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Specialty: Speech-Language Pathology
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Total 1019 results found since Jan 2013.
Intra- and Interjudge Reliability of the Apraxia of Speech Rating Scale in Early Stroke Patients.
CONCLUSIONS: For clinicians without expert knowledge of AOS and limited training using the ASRS, intra- and interjudge reliability of the ASRS is not satisfactory. Also, since some items in the protocol require a certain level of speech production to target the diagnostic marker, findings indicate that the ASRS in its present design has limitations in assessment of severe AOS. As suggested by Strand and colleagues, video examples that illustrate the ASRS characteristics could be one helpful alternative to support clinician training. A minor revision of response definitions of the scale may improve the applicability of the ...
Source: Journal of Communication Disorders - January 6, 2021 Category: Speech-Language Pathology Authors: Hybbinette H, Östberg P, Schalling E Tags: J Commun Disord Source Type: research
Dysphagia after Stroke: An Unmet Antibiotic Stewardship Opportunity
AbstractThe goal of antibiotic stewardship is to improve antibiotic use, often by reducing unnecessary treatment. Bedside dysphagia screening tools help identify patients at high risk of aspiration following stroke. Presence of dysphagia does not indicate a need for antibiotic treatment. Therefore, this retrospective, cohort study was developed to evaluate the association of dysphagia and antibiotic prescribing following stroke. There were 117 patients included. Patients were placed into 2 cohorts based on the results of the dysphagia screening, with 55 patients positive for dysphagia and 62 patients negative for dysphagia...
Source: Dysphagia - February 27, 2021 Category: Speech-Language Pathology Source Type: research
The Persian version of the Functional Oral Intake Scale (FOIS-P): a validation study on stroke patients with dysphagia
CONCLUSIONS: The FOIS-P is a valid and reliable tool for assessing oral intake in stroke survivors with dysphagia. Hence, the FOIS-P may be suitable for clinical and research in the field of stroke.PMID:33724141 | DOI:10.1080/14015439.2021.1896778
Source: Logopedics, Phoniatrics, Vocology. - March 16, 2021 Category: Speech-Language Pathology Authors: Jalal Bakhtiyari Seyed Abolfazl Tohidast Banafshe Mansuri Hadi Azimi Abbas Ebadi Source Type: research
Pediatric Medullary Stroke, Severe Dysphagia, and Multimodal Intervention
We present a 7-year-old male with 22q11.2 deletion syndrome (velocardiofacial syndrome) and velopharyngeal insufficiency who underwent pharyngeal flap surgery at an outside hospital whose post-operative course was complicated by adenovirus, viral myocarditis, and dorsal medullary stroke. He required a tracheostomy and gastrostomy tube. He was discharged from that hospital and readmitted to our hospital 4 months later for increased oxygen requirement, requiring a 5 month admission in the intensive care unit s. His initial VFSS revealed absent UES opening with the entire bolus remaining in the pyriform sinuses resulting in...
Source: Dysphagia - October 27, 2021 Category: Speech-Language Pathology Source Type: research
Understanding the Independent Predictors of Dysphagia-Related Quality of Life in Stroke Survivors
CONCLUSION: Factors related to dysphagia-related QoL are multifactorial and include both survivor and spousal variables. The results of this exploratory study highlight the need for clinicians and researchers to consider patient function and needs more wholistically to maximize perceived QoL.PMID:35344388 | DOI:10.1044/2022_JSLHR-21-00502
Source: Journal of speech, language, and hearing research : JSLHR - March 28, 2022 Category: Speech-Language Pathology Authors: Ashwini M Namasivayam-MacDonald Aaliyeh Ayub Hiba Najeeb Samantha E Shune Source Type: research
Predicting Failure to Recover Swallowing in Patients with Severe Post-stroke Dysphagia: The DIsPHAGIc Score
AbstractIn post-stroke dysphagia, early identification of patients at highest risk of failing swallowing recovery (SR) would be useful to decide which of them should undergo percutaneous endoscopic gastrostomy. The studies on this subject were numerous but generally based on small statistical samples. In this retrospective study, 1232 patients with ischemic or hemorrhagic stroke (73.7 ± 13.0 years, 51% men) were assessed: 593 non-dysphagic, 351 partially dysphagic and 288 totally dysphagic. Among the latter, 45.1% could not recover oral intake. A score to assess the risk of failing SR was obtained from the group wit...
Source: Dysphagia - June 9, 2022 Category: Speech-Language Pathology Source Type: research
Generating Items for a Novel Bedside Dysphagia Screening Tool Post Acute Pediatric Stroke
The objective of this study was to identify items deemed relevant and feasible by expert consensus to inform the development of a bedside dysphagia screening tool for acute pediatric stroke. A two-phase study was conducted: (1) literature review and expert consultation generated a comprehensive list of dysphagia assessment items; (2) items were formatted in an online survey asking respondents opinion of relevance to acute pediatric stroke and feasibility for bedside administration by a trained health professional. The Dillman Tailored Design approach optimized response rate. Respondents were identified using the snowball m...
Source: Dysphagia - June 14, 2022 Category: Speech-Language Pathology Source Type: research
Effect of Repetitive Transcranial Magnetic Stimulation on Post-stroke Dysphagia: A Meta-analysis of Stimulation Frequency, Stimulation Site, and Timing of Outcome Measurement
AbstractDysphagia is one of the most frequent sequelae of stroke. It can result in various complications such as malnutrition, dehydration, aspiration pneumonia, and poor rehabilitation outcomes. Repetitive transcranial magnetic stimulation (rTMS) has been reported to improve dysphagia after a stroke; however, effective treatment protocols have not been established yet. We evaluated the effect of the following rTMS parameters on post-stroke dysphagia: stimulation frequency [high frequency ( ≥ 3 Hz) or low frequency (1 Hz)] and stimulation site (ipsilesional or contralesional mylohyoid cortex). Outcomes were measured ...
Source: Dysphagia - June 28, 2022 Category: Speech-Language Pathology Source Type: research
An Analysis of Right Hemisphere Stroke Discourse in the Modern Cookie Theft Picture
CONCLUSIONS: Multiple measures of microlinguistic discourse characteristics differentiated adults with right hemisphere stroke from controls, highlighting variations in both the quantity and quality of connected speech. Findings continue to underscore the contribution and correlation between cognitive skills and discourse performance. Future work is needed to assess the relationship between particular cognitive domains and discourse production as well as to investigate longitudinal changes to discourse production during stroke recovery.SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.20778541.PMID:36075208 | DOI:10.104...
Source: American Journal of Speech-Language Pathology - September 8, 2022 Category: Speech-Language Pathology Authors: Shauna K Berube Emily Goldberg Shannon M Sheppard Alexandra Zezinka Durfee Delaney Ubellacker Alexandra Walker Colin M Stein Argye E Hillis Source Type: research
Effect of Repetitive Transcranial Magnetic Stimulation on Post-stroke Dysphagia in Acute Stage
AbstractRepetitive transcranial magnetic stimulation (rTMS) play a important role for rehabilitation in stroke. But therapeutic schedule of rTMS in dysphagia after acute stroke is still controversial. The purpose of this study was to investigate the therapeutic effect of rTMS with different frequencies on dysphagia after acute stroke. From August 2019 to December 2020, 45 patients with post-stroke dysphagia were selected as research subjects, and randomly divided into 3 groups: the high frequency stimulation on bilateral hemisphere group (High group), bilateral high frequency stimulation on the affected hemisphere and low ...
Source: Dysphagia - October 23, 2022 Category: Speech-Language Pathology Source Type: research
