第１回 Evidence-based Cognitive Rehabilitation：Updated Review of the Literature from 2003 Through 2008

Western Aphasia Battery Revised. Μια πιλοτική εφαρμογή του WAB-R σε μη παθολογικό πληθυσμό και σε ασθενείς με άνοια

—Patients with chronic aphasia were assigned randomly to a group to receive either conventional aphasia therapy or constraint-induced (CI) aphasia therapy, a new therapeutic technique requiring intense practice over a relatively short period of consecutive days. CI aphasia therapy is realized in a communicative therapeutic environment constraining patients to practice systematically speech acts with which they have difficulty. Patients in both groups received the same amount of treatment (30 to 35 hours) as 10 days of massed-practice language exercises for the CI aphasia therapy group (3 hours per day minimum; 10 patients) or over a longer period of ≈4 weeks for the conventional therapy group (7 patients). CI aphasia therapy led to significant and pronounced improvements on several standard clinical tests, on self-ratings, and on blinded-observer ratings of the patients’ communicative effectiveness in everyday life. Patients who received the control intervention failed to achieve comparable improv...

Constraint-Induced Therapy of Chronic Aphasia After Stroke

Treatment guidelines for acquired apraxia of speech

A number of plates are devoted to hospitals and teaching. Reproductions of the famous picture showing Jean-Martin Charcot conducting a case presentation at the Salpetriere Hospital in Paris, by Pierre-Andre Brouillet (1960s) must hang in many neurological units (we had one at Claremont Street Hospital) and the student audience includes figures such as Babinski and Gilles de la Tourette. A similar picture by American artist Irving R. Wiles shows an unnamed doctor teaching on a sick child at the New York Polyclinic School of Medicine (1891). The audience includes three women, which provokes a lively account of the advent of women into medicine in the late 19th century. Hospital wards of the time are depicted vividly by Vincent van Gogh (The Hospital at Arles, 1889), a ward in the London Hospital painted by Belfast born John Lavery, 1915 and Ancoats Hospital Outpatients' Hall by LS Lowry (1952) who's characteristic little figures vividly convey the crowded bustle of the oldfashioned outpatient hall.

Systematic Reviews to Support Evidence-based Medicine.

The purpose of this study was presentation of a detailed, computer-based augmentative and alternative communication (AAC) training protocol for use with chronic non-fluent aphasia (NA) Two NA adults and their caregivers were trained via a specific programmatic sequence of prompts/cues to use the Dialect with Speaking Dynamically Pro (Zygo Industries, Inc, 2004) as a functional means of iconic communication Documentation of treatment outcome and pre- and post-training testing with the Western Aphasia Battery, ASHA FACS, ASHA Quality of Communication Life Scale, and Communicative Effectiveness Index revealed: improvement in language and cognitive functioning, increased communicative independence, and improvement in caregivers’ perception of overall communication for both participants Moreover, both individuals used the device to improve communication across all settings

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Functional Communication in Individuals with Chronic Severe Aphasia Using Augmentative Communication

Background: Individuals with non‐fluent aphasia (NA) exhibit sparse verbal output and impaired word‐finding skills. For some, traditional speech‐language therapy aids in regaining verbal communication. For other aphasic individuals these techniques are unsuccessful. Augmentative and alternative communication (AAC) provides a means of communicating through devices/techniques when spoken skills are not adequate. Individuals with chronic NA can use AAC to communicate; however, many investigations do not include strategies to facilitate communication or caregiver participation. Also, variables influencing treatment efficiency (length, intensity) have not been sufficiently evaluated. Aims: The current study expanded on Johnson, Hough, King, Vos, and Jeffs (2008), investigating if a gentleman with severe, chronic NA could learn to use an AAC device, monitoring communication skill improvement periodically throughout treatment. Methods & Procedures: TE, a 56‐year‐old left‐handed, Caucasian male with severe NA and...

Use of AAC to enhance linguistic communication skills in an adult with chronic severe aphasia

Purpose This is a report of the data from a current survey of academic programs in the United States, which provide preservice training in augmentative and alternative communication (AAC) for speec...

Update on Preservice Training in Augmentative and Alternative Communication for Speech-Language Pathologists.

Students with attention deficit hyperactivity disorder (ADHD) experience symptoms of inattention, impulsivity, and hyperactivity that often manifest as academic impairment. As such, teachers must s...

Attention Deficit Hyperactivity Disorders and Classroom-Based Interventions: Evidence-Based Status, Effectiveness, and Moderators of Effects in Single-Case Design Research

Rachel K. Johnson

Papers

Functional Communication in Individuals with Chronic Severe Aphasia Using Augmentative Communication

Use of AAC to enhance linguistic communication skills in an adult with chronic severe aphasia

Update on Preservice Training in Augmentative and Alternative Communication for Speech-Language Pathologists.

Attention Deficit Hyperactivity Disorders and Classroom-Based Interventions: Evidence-Based Status, Effectiveness, and Moderators of Effects in Single-Case Design Research

The dental hygienist's role in the maintenance of osseointegrated dental implants.