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Anne E. Vertigan - One of the best experts on this subject based on the ideXlab platform.
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An Update on Speech Pathology Management of Chronic Refractory Cough
The journal of allergy and clinical immunology. In practice, 2019Co-Authors: Anne E. Vertigan, Jemma Haines, Laurie SlovarpAbstract:Chronic cough is a common, debilitating condition that can persist for years with little relief from medical treatment. Speech Pathology treatment is an effective treatment option for patients with chronic cough. This review outlines current Speech Pathology assessment and treatment for chronic cough and describes the evidence supporting the intervention. The rationale for Speech Pathology intervention is described with reference to Speech Pathology training and expertise that are relevant for this condition. Despite the efficacy and advantages of Speech Pathology intervention, there is limited guidance in the literature on when patients should be referred for treatment. Patients suitable for Speech Pathology intervention are those whose cough has persisted despite medical management. Speech Pathology intervention may be particularly beneficial for patients with coexisting laryngeal disorders such as muscle tension dysphonia or inducible laryngeal obstruction. Limited information is available regarding current Speech Pathology training, practice, and service delivery for chronic cough internationally. Timely referral for Speech Pathology intervention could reduce the disease burden for individuals with chronic cough and decrease the economic burden of this complex condition.
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Speech Pathology Intervention for Chronic Refractory Cough: A Pilot Study Examining the Benefit of Using Prerecorded Videos as an Adjunct to Therapy.
Journal of voice : official journal of the Voice Foundation, 2019Co-Authors: Sarah L. Kapela, Anne E. Vertigan, Peter G. GibsonAbstract:Abstract Speech Pathology intervention is effective for chronic refractory cough (CRC). Speech Pathology treatment for CRC includes therapy exercises to teach cough suppression and reduce laryngeal closure during respiration. Aim The aim of this study was to evaluate the benefit of providing patients with supplemental pre-recorded videos of Speech Pathology exercises for chronic refractory cough (CRC) to assist with patients' independent practice. These videos were pre-made recordings of the treating Speech pathologist demonstrating specific exercises for chronic cough suppression. Method This study was a prospective randomized controlled trial design. Participants included 18 adult patients attending a Speech Pathology outpatient clinic in a tertiary referral hospital for treatment of CRC. Participants were randomized to receive either standard Speech Pathology intervention (SPI) for CRC combined with supplemental pre-recorded videos for home practice or standard SPI alone. The primary outcome measure was a rating of accuracy during demonstration of the Speech Pathology exercises for cough suppression. This rating was assigned by the treating Speech pathologist from session 2 onwards. The treating Speech pathologist asked the patient to demonstrate the exercises they had been practising since the last Speech Pathology session. Secondary outcome measures included the Symptom Frequency and Severity Rating Scale, Leicester Cough Questionnaire, and Consensus Auditory Perceptual Evaluation of Voice. Results There was a significant pre- to post-treatment improvement in both groups however the degree of improvement was not significantly different between the two groups. Conclusion The addition of supplemental pre-recorded videos of SPI for CRC did not lead to greater accuracy of therapy exercise practice or superior treatment outcomes than standard SPI alone. Declaration of interest There are no interests to declare.
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The role of Speech Pathology in the management of patients with chronic refractory cough.
Lung, 2011Co-Authors: Anne E. Vertigan, Peter G. GibsonAbstract:Cough remains refractory to medical treatment in approximately 20% of cases. Speech Pathology intervention is a useful treatment option for patients with chronic cough that is refractory to treatment based on the anatomic diagnostic protocol. One of the reasons for this is that the larynx can be implicated in the pathogenesis of chronic refractory cough. There is an overlap in symptoms and clinical findings in patients with cough and those with laryngeal conditions such as paradoxical vocal fold movement. Furthermore, there is a high prevalence of voice symptoms in patients with chronic cough. Speech Pathology intervention for cough comprises four components: (1) education, (2) strategies to control cough, (3) vocal hygiene training, and (4) psychoeducational counselling. The efficacy of Speech Pathology intervention has been examined in a single blind randomised control trial. In this trial 87% of patients in the treatment group improved, whereas 14% on the placebo group improved. Cough reflex sensitivity has also been shown to improve following Speech Pathology intervention for cough. This review outlines the potential mechanisms for improvement in cough, indicators for referral to Speech Pathology for cough, and exclusion criteria.
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Speech Pathology for chronic cough: a new approach
Pulmonary pharmacology & therapeutics, 2008Co-Authors: Peter G. Gibson, Anne E. VertiganAbstract:Chronic cough may persist despite systematic evaluation and medical treatment of known associated diseases such as asthma, rhinitis, and gastro-esophageal reflux. These patients have refractory chronic cough and many exhibit laryngeal hypersensitivity that is manifest at both a sensory and motor level. Examples of this are heightened sensitivity of the cough reflex to capsaicin, and laryngeal motor dysfunction with hoarse vocal quality and paradoxical vocal cord movement. Chronic cough that persists despite medical treatment may respond to Speech Pathology intervention. A multidimensional Speech Pathology treatment programme was designed based upon methods used to treat hyperfunctional voice disorders and paradoxical vocal fold movement. This included education, vocal hygiene training, cough suppression strategies and psychoeducational counseling. When tested in a single-blind, randomized, placebo-controlled trial involving 87 patients, participants in the treatment group demonstrated a significant reduction in cough, breathing, voice and upper airway symptoms following intervention, as well as improvements in auditory perceptual ratings of voice quality (breathy, rough, strain and glottal fry) and significant improvement in voice acoustic parameters (maximum phonation time, jitter and harmonic-to-noise ratio). Speech Pathology intervention can be an effective way to treat refractory chronic cough.
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Efficacy of Speech Pathology management for chronic cough: a randomised placebo controlled trial of treatment efficacy
Thorax, 2006Co-Authors: Anne E. Vertigan, Peter G. Gibson, Deborah Theodoros, Alison L. WinkworthAbstract:Background: Chronic cough that persists despite medical treatment may respond to Speech Pathology intervention, but the efficacy of such treatment has not been investigated in prospective randomised trials. The aim of this study was to determine the efficacy of a Speech Pathology intervention programme for chronic cough. Methods: A single blind, randomised, placebo controlled trial was conducted in 87 patients with chronic cough that persisted despite medical treatment. Patients were randomly allocated to receive either a specifically designed Speech Pathology intervention or a placebo intervention. Participants in both groups attended four intervention sessions with a qualified Speech pathologist. Results: Participants in the treatment group had a significant reduction in cough (8.9 to 4.6, p Conclusion: Speech Pathology is an effective management intervention for chronic cough which may be a viable alternative for patients who do not respond to medical treatment.
Nerina Scarinci - One of the best experts on this subject based on the ideXlab platform.
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what does engagement mean in early Speech Pathology intervention a qualitative systematised review
Disability and Rehabilitation, 2020Co-Authors: Katelyn Melvin, Carly Meyer, Nerina ScarinciAbstract:Purpose: This review aimed to provide a qualitative description of family engagement (i.e., involvement and investment) in early Speech Pathology intervention, as represented in existing early spee...
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What does "engagement" mean in early Speech Pathology intervention? A qualitative systematised review.
Disability and rehabilitation, 2019Co-Authors: Katelyn Melvin, Carly Meyer, Nerina ScarinciAbstract:This review aimed to provide a qualitative description of family engagement (i.e., involvement and investment) in early Speech Pathology intervention, as represented in existing early Speech Pathology intervention literature. A systematised review protocol was used to conduct a comprehensive search of the qualitative Speech Pathology literature within five electronic databases (CINAHL, MEDLINE, PubMed, PsycIFNO, SCOPUS) using key words related to engagement (e.g., family-professional partnerships, involvement, participation). Thematic synthesis was used to analyse the data. A total of 6935 unique papers were retrieved. Of these, 28 peer-reviewed articles satisfied the inclusion criteria. The following themes were identified: 1) engagement is both a state and a process; 2) parents are supported to engage with intervention when they build trusting relationships with Speech-language pathologists; 3) parents are supported to engage with intervention when open, two-way communication is established; and 4) parents are supported to engage in intervention when Speech-language pathologists work together with them in sessions. Engagement in early Speech Pathology intervention is a complex, multifaceted state where parents are ready and empowered to take an active role in their child's intervention, both inside and outside intervention sessions. All parents have different journeys towards engagement, but many parents need time and support from Speech-language pathologists to "become engaged" in early Speech Pathology intervention. Implications for rehabilitation Based on this review, engagement in early Speech Pathology intervention can be described as a complex, multifaceted state where parents are ready and empowered to take an active role in their child's intervention, both inside and outside Speech Pathology sessions. While all parents have different journeys towards engagement, most parents "become engaged" in early Speech Pathology intervention over time when supported to do so by their Speech-language pathologist. Speech-language pathologists can support parents to become engaged in early Speech Pathology intervention by building a trusting relationship; establishing open, two-way communication; and working together with them in intervention sessions.
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Benefits of providing an acute simulated learning environment to Speech Pathology students: An exploratory study
Focus on Health Professional Education: A Multi-Professional Journal, 2017Co-Authors: Tanya Rose, Anna Copley, Nerina ScarinciAbstract:Introduction: Technology-enhanced simulation is being increasingly identified as a viable option for developing clinical experience and competency across all allied health disciplines. The need for simulation is being driven by increasing student numbers, reduced client hospital stays and reduced clinical educator availability. However, simulation is rarely used in existing Speech Pathology programmes in Australia. This study aimed to explore the impact of simulation on Speech Pathology students’ knowledge, experience, confidence and behaviour change when conducting a repeated initial consultation in a simulated acute-care environment. Methods: Twelve Speech Pathology students enrolled in the third year of a 4-year undergraduate programme took part in this embedded mixed-methods study. The study comprised two half-day simulated learning workshops, with workshops consisting of participation in one of three clinical scenarios in a simulated acute hospital setting. Students’ perceptions of their knowledge, experience and confidence were measured prior to and following the simulated experience, in addition to their actual performance being rated. Outcome measures used in this study included the Participant Perception Indicator (PPI), an observer checklist, the Satisfaction with Simulation Experience Scale (SSES) and qualitative feedback. Results: Statistically significant increases in students’ self-reported levels of knowledge, experience and confidence related to acute-care Speech Pathology practice were captured using the PPI. Positive behaviour change was recorded through repeated practice of the simulation scenario, and all students reported that the simulated learning experience was highly valued. Conclusion: Findings from this pilot study provide important insights into the benefits of simulated learning for Speech Pathology students, especially within the context of an acute-care setting.
Peter G. Gibson - One of the best experts on this subject based on the ideXlab platform.
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Speech Pathology Intervention for Chronic Refractory Cough: A Pilot Study Examining the Benefit of Using Prerecorded Videos as an Adjunct to Therapy.
Journal of voice : official journal of the Voice Foundation, 2019Co-Authors: Sarah L. Kapela, Anne E. Vertigan, Peter G. GibsonAbstract:Abstract Speech Pathology intervention is effective for chronic refractory cough (CRC). Speech Pathology treatment for CRC includes therapy exercises to teach cough suppression and reduce laryngeal closure during respiration. Aim The aim of this study was to evaluate the benefit of providing patients with supplemental pre-recorded videos of Speech Pathology exercises for chronic refractory cough (CRC) to assist with patients' independent practice. These videos were pre-made recordings of the treating Speech pathologist demonstrating specific exercises for chronic cough suppression. Method This study was a prospective randomized controlled trial design. Participants included 18 adult patients attending a Speech Pathology outpatient clinic in a tertiary referral hospital for treatment of CRC. Participants were randomized to receive either standard Speech Pathology intervention (SPI) for CRC combined with supplemental pre-recorded videos for home practice or standard SPI alone. The primary outcome measure was a rating of accuracy during demonstration of the Speech Pathology exercises for cough suppression. This rating was assigned by the treating Speech pathologist from session 2 onwards. The treating Speech pathologist asked the patient to demonstrate the exercises they had been practising since the last Speech Pathology session. Secondary outcome measures included the Symptom Frequency and Severity Rating Scale, Leicester Cough Questionnaire, and Consensus Auditory Perceptual Evaluation of Voice. Results There was a significant pre- to post-treatment improvement in both groups however the degree of improvement was not significantly different between the two groups. Conclusion The addition of supplemental pre-recorded videos of SPI for CRC did not lead to greater accuracy of therapy exercise practice or superior treatment outcomes than standard SPI alone. Declaration of interest There are no interests to declare.
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The role of Speech Pathology in the management of patients with chronic refractory cough.
Lung, 2011Co-Authors: Anne E. Vertigan, Peter G. GibsonAbstract:Cough remains refractory to medical treatment in approximately 20% of cases. Speech Pathology intervention is a useful treatment option for patients with chronic cough that is refractory to treatment based on the anatomic diagnostic protocol. One of the reasons for this is that the larynx can be implicated in the pathogenesis of chronic refractory cough. There is an overlap in symptoms and clinical findings in patients with cough and those with laryngeal conditions such as paradoxical vocal fold movement. Furthermore, there is a high prevalence of voice symptoms in patients with chronic cough. Speech Pathology intervention for cough comprises four components: (1) education, (2) strategies to control cough, (3) vocal hygiene training, and (4) psychoeducational counselling. The efficacy of Speech Pathology intervention has been examined in a single blind randomised control trial. In this trial 87% of patients in the treatment group improved, whereas 14% on the placebo group improved. Cough reflex sensitivity has also been shown to improve following Speech Pathology intervention for cough. This review outlines the potential mechanisms for improvement in cough, indicators for referral to Speech Pathology for cough, and exclusion criteria.
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Speech Pathology for chronic cough: a new approach
Pulmonary pharmacology & therapeutics, 2008Co-Authors: Peter G. Gibson, Anne E. VertiganAbstract:Chronic cough may persist despite systematic evaluation and medical treatment of known associated diseases such as asthma, rhinitis, and gastro-esophageal reflux. These patients have refractory chronic cough and many exhibit laryngeal hypersensitivity that is manifest at both a sensory and motor level. Examples of this are heightened sensitivity of the cough reflex to capsaicin, and laryngeal motor dysfunction with hoarse vocal quality and paradoxical vocal cord movement. Chronic cough that persists despite medical treatment may respond to Speech Pathology intervention. A multidimensional Speech Pathology treatment programme was designed based upon methods used to treat hyperfunctional voice disorders and paradoxical vocal fold movement. This included education, vocal hygiene training, cough suppression strategies and psychoeducational counseling. When tested in a single-blind, randomized, placebo-controlled trial involving 87 patients, participants in the treatment group demonstrated a significant reduction in cough, breathing, voice and upper airway symptoms following intervention, as well as improvements in auditory perceptual ratings of voice quality (breathy, rough, strain and glottal fry) and significant improvement in voice acoustic parameters (maximum phonation time, jitter and harmonic-to-noise ratio). Speech Pathology intervention can be an effective way to treat refractory chronic cough.
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Efficacy of Speech Pathology management for chronic cough: a randomised placebo controlled trial of treatment efficacy
Thorax, 2006Co-Authors: Anne E. Vertigan, Peter G. Gibson, Deborah Theodoros, Alison L. WinkworthAbstract:Background: Chronic cough that persists despite medical treatment may respond to Speech Pathology intervention, but the efficacy of such treatment has not been investigated in prospective randomised trials. The aim of this study was to determine the efficacy of a Speech Pathology intervention programme for chronic cough. Methods: A single blind, randomised, placebo controlled trial was conducted in 87 patients with chronic cough that persisted despite medical treatment. Patients were randomly allocated to receive either a specifically designed Speech Pathology intervention or a placebo intervention. Participants in both groups attended four intervention sessions with a qualified Speech pathologist. Results: Participants in the treatment group had a significant reduction in cough (8.9 to 4.6, p Conclusion: Speech Pathology is an effective management intervention for chronic cough which may be a viable alternative for patients who do not respond to medical treatment.
Jennie Skulander - One of the best experts on this subject based on the ideXlab platform.
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LibGuides: Speech Pathology: Help
2017Co-Authors: Jennie SkulanderAbstract:This is a guide to finding the best resources for research in Speech Pathology Access our Library services for further help
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LibGuides: Speech Pathology: Research Support
2017Co-Authors: Jennie SkulanderAbstract:A Library Guide of Speech Pathology resources for students and staff of the University of Newcastle
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LibGuides: Speech Pathology: eBook collections
2017Co-Authors: Jennie SkulanderAbstract:A Library Guide of Speech Pathology resources for students and staff of the University of Newcastle
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LibGuides: Speech Pathology: Search tips
2017Co-Authors: Jennie SkulanderAbstract:This is a guide to finding the best resources for research in Speech Pathology Find help searching databases and finding specific journals
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LibGuides: Speech Pathology: Search for books
2017Co-Authors: Jennie SkulanderAbstract:A Library Guide of Speech Pathology resources for students and staff of the University of Newcastle
Stephen J Roberts - One of the best experts on this subject based on the ideXlab platform.
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nonlinear biophysically informed Speech Pathology detection
International Conference on Acoustics Speech and Signal Processing, 2006Co-Authors: Max A Little, Patrick E Mcsharry, Irene M Moroz, Stephen J RobertsAbstract:This paper reports a simple nonlinear approach to online acoustic Speech Pathology detection for automatic screening purposes. Straight-forward linear preprocessing followed by two nonlinear measures, based parsimoniously upon the biophysics of Speech production, combined with subsequent linear classification, achieves an overall normal/pathological detection performance of 91.4%, and over 99% with rejection of 15% ambiguous cases. This compares favourably with more complex, computationally intensive methods based on a large number of linear and other measures. This demonstrates that nonlinear approaches to Speech Pathology detection, informed by biophysics, can be both simple and robust, and are amenable to implementation as online algorithms.
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ICASSP (2) - Nonlinear, Biophysically-Informed Speech Pathology Detection
2006 IEEE International Conference on Acoustics Speed and Signal Processing Proceedings, 1Co-Authors: Max A Little, Patrick E Mcsharry, Irene M Moroz, Stephen J RobertsAbstract:This paper reports a simple nonlinear approach to online acoustic Speech Pathology detection for automatic screening purposes. Straight-forward linear preprocessing followed by two nonlinear measures, based parsimoniously upon the biophysics of Speech production, combined with subsequent linear classification, achieves an overall normal/pathological detection performance of 91.4%, and over 99% with rejection of 15% ambiguous cases. This compares favourably with more complex, computationally intensive methods based on a large number of linear and other measures. This demonstrates that nonlinear approaches to Speech Pathology detection, informed by biophysics, can be both simple and robust, and are amenable to implementation as online algorithms.
