Format(s):
On Demand Webinar
This on demand webinar (available beginning March 30, 2024) will guide SLPs in knowing what to listen for in the speech and resonance of children with cleft palate, cleft lip and palate, and/or velopharyngeal dysfunction and will discuss how to differentiate active, passive, and adaptive articulations. The speaker will address how to decide what to treat with speech interventions vs. what requires treatment from the medical team and will review evidence-based intervention techniques.
Format(s):
SIG Perspectives
In this SIG 3 activity, experts in pediatric voice disorders present a series of interactive
cases to help speech-language pathologists develop their knowledge and skills
completing voice evaluation and treatment planning for children with bilateral benign
vocal fold lesions, unilateral vocal fold paralysis, and sulcus vocalis.
Format(s):
SIG Perspectives
In this SIG 4 activity, learners will read three peer-reviewed articles centered on cluttering in preadolescent through adult speakers. The first article is a case study of a preadolescent with cluttering. In this paper, the authors highlight brain development
during adolescence, adolescent cognitive and emotional development, and the effects of a therapy approach based on objective speech measures. The second article is a research study concerned with disfluency clusters produced by adults with cluttering in natural conversations. The authors describe how disfluency clusters are affected by the
nature of the relationship between speakers. The last article presents qualitative data
from a focus group of adults with cluttering who have emerged as community leaders. Their reflections include recommendations for listeners and support groups, self management, and their thoughts on labels and acronyms.
Format(s):
SIG Perspectives
This SIG 5 activity includes three articles from a forum aimed at sharing research
conducted in clinical settings around the world. Two research articles analyzed surgical
and parent-led therapy approaches for improved speech and resonance outcomes. A
third tutorial described characteristics needed in an evaluation to analyze clinically
obtained data for research purposes.
The first research article is based in Brazil. It demonstrates positive long-term
outcomes in children with hypernasality/velopharyngeal dysfunction using the
Sommerlad procedure of palatal re-repair to treat residual velopharyngeal insufficiency.
The reported scores were in the categories of: “hypernasality, global impression of
velopharyngeal function, and/or active speech symptoms.” Overall, this study shows
significant improvement in a large percentage of children, with less effect on older
individuals ages 17–22 years.
The second research article includes parents from a previously published twocenter
study in Ireland and the United Kingdom. The aim was to analyze parents’
experiences with parent-led articulation therapy (PLAT) following in-depth training. After
a detailed outline is provided regarding inclusion and teaching of the participants, four
main themes are identified. These include growth of parents, undertaking PLAT,
changes in children, and the future. Ultimately, the majority of parents are in favor of a
parent-led therapy approach with the caveat that in-depth training and direct supervision
from a speech-language pathologist is needed.
The third article, a tutorial, addresses the research–clinical practice gap. A
description is provided of a perceptual speech assessment protocol for cleft palate
speech, to enable clinical data to be used for research purposes. The article provides
detail related to determining the most appropriate standardized assessment tools as well
as the best ways to collect and analyze this data. Further details related to
implementation within the clinical setting are outlined. The data is easily accessible
through networking between cleft teams and Sweden’s national cleft lip and palate
registry, making retrospective research attainable in a clinical setting.
Format(s):
SIG Perspectives
In this SIG 2 activity, participants explore innovative articles regarding a range of topics
in the assessment and treatment of motor speech disorders. The first article describes a
case of anarthria in which the speech-language pathologist thoroughly described the
patient’s motor speech presentation, thereby contributing to his overall neurologic
diagnosis. The second article examines the effects of transcranial direct current
stimulation (tDCS), a promising method of eliciting behavior change through brain
stimulation, on the speech of individuals with Parkinson’s disease. The third article
explores the speech and language profiles of children with apraxia of speech as their
primary diagnosis, as compared to children with other concomitant diagnoses.
Format(s):
SIG Perspectives
Meta-therapy is an integral pillar of clinical practice; however, the lack of formal training in this area often makes the concept and application of meta-therapy elusive to clinicians. The goal of this SIG 3 activity is to disseminate how meta-therapy can be effectively utilized in the clinical domains of voice disorders, fluency, dysphagia, and cognitive communication and aphasia.
Format(s):
SIG Perspectives
This SIG 19 activity bundles four articles providing perspectives on a broad variety of topics in speech-language pathology. First, Bunta and Gósy discuss how speech-language pathologists and audiologists could utilize acoustic analyses in their clinical practice. They provide specific examples ranging from aphasia to speech sound disorders and various linguistic contexts to demonstrate the utility of these tools. The authors suggest acoustic analyses can be a valued supplement in clinical evaluations. Next, Diekhoff and Lulich examine speech-language pathology students’ conceptualization and description of American rhotic Sounds. They discuss the differences in descriptions of rhotic sounds by students who had experience with those sounds compared to those who did not have experience with those sounds. The role of direct instruction regarding rhotic shapes is highlighted. Then, Gurevich and Kim discuss quantifying allophonic coverage in commonly used reading passages. In summary, they suggest a need for new speech materials that could provide allophonic coverage. Finally, Jung, Jing, and Grigos investigate the accuracy and consistency of students’ perceptions/ratings of speech errors in children. They report that student clinicians’ ratings matched with expert speech-language pathologists’ ratings with training. The importance and need for listening training in speech-language pathology programs are also discussed.
Format(s):
On Demand Webinar
This on-demand dialog features SLPs Marge Blanc, Barry Prizant, and Alexandria Zachos, who discuss a language-based approach to managing echolalia. The discussion is a follow-up to the webinars "A Language-Based Approach to Managing Echolalia" and "From Echolalia to Self-Generated Language: Case Studies in Natural Language Acquisition."
Format(s):
On Demand Webinar
This recorded dialog features SLPs Megan Leece and Jonathan Preston, who discuss practical, evidence-based intervention approaches for persisting /r/ distortions, common speech sound errors for many children and adolescents.
Format(s):
SIG Perspectives
This SIG 2 activity, participants explore aspects of service delivery and advocacy for people with aphasia that are innovative and/or unique. The first article describes the creation of community aphasia groups and includes guidance for creating aphasia-friendly materials for a variety of purposes. The second article describes the challenges of people with aphasia in navigating the justice system and discusses strategies to support their success within that unique environment. The third article describes the nature of verbal short-term memory impairment in people with aphasia, methods of assessment, and potential directions for treatment.
Format(s):
SIG Perspectives
This SIG 19 activity bundles four articles providing perspectives on a broad variety of topics in speech-language pathology. First, Holt provides an overview of current and historical discussions of gender and race, challenging the reader to accept that one’s perspective is indebted to a specific belief system. Readers are to evaluate how gender and race are used to categorize people and examine whether a member of a marginalized or minoritized group affects that person’s access to or use of intervention services. Next, Cox and Koenig define speech privacy and provide a brief history and applications in the health care setting. A general perspective is outlined, including threats to speech privacy, and speakers who use an electrolarynx are used as an example to highlight specific issues clinicians may encounter. Ramanarayanan et al. discuss the use of speech as a biomarker in therapy and research. In summary, robustness of analytics—specificity, diversity, and physiological interpretability—must be further developed. Finally, Weerathunge, Tomassi, and Stepp review a number of populations with voice disorders that have been studied using altered auditory feedback. Many have hyperactive auditory feedback responses and the differing underling reasons are reviewed. Therapy considerations are also described.
Format(s):
SIG Perspectives
It is well known within our field that identifying voice and upper airway specialized training opportunities and subsequent positions is challenging, competitive, and sometimes elusive. In this SIG 3 activity, various pathways to specializing in voice and upper airway disorders are explored from the viewpoint of different authors at various stages of their careers. The hope is to make the process of specialization more transparent and share components that have contributed to success, while also highlighting the diversity of training and experience that is so important in our field.
Format(s):
SIG Perspectives
This SIG 5 activity analyzes the relationship between the opioid crisis and cleft lip and palate care across the life span. Two main themes of prevention and treatment after exposure are explained. The articles outline alternatives to opioid use after cleft-related surgeries, impacts on infants and children who were exposed in utero, and velopharyngeal insufficiency treatment after substance abuse.
Format(s):
SIG Perspectives
In this series of SIG 3 articles, a foundation for laryngeal endoscopic imaging and interpreting videostroboscopic parameters is provided. These concepts are then put into practice in the context of three case studies focused on muscle tension dysphonia, bilateral vocal fold lesions, and vocal fold immobility. In the cases, auditory perceptual analysis, acoustic and aerodynamic measures, and candidacy for voice therapy are assessed in addition to videostroboscopic parameters. Video and audio examples are included to provide an interactive experience for the reader.
Format(s):
SIG Perspectives
The first two articles in this SIG 19 activity provide information to better our assessment and treatment of individuals in the area of voice, while the latter two articles focus on treatment of individuals in the area of speech production. The authors for all four articles present a review of the literature as well as challenges and future directions. First, Van Hook and Duffy conducted a pilot study to trial the Gender Spectrum Voice Inventory. This article provides a review, discussion of validity, and speech-language pathologists’ perceptions of the inventory in an effort to address a gap in available clinical tools for transgender and nonbinary people. Next, Hammer reviews the relationship between air flow with sound pressure level during syllable production while holding fundamental frequency and subglottic air pressure constant. The results have clinical implications that stress the importance of an increase in air flow and focus on vocal fold contact. Then, Gritsyk et al. describe their study to determine which measures of somatosensory acuity best predicted change in production accuracy during vowel learning tasks while controlling auditory acuity. Results indicate only bite block adaptation with auditory masking was significantly associated with performance. Finally, Zajac et al. discuss their preliminary study that indicated cleft type contributes to production errors, specifically backing, in children with repaired cleft palate. Additionally, a history of otitis media affects the spectral contrast of alveolar consonants in children without clefts.
Format(s):
SIG Perspectives
This Perspectives course contains three articles that focus on social considerations in the elderly, with emphases on risk factors for dementia and treatment of Parkinson’s disease.
Format(s):
eWorkshop
This recorded session from ASHA’s 2021 Schools Connect online conference reviews three evidence-based approaches to selecting and contrasting two or more sounds during speech sound disorder treatment: minimal pair (one misarticulated sound paired with its typical substitution), maximal opposition (two misarticulated sounds that differ greatly from one another), and multiple opposition (multiple misarticulated sounds that are all replaced within the same substitute). The speaker shares evidence supporting each treatment approach and uses hypothetical clinical cases to illustrate sound selection and treatment activities.
Format(s):
SIG Perspectives
These SIG 2 articles focus on clinical assessment and practices for individuals with aphasia. Topics covered included challenges associated with diagnosing primary progressive aphasia (PPA) and the impact of adaptive yoga programs for persons with aphasia. First, Aimee Dietz, E. Susan Duncan, Lauren Bislick, Sarah Stegman, Jenna Collins, Chitrali Mamlekar, Rachel Gleason, and Michael J. McCarthy provide an overview of the potential impact adapted yoga programs can have for people with stroke-induced aphasia. Second, Adithya Chandregowda raises awareness about the challenges associated with encountering primary progressive aphasia (PPA) patients in the acute hospital setting.
Format(s):
SIG Perspectives
This Perspectives activity highlights two articles with objective measures for both evaluation and treatment of velopharyngeal dysfunction. The first article discusses the palatal closure efficiency (PaCE) index. This is an aerodynamic tool used to estimate the velopharyngeal opening during certain speech contexts. This is done by measuring a percentage of change between nasal and oral cognates of an individual. The second article describes the nasometer in depth, highlighting its use as an evaluation and treatment tool for decreasing hypernasality. It goes into further detail on the differences between hypernasality and measured nasalance, highlighting both strengths and limitations of the nasalance score.
Format(s):
SIG Perspectives
This course is composed of three articles that center around quality of life: at end of life, following a stroke, and among individuals with voice disorders.
Best Seller
Format(s):
On Demand Webinar
Persisting /r/ distortions are common speech sound errors for many children and adolescents. This on demand webinar describes /r/ intervention approaches that are rooted in sound science about the phonetics of /r/, basic principles of speech motor control, and evidence-based solutions.
Format(s):
SIG Perspectives
In this series of articles, the need for clear guidelines in graduate education on the topic of transgender voice and communication is explored through an e-survey. Considerations for culturally competent voice care is presented in the context of two case studies. Case studies are also used to highlight the importance of an interdisciplinary gender affirming approach for successful voice care with adolescence. In the final article, a voice technique is adapted for voice masculinization.
Format(s):
SIG Perspectives
This activity presents a diverse perspective, including four different speech science articles focused on a variety of topics. Kimball and Sayce discuss the pros and cons of research using behavior and functional assessment and treatment in the areas of speech science and voice, specifically their limitation in outlining etiology or explaining treatment resistance. They also provide an overview of genetic research approaches as a possible path forward to develop additional evidence-based treatment approaches. Neel reviews the production and perception of extralinguistic information regarding sex/gender, sexual orientation, age, non-native accent, regional and social dialect, and race and ethnicity. The article explores the literature in the above areas reviewing acoustical features and common misperceptions, concluding with instructional activities to enhance student awareness of indexical characteristics. McAllister et al. studied the effects of biofeedback for residual rhotic errors in a preliminary case series. Participants were five native English speakers who had not yet generalized rhotic production. Treatment consisted of either electropalatographic or visual-acoustic biofeedback using the Challenge Point Program software. Although participant responses to treatment were variable, the median effect size tended to exceed the minimum value considered clinically significant. Gritsyk et al. examined three measures to determine which best predicted change in production accuracy during a vowel learning task. Using 20 female college students, researchers administered three tasks: an oral stereognosis task, a bite block task using auditory making, and a new phonetic awareness task. The bite block task with auditory masking, measuring proprioceptive awareness, was the only task significantly related to performance in speech learning.
Format(s):
On Demand Webinar
Students who are deaf or hard of hearing are a diverse population of individuals who may use various languages, communication modalities, and technologies. Often, SLPs do not have in-depth training to confidently work with these students. In this on demand webinar, an SLP and an audiologist share practical approaches, tools, and resources that SLPs can use to determine how to best meet the needs of students who are deaf or hard of hearing and support them in the school environment.
Format(s):
On Demand Webinar
This on demand webinar focuses on case examples that demonstrate a language-based approach to managing echolalia, from delayed echolalia to self-generated language. Using video clips and language sample excerpts, the speakers describe the stages of gestalt language development, illustrate the varieties of echolalia, and review case examples of the successful use of the Natural Language Acquisition (NLA) protocol to support gestalt language development in three individuals. The speakers also propose transparent terminology that can be used to help explain NLA to colleagues and families.
Format(s):
On Demand Webinar
This course addresses assessment standards for confident diagnosis of exercise-induced laryngeal obstruction (EILO) for clinicians across settings. Speakers discuss differential diagnoses and complex, co-occurring conditions as well as provide an update on terminology used to describe variants of what used to be commonly known as paradoxical vocal fold motion (PVFM). The speakers use case examples and research summaries to discuss current, evidence-based, behavioral methods for remediation and resolution of these conditions. This course – part of the SIGnature Series – was developed by SIG 3: Voice and Upper Airway Disorders.
Format(s):
On Demand Webinar
This on demand webinar will explore service delivery modifications as well as evaluation and treatment principles for velopharyngeal dysfunction in the era of the COVID-19 pandemic. Speakers will address service delivery considerations during the pandemic for individuals with cleft palate and associated craniofacial or velopharyngeal conditions who may experience resonance, speech sound production, voice, feeding and swallowing, dental and orthodontic, hearing, and psychosocial difficulties. This webinar – part of the SIGnature Series – was developed by SIG 5: Craniofacial and Velopharyngeal Disorders.
Format(s):
On Demand Webinar
This on demand webinar will explore the use of videostroboscopy and videoendoscopy to inform assessment and management of voice disorders (e.g., identification of physical factors, vocal technique factors, hygiene issues, stimulability testing, etc.). The speakers will describe stroboscopic technique, including scientific underpinnings and limitations, as well as discuss rating forms/scales, assessment protocols, and practice ratings to support clinicians’ decision-making regarding videostroboscopy. The webinar will also include a practice activity. This webinar – part of the SIGnatureSeries – was developed by SIG 3: Voice and Upper Airway Disorders.
Format(s):
On Demand Webinar
This course explores the use of oral motor exercise in the treatment of children with resonance and/or compensatory speech errors. Speakers discuss theoretical, developmental, and other data sets, with a focus on how to apply critical thinking to treatment planning. Speakers present treatment examples as well as research and its clinical implications. This course – part of the SIGnature Series – was developed by SIG 5: Craniofacial and Velopharyngeal Disorders.
Format(s):
eWorkshop
Using case scenarios and speech samples, this session—a recorded session from ASHA’s 2020 Schools Connect conference—guides SLPs through designing an efficient, effective, and evidence-based treatment plan for a student with a speech sound disorder. The speaker translates nine concepts from current research into practical strategies for selecting treatment targets, selecting treatment approaches, eliciting more accurate productions, and improving automaticity and generalization.
Format(s):
eWorkshop
This session shares low-cost and accessible methods for voice measurement that clinicians in any work setting can use as part of a voice assessment for adults and children. These assessment methods address the impact of vocal issues on activities of daily living, allow individuals to report voice changes over time, and aid clinicians in developing treatment goals and measuring outcomes.
This course is a recorded session from the 2020 online conference “Voice Evaluation and Treatment: Improving Outcomes for Children and Adults.”
Format(s):
eWorkshop
This session discusses presbyphonia—the anatomical, physiological, and overall functional changes to the vocal mechanism as patients age. The speaker presents assessment strategies, with and without advanced instrumental assessment, as well as treatment options. The speaker also discusses case studies to highlight treatment decision-making and interprofessional care for voice issues that accompany aging.
This course is a recorded session from the 2020 online conference “Voice Evaluation and Treatment: Improving Outcomes for Children and Adults.”
Format(s):
eWorkshop
This session summarizes sources of variability in auditory-perceptual voice assessments. The speaker discusses strategies to reduce sources of error and introduces methods that may be applied in future clinical practice and research.
This course is a recorded session from the 2020 online conference “Voice Evaluation and Treatment: Improving Outcomes for Children and Adults.”
Format(s):
eWorkshop
This session describes how to evaluate stroboscopy results using a new visuoperceptual assessment tool—the Voice-Vibratory Assessment with Laryngeal Imaging (VALI) rating form. The speaker also discusses how to integrate the results from stroboscopy intro treatment planning and execution.
This course is a recorded session from the 2020 online conference “Voice Evaluation and Treatment: Improving Outcomes for Children and Adults.”
Format(s):
eWorkshop
This session discusses strategies for successfully managing muscle tension dysphonia in patients of all ages and across practice settings.
This course is a recorded session from the 2020 online conference “Voice Evaluation and Treatment: Improving Outcomes for Children and Adults.”
Format(s):
eWorkshop
This session highlights up-to-date, evidence-based vocal hygiene recommendations that can produce desired clinical outcomes without causing undue burden on patients.
This course is a recorded session from the 2020 online conference “Voice Evaluation and Treatment: Improving Outcomes for Children and Adults.”
Format(s):
eWorkshop
Ensuring carryover and compliance outside of voice therapy sessions is one of the most difficult aspects of intervention for voice disorders. This session discusses the latest research, technology, and strategies that can help improve carryover and compliance.
This course is a recorded session from the 2020 online conference “Voice Evaluation and Treatment: Improving Outcomes for Children and Adults.”
Format(s):
eWorkshop
This session examines best practices for working with performing artists, a special population that on the one hand has unique stressors and needs but on the other hand shares many issues and concerns with the broader community of patients with voice disorders. The speaker discusses how clinicians can ensure that the therapeutic process is effective and relevant for vocal performing artists.
This course is a recorded session from the 2020 online conference “Voice Evaluation and Treatment: Improving Outcomes for Children and Adults.”
Format(s):
eWorkshop
This session explores working with people along the gender spectrum to attain their desired voice and communication goals. The speaker addresses cultural humility; methods of intake and assessment; training of vocal, verbal, and nonverbal parameters; and assessing readiness for exit from voice and communication modification.
This course is a recorded session from the 2020 online conference “Voice Evaluation and Treatment: Improving Outcomes for Children and Adults.”
Format(s):
eWorkshop
This session presents key aspects of the ASHA-recommended standard protocols published in 2018 for endoscopic, acoustic, and aerodynamic assessment of voice. The protocols include specifications for instrumentation, environmental conditions, voice/speech tasks, analysis methods, and target measures. They facilitate comparisons across clinical settings and research studies to improve the evidence base in the area of voice.
This course is a recorded session from the 2020 online conference “Voice Evaluation and Treatment: Improving Outcomes for Children and Adults.”
Format(s):
eWorkshop
This session focuses on the assessment of pediatric voice disorders, including techniques for successful laryngeal visualization with children, differential diagnosis of vocal pathologies in the pediatric population, acoustic/aerodynamic measures of vocal function, and implementing a multidisciplinary approach for evaluation and treatment.
This course is a recorded session from the 2020 online conference “Voice Evaluation and Treatment: Improving Outcomes for Children and Adults.”
Format(s):
eWorkshop
This session presents an approach to voice treatment and training for children that uses age-adapted play and emphasizes vocal function as opposed to conservation. The speakers discuss the science and data behind the approach, as well as practical issues and strategies for clinical service delivery.
This course is a recorded session from the 2020 online conference “Voice Evaluation and Treatment: Improving Outcomes for Children and Adults.”
Format(s):
On Demand Webinar
Voice disorders are a prevalent and persistent problem in older adults. As the number of people over age 65 continues to increase, SLPs likely will see a growing demand for their services to treat age-related communication problems, including disorders related to the “aging voice.” This webinar will explore the typical age-related changes in each of the three major subsystems involved with voice production (respiratory, laryngeal, and resonatory) and explain how these changes affect vocal quality and ability. The presenters also will discuss appropriate assessment and intervention options, providing an overview of medical, surgical, and behavioral treatments.
Best Seller
Format(s):
Streaming Video
This video program examines how SLPs can better manage children with highly unintelligible speech who are making very slow progress. The presentation provides a framework – the evidence-based cycles phonological pattern remediation approach – for evaluating and enhancing optimal phonological patterns.
Best Seller
Format(s):
eWorkshop
Using videos and case studies, this session demonstrates how to identify, assess, and document appropriate treatment goals, strategies, and outcomes for adults with dysarthria. The session uses the World Health Organization’s International Classification of Functioning, Disability, and Health classification system to evaluate clinical treatment approaches—including motor learning concepts—that address impairments of function, communication activity, and participation.
Best Seller
Format(s):
eWorkshop
Using videos and case studies, this session explores clinical methods for using physical and behavioral observations to evaluate adults for dysarthria. Accurate differential diagnosis of dysarthria can help clinicians diagnose neurological conditions and aid speech-language pathologists and patients in managing these conditions.
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