reported. OBJECTIVE: To investigate the use of tracheostoma humidification by PTL in England and Wales and explore influencing factors. METHODS: A national multi-centre audit of PTL was completed in response to the Covid-19 pandemic over a six-month period (March to September 2020). This paper reports secondary analysis of data collected on type of humidification used by PTL. Type of humidification was dichotomised as ‘HME’ (closed-system heat moisture exchanger) or ‘non-HME’ (alternative stoma cover or no stoma cover). Univariable analysis was performed to determine the association with several potential explanatory variables including gender, age, living circumstances, distance from treatment centre, communication method and time elapsed since laryngectomy. A backwards selection procedure was used to determine the final model for multiple regression analysis. RESULTS: Data were obtained from 1216 PTL from 26 centres; information on type of tracheostoma humidification used was available for 1097 PTL. Most PTL (69%) used an HME. Following multiple regression analysis, time elapsed since laryngectomy (p = <0.001), living circumstances (p = 0.002) and communication method (p = <0.001) were statistically significant factors in HME use. CONCLUSIONS: In England and Wales most PTL use a closed-system HME, though there is marked variability across centres. HME use is influenced by time elapsed since laryngectomy, living circumstances and communication method.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85935941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mirjam Gauch, S. Corsten, K. Geschke, Isabel Heinrich, Bianca Spelter
BACKGROUND: The use of telediagnostics for people with PPA could improve access to specialised care. There is a gap in research, especially regarding to the evaluation of communicative-pragmatic measurement tools in a digital setting. OBJECTIVE: This study examined the equivalence, modality use, and patient satisfaction of telepractice administration of the Scenario-Test in people with PPA. METHODS: In a cross-over design, the ST was conducted once by videoconferencing and once in person. Fifteen people with PPA participated. Participant satisfaction was assessed after each test session using a short self-designed questionnaire. The total ST scores, the use of the different communicative modalities and the participant satisfaction scores were evaluated using the equivalence and McNemar test. RESULTS: Statistical equivalence was established for the present sample with regard to the total score of the ST. Regarding the use of the different modalities, no significant difference was found. Sample satisfaction was positive for both diagnostic settings, but there was no statistical equivalence of satisfaction. Severe psychiatric and cognitive symptoms affected the test performance. CONCLUSIONS: This study highlights opportunities and limitations of telepractice administration of the ST in people with PPA. There is some evidence that testing with the ST via videoconferencing is feasible. Differences in the use of communication modalities and participant satisfaction should be further investigated. Influencing factors such as psychiatric symptoms and cognitive deficits should be considered in future research projects.
{"title":"Equivalence, modality use and patient satisfaction of telepractice administration of the scenario-test in persons with primary progressive aphasia","authors":"Mirjam Gauch, S. Corsten, K. Geschke, Isabel Heinrich, Bianca Spelter","doi":"10.3233/acs-220020","DOIUrl":"https://doi.org/10.3233/acs-220020","url":null,"abstract":"BACKGROUND: The use of telediagnostics for people with PPA could improve access to specialised care. There is a gap in research, especially regarding to the evaluation of communicative-pragmatic measurement tools in a digital setting. OBJECTIVE: This study examined the equivalence, modality use, and patient satisfaction of telepractice administration of the Scenario-Test in people with PPA. METHODS: In a cross-over design, the ST was conducted once by videoconferencing and once in person. Fifteen people with PPA participated. Participant satisfaction was assessed after each test session using a short self-designed questionnaire. The total ST scores, the use of the different communicative modalities and the participant satisfaction scores were evaluated using the equivalence and McNemar test. RESULTS: Statistical equivalence was established for the present sample with regard to the total score of the ST. Regarding the use of the different modalities, no significant difference was found. Sample satisfaction was positive for both diagnostic settings, but there was no statistical equivalence of satisfaction. Severe psychiatric and cognitive symptoms affected the test performance. CONCLUSIONS: This study highlights opportunities and limitations of telepractice administration of the ST in people with PPA. There is some evidence that testing with the ST via videoconferencing is feasible. Differences in the use of communication modalities and participant satisfaction should be further investigated. Influencing factors such as psychiatric symptoms and cognitive deficits should be considered in future research projects.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88332597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article aims to highlight the need to integrate Trauma-Informed Care (TIC) into the practice of Speech and Language Therapy. TIC is a strength-based framework underpinned by an understanding and responsiveness to the widespread pervasiveness and impact of trauma. The literature on TIC within the field of Speech and Language Therapy is in its infancy but is progressing. In this context, there is an absence of clear guidelines for TIC in the field to support providers and administers to understand the relevance, underlying theory, and application to practice. In this paper we outline the theoretical underpinnings and application to practice. We argue that the profession requires an ongoing commitment to continuous research to corroborate communication-specific best practices of TIC to support clinicians in translating those findings into practice to best support clients.
{"title":"Understanding the why: The integration of trauma-informed care into speech and language therapy practice","authors":"Norma O’ Leary, Anna C Rupert, Maria Lotty","doi":"10.3233/acs-220017","DOIUrl":"https://doi.org/10.3233/acs-220017","url":null,"abstract":"This article aims to highlight the need to integrate Trauma-Informed Care (TIC) into the practice of Speech and Language Therapy. TIC is a strength-based framework underpinned by an understanding and responsiveness to the widespread pervasiveness and impact of trauma. The literature on TIC within the field of Speech and Language Therapy is in its infancy but is progressing. In this context, there is an absence of clear guidelines for TIC in the field to support providers and administers to understand the relevance, underlying theory, and application to practice. In this paper we outline the theoretical underpinnings and application to practice. We argue that the profession requires an ongoing commitment to continuous research to corroborate communication-specific best practices of TIC to support clinicians in translating those findings into practice to best support clients.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87845550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"9th UK Swallow Research Group Conference: Poster Presentations Abstracts","authors":"","doi":"10.3233/acs-239001","DOIUrl":"https://doi.org/10.3233/acs-239001","url":null,"abstract":"","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75431116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"9th UK Swallow Research Group Conference: Oral Presentations Abstracts","authors":"","doi":"10.3233/acs-239002","DOIUrl":"https://doi.org/10.3233/acs-239002","url":null,"abstract":"","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90058950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction to Advances in Communication and Swallowing Volume 26, Issue 1","authors":"Julie Regan, Irene P. Walsh","doi":"10.3233/acs-239003","DOIUrl":"https://doi.org/10.3233/acs-239003","url":null,"abstract":"","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136350897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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