Innovations in biofeedback technology provide the unique opportunity for dynamic and visual intervention of articulatory disorders, especially in cases where the target sound is hard to describe or see. One of the primary modes of this visual biofeedback is electropalatography (EPG), which provides information about tongue-hard palate contact points through sensors integrated in a custom-made artificial palate moulded to fit against a speaker's hard palate. EPG intervention has been previously investigated in its efficacy in remediating persistent misarticulations and found to have short-term benefits for children and adolescents who are profoundly deaf or hard of hearing (Bacsfalvi, Bernhardt, and Gick, 2003; Bacsfalvi, Bernhardt, and …show more content…
Established long term benefit would be strong support in adopting EPG intervention into mainstream therapy methodology. In addition, there is the barrier of cost. Since, the intervention equipment itself is not easily obtained by speech pathologists, a strong evidence base with more large scale randomized studies is necessary to justify the cost of this intervention method. Currently, many of the studies examining this method of intervention are comprised of a small case series or a single case study due to the wide variation in articulatory errors assessed by this method of therapy. It is generally accepted that it is difficult to stereotype the articulatory patterns of deaf and hard of hearing individuals, due to the wide range of variability in segmental production between and within speakers of normal hearing (Vuckovich, M. 2006). For this reason, this intervention method has largely been evaluated via case series. However, adjusting targets to examine a more comprehensive battery of sounds would allow for a larger sample size and randomized design. It has yet to be investigated if individuals who are deaf or hard of hearing need continued practice with electropalatography technology in order to establish long term generalization of articulatory patterns. It would be crucial to determine production improvements of treatment targets, generalization targets, as well
In today’s society there is an ongoing debate of weather children who are deaf should receive cochlear implants. A cochlear implant is a device that takes sound wave and changes the waves into electrical activity for the brain to interpret. Wire called electrodes are surgically implanted into the cochlear nerve which receives a signal from the microphone attached to the transmitter and speech processor. The microphone captures the sound from the environment and the speech processor filters the noise versus speech. Then the transmitter sends an electrical signal through the electrodes to stimulate the cochlear nerve. Every person has a different thought depending on their experiences in their life whether deaf children should receive cochlear
The purpose of this evidence based research paper is to evaluate the efficacy of the cycles approach when compared to the traditional articulation therapy approach in the treatment of children who are highly unintelligible. The Cycles Phonological Remediation Approach (Hodson, 2011) is a treatment method for children with severe speech sound disorders. This approach targets phonological pattern errors in a sequential manner. During each cycle, one or more phonological patterns are targeted and after each cycle is complete, another cycle begins. Recycling of phonological patterns continues until the targeted patterns are generalized into the child’s conversational speech. The cycles approach is meant to mirror typical phonological development in children (Hodson, 2011).
Passages A & B have different views on what would work best for the Deaf people, but they both want want a positive outcome for the Deaf community. Passage A mainly talks about how the cochlear implants do not benefit deaf people and how the permanent effects from it can be a disadvantage for the implant patient in the deaf community. “Implanted children would "end up trapped between two worlds: they can't live the way hearing people can, and yet they won't have grown up in the deaf community, using ASL" (Zimmer 85)”. The author helps the reader understand the Deaf community rather then understand the medical view of cochlear implants.
According to HearingLoss.org, more one in every five Americans suffer from some form of hearing loss, that’s about 50 million Americans. By the age of 65, 1/3 of all Americans suffer from hearing loss [5]. Because of the large size of affected patients, developing and improving hearing correctional methods is an ever-growing and advancing field of study.
Biofeedback is used to treat many different medical problems. Some being traumatic injury, gain control over their pain, anxiety, headaches, hypertension, and Raynaud's disease. Using biofeedback techniques is a way to get the patient to recognize the stressors and triggers that brings on their pain that way they can stop the pain that is normally for some chronic or others it is acute pain.The article that I chose was “Biofeedback: A way to regain some control over pain,” written by Anthony Witney and was published in the “Journal of Family Practice.” The “Journal of Family Practice” writes about a wide range of medical topics since it is a journal about family health. The journal will write about anything from geriatrics, vaccines, men’s
Clinical Implications: Minimal-contrast treatment is effective and efficient for treating children with phonological disability. Avoiding listener confusion is motivating for suppressing process use.
Different methods of aural rehabilitation exist and many factors need to be taken into consideration when
Participants included six individuals who attend Middle Tennessee State University (1 male, 5 female). All were English-speaking adults who had no history of hearing loss. Participants were between the ages of 18 and 22 (mean age of 20.83).
They learned that the most common non-speech oral motor exercises used by speech language- pathologist when treating their clients where isolated movements such as “blowing, tongue push-ups, pucker-smile, tongue wags, tongue to nose to chin, cheek puffing, blowing kisses, and tongue curling” (Lof, 2009). Lof & Watson’s survey also indicate that most speech-language pathologist feel that using isolated movements of the articulators will eventually achieve speech sound production. However, past research has shown that isolated movements of the articulators have no significance in improving speech sound productions (Lof & Watson, 2008). According to Lof & Watson “no speech sound requires the tongue tip to be elevated towards the nose, no sound is produced by puffing out the check, and no sound is produced in the same way as blowing is produced” (Lof & Watson,
A speech-language pathologist will work with a patient’s surgeon and other doctors to create the best plan of care. A speech-language pathologist’s main goal is to recover the patient’s ability to communicate. There are a few voice restoration treatments to choose from including, esophageal speech, trachea-esophageal puncture, and the electrolarynx. The choice of which treatment to use is based on the nature of the patient’s surgery and what is best for them. Esophageal speech is where the esophagus is used to create vibrations like the vocal cords once did. If a patient had the tracheoesophageal puncture created during surgery, they go through another surgery to create a hole within the stoma. A voice prosthesis is then placed in this hole and the patient can cover the stoma with their finger to create tracheoesophageal speech. The electrolarynx is a device used to produce vibrations when placed below the mandible to create speech. While they have been described as sounding “robotic”, they allow for intelligible and understandable speech. The more recent advancements in rehabilitation have resulted in the evolution of tracheoesophageal speech, which has become the most common form of voice restoration for
Speech sound disorders happen when a child has problems with articulating sounds and sound patters (phonological). However, it was interesting to see that this could also happen with adults whose problems continue on from their childhood, and even those who have suffered from some type of head injury or even a stroke. After reading chapter 9, it was interesting to read that not all speech errors are do to substitution or omission, but to the features of a dialect or accent. Which makes sense from the chapter reading and even goes to show how important it is for professional to keep these differences in mind. It was also noteworthy to read how many of these sounds disorders do not have a known cause, yet they can be caused physically due to
The questionnaire responses that kept coming up in this report was based on the clients age, how long they had been in therapy, if there were a boy or girl. The focused on the clients age to put them in groups to see if they had the same amount of children saying the incorrect words/letters. They made sure that it wasn’t all girls or all just boys. They believed that electropalatography therapy would be more helpful.
It is proven that using QuickSin for speech in noise testing will help determine if the patient would benefit from directional mics vs. omnidirectional mics and other features in their hearing aid to better their speech discrimination in noise. Other procedures done in PEI, such as Verafit and LDLs, are also confirmed by evidence based practice. What this means is that these tests were researched and proven to be best practice when fitting hearing aids. These test are recognized to be essential to the hearing aid fitting and the success of the
As expected, the intervention group has obtained less SCL result than the control group in week 10. Similarly, the intervention group has obtained less DASS-21 score than the control group in week 10. Evidence revealed that the participants in intervention group have lesser anxiety level after receiving biofeedback training. However, DASS-21 score has reported significantly higher between week 1 and 10 for the two groups. This result was contradictory compared to most researchers who have claimed that biofeedback training could lessen anxiety level (Peter & Pbert, 1992; Rice & Blanchard, 1982; Brauer, 2008). It is believed that the significant difference is due to the limitation of biofeedback training.
The goal of this research paper is to explore the specialty of accent modification within the field of speech-language pathology. This paper will define accent modification and discuss its purpose among those receiving this elective therapy. Methods and techniques for implementing accent modification, how effective these techniques are, how they are used in accent modification, why accent modification is relevant in our world today, and how speech science is related to accent modification will also be discussed.