Purpose: Adequate velopharyngeal control is essential for speech, but may be impaired in Parkinson's disease (PD). Bilateral subthalamic nucleus deep brain stimulation (STN DBS) improves limb function in PD, but the effects on velopharyngeal control remain unknown. We tested whether STN DBS would change aerodynamic measures of velopharyngeal…

Purpose: Many adults with aphasia demonstrate concomitant deficits in working memory (WM), but such deficits are difficult to quantify because of a lack of validated measures as well as the complex interdependence between language and WM. We examined the feasibility, reliability, and internal consistency of an "n"-back task for…

Data on disfluencies in the speech of non-stuttering adults are relevant to several aspects of the assessment and treatment of adults who stutter. Currently, very few sources provide relevant data. In the existing literature on normally fluent speakers, there is no consistency in sample length or topic or in which types of disfluency are counted.…

Recent importance placed upon efficacy research has spawned the development of the Communication Sciences and Disorders Clinical Trials Research Group (CSDRG). This group, funded by the National Institutes of Health (NIH), was organized by the American Speech Language and Hearing Association to address the need for more treatment efficacy research…

The notion of "linguistic profile" as an alternative to standardized testing for speech and language disorders is discussed in this tutorial. Two specific examples of profiles, both for disordered phonology, are described, and readers are guided through their use. Finally, their relative strengths and weaknesses are assessed. (Author/CR)

Evaluation of client progress is an important topic in communicative disorders research and clinical literature. Goal attainment scaling (GAS) is a technique for evaluating individual progress toward goals. Despite recognition of GAS as a clinical-outcome assessment technique in other clinical professions, the current debate on measuring client…

A study evaluated and compared four methods of assessing reliability on one discourse analysis procedure--a modified version of Damico's Clinical Discourse Analysis. The methods were Pearson product-moment correlations; interobserver agreement; Cohen's kappa; and generalizability coefficients. The strengths and weaknesses of the methods are…

Part 1 of this paper recommends procedures and standards for the acoustic analysis of voice in individuals with dysarthria. In Part 2, acoustic data are reviewed for dysarthria associated with Parkinson disease (PD), cerebellar disease, amytrophic lateral sclerosis, traumatic brain injury, unilateral hemispheric stroke, and essential tremor.…

This article reviews issues in speech motor control and a class of communication disorders known as motor speech disorders that include dysarthrias, apraxia of speech, developmental apraxia of speech, developmental stuttering, acquired (neurogenic and psychogenic) stuttering, and cluttering. Assessment, classification, and treatment of these…

A framework to help speech-language pathologists deal with the communication problems of adolescents involved in violence in either school or correctional facility settings is proposed. Intervention programs containing socially and academically relevant activities that focus on assessment, general intervention principles, conversational…

This study investigated two pragmatic profiles (the Pragmatic Profile and the Profile of Communicative Appropriateness) used to assess the language of two aphasic patients. The study examined interscorer reliability, scoring sensitivity, and diagnostic accuracy. Findings indicate that training in scoring these profiles must be uniform, and greater…