Diagnosis and Evaluation in Speech Pathology (original) (raw)

Scope of practice in speech-language pathology. Ad Hoc Committee on Scope of Practice in Speech-Language Pathology

ASHA. Supplement, 1996

This scope of practice in speech-language pathology statement is an official policy of the American Speech-Language-Hearing Association (ASHA). It was developed by the Ad Hoc Committee on Scope of Practice in Speech-Language Pathology: Sarah W. Blackstone, chair; Diane Paul-Brown, ex officio; David A. Brandt; Rhonda Friedlander; Luis F. Riquelme; and Mark Ylvisaker. Crystal S. Cooper, vice president for professional practices in speech-language pathology, served as monitoring vice-president. The contributions of the editor, Jude Langsam, and select the widespread peer reviewers are grateful acknowledged. This statement supersedes the Scope of Practice, Speech-Language Pathology and Audiology statement (LC 6-89), Asha, April 1990, 1-2.

Study carried out at the Speech-Language Pathology and Audiology Department, Universidade Federal de

2016

Signs and symptoms of autonomic dysfunction in dysphonic individuals Sinais e sintomas da disfunção autônoma em indivíduos disfônicos ABSTRACT Purpose: To verify the occurrence of signs and symptoms of autonomic nervous system dysfunction in individuals with behavioral dysphonia, and to compare it with the results obtained by individuals without vocal complaints. Methods: Participants were 128 adult individuals with ages between 14 and 74 years, divided into two groups: behavioral dysphonia (61 subjects) and without vocal complaints (67 subjects). It was administered the Protocol of Autonomic Dysfunction, containing 46 questions: 22 related to the autonomic nervous system and had no direct relationship with voice, 16 related to both autonomic nervous system and voice, six non-relevant questions, and two reliability questions. Results: There was a higher occurrence of reported neurovegetative signs in the group with behavioral dysphonia, in questions related to voice, such as frequent throat clearing, frequent swallowing need, fatigability when speaking, and sore throat. In questions not directly related to voice, dysphonic individuals presented greater occurrence of three out of 22 symptoms: gas, tinnitus and aerophagia. Both groups presented similar results in questions non-relevant to the autonomic nervous system. Reliability questions needed reformulation. Conclusion: Individuals with behavioral dysphonia present higher occurrence of neurovegetative signs and symptoms, particularly those with direct relationship with voice, indicating greater lability of the autonomic nervous system in these subjects. RESUMO Objetivo: Verificar a ocorrência de sinais e sintomas da disfunção do sistema nervoso autônomo em indivíduos com disfonia comportamental e compará-la com resultados obtidos por indivíduos sem queixa vocal. Métodos: Participaram 128 indivíduos adultos, com idades entre 14 e 74 anos, que foram divididos em dois grupos: disfonia comportamental (61 sujeitos) e sem queixa vocal (67 sujeitos). Foi aplicado o Protocolo de Disfunção Autônoma contendo 46 questões, sendo 22 relacionadas ao sistema nervoso autônomo e sem relação direta com a voz, 16 relacionadas tanto ao sistema nervoso autônomo quanto à voz, seis questões não-relevantes e duas questões de confiabilidade. Resultados: Nas questões relacionadas à voz, como pigarros constantes, necessidade de engolir frequentemente, cansaço ao falar e dor de garganta, houve maior ocorrência de alterações neurovegetativas no grupo com disfonia comportamental. Nas questões sem relação direta com a voz, os indivíduos disfônicos apresentaram maior ocorrência de três dos 22 sintomas: gases, zumbido e engole ar enquanto fala. Os dois grupos apresentaram resultados semelhantes nas questões consideradas não relevantes ao sistema nervoso autônomo. As questões de confiabilidade necessitaram de reformulação. Conclusão: Indivíduos com disfonia comportamental apresentam maior ocorrência de sintomas neurovegetativos, principalmente daqueles que possuem relação direta com a voz. Tais resultados indicam maior labilidade do sistema nervoso autônomo nesses indivíduos.

SPEECH PATHOLOGY.docx

The thrust of this paper was to stress the fact that language and its acquisition are fundamental to human existence. But through Neurolinguistics, studies have variously showed that some children, and in some cases adults have complications producing certain speech sounds or having problems with voice features. These problems can be characterised by difficulties in the flow or rhythm of speech that are referred to as speech pathology. These speech problems can be the way sounds are articulated (phonological disorder) or difficulties with the volume, pitch or the quality of the sound so produced. People with speech disorders do have problems using some speech sounds which can also be a sign of delay thus causing some communication breakdown. Based on this, it was concluded that clinical assistance by way of preventing, 1 assessing, diagnosing, and treating speech, language, social-communication, cognitive communication, and swallowing disorders in children and adults were suggested.

Diagnostic protocol in voice disorders

Polski Przegląd Otorynolaryngologiczny, 2015

Diagnostic protocol in voice disorders should be multidimensional, since voice production is a multifaceted phenomenon. Most voice disorders are of functional (57%) origin characterized by a lack of organic changes in indirect laryngoscopy. Comprehensive assessment of the vocal tract is necessary in those patients in order to state a diagnosis. Diagnostic protocol suggested by European Laryngological Society in 2001 includes diagnostic tools that enable comprehensive assessment of the vocal tract. Beside medical history and examination, it recommends performing a auditory-perceptual assessment, a videolaryngostroboscopic examination (VLS), aerodynamic assessment, acoustic parameters, as well as voice quality self-assessment test. A DSI index is a promising new diagnostic tool designed to objectively assess the severity of dysphonia.

Differential Diagnosis of Speech Sound Disorder (Phonological Disorder): Audiological Assessment beyond the Pure-tone Audiogram

Journal of the American Academy of Audiology, 2015

According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, diagnosis of speech sound disorder (SSD) requires a determination that it is not the result of other congenital or acquired conditions, including hearing loss or neurological conditions that may present with similar symptomatology. To examine peripheral and central auditory function for the purpose of determining whether a peripheral or central auditory disorder was an underlying factor or contributed to the child's SSD. Central auditory processing disorder clinic pediatric case reports. Three clinical cases are reviewed of children with diagnosed SSD who were referred for audiological evaluation by their speech-language pathologists as a result of slower than expected progress in therapy. Audiological testing revealed auditory deficits involving peripheral auditory function or the central auditory nervous system. These cases demonstrate the importance of increasing awareness among professiona...

Scope of Practice in Speech-Language Pathology

2016

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