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Speech-language pathologists (SLPs) are increasingly called upon to help assess students with word-recognition difficulties, including dyslexia. Although SLPs tend to have comparatively strong knowledge regarding the phonological awareness skills that support word reading, findings from survey research indicate that many SLPs report limited knowledge and training on word recognition and phonics. The purpose of this article is to provide a systematic framework for assessing and interpreting students’ word reading skills. Five potential components of word reading assessment will be examined: word recognition, phonological decoding, automaticity, performance with specific phonics patterns, and reading multimorphemic and multisyllabic words. Emphasis will be given to how specific test formats and procedures can be used to help identify patterns of word reading difficulty.

The COVID-19 pandemic has significantly altered the world as we know it. Service delivery for the instrumental evaluation of dysphagia in hospitalized patients has been significantly impacted. In many institutions, instrumental assessment was halted or eliminated from the clinical workflow, leaving clinicians without evidence-based gold standards to definitively evaluate swallowing function. The aim of this study was to describe the outcomes of an early, but measured return to the use of instrumental dysphagia assessment in hospitalized patients during the COVID-19 pandemic. Data was extracted via a retrospective medical record review on all patients on whom a swallowing consult was placed. Information on patient demographics, type of swallowing evaluation, and patient COVID status was recorded and analyzed. Statistics on staff COVID status were also obtained. Over the study period, a total of 4482 FEES evaluations and 758 MBS evaluations were completed. During this time, no staff members tested COVID-positive due to workplace exposure. Results strongly support the fact that a measured return to instrumental assessment of swallowing is an appropriate and reasonable clinical shift during the COVID-19 pandemic.

Purpose This study examined the association between hearing status (i.e., adolescents with and without hearing loss) and physical activity and sports participation. Secondarily, we explored the association between physical activity and sports participation and psychosocial outcomes among adolescents with hearing loss. Methods Analyses included 29,034 adolescents (52.1% male, 13.8 ± 2.3 (M ± SD) years) from the combined 2018–2019 National Survey of Children's Health. Adolescents were grouped by hearing status. Adjusted logistic regression models assessed physical activity level (i.e., 0, 1–3, 4–6, and 7 days/week) and sports participation (i.e., participation in sports within the past 12 months) by hearing status. Secondary analyses examined associations between physical activity and sports participation with psychosocial outcomes among adolescents with hearing loss adjusting for relevant confounders. Results Relative to their hearing peers, adolescents with hearing loss (n = 359) were 40% [adjusted odds ratio (AOR), 0.60; 95% confidence interval (CI), 0.44, 0.81], 43% [AOR, 0.57; 95% CI, 0.41, 0.80], and 33% [AOR, 0.67; 95% CI, 0.47, 0.95] less likely to engage in 1–3 days/week of physical activity, 4–6 days/week of physical activity, and meet physical activity guidelines, respectively. Further, adolescents with hearing loss were 31% [AOR, 0.69; 95% CI, 0.55, 0.85] less likely to participate in sports. Sports participation, but not physical activity, was associated with a significant reduction in the likelihood of experiencing adverse psychosocial outcomes among adolescents with hearing loss (p's < .05). Discussion Sports participation, but not physical activity, was associated with attenuated likelihood of experiencing adverse psychosocial outcomes in adolescents with hearing loss, suggesting unique characteristics of sports participation confer protection of psychosocial health. Increasing access to and reducing barriers to engagement in sports should be prioritized to improve psychosocial health in adolescents with hearing loss.

Research involving the use of augmentative and alternative communication (AAC) applications on mobile technology devices for children with autism spectrum disorder (ASD) needs to expand beyond teaching simple requesting skills. Children’s abilities to create multi-symbol AAC messages is one skill that can be further explored.

The ability to accurately perceive the acoustic correlate of glottal attack, phonatory onset rise-time rate, can be diagnostically critical for speech pathologists conducting voice function examinations. Signal onset duration may serve as a cue in these perceptions because an inverse relationship exists between onset duration and rise-time rate. Other acoustic information such as frequency, present during voice initiation, might also affect phonatory onset rise-time perceptions. This study was designed to determine if listeners can detect duration related rise-time rate differences in the presence of variable frequency. Listeners accurately detected rise-time rates associated with onset duration differences independent of the frequency variable. A significant duration effect was revealed with no frequency or variable interaction effects. All judgement means were significantly different from one another. It was determined that as stimulus onset duration decreased, onset rise-time rate was perceived to occur more rapidly.

An electronic device capable of monitoring the rate at which voice intensity increases during voice onset provides an indicator of the abruptness of phonatory initiation. Two groups of 8 subjects were taught to reduce the abruptness of glottal attack. Group A used a seven step program employing the electronic monitor while Group B used the same seven step program but with a traditional approach to the reduction of abrupt glottal attack substituted for monitor use. Both groups used a self-instruct teaching paradigm. Subject recordings of pre and post program production of five voice onset moments were submitted to sonographic amplitude analysis and a time/intensity slope ratio was calculated for each. Further, the pre and post program recordings were judged for abruptness of glottal attack. Post program slope ratios and attack judgments were significantly different (p < 0.01) from pre program data for Group A only. These data suggest that electronic monitoring was effective in producing gradual phonatory initiation.

A group of children was identified as 'late talkers' who were slow in expressive language development (SELD) on the basis of small expressive vocabulary size at 20-34 months of age. The subjects were followed yearly throughout the preschool and early school-age periods in order to track growth in language and related skills. When the subjects were in second grade, their expressive language skills, as indexed by the Developmental Sentence Score, were measured. This measure was used as the outcome variable in regression and discriminant function analyses. Predictor variables included those gathered when the subjects entered the study at age 2. They included measures of early expressive and receptive language by parent report, nonverbal cognitive performance, Bayley Mental Scale score (a combined verbal and nonverbal cognitive measure), phonological skill, motor skills, maladaptive behaviors, social skills, birth order, socioeconomic (SES) level, and gender. Only SES and early expressive language skills predicted expressive language outcome in second grade. Discriminant function analysis revealed these two factors were significant in predicting success (scores above the tenth percentile), along with a contribution of early gross motor skills. The implications of these findings for understanding early language delays are discussed.

Several major transitions in language use take place during the first 5 years of life. Each transition allows the child to move to a higher level of complexity of expression and to accomplish communicative goals more flexibly and precisely than was done at the previous level. At least three of these transitions appear to be modulated to some degree by speech. In the first transition, prellnguistic to early linguistic communication, babbling provides the infant with a prelinguistic form of vocal behavior that is in many ways analogous to language. A second transition takes place in the movement from single words to multiword combinations. In the process of this transition, word order becomes a means by which children convey semantic role information, and transitional forms such as successive one-word utterances help to facilitate the child's leap from single-word speech to multiword sentences. A third transition involves the development of phonological awareness, an important basis for the acquisition of literacy, which builds on the foundation laid by the phonological system for articulation. In each of these transitions, speech appears important for mediating the move to a higher language level. This paper considers the question of how these transitions can be facilitated in children who use augmentative and alternative communication rather than speech as a first expressive system, in order to provide as precise and flexible a communication modality as possible to children with severe speech impairments.

Determining the relative efficacy of various intervention programs for auditory processing disorders (APD) is a major goal in the field of rehabilitative audiology. Currently, because of their widespread availability, the most commonly used measuring tools to assess the central auditory system have been behaviorally based. Such measures do have notable disadvantages in that they may be influenced by a number of extraneous variables that may impede, or at least influence, efficacy measures. Electrophysiologic measures offer unique advantages not available from the behavioral measures. A significant amount of research has been completed offering compelling evidence relative to the clinical utility of a number of these electrophysiologic measures, including the maximum length sequences-auditory brainstem response, the middle latency response, the obligatory long latency responses, and the MMN and P3 event-related potentials. This article will review the current research related to electrophyiologic measures and present a rationale for including them in the management program.

Background: There is an increasing recognition that the communication problems one observes in persons with aphasia extend beyond verbal deficits and that the myriad of symptoms observed are not solely due to a faulty linguistic system. Rather, there exists a coalition of causal elements resulting in a wide range of communicative deficits. There is some preliminary evidence suggesting that communicative success of clients with aphasia may depend on the integrity of executive function skills. Executive functions are called into play when an individual is involved in a complex, novel activity. They allow us to plan, sequence, organise, and monitor goal-directed activities in a flexible manner as demanded by situational and environmental changes. When linguistic skills are impaired, individuals need to rely on other cognitive skills in order to communicate. Aims: The purpose of this study was to explore executive functioning ability in persons with aphasia. Methods & procedures: A total of 15 individuals with aphasia and 12 healthy control subjects participated in this study. Three dimensions of performance were examined (accuracy, speed, and efficiency) in the context of neuropsychological tests designed to examine cognitive flexibility and goal-directed planning (Wisconsin Card Sorting Test, Porteus Maze Test, Tower of London, and Tower of Hanoi). Outcomes & results: Results indicated that the two groups performed with similar levels of accuracy on two of the four tests. However, significant differences were found on all speed and efficiency variables, suggesting decreased executive functioning skills in the group of individuals with aphasia. Conclusions: It is important to consider executive functioning ability in clients with aphasia and attempt to determine the influence of executive function skill on communicative performance. Understanding the cognitive abilities as well as the linguistic abilities of these clients may ultimately help clinicians determine which patients are better candidates for intervention as well as which treatment approaches would be most efficient and beneficial.

This study examined script knowledge in 20 subjects who sustained a stroke (10 with left hemisphere brain damage and aphasia and 10 with right hemisphere brain damage) and 10 neurologically normal subjects. Script knowledge was examined via performance on three tasks: procedural sequencing, procedure production, and procedural discourse. Neurologically normal subjects performed all tasks accurately, and all subjects in the stroke group completed at least one of the three tasks for each script accurately, suggesting that script knowledge was preserved in this mildly brain-damaged population. However, significant differences were obtained between the neurologically normal and stroke groups when overall performance was examined. These findings suggest that additional cognitive processes influence task performance. Implications of these findings are discussed.

Introduction Communication deficits are one of the core symptoms of autism spectrum disorders (ASDs). People with ASD can be slow to begin talking, or may not learn to talk at all; others may learn to produce words and sentences but have difficulty using them effectively to accomplish social interactive goals. In this chapter we will discuss the course of the development of communication in ASD and will outline how communication deficiencies in this population are identified and treated. Before we do, however, we should be clear about three important terms we will be using, which are illustrated in Figure 4.1. The term “communication” is the broadest of this trio. It refers to all forms of sending and receiving messages, not only with language, but in other ways, such as with gestures, body language, even the way we dress. Animals can also communicate by means of their vocalizations to alert others to danger, for example. That's why the largest circle in Figure 4.1 represents communication. Within the realm of communication, language represents a specific type, so it is enclosed within the larger circle of communication in the figure. Language involves the creation of a potentially infinite set of never-before-conveyed messages through the combination of words in rule-governed ways that allow the formation of sentences to express meaning to others. © Cambridge University Press, 2007 and 2009.

Management of patients with aphasia often focuses on training nonverbal augmentative communication strategies; however, these strategies frequently do not generalize to natural situations. The limited success may be because training was not sufficient to produce an integrated multimodal semantic representation. The purpose of this study was to examine whether simultaneous training of stimuli in both verbal and nonverbal modalities would solidify the links within the semantic network and improve switching among modalities as needed in conversation. Two individuals with severe aphasia participated in 6 to 8 hours of Multimodal Communication Training (MCT), during which they conveyed a concept by verbalizing, gesturing, writing, and drawing. After practice with all modalities for a single concept, a new concept was introduced. Results showed that one participant increased conveyance of concepts on the functional communication task using a variety of modalities. Although some improvement was seen with the second participant, his overall performance remained poor, likely because of a greater impairment in semantic knowledge. After a brief period of semantic training, the second participant demonstrated additional gains. Thus, MCT may serve to increase switching among verbal and nonverbal modalities in individuals with intact semantic representations, thereby increasing the likelihood that individuals will use an alternative method to communicate. Copyright © 2011 Delmar Cengage Learning.