自 1947 年出版以来，“FOLIA PHONIATRICA ET LOGOPAEDICA”为语言、语言和听力机制结构的解剖学、生理学和病理学的国际研究提供了一个论坛。本刊发表的原创论文报告了有关通信科学和障碍的基本功能、评估、管理和测试发展的新发现，以及旨在测试语音、语言和听力功能的特定理论的实验。也欢迎高质量的评审论文。

Since its inception in 1947, "Folia Phoniatrica et Logopaedica" has provided an important platform for international research in the anatomy, physiology, and pathology of language, speech, and hearing mechanisms. The original research papers published in this journal report new findings related to the fundamental functions, assessment, management, and testing developments in communication sciences and disorders. We also welcome high-quality review papers.

自1947年创刊以来，《Folia Phoniatrica et Logopaedica》为语言、言语和听力机制的解剖学、生理学和病理学的国际研究提供了一个重要的平台。本刊发表的原创研究论文，报告了与交流科学及其障碍相关的基本功能、评估、管理和测试的新发现。同时，我们也欢迎高质量的评审论文。

Folia Phoniatrica et Logopaedica

Introduction: Thickened liquids are frequently recommended for individuals with swallowing disorders who are at risk of aspiration. However, thickened liquids may be poorly tolerated and result in reduced fluid intake, which may impact performance in a number of areas. The purpose of this study was to examine the possible impact of a thickened liquid regimen on visuospatial skills in young healthy adults. Methods: Twenty young adults, ages 19-26 years, were included as participants. Baseline data consisting of urine specific gravity (USG) measurements as a marker of hydration status and completion of a visuospatial task were obtained prior to initiation of the experimental protocol. Participants in the experimental group followed a thickened liquid protocol, which consisted of drinking nectar-thick liquids for 48 hours. Data collection procedures were repeated. Results: Participants in the experimental group exhibited significantly higher USG levels and required more time to complete the visuospatial task post-thickened liquids. No significant change in performance accuracy was found. Participants in the experimental group reported a decrease in fluid intake. Conclusion: Performance accuracy on a visuospatial task was not significantly impacted by a 48-hour period of thickened liquid intake but time required to complete the task increased and was associated with mild dehydration as indicated by higher USG levels.

Elizabeth Thompson

Mary Gorham-Rowan

Matthew D. Carter

Katherine M. Lamb

Effect of a 48-Hour Thickened Liquid Protocol on Visuospatial Skills in Young Adults

48小时增稠液体方案对年轻成人视空间技能的影响

To overcome the potential tension between clinical and ecological validity in speech audiometric assessment by creating a new set of sentence materials with high linguistic validity for the Dutch-speaking area.A linguistic "fingerprint" of modern spoken Dutch and Flemish served to generate a set of sentences recorded from 1 male and 1 female talker. The sentences were presented to 30 normal-hearing listeners in stationary speech noise at a signal-to-noise ratio (SNR) of -5 dB sound pressure level (SPL). A list design criterion was used to achieve perceptive homogeneity across the test lists, by scrambling lists of sentences of different syntactic types while controlling for linguistic complexity. The original set of test materials was narrowed down to 360 sentences, and list equivalency was evaluated at the audiological and linguistic levels. A psychometric curve was generated with a resolution of 2 dB based on a second group of 60 young normal-hearing native speakers of Dutch and Flemish.Sentence understanding showed an average repetition accuracy of 63.40% (SD 1.01) across the lists at an SNR of -5 dB SPL. No significant differences were found between the lists at the level of the individual listener. At the linguistic level, the sentence lists showed an equal distribution of phonological, morphological, and syntactic features.LiCoS combines the clinical benefit of acoustic control at the list level with the high ecological validity of linguistically representative test items. The new speech audiometric test is particularly appropriate to assess sentence understanding in individuals who would otherwise exhibit near-ceiling performance when tested with linguistically more simplified test stimuli. In combination with pure tone audiometric assessment, LiCoS provides valuable complementary information with respect to the functional hearing of patients.

Martine Coene

Stefanie Krijger

Eline van Knijff

Matthias Meeuws

Geert De Ceulaer

Paul J. Govaerts

LiCoS: A New Linguistically Controlled Sentences Test to Assess Functional Hearing Performance

LiCoS：一种评估功能性听力表现的新型语言控制句子测试

Introduction: Flexible endoscopic evaluations of swallowing (FEES) involve the administration of a variety of foods and liquids to assess outcomes related to pharyngeal residue, penetration, and aspiration. While the type and color of thin liquids used during FEES have been found to significantly affect FEES ratings, it is unknown if similar effects are observed with pureed foods. Therefore, the aims of this study were to assess the effects of puree type (applesauce vs. pudding) and color (natural, blue, green) on ratings of pharyngeal residue, penetration, and aspiration during FEES. Methods: Pharyngeal residue, penetration, and aspiration were assessed in 37 consecutive outpatient adults undergoing FEES. Patients were presented with two types of puree: 5 mL applesauce and 5 mL pudding. Each puree type was presented once with either blue or green food coloring added to it by a clinician. Each puree type was also presented once with no clinician-added food coloring (“natural”). The order of presentation was randomized between patients and all data were blindly analyzed by pairs of independent raters using the Visual Analysis of Swallowing Efficiency and Safety (VASES). Multilevel statistical models were used to examine the effects of puree type and color on oropharyngeal residue, hypopharyngeal residue, and Penetration-Aspiration Scale scores (PAS). Results: Pudding trials were associated with higher oropharyngeal residue ratings compared to applesauce trials. Blue-colored applesauce was associated with higher oropharyngeal and hypopharyngeal residue ratings when compared to natural applesauce. Lastly, green-colored applesauce and green-colored pudding were both associated with higher hypopharyngeal residue ratings compared to natural applesauce and natural pudding, respectively. Conclusion: This study identified statistically significant effects of puree type and color and ratings of pharyngeal residue ratings, but not penetration or aspiration, as seen during FEES. These data suggest that clinicians and researchers should consider standardizing the type and color of pureed food used during FEES.

James A. Curtis

Anaïs Rameau

Valentina Mocchetti

Effects of Puree Type and Color on Ratings of Pharyngeal Residue, Penetration, and Aspiration during FEES: A Prospective Study of 37 Dysphagic Outpatient Adults

纯果汁类型和颜色对咽部残留、渗透和误吸评分的影响：一项针对37名失语门诊成年患者的前瞻性研究

Introduction: Traditionally, fundamental frequency increase has been viewed as largely associated with vocal fold length as a consequence of tilting the thyroid cartilage forward and downwards, a so-called thyroid tilt, caused by cricothyroid muscle contraction. Recent pilot studies in singers suggest vocal fold elongation independent from fo as related to a pedagogical parameter called ‘phonatory density’, suggesting a further discrete mechanism of the thyroid cartilage tilt related to voice quality. This study endoscopically, EGG, acoustically, and auditory-perceptually explores different vocal modes in relation to degree of phonatory density independent of changes in fo across loudness and voice quality conditions. Methods: Case-control with 20 professional singers performing sustained-vowel samples (C4 males, B4 females) for 8 different voice quality conditions with different degrees of auditory-perceptual ‘density’ while undergoing endoscopic examination and concurrent EGG and acoustic measurement. Endoscopic vocal tract assessments were blindly rated according to a 33-item systematic assessment tool and a forced consensus paradigm. Manova, Spearman’s Rho, and factor density were calculated at p≤0,05. Auditory-perceptual assessments of 64 samples of the 8 voicing conditions were performed by 33 professional singing teachers. Fleiss’ kappa and percentage agreement were used to calculate assessor accuracy and inter-rater reliability. Results: Forwards and downwards thyroid tilt was related to the perceptual category of ‘reduced density’ as the only statistically significant endoscopic assessment variable: ‘fuller density’ conditions exhibited little to no forward visible articulation of the thyroid cartilage, whereas reduced density conditions exhibited visible to marked forward articulation of the thyroid cartilage across tested conditions suggesting vocal fold elongation for reduced density conditions while maintaining an unchanged fo with high ICC for the assessors (r = .70 and r = .94 for male/female data sets respectively). Correlation analyses revealed negative correlations for SPL, Shimmer, and CPP measures for reduced density conditions, while Qx did not vary with statistical significance. Panel assessors accurately assessed the 8 tested conditions with 87% accuracy and good inter-rater reliability agreement (k 0.772 p&lt;0,001). Conclusion: Phonatory density, as an auditory-perceptual denotation of vocal weight, is controlled by the degree of thyroid cartilage tilt. The study documents systematic variations in vocal fold lengths across several conditions of loudness while fo is maintained. The findings suggest a further mechanism of the thyroid cartilage related to voice quality beyond the control of fo Further studies are needed to document pitch production mechanisms compensating for the maintenance of fo given vocal fold elongation during reduced density conditions.

Mathias Aaen

Noor Christoph

Julian McGlashan

Cathrine Sadolin

Correlating Degree of Thyroid Tilt Independent of fo Control as a Mechanism for Phonatory Density with EGG and Acoustic Measures across Loudness Conditions

甲状腺倾斜度与声门下压控制无关的声门密度与EGG和声学测量在不同响度条件下的相关性

Introduction: Semantic Feature Analysis therapy (SFA) is a widely used approach for single-word naming treatment in monolingual and bilingual persons with aphasia (BiPWAs). There is evidence that SFA leads to naming improvements in both treated and untreated languages of BiPWAs. However, research on the generalization effects of SFA to narrative production is scarce. Objective: This study investigated the within- and cross-language generalization effects of SFA on narrative production and their relationship to naming gains in a group of L1-Russian – L2-Hebrew chronic-stage BiPWAs. Methods: The study included two groups of BiPWAs. In the experimental group, ten individuals received one or two blocks of SFA, while ten participants who did not receive therapy served as a control group. We compared the changes in narrative production between the experimental and control groups and examined whether the narrative changes in the experimental group were related to naming gains. Results: The results indicated that SFA generalized to narrative production in the experimental group. Within-language generalization was observed following SFA in L1, while cross-language generalization was found following SFA in both L1 and L2. Conclusion: Although SFA has the potential to generalize to narrative production in BiPWAs, this effect did not consistently align with the therapy gains in naming. To achieve greater within- and cross-language generalization effects, we recommend providing SFA in the L1 of BiPWAs.

Alina Bihovsky

Michal Ben-Shachar

Natalia Meir

Within- and cross-language generalization in narrative production of bilingual persons with aphasia following Semantic Feature Analysis therapy

双语失语症患者叙事生产中语内和跨语言泛化的语义特征分析疗法

Introduction: Social participation for emerging symbolic communicators on the autism spectrum is often restricted. This is due in part to the time and effort required for both children and partners to use traditional augmentative and alternative communication (AAC) technologies during fast-paced social routines. Innovations in artificial intelligence provide the potential for context-aware AAC technology that can provide just-in-time (JIT) communication options based on linguistic input from partners to minimize the time and effort needed to use AAC technologies for social participation. Methods: This preliminary study used an alternating treatment design to compare the effects of a context-aware AAC prototype with automated cloze phrase response options to traditional AAC for supporting three young children who were emerging symbolic communicators on the autism spectrum in participating within a social routine. Results: Visual analysis and effect size estimates suggest the context-aware AAC condition resulted in increases in linguistic participation, vocal approximations, and visual attention for all three children. Conclusion: While this study was only an initial exploration and results are preliminary, context-aware AAC technologies have the potential to enhance participation and communication outcomes for young emerging symbolic communicators on the autism spectrum and more research is needed.

Christine Holyfield

Tara O’Neill Zimmerman

Stephen MacNeil

Nicolette Sammarco Caldwell

Parth Patel

Brenna Griffen

Elizabeth Lorah

Eduard Dragut

Slobodan Vucetic

Preliminary Investigation of Context-Aware AAC with Automated Just-in-Time Cloze Phrase Response Options for Social Participation from Children on the Autism Spectrum

自闭症谱系儿童社交参与的上下文感知辅助交流初步研究：自动即时完形填空短语响应选项

Abbreviation	Folia Phoniatr Logop
Journal Impact	1.01
Quartiles(Global)	REHABILITATION(Q3)

ISSN	1021-7762, 1421-9972
h-index	56

Publication Information	Publisher: S. Karger AG，Publishing cycle: Bimonthly，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1958，Proportion of original research papers: 100.00%，Self Citation Rate:0.00%， Gold OA Rate: 19.75%
Average review cycle	网友分享经验：>12周，或约稿
Average recruitment ratio	网友分享经验：容易

Folia Phoniatrica et Logopaedica

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Effect of a 48-Hour Thickened Liquid Protocol on Visuospatial Skills in Young Adults

LiCoS: A New Linguistically Controlled Sentences Test to Assess Functional Hearing Performance

Effects of Puree Type and Color on Ratings of Pharyngeal Residue, Penetration, and Aspiration during FEES: A Prospective Study of 37 Dysphagic Outpatient Adults

Correlating Degree of Thyroid Tilt Independent of fo Control as a Mechanism for Phonatory Density with EGG and Acoustic Measures across Loudness Conditions

Within- and cross-language generalization in narrative production of bilingual persons with aphasia following Semantic Feature Analysis therapy

Effect of a 48-Hour Thickened Liquid Protocol on Visuospatial Skills in Young Adults

Correlating Degree of Thyroid Tilt Independent of fo Control as a Mechanism for Phonatory Density with EGG and Acoustic Measures across Loudness Conditions

Effects of Puree Type and Color on Ratings of Pharyngeal Residue, Penetration, and Aspiration during FEES: A Prospective Study of 37 Dysphagic Outpatient Adults

Within- and cross-language generalization in narrative production of bilingual persons with aphasia following Semantic Feature Analysis therapy

Preliminary Investigation of Context-Aware AAC with Automated Just-in-Time Cloze Phrase Response Options for Social Participation from Children on the Autism Spectrum