Clinical Archives of Communication Disorders

Purpose: Current study is designed to analyze the quantity and quality of parental language during parent-child interaction in the natural environment in both typically developing and in children with autism spectrum disorder.Methods: A total of 10 primary caregivers mainly parents in which 5 participants were parents of children with autism spectrum disorder and 5 participants were parents of typically developing children. A 10-15 minutes video recording of parent-child interaction was analyzed and drawn into conclusion about the quantity and quality of language used in terms of grammatical language measures, discourse function and pragmatic function.Results: Parents of children with ASD and parents of TD children who were developing normally produced similar amounts of linguistic input, but they differed on certain quality parameters. Parents of TD children use more Mean Length of Utterance. Significant differences were found between the two groups in terms of Discourse function and pragmatic functions. The parents of children with ASD used a comparatively lower number of nouns, verbs, conjunctions and case markers. In Discourse function analysis, significant differences were found in parental responses, number of conversational turns and number of parental responses to child’s initiations. While considering pragmatic/behavioral functions, significant differences were only in questions and expansions.Conclusions: The current study emphasizes the importance of parental language during parent-child interactions, as well as the need to profile the same which would provide precise information on the level of stimulation delivered.

P Veena Mohan

H Marjana Mahasoomi

Divya Anna Davis

A comparative study on parental language used by parents of children with Autism Spectrum Disorder and typically developing children

自闭症谱系障碍儿童与典型发育儿童父母语言使用的比较研究

Purpose: Chewing problems are a major and prevalent issue in populations with neurological pathologies including cerebrovascular accident (CVA) and Parkinson’s disease (PD). We measured habitual solid chewing performance in patients with CVA or PD and compared it to that of normal older adults to identify differences in chewing ability between groups.Methods: Measures of habitual solid chewing in 32 patients with CVA, in 35 patients with PD, and in 217 normal older adults were compared. Data on the chewing duration, frequency, and rate were collected using a solid chewing task (SCT). We also analyzed the relationships between dentures, number of teeth, and SCT outcomes.Results: The chewing duration in the PD group was significantly longer than the normal group (p&lt;0.05). Chewing frequency and rate were not significantly different among the three groups. Results can be explained by rigidity and bradykinesia in orofacial structures in the PD group. No significant differences between the PD and CVA groups may be partly explained by the diverse location and size of the CVA lesion compared to the PD. Dentures and the number of teeth were not significantly correlated with SCT outcomes.Conclusions: Chewing impairment remains the area of development for research and rehabilitation, and SCT may help to assess oropharyngeal dysphagia and to identify therapeutic interventions.

Ja Young Kim

Sang-eok Lee

Hee-Cheon You

HyangHee Kim

Evaluation of chewing ability in cerebrovascular accident and Parkinson’s disease

脑卒中和帕金森病患者咀嚼能力的评估

Purpose: The purpose of this study was to examine the difference of two laryngeal closure transition measures: initiation of laryngeal closure (ILC) and laryngeal closure duration (LCD) among stroke survivors, head and neck cancer survivors, and healthy age-matched controls.Methods: ILC and LCD were determined by analyzing two 5ml thin liquid swallows exhibited by each of the 15 stroke survivors, 15 head and neck cancer survivors, and 15 healthy controls from the videofluoroscopic swallowing examinations (VFSEs). Statistical analyses were made using one-way analysis of variance (ANOVA) using the three groups as independent variables with the statistical level set at p&lt;0.05.Results: ILC was longer in stroke survivors compared to head and neck survivors and healthy controls; however, these results were only significant compared to controls. Head and neck cancer survivors exhibited significantly longer LCD when compared to healthy controls, but not to stroke survivors.Conclusions: Differential diagnosis based on swallowing pathophysiology is critical to manage and treat dysphagia in these populations.

Celia Deckelman

Ryleigh Caldwell

Youngsun Kim

Taeok Park

Differences of laryngeal closure during the swallow between stroke and head and neck cancer survivors

卒中与头颈部癌症幸存者在吞咽时喉闭合差异的研究

Purpose: Aphasia impacts not just the individual with aphasia, but also their family members and friends. Known as third-party disability, it is largely hidden but can be as pervasive as aphasia itself. Gavel Clubs are a Toastmasters International-affiliated group where members participate in public-speaking tasks. Participation has been associated with improvements in quality-of-life and communication confidence but the extent to which it can impact family members of people with aphasia is not yet known. This study explored family member perspectives of participation in a Gavel Club for people with aphasia, to reveal any benefits or challenges perceived by family members and/or close friends.Methods: Semi-structured interviews were undertaken with 13 family members or close friends of people with aphasia who regularly participated in a weekly Gavel Club. The interviews were analysed using thematic analysis.Results: Three themes were identified: (1) Something to do, (2) Sense of community and (3) I can see great improvements, along with two subthemes (i) This is not just us and (ii) Support of knowing other people go through it. The themes reflected a largely positive experience of Gavel Club participation as perceived by family members. The theme names were derived from quotes from the participants.Conclusions: Regular participation in a Gavel Club for people with aphasia has a positive impact beyond just the person with aphasia, extending to their family members and close friends. This impact can be direct, if the family members themselves participate, or indirect, through the perceived benefits for the person with aphasia.

Grace Lyon

Clare M. McCann

Suzanne C. Purdy

Celia Moore

“It’s improved the whole lifestyle”: Exploring the family perspective of participation in a Gavel Club for people with aphasia

“它改善了整个生活方式”：探讨参与失语症者辩论俱乐部的家庭视角

Purpose: The present study aimed to identify the overall patterns of spatial hearing in a sample population of the geriatric population wearing a hearing aid in an actual clinical setting and to investigate while paying attention to aging and the effects of spatial separation on informational masking (IM) of target speech of common types of noise in everyday life.Methods: Nine participants (mean age: 68.9 ± 9.6) wearing hearing aids participated. The spatial hearing abilities of the participants were assessed by measuring their speech reception threshold (SRT) and spatial release from masking (SRM), using speech-like (SLN) and steady-state (SSN) noise-maskers.Results: The study results identified a trend in the decrease in SRT in all noise conditions with increasing azimuth angles. The larger the target/masker spatial separation, the larger the SRM became in all noise conditions. Results revealed that geriatric hearing-impaired participants experienced a comparable amount of SRM from IM in SLN concerning SSN.Conclusions: Given these findings, the spatial separation did not have the same effects on the IM of target speech by SLN in the geriatric population wearing a hearing aid as it did in the general hearing-impaired population at younger ages. It can be inferred from these findings that the extent to which informational maskers can compromise the spatial hearing abilities of geriatric hearing-impaired listeners may depend on their age and the severity of spatial hearing loss being imposed on them.

Joon Shin

Hyo-Jeong Lee

Junghwa Bahng

Spatial hearing in middle-aged and older adults with a hearing aid: Does noise type matter?

中年和老年听障人士使用助听器时的空间听觉：噪声类型是否重要？

Oropharyngeal dysphagia (OD) is a prevalent and clinically significant challenge among patients with stroke, affecting their quality of life and overall prognosis. This systematic review aims to comprehensively assess and synthesize existing evidence on the prevalence of OD in a patient’s stroke. A comprehensive literature search was performed in major medical databases, including PubMed, Scopus, and Web of Science, from inception to March 2023. Studies revealed the prevalence of OD in adult stroke patients. Two reviewers independently assessed the titles, abstracts, and full texts of potentially eligible studies. The studies were evaluated for bias using the Joanna Briggs Institute’s critical appraisal checklist. Data from the studies were extracted, and a meta-analysis was performed to estimate the pooled prevalence of OD in stroke patients. The initial search yielded 1,272 relevant studies, of which eight met the inclusion criteria for the systematic review. The combined sample size of the studies included was 1,830 patients. The pooled prevalence of OD in stroke patients was estimated to be 31.0% (95% confidence interval [CI]: 11.0-55.0%). Subgroup analysis based on stroke type (ischemic vs. hemorrhagic), stroke location (left hemisphere vs. right hemisphere vs. brainstem), and time since stroke onset was conducted to explore potential sources of heterogeneity. In conclusion, the study highlights the significant burden of OD in patients with stroke, emphasizing the need for early detection, comprehensive assessment, and tailored interventions to improve patient outcomes and identify risk factors.

Sondos Sarouji

Mohd Azmarul A Aziz

Mohd Normani Zakaria

Nik Fariza Husna Nik Hassan

Izzat Ismail

Prevalence of Oropharyngeal Dysphagia in Patients with Stroke: A Systematic Review and Meta-Analysis

卒中患者中口咽性吞咽困难患病率的系统综述与Meta分析

Purpose: Hearing aids (HAs) are electronic devices that provide amplification for individuals with hearing impairment. It requires good maintenance for its trouble-free function, but when HAs are not repaired or serviced on time, it affects communication. In the lockdown period during COVID-19 pandemic, many services were put on hold, including the HA service leading to poor user satisfaction. The study aimed to survey the HA user’s perspectives on its repair, servicing, and satisfaction during COVID-19 using a questionnaire.Methods: Sixty-seven participants reported to the organization during the COVID-19 pandemic for service and repair of HAs participated in the study. All the participants answered a questionnaire which consisted of different variables (extrinsic and intrinsic) affecting HA service, repair and satisfaction.Results: The chi-square test showed that extrinsic factors enjoyed relatively more (14) significant associations than intrinsic ones (8 associations). The lack of transport and non-availability of the HA centres were associated with the significant reason for the delay in the HA being brought for repair.Conclusions: The lockdown due to the COVID-19 pandemic had affected the service, repair and satisfaction of the HA users. The associations among the variables would make the service delivery better during any such pandemics.

Neelamegarajan Devi

Kavassery Venkateswaran Nisha

V.T Kalaiselvi

Ramadevi Sreenivas

Association of Intrinsic and Extrinsic Factors on Hearing Aid Servicing, Repair and Users’ Satisfaction During COVID-19 Pandemic

COVID-19疫情期间助听器服务、维修与用户满意度中内在和外在因素的关联

Purpose: The study is aimed at identifying the cochlear physiology behind hearing impairment at extended high frequencies (EHF) despite having a normal threshold in conventional audiogram. Secondly, it is compared with the levels of Distortion Product Oto Acoustic Emissions (DPOAE).Methods: A total of 21 participants were included in the study, who have EHF loss with normal Pure tone Audiometry (PTA) thresholds. EHF testing was performed exclusively at 10 kHz, 12.5 kHz, 14 kHz, and 16 kHz using Modified Hughson-Westlake procedure. Distortion Product OAE levels were also estimated at 2 kHz, 4 kHz, and 5 kHz.Results: Significant correlation between EHF loss and DPOAE levels was seen in 10 out of the 21 participants (47.6% of the total) for one or more of the standard frequencies and ears. Whereas DPOAE’s were present in the remaining participants.Conclusions: Reduced or absent DPOAE levels with EHF loss in spite normal audiogram results reveal the potential aetiology as Cochlear Synaptopathy leading to Hidden Hearing Loss. This demands the inclusion of EHF audiometry for unveiling Hidden Hearing Loss in assessing young and adult population. It brings forth a significant change in the outcomes of Early Intervention.

A.P Anagha

Gish Chacko

Sandhra Sakariyas

Architha Reddy Nimma

Rachel James

Unveiling the Cochlear Physiology Behind Hidden Hearing Loss

揭示隐性听力损失背后的耳蜗生理机制

COVID-19疫情期间助听器服务、维修及用户满意度与内在和外在因素的关联

Purpose: This unique study aims to comprehensively understand the status and actual conditions of private speech-language rehabilitation institutions. It will provide foundational data for accreditation evaluations and operational standards, ultimately contributing to the job satisfaction of speech-language pathologists (SLPs) and improving service quality.Methods: The survey items consisted of 10 questions on the general characteristics of the operators and 18 questions related to the operation of the institutions. The questions related to operation included size, characteristics of the clients, services provided and their costs, voucher services, and operational status. The survey was conducted and analyzed using Google Forms, targeting 89 operators of private speech-language therapy institutions nationwide.Results: The operators, who were mostly first-class certified, held a master’s degree or higher and had over 10 years of experience in speech therapy. The institutions typically had 2 to 5 SLPs, an area of 99 to 165 square meters, an average revenue of 30 to 50 million KRW, a total of 51 to 100 clients, and an average of 101 to 103 speech therapy sessions per month. The clients were mostly children with language development disorders and preschool-aged children. The services provided were in the sequence of speech therapy, play therapy, and art therapy.Conclusions: Establishing operational standards and conducting accreditation evaluations are necessary to provide high-quality service and improve the operational capabilities of private speech-language rehabilitation institutions. Additionally, regular surveys should be undertaken to identify and analyze changes.

Sang Phil Kim

Eun Kyoung Lee

Survey of Private Speech-Language Rehabilitation Institutions in Korea

韩国私立言语语言康复机构调查

Publication Information	Publisher: Korean Association of Speech-Language Pathologists，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 2016，Proportion of original research papers: 0.00%，Self Citation Rate:N.A.， Gold OA Rate: 0.00%

Clinical Archives of Communication Disorders

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A comparative study on parental language used by parents of children with Autism Spectrum Disorder and typically developing children

Evaluation of chewing ability in cerebrovascular accident and Parkinson’s disease

Differences of laryngeal closure during the swallow between stroke and head and neck cancer survivors

“It’s improved the whole lifestyle”: Exploring the family perspective of participation in a Gavel Club for people with aphasia

Spatial hearing in middle-aged and older adults with a hearing aid: Does noise type matter?

Prevalence of Oropharyngeal Dysphagia in Patients with Stroke: A Systematic Review and Meta-Analysis

Association of Intrinsic and Extrinsic Factors on Hearing Aid Servicing, Repair and Users’ Satisfaction During COVID-19 Pandemic

Unveiling the Cochlear Physiology Behind Hidden Hearing Loss

Association of Intrinsic and Extrinsic Factors on Hearing Aid Servicing, Repair and Users’ Satisfaction During COVID-19 Pandemic

Survey of Private Speech-Language Rehabilitation Institutions in Korea

ISSN	2508-5948
h-index	8