Speech Therapist

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Anna Van Der Gaag - One of the best experts on this subject based on the ideXlab platform.

  • The professional competence of Speech Therapists. III: skills and skill mix possibilities
    Clinical Rehabilitation, 1992
    Co-Authors: Philip A. Davies, Anna Van Der Gaag
    Abstract:

    This paper reports on the skills of Speech Therapists and the possibilities for sharing these skills with other professionals and Speech therapy assistants. This is the third paper of a four-part report on a study of the professional competence of Speech Therapists. The consultative methods used in this study combined the Delphi and Nominal Group techniques with a postal questionnaire survey of specialist Speech Therapists in the UK. Details of the methodology can be found in a separate paper. This study identified a broad range of Speech Therapists' skills, including therapeutic, teaching, interpersonal and administrative skills. The consensus, however, was that not all of these skills had to be undertaken by a qualified Speech Therapist. At the same time the consensus amongst specialist clinicians was that only a small number of skills could be shared with Speech therapy assistants or with other professionals. A simple majority analysis identified a wider range of skills that can be undertaken by Speech...

C Adamsbaum - One of the best experts on this subject based on the ideXlab platform.

  • Feasibility of dynamic MRI for evaluating velopharyngeal insufficiency in children
    European Radiology, 2011
    Co-Authors: C Drissi, M Mitrofanoff, C Talandier, C Falip, V. Couls, C Adamsbaum
    Abstract:

    Objective To demonstrate the feasibility of dynamic MRI with near-real-time temporal resolution for analysing velopharyngeal closure. Methods Eleven children and young adults (seven girls, four boys, mean age: 8.4 years) with suspected velopharyngeal insufficiency (VPI), and one healthy volunteer underwent MRI (1.5 Tesla) using T2 fast imaging sequences. Imaging was done without any sedation at rest and during various phonations in the axial and sagittal planes. Images were analysed by two radiologists, a plastic surgeon and a Speech Therapist. Results The MRI examinations were well tolerated by even the youngest patient. A qualitative analysis found that the sagittal dynamic sequences during phonation were in relation to the clinical data in all patients. A quantitative analysis enabled calculation of the elevation angle of the soft palate in relation to the hard palate, the velar eminence angle and the percentage of reduction of the antero-posterior diameter of the pharyngeal lumen. Conclusion Dynamic MRI is a non-invasive, rapid and repeatable method. It can be considered a complementary tool to endoscopy and fluoroscopy, particularly in children, for assessing VPI without any sedation or radiation exposure.

  • feasibility of dynamic mri for evaluating velopharyngeal insufficiency in children
    European Radiology, 2011
    Co-Authors: C Drissi, M Mitrofanoff, C Talandier, C Falip, Le V Couls, C Adamsbaum
    Abstract:

    To demonstrate the feasibility of dynamic MRI with near-real-time temporal resolution for analysing velopharyngeal closure. Eleven children and young adults (seven girls, four boys, mean age: 8.4 years) with suspected velopharyngeal insufficiency (VPI), and one healthy volunteer underwent MRI (1.5 Tesla) using T2 fast imaging sequences. Imaging was done without any sedation at rest and during various phonations in the axial and sagittal planes. Images were analysed by two radiologists, a plastic surgeon and a Speech Therapist. The MRI examinations were well tolerated by even the youngest patient. A qualitative analysis found that the sagittal dynamic sequences during phonation were in relation to the clinical data in all patients. A quantitative analysis enabled calculation of the elevation angle of the soft palate in relation to the hard palate, the velar eminence angle and the percentage of reduction of the antero-posterior diameter of the pharyngeal lumen. Dynamic MRI is a non-invasive, rapid and repeatable method. It can be considered a complementary tool to endoscopy and fluoroscopy, particularly in children, for assessing VPI without any sedation or radiation exposure.

Daniel Tarsy - One of the best experts on this subject based on the ideXlab platform.

  • singing in groups for parkinson s disease sing pd a pilot study of group singing therapy for pd related voice Speech disorders
    Parkinsonism & Related Disorders, 2012
    Co-Authors: Ludy C Shih, Jordan Piel, Amanda Warren, Lauren Kraics, Althea Silver, Veronique Vanderhorst, David Simon, Daniel Tarsy
    Abstract:

    Parkinson's disease related Speech and voice impairment have significant impact on quality of life measures. LSVTLOUD voice and Speech therapy (Lee Silverman Voice Therapy) has demonstrated scientifi ce f ficacy and clinical effectiveness, but musically based voice and Speech therapy has been underexplored as a potentially useful method of rehabilitation. We undertook a pilot, open-label study of a group-based singing intervention, consisting of twelve 90-min weekly sessions led by a voice and Speech Therapist/singing instructor. The primary outcome measure of vocal loudness as measured by sound pressure level (SPL) at 50 cm during connected Speech was not significantly different one week after the intervention or at 13 weeks after the intervention. A number of secondary measures reflecting pitch range, phonation time and maximum loudness also were unchanged. Voice related quality of life (VRQOL) and voice handicap index (VHI) also were unchanged. This study suggests that a group singing therapy intervention at this intensity and frequency does not result in significant improvement in objective and subject-rated measures of voice and Speech impairment.

Philip A. Davies - One of the best experts on this subject based on the ideXlab platform.

  • The professional competence of Speech Therapists. III: skills and skill mix possibilities
    Clinical Rehabilitation, 1992
    Co-Authors: Philip A. Davies, Anna Van Der Gaag
    Abstract:

    This paper reports on the skills of Speech Therapists and the possibilities for sharing these skills with other professionals and Speech therapy assistants. This is the third paper of a four-part report on a study of the professional competence of Speech Therapists. The consultative methods used in this study combined the Delphi and Nominal Group techniques with a postal questionnaire survey of specialist Speech Therapists in the UK. Details of the methodology can be found in a separate paper. This study identified a broad range of Speech Therapists' skills, including therapeutic, teaching, interpersonal and administrative skills. The consensus, however, was that not all of these skills had to be undertaken by a qualified Speech Therapist. At the same time the consensus amongst specialist clinicians was that only a small number of skills could be shared with Speech therapy assistants or with other professionals. A simple majority analysis identified a wider range of skills that can be undertaken by Speech...

Knut Laake - One of the best experts on this subject based on the ideXlab platform.

  • Screening by nurses for aphasia in stroke- the Ullevaal Aphasia Screening (UAS) test
    Disability and rehabilitation, 1999
    Co-Authors: Bente Thommessen, Gerd Eva Thoresen, Erik Bautz-holter, Knut Laake
    Abstract:

    Purpose: In Norway, the Speech Therapist is responsible for the assessment of language impairment after stroke, but many hospitals have no Speech Therapist. This study therefore developed and evaluated a simple method to be used by nurses to detect aphasia in the acute stage of stroke; the Ullevaal Aphasia Screening (UAS) test. Method: The study was carried out among 37 stroke patients admitted to an acute stroke unit. They were assessed by nurses using the UAS, while the results of a comprehensive assessment by a Speech Therapist acted as the 'gold standard'. Results: The predictive value of a positive test was 0.67 and that of a negative test 0.93; only two out of 28 who screened negative on the UAS were diagnosed with mild aphasia by the Speech Therapist. The weighted kappa coefficient of agreement was 0.83, indicating a strong agreement between the nurses' and Speech Therapists' scoring. The screening took 5-15 minutes to complete. Conclusion: The Ullevaal Aphasia screening test seems to be a short an...