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Michiel W M Van Den Brekel - One of the best experts on this subject based on the ideXlab platform.

  • improving hands free Speech Rehabilitation in patients with a laryngectomy proof of concept of an intratracheal fixation device
    Otolaryngology-Head and Neck Surgery, 2021
    Co-Authors: Maartje Leemans, Michiel W M Van Den Brekel, Maarten J A Van Alphen, Richard Dirven, Gijsbertus Jacob Verkerke, Edsko E G Hekman
    Abstract:

    Permanent hands-free Speech with the use of an automatic speaking valve (ASV) is regarded as the optimal voice Rehabilitation after total laryngectomy. Due to fixation problems, regular ASV use in ...

  • objective and subjective voice outcomes after total laryngectomy a systematic review
    European Archives of Oto-rhino-laryngology, 2018
    Co-Authors: Klaske E Van Sluis, Lisette Van Der Molen, Rob J J H Van Son, F J M Hilgers, Patrick A Bhairosing, Michiel W M Van Den Brekel
    Abstract:

    Esophageal Speech (ES), tracheoesophageal Speech (TES) and/or electrolarynx Speech (ELS) are three Speech Rehabilitation methods which are commonly provided after total laryngectomy (TL). A systematic review of the literature was conducted to evaluate comparative acoustic, perceptual, and patient-reported outcomes for ES, TES, ELS and healthy speakers. Twenty-six articles could be included. In most studies, methodological quality was low. It is likely that an inclusion bias exists, many studies only included exceptional speakers. Significant better outcomes are reported for TES compared to ES for the acoustic parameters, fundamental frequency, maximum phonation time and intensity. Perceptually, TES is rated with a significant better voice quality and intelligibility than ES and ELS. None of the Speech Rehabilitation groups reported clearly better outcomes in patient-reported outcomes. Studies on Speech outcomes after TL are flawed in design and represent weak levels of evidence. There is an urge for standardized measurement tools for evaluations of substitute voice speakers. TES is the favorable Speech Rehabilitation method according to acoustic and perceptual outcomes. All speaker groups after TL report a degree of voice handicap. Knowledge of caretakers and differences in health care and insurance systems play a role in the Speech Rehabilitation options that can be offered.

John M Gerwin - One of the best experts on this subject based on the ideXlab platform.

  • current trends in laryngectomy Rehabilitation a survey of Speech language pathologists
    Otolaryngology-Head and Neck Surgery, 1996
    Co-Authors: Gerald L Culton, John M Gerwin
    Abstract:

    Abstract This study determined the perceptions of experienced Speech-language pathologists regarding current practices in the Speech Rehabilitation of laryngectomy patients since the introduction of the tracheoesophageal puncture–voice prosthesis technique in 1980. The sample population consisted of 151 experienced Speech-language pathologists, or 43% of those who were sent questionnaires. The Speech-language pathologists ranked tracheoesophageal puncture–voice prosthesis as their most preferred Speech Rehabilitation method and the electrolarynx as their least preferred, even though the electrolarynx continues to be the most frequently used method. Variable use of the tracheoesophageal puncture procedure by otolaryngologists was reported, with only a small portion perceived as using it routinely. About 65% of the Speech-language pathologists reported that more than half of the laryngectomy patients were being given choices among Speech Rehabilitation methods. Nearly 50% of the Speech-language pathologists reported that fewer than six Speech therapy sessions were necessary with tracheoesophageal puncture patients, whereas more than 20% reported the need for 10 sessions or more. Use of manual closure of the tracheostoma by tracheoesophageal puncture patients far outweighed their use of automatic speaking valves. Most Speech-language pathologists reported that they were involved in teams with otolaryngologists to determine patient suitability for tracheoesophageal puncture and to troubleshoot problems. Eighteen different categories of medical and Speech production problems were reported. (Otolaryngol Head Neck Surg 1998;118:458-63.)

Jason J Sico - One of the best experts on this subject based on the ideXlab platform.

  • telehealth for stroke survivors with aphasia preliminary effectiveness results from the high intensity tele Speech therapy for stroke pilot
    Stroke, 2021
    Co-Authors: Sonia Mehta, Jason J Sico
    Abstract:

    Introduction: Speech Rehabilitation therapy (SRT) for stroke survivors with residual Speech and cognitive impairment is standard of care. SRT is associated with high attrition rates when delivered in person in the clinic. SRT delivered via telehealth has the promise to address these concerns while improving both access to SRT and outcomes and promoting social distancing and reducing COVID exposure for high-risk stroke patients. Hypothesis: The High-Intensity Tele-Speech Therapy for Stroke (HITTS) pilot program will result in measurable improvements in standardized performance and subjective reports in communication for participants compared to their baseline. Methods: We adapted evidence-based aphasia therapies implemented into a telehealth delivery model for four stroke survivor:care partner dyads over a six-week period. Following an initial face-toface evaluation, skilled SRT was delivered via telehealth for five hours per week. Standardized preand post-therapy assessments were completed as well as analyses of meeting therapy goals identified by the dyad as meaningful. Results: Participants completing HITTS showed significant clinical improvements in standardized assessment scores with all participants who completed the program. Three of the four dyads completed the HITTS program and without missing any sessions and completing more than 90% of assigned work. On average 85% of self-identified therapy goals were met by the end of HITTS. Conclusions: The HITTS pilot of delivering SRT via telehealth shows promise as a viable and potentially effective means of improving attrition and outcomes while increasing engagement of care partners. Telehealth delivery models have become increasingly more important during the COVID era. A larger scale study with a usual care comparator group and longer follow-up period is needed to see if these results can be replicated and whether gains are sustained beyond the intervention period.(Figure Presented).

  • comparing the burden of telehealth versus in person Speech Rehabilitation therapy perspectives from patients and care partners
    Stroke, 2021
    Co-Authors: Sonia Mehta, Jason J Sico
    Abstract:

    Introduction: While Speech Rehabilitation therapy (SRT) for stroke survivors with residual Speech and cognitive impairment is standard of care, SRT delivered in person in the clinic imposes several...

Susanne Singer - One of the best experts on this subject based on the ideXlab platform.

  • Speech Rehabilitation during the first year after total laryngectomy
    Head and Neck-journal for The Sciences and Specialties of The Head and Neck, 2013
    Co-Authors: Susanne Singer, Dorit Wollbruck, Andreas Dietz, Juliane Schock, Friedemann Pabst, Hansjoachim Vogel, Jens Oeken, A Sandner, Sven Koscielny
    Abstract:

    Background Gaining a new voice is one of the major aims after total laryngectomy. The objective of this study was to describe the process and results of Speech Rehabilitation during the first year after surgery. Methods Speech intelligibility was measured 6 months (n = 273) and 1 year (n = 225) after total laryngectomy. Results Objective (23.4 to 47.5 points, p < .0001) and subjective (51.6 to 64.7 points, p < .0001) Speech intelligibility improved between 6 months and 1 year after total laryngectomy. Patients who used tracheoesophageal puncture (TEP) had the best results in Speech intelligibility 6 months and 1 year after total laryngectomy. In all, 12% of the patients who used TEP initially no longer used it 1 year later. Patients who had received Rehabilitation had better objective Speech intelligibility than those who did not. Conclusions Speech improves considerably between 6 months and 1 year after total laryngectomy. Nonattendance of Rehabilitation is associated with a worse functional outcome in Speech Rehabilitation. Head Neck, 35: 1583–1590, 2013

Gijsbertus Jacob Verkerke - One of the best experts on this subject based on the ideXlab platform.