uu.seUppsala University Publications
Change search
Refine search result
1234 1 - 50 of 164
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the 'Create feeds' function.
  • 1.
    Abrahamsson, Eva
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Quick, Linnéa
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Datorbaserad fonologisk lästräning för barn med hörselnedsättning: En undersökning av fonologisk medvetenhet och ordavkodning2015Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Randomized controlled trials evaluating the effect of various forms of literacy training with reliable tests are lacking in Sweden today. The aim of the present study was to investigate whether a cross-over design and the use of phonologically matched wordlists specifically designed to detect transfer, would yield a more thorough method and reliable results. Six children with hearing impairment using hearing aids between 7 and 9 years of age took part in the study. The schools in which the children had their education were randomized into either an intervention group that started to practice phonics by means of a computer-assisted program after the first testing, or a control group that, continued as usual in school. Children were informed to practice daily with the program during four weeks in school. Children were tested with a battery of tests for phonological awareness, letter knowledge and word decoding at three occasions separated by four weeks. Results showed that the wordlists seemed reliable in establishing children’s decoding strategies as well as how word length affected reading speed. Both children who took part in the intervention and the control group improved their scores at the second testing. Thus, the computer-assisted reading intervention did not prove to be more effective than usual school activities. Due to a small number of participants, a large heterogeneity of the group and insufficient practice time, effects were difficult to detect. The present investigation should be considered a pilot study towards the use of more careful testing methods with adapted wordlists that enables the detection of transfer. But, to accomplish this, it is crucial to use a larger number of participants.

    Randomiserade kontrollerade studier som utvärderar effekten av olika former av läs- och skrivträning med tillförlitliga tester saknas i Sverige idag. Syftet med denna undersökning var att genomföra en interventionsstudie med cross-over design och använda fonologiskt matchade ordlistor specifikt utformade för att upptäcka transfer, för att ge utdelning för en mer grundlig metod och reliabla resultat. Sex barn mellan 7 och 9 års ålder som använde hörapparat deltog i studien. Skolorna som barnen gick i randomiserades till att antingen utgöra en interventionsgrupp, som började träna med ett ljudbaserat lästräningsprogram via dator efter första testningen, eller kontrollgrupp som fortsatte med vanlig skolundervisning. Barnen informerades att träna med programmet under fyra veckor dagligen i skolan. Barnen utförde ett testbatteri innehållande tester för fonologisk medvetenhet, bokstavskännedom och ordavkodning vid tre tillfällen med fyra veckors mellanrum. Resultaten visade att ordlistorna på ett reliabelt sätt kunde fastställa barns avkodningsstrategier samt hur ordlängd påverkade läshastigheten. Både interventions- och kontrollgruppen påvisade förbättring vid andra testningen. Dock kunde det inte påvisas att den datorbaserade lästräningen var mer effektiv än sedvanlig skolundervisning. Då deltagarantalet var litet, spridningen stor och träningstiden vid datorn var låg kan detta ha bidragit till att effekterna uteblev. Studien bör ses som en pilotstudie som går mot en noggrannare form av testmetod där användandet av anpassade ordlistor möjliggör upptäckt av transfer. För att åstadkomma detta är det emellertid avgörande att det ingår ett större deltagarantal.

  • 2.
    Abrahamsson, Lotta
    et al.
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Ljung, Ida-Karin
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Bliss i interaktion: - En samtalsanalytisk fallstudie av hur blissanvändare och tolkare tillsammans bygger upp yttranden2008Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
  • 3.
    Ager, Emma
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Solli, Elin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    The PhonicStick: A Swedish Study: How do children age 5 and 6 handle the PhonicStick and will the use of it affect their phonological awareness?2009Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Phonological awareness is the ability to recognise, identify and manipulate components in words. Phonological awareness is an important part of the early literacy learning, although researchers disagree on how the connection arises. In the United Kingdom, synthetic phonics is a recommended way to teach literacy and the Jolly Phonics is a common approach within this method. In Sweden, mostly synthetic but also analytic methods are used for literacy teaching. The PhonicStick is developed as a communication device for impaired people and is based on the Jolly Phonics. In this study, the PhonicStick was being tested on children aged 5 and 6 years in mainstream pre-school classes to evaluate the use of it and its use for improvement of phonological awareness. The participating children were randomly divided into a test and a control group. All children were pre- and post-tested to analyse the possible improvement of parts of the phonological awareness. The test group went through three PhonicStick sessions, including different games and tests. The results from the pre- and post-tests of phonological awareness showed no significant differences between the test and control group. However, four out of five PhonicStick tests showed a significant improvement between session 1 and session 3. This shows that the children in the study were able to handle the PhonicStick after only three sessions, including remembering phonics the without visual information and producing words including two or three phonics.

  • 4.
    Aittomäki, Minna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Winell, Helena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Grammatisk språkförståelse vid fyra år - testar vi det vi tror?: En jämförande studie av två grammatiska språkförståelsetest2011Independent thesis Advanced level (degree of Master (One Year)), 30 credits / 45 HE creditsStudent thesis
    Abstract [en]

    Many studies have investigated the development of children's language production, yet knowledge about how and when language comprehension develops is scarce. Researchers are agreed that comprehension generally precedes production, even though some grammatical structures are produced before the child fully comprehends them. Testing language comprehension is difficult, requiring the child to perform some kind of action in order to show his or her understanding. The aim of this study is to examine two grammatical comprehension tests, Nya SIT and TROG-2, and to compare both their content, and the results they generate. Seventy-six monolingual Swedish and bilingual 4-year-old children were tested with both tests. The conclusion is that the results of the two tests for all the children correlate fairly well, 0.7 according to Spearman's rank correlation. The correlation for the bilingual children is 0.6 and for the monolingual Swedish children 0.5. A regression analysis shows that language is the factor that has the greatest influence on the results, and that gender and age have less influence. The analysis of the test items shows that TROG-2 is a more thorough test of grammar than Nya SIT which only partly reveals the child's understanding of grammar.

  • 5.
    Albinsson, Sophie
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Berglund, Julia
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Testbatteri för talapraxi: Utformning och pilotnormering av ett artikulationstest2010Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Apraxia of speech (AOS) is a motor speech disorder that affects the planning and programming of speech, resulting in articulatory and prosodic distortions. To this date there is no available test in Swedish for assessment of AOS. Therefore, the aim of this study was to construct a test battery that enables the assessment of level of severity of the disorder, including mild AOS. A pilot standardization was performed on 50 healthy speakers. In order to determine whether the performance on the test battery is affected by sex, age or level of education, the selection of participants was stratified by these variables.

    The tasks were constructed based on previous research regarding the perceptual characteristics of AOS, taking into account also the types of tasks that have proved to be challenging for patients with AOS.

    The performance varied between different tasks of the test battery. On some tasks a high portion of the participants got very high scores, while other tasks were shown to be challenging even for healthy speakers. No significant sex differences were found on any of the tasks. However, age and level of education significantly affected the performance on some of the tasks. Overall, the effect sizes for level of education were larger than for age.

    In the future, the test battery should be able to determine the presence or absence and severity of AOS. For further development of the test battery, the standardization should continue using a larger sample. A clinical validation on patients with diagnosed AOS is also of great importance.

  • 6.
    Alm, Per
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    A new framework for understanding stuttering: The dual premotor model2007In: Research, Treatment, and Self-Help in Fluency Disorders: New Horizons : Proceedings of the Fifth World Congress on Fluency Disorders, Dublin, 25-28th July 2006 / [ed] James Au-Yeung and Margaret M. Leahy, Dublin: The International Fluency Association , 2007, 77-83 p.Conference paper (Other academic)
  • 7.
    Alm, Per
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Cluttering: a neurological perspective2011In: Cluttering: a handbook of research, intervention, and education / [ed] D. Ward & K. Scaler Scott, London: Psychology Press , 2011Chapter in book (Other academic)
  • 8.
    Alm, Per
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    The Dual Premotor Model of Stuttering and Cluttering2010In: Theoretical Issues of Fluency Disorders / [ed] L. Beliakova, 2010Chapter in book (Other academic)
  • 9.
    Alm, Per A.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Is it Thinking and not Feeling that influence variability of stuttering in social situations?: About stuttering and social cognition2015In: 10Th Oxford Dysfluency Conference, ODC 2014, 2015, 289-290 p.Conference paper (Refereed)
  • 10.
    Alm, Per A
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Stamning och skenande tal (løbsk tale): Om orsaker, mekanismer och behandling, med utgångspunkt från hjärnan2008In: Proceedings fra 1ste nordiske konference om stammen løbsk tale, Nyborg, Danmark, 2008Conference paper (Other academic)
  • 11.
    Alm, Per A.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Stuttering in relation to anxiety, temperament, and personality: Review and analysis with focus on causality2014In: Journal of fluency disorders, ISSN 0094-730X, E-ISSN 1873-801X, Vol. 40, 5-21 p.Article, review/survey (Refereed)
    Abstract [en]

    Anxiety and emotional reactions have a central role in many theories of stuttering, for example that persons who stutter would tend to have an emotionally sensitive temperament. The possible relation between stuttering and certain traits of temperament or personality were reviewed and analyzed, with focus on temporal relations (i.e., what comes first). It was consistently found that preschool children who stutter (as a group) do not show any tendencies toward elevated temperamental traits of shyness or social anxiety compared with children who do not stutter. Significant group differences were, however, repeatedly reported for traits associated with inattention and hyperactivity/impulsivity, which is likely to reflect a subgroup of children who stutter. Available data is not consistent with the proposal that the risk for persistent stuttering is increased by an emotionally reactive temperament in children who stutter. Speech-related social anxiety develops in many cases of stuttering, before adulthood. Reduction of social anxiety in adults who stutter does not in itself appear to result in significant improvement of speech fluency. Studies have not revealed any relation between the severity of the motor symptoms of stuttering and temperamental traits. It is proposed that situational variability of stuttering, related to social complexity, is an effect of interference from social cognition and not directly from the emotions of social anxiety. In summary, the studies in this review provide strong evidence that persons who stutter are not characterized by constitutional traits of anxiety or similar constructs. Educational Objectives: This paper provides a review and analysis of studies of anxiety, temperament, and personality, organized with the objective to clarify cause and effect relations. Readers will be able to (a) understand the importance of effect size and distribution of data for interpretation of group differences; (b) understand the role of temporal relations for interpretation of cause and effect; (c) discuss the results of studies of anxiety, temperament and personality in relation to stuttering; and (d) discuss situational variations of stuttering and the possible role of social cognition. (C) 2014 Elsevier Inc. All rights reserved.

  • 12.
    Alm, Per A.
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Karlsson, Ragnhild
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.
    Sundberg, Madeleine
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.
    Axelson, Hans W.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Clinical Neurophysiology.
    Hemispheric Lateralization of Motor Thresholds in Relation to Stuttering2013In: PLoS ONE, ISSN 1932-6203, Vol. 8, no 10, e76824- p.Article in journal (Refereed)
    Abstract [en]

    Stuttering is a complex speech disorder. Previous studies indicate a tendency towards elevated motor threshold for the left hemisphere, as measured using transcranial magnetic stimulation (TMS). This may reflect a monohemispheric motor system impairment. The purpose of the study was to investigate the relative side-to-side difference (asymmetry) and the absolute levels of motor threshold for the hand area, using TMS in adults who stutter (n = 15) and in controls (n = 15). In accordance with the hypothesis, the groups differed significantly regarding the relative side-to-side difference of finger motor threshold (p = 0.0026), with the stuttering group showing higher motor threshold of the left hemisphere in relation to the right. Also the absolute level of the finger motor threshold for the left hemisphere differed between the groups (p = 0.049). The obtained results, together with previous investigations, provide support for the hypothesis that stuttering tends to be related to left hemisphere motor impairment, and possibly to a dysfunctional state of bilateral speech motor control.

  • 13.
    Alm, Per
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Risberg, Jarl
    Stuttering in adults: the acoustic startle response, temperamental traits, and biological factors2007In: Journal of Communication Disorders, ISSN 0021-9924, E-ISSN 1873-7994, Vol. 40, no 1, 1-41 p.Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to investigate the relation between stuttering and a range of variables of possible relevance, with the main focus on neuromuscular reactivity, and anxiety. The explorative analysis also included temperament, biochemical variables, heredity, preonset lesions, and altered auditory feedback (AAF). An increased level of neuromuscular reactivity in stuttering adults has previously been reported by [Guitar, B. (2003). Acoustic startle responses and temperament in individuals who stutter. Journal of Speech Language and Hearing Research, 46, 233-240], also indicating a link to anxiety and temperament. The present study included a large number of variables in order to enable analysis of subgroups and relations between variables. Totally 32 stuttering adults were compared with nonstuttering controls. The acoustic startle eyeblink response was used as a measure of neuromuscular reactivity. No significant group difference was found regarding startle, and startle was not significantly correlated with trait anxiety, stuttering severity, or AAF. Startle was mainly related to calcium and prolactin. The stuttering group had significantly higher scores for anxiety and childhood ADHD. Two subgroups of stuttering were found, with high versus low traits of childhood ADHD, characterized by indications of preonset lesions versus heredity for stuttering. The study does not support the view that excessive reactivity is a typical characteristic of stuttering. The increased anxiety is suggested to mainly be an effect of experiences of stuttering. Learning outcomes: As a result of reading this article, the reader will be able to: (a) critically discuss the literature regarding stuttering in relation to acoustic startle, anxiety, and temperament; (b) describe the effect of calcium on neuromuscular reactivity; (c) discuss findings supporting the importance of early neurological incidents in some cases of stuttering, and the relation between such incidents and traits of ADHD or ADD; and (d) discuss the role of genetics in stuttering.

  • 14.
    Andersson, Anna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Amanda, Jackman
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Kan en svalglambå göra skillnad?: En retrospektiv studie av tal hos patienter opererade med svalglambå vid Akademiska sjukhuset i Uppsala 2000-2011.2013Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Velopharyngeal insufficiency (VPI) refers to the failure of separating the oral cavity from the nasal cavity during speech and deglutination. This leads to increased airflow through the nose and is the cause of resonance disturbances such as hypernasality and nasal emission. Previous studies evaluating the success of pharyngeal flap surgery to treat VPI have indicated satisfying result although some studies stress side effects due to postoperative constrictions. The underlying cause of VPI has been shown to influence the postoperative result. With this background we investigated the differences in speech, pre-, and one year post pharyngeal flap surgery and compared the three groups (a) cleft palate, (b) cleft palate in combination with a syndrome or a sequence, and (c) VPI without cleft palate. We also investigated the co-occurance of postoperative speech therapy regarding different speech parameters and the underlying cause of VPI. 66 of the 153 patients who underwent a pharyngeal flap surgery at Akademiska sjukhuset in Uppsala 2000-2011 agreed to participate in the study. 32 patients attended postoperative speech therapy. The data was collected through medical records and a survey and included perceptual analyses of speech pre-, and post surgery performed by speech and language pathologists. According to the results from the perceptual assessment, the pharyngeal flap surgery resulted in improved speech; intelligibility (p<0.001), hypernasality (p=0.005) and weak consonant pressure (p=0.001). Hyponasality did not increase significantly (p=0.55). Patients with cleft palate in combination with a syndrome or a sequence showed greater improvement regarding hypernasality (p=0.037). The only speech disturbance co-occurring with the presence of postoperative speech therapy was compensatory articulation. Patients with cleft palate seemed to receive postoperative speech therapy in a higher extent than patients with cleft palate in combination with a syndrome or a sequence. These results indicate that pharyngeal flap surgery is a successful way of treating VPI disregarding underlying cause.

    Keywords: Velopharyngeal insufficiency, pharyngeal flap, cleft palate, syndrome, primary VPI, speech deviation, speech therapy 

  • 15.
    Andersson, Malin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Sandström, Tina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Intraoperativ språktestning genom elicitering av meningskonstruktion: Vidareutveckling av språktestförfarande vid neurokirurgi i vaket tillstånd baserat på aktuell forskning, praktiska observationer samt intraoperativ pilottestning.2014Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Låggradiga gliom (LGG) är långsamt växande, maligna hjärntumörer som ofta

    infiltrerar områden hjärnan som står för olika viktiga funktioner, exempelvis tal och

    språk. Vid vakenkirurgi av LGG kan patientens funktioner testas fortlöpande, vilket ger

    förutsättning för bevarande av funktion samt en mer aggressiv resektion. Graden av

    resektion är en viktig prognostisk faktor för överlevnad. Vid språktestning under

    vakenkirurgi används vanligen visuell objektsbenämning. Det finns dock patienter som

    får en bestående postoperativ språkstörning, varför frågor väckts om visuell

    objektsbenämning är ett tillräckligt sensitivt test för intraoperativ kartläggning av

    språkliga funktioner. Syftet med denna studie var att vidareutveckla dagens

    intraoperativa testförfarande, baserat på kunskaper inom logopedi, psykolingvistik,

    neurologi och neurokirurgi. Litteraturgenomgången och erfarenhet från praktiska

    observationer resulterade i ett intraoperativt språktestförfarande som innebär att

    patienten ska producera en mening med SVO-struktur (subjekt-verb-objekt) utifrån en

    bild. Till skillnad från visuell objektsbenämning, som bara eliciterar den fonologiska

    och lexikala nivån av språket, testar SVO-konstruktion även den syntaktiska nivån samt

    benämning av verb, vilket bland annat har visats ge en mer utbredd kortikal aktivering

    än benämning av substantiv. Meningar med SVO-struktur utformades och illustrerades

    med ritade bilder, vilka sedan pilottestades intraoperativt. Baserat på teoretisk kunskap

    bör elicitering av SVO-konstruktion vara ett mer sensitivt intraoperativt testförfarande,

    men metoden behöver valideras och vårt test standardiseras. Eftersom elicitering av

    SVO-konstruktion ställer högre krav på språklig kompetens hos testledaren bör en

    logoped genomföra den intraoperativa språktestningen.

  • 16.
    Andersson, Rasmus
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Edman, Lars
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    ”Man trodde väl att det skulle ändra sig...”: Item för mätning av anhörigas kunskap om och förståelse för afasi.2012Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Previous studies have shown that significant others to persons with aphasia are in needof increased knowledge and understanding of aphasia. The knowledge andunderstanding for aphasia has shown to be crucial to significant others in terms ofpsychosocial well-being and to be able to establish a satisfying everyday life. PresentSpeech-language pathologist services in Sweden tend to have limited involvement ofsignificant others to persons with aphasia. This study aims to design a number ofquestions, items, which will be able to measure the knowledge and understanding ofaphasia for significant others of persons with aphasia. The items result from literaturestudies and semi-structured interviews with significant others to persons with aphasia,persons with aphasia and speech-language pathologists. Transcripts from interviews areanalyzed through content analysis. The study results in 140 items presented in sevencategories, each with a number of sub-categories. Two types of items are designed:items in the form of a 6-point Likert Scale and items in the form of Multiple Choice.The items are also divided depending on whether the answer is knowledgde-based (typeA) or to be used as material for discussion (type B). The categories and items from thisstudy are consistent with previous research. To transform the items into a completequestionnaire, further validation, testing of reliability and selection is needed.

  • 17.
    Andersz, Caroline
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Hansson, Anna-Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    The use of the PhonicStick in group training: Can South African children age 5-6 improve their phonological awareness by using the PhonicStick?2010Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Phonological awareness is the ability to recognize, reflect on and manipulate sound structures of a language. This ability has been shown to be crucial when acquiring literacy. The PhonicStick is a speech-generation communication device, which was initially developed for individuals with complex communication needs (CCN) though more recent research has focused on the effects of the device on factors important for literacy acquisition. In the present study the effects on phonological awareness were evaluated after seven group training sessions with the PhonicStick. The participants of the study were 20 typically developing South African 5-6 year old children. All participants where pre and post tested with The Phonological Awareness Test part c) isolation and a PhonicStick test which tested the ability to produce isolated phonemes and combinations of three phonemes with the device. The results of the study showed that training with the PhonicStick did not appear to improve results on The Phonological Awareness Test part c) isolation. However, it was found that the participants of the training group had improved their ability to manoeuvre the PhonicStick and to produce isolated phonemes and combinations of three phonemes.

  • 18.
    Anerfält, Jessica
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Eriksdotter Bladh, Anna Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Vattensväljtest som screening för dysfagi hos vuxna: Normer som funktion av ålder, kön och vattenmängd2012Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Swallowing may differ between different age groups and genders. This may affect performance on water swallow tests. So far there have been no comprehensive studies on the effect of age, gender and water volume on the swallowing performance of healthy adults in Sweden. The aim of this study was to present normative data for three different measures of swallowing: swallowing time, swallowing capacity and number of swallows at 100 ml and 200 ml of water in healthy adults, and to examine possible effects on swallowing of age and gender. The 239 adult participants were stratified according to age and gender. During testing, time, number of swallows and a number of deviations were noted. Results showed significantly longer swallowing times, lower swallowing capacity and more swallows both in individuals older than 70 and in women. These differences were greater when using the larger volume of water. Furthermore, results showed that 100 ml of water was insufficient for measuring sequential swallowing in some individuals.

  • 19.
    Arnoldsson, Sara
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Aronsson, Bente
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Femåringar berättar på svenska och engelska: Referensdata och jämförelse med 6- och 7-åringar2013Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Since 2009, the EU research network COST Action IS0804 has been working towards gaining more knowledge about bilingual language acquisition in typically and atypically developing children, and towards creating assessment tools which are specifically adapted to bilingual children. Within COST Action, one working group, Narrative and discourse, focuses on narratives as a way to assess children’s language. Narratives provide more naturalistic language samples than item-based tests and are less biased against bilingual children compared to other language assessments. The Narrative and discourse group developed the assessment tool MAIN (Multilingual Assessment Instrument for Narratives). MAIN examines children’s production and comprehension of narratives on a macrostructural level (i.e. overall story structure) within the framework of story grammar (SG). One current hypothesis is that macrostructure is language independent and can therefore be compared across languages. In the current study, 16 simultaneous bilingual children (ages 4:11- 5:8, mean 5:4 years) with the language combination Swedish-English were assessed with MAIN. Their results were compared with the results of bilingual 6-7 year olds with the same language combination (Härdelin & Naylor, 2012). Results showed no significant difference regarding macrostructure between the children’s two languages, neither in production(p= 0,084) nor in comprehension (p= 0,21). However, there was a significant difference between the younger and the older children, both in production (p= 0,00099) and comprehension (p= 0,0072). Non-targetlike structures due to cross-linguistic influence,e.g. transfer and code-mixing, were noticed for both age groups. Cross-linguistic influence should thus not be mistaken for language impairment, but rather be treated as a natural part of bilingual language acquisition. In conclusion, differences in macrostructure seemed to be related to age rather than to language. The results of the current study provide insight into the performance of five-year-olds on MAIN, which has not previously been studied in a Swedish context. By comparing the results with older children, the study documents the narrative development of Swedish-English bilinguals from age 5 to 7.

  • 20.
    Arvebro, Lina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Åhlin, Jenny
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Quality of Life and Aphasia: Are proxy responses from spouses/caregivers reliable to use in research with persons with aphasia?2013Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Persons with aphasia (PWA) have language difficulties and their Quality of Life (QoL) has most likely been affected. Because of their loss of language abilities, it is difficult to use PWA in QoL studies. This can lead to the use of proxy responses (a person who answers for the PWA). The aim of this study was to compare the rankings from QoL questionnaires for PWA with the rankings from their spouses/caregivers (i.e., proxyresponse). We also wanted to find out which of the 11 aspects of life PWA andspouses/caregivers ranked as the most respectively the least impacted ones. A totalnumber of 57 persons participated in the study. The participants consisted of two groups, one group with PWA and one group of their spouses/caregivers. A questionnaire-based cross-sectional survey completed via a face-to-face interview was used to collect data from both groups. The results showed that there was poor internal consistency and a weak correlation between the two groups. The two groups ranked different aspects of life as “most impacted” and “least impacted”. The PWA ranked Vocation/Occupation as the “most impacted” and Family life as the “least impacted”aspects of life. The spouses/caregivers ranked Overall ability to communicate as the“most impacted” and Ability to self-care as the “least impacted” aspects of life. The results indicate that proxy responses may not be appropriate and should be interpreted with caution in QoL studies with PWA.

  • 21.
    Asplund, Camilla
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Johansson, Frida
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Aktivering av talmuskler i flytande tal hos vuxna som stammar2014Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studie var att pröva olika teorier om stamning, avseende nivå av muskelspänning vid flytande tal. Tjugofyra försöksdeltagare ingick i studien, tolv stammande och tolv kontrolldeltagare. Försöksdeltagarnas muskelaktivitet i musklerna orbicularis oris (OO) och depressor labii inferior (DLI) uppmättes med hjälp av elektromyografi (EMG) vid flytande tal och vid en icke verbal uppgift, att puta med läpparna. De stammandes grad av stamning bedömdes med The Wright and Ayre Stuttering Self-Rating Profile (WASSP) och Stuttering Severity Instrument, fjärde upplagan, (SSI-4) för att korrelera denna med muskelaktiviteten. Ingen statistisk signifikant skillnad avseende muskelaktivitet mellan grupperna kunde påvisas, varken i flytande tal eller vid den icke verbala uppgiften. Det fanns inte heller något signifikant samband mellan den sammanlagda muskelaktiviteten av OO och DLI vid flytande tal och stamningsgrad uppmätt med SSI-4 respektive WASSP. Inget signifikant samband kunde heller ses mellan OO vid läpputning och stamningsgrad uppmätt med SSI-4 respektive WASSP. Ett negativt signifikant samband påvisades dock mellan muskelaktivering i OO vid flytande tal och självskattad stamningsgrad. Således kan resultatet tyda på att det varken finns någon muskulär hypertoni eller hypotoni i OO och DLI i stammandes flytande tal jämfört med en icke stammande kontrollgrupp. Resultatet indikerar även att det kan finnas tendens till låg muskelaktivering vid svårare stamning.

  • 22.
    Backlund, Charlotte
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Lindström, Emma
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Stavningsförmåga och allografisk förmåga hos vuxna personer med dyslexi: Preklinisk validering av STAVUX och Kasttranskription2010Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to determine if STAVUX (spelling test for adults) and Kasttranskription are suitable tests to use in the assessment of adults with spelling difficulties. At present, there are no such tests with norms for people older than 18 years. STAVUX was developed by Nilsson and Pettersson (2009) and consists of 45 words and 45 pseudo words of varying difficulty. The words are chosen to represent the different spelling patterns of the Swedish language and the pseudo words to represent the Swedish phonetic structure. A between group’s design was used to find out if STAVUX is a suitable test to use in the assessment of spelling difficulties. STAVUX was validated on 23 persons with dyslexia, aged 18-64 years, and the results were compared to a control group of 23 persons, aged 18-62 years. In this study it was also investigated if there was any correlation between spelling ability and allographic ability. The participants performed a case transcription task, where the participants were supposed to convert lower to upper case letters and upper to lower case letters, while time was measured. The test is named Kasttranskription and was designed by Hansson and Häägg (2008). The results of this study show that particularly the word part of STAVUX, contributes to the prediction of dyslexia. The dyslexic group performed significantly lower than the control group on both subtests (words and pseudo words). Both groups followed the same pattern in type of spelling errors. The majority of the participants in each group managed to perform Kasttranskription correctly. There was a significant difference in time of performance of Kasttranskription. The dyslexic group performed significantly worse in terms of time compared to the control group. The subtests of STAXUX and Kasttranskription were highly correlated with each other.

  • 23.
    Backlund, Josefine
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Lindqvist, Anna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Snabb automatiserad benämning som screeninginstrument vid kognitiva störningar: En klinisk studie baserad på AQT2009Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    A Quick Test (AQT) Color-Form is a test that uses rapid automatized naming in order to identify cognitive impairment. It is divided into three parts, each of which consists of 40 stimuli that are to be named as quickly as possible. Previous studies have indicated that AQT separates patients with Alzheimer’s disease from normal controls with higher accuracy than the commonly used Mini-Mental State Examination (MMSE). The purpose of this study was to investigate, for the first time, whether AQT results collected from a consecutive series of patients at a Memory Clinic would be able to predict the diagnosis. Another aim was to study the possible relation between AQT results and Cerebrospinal Fluid (CSF) biomarkers for neurodegenerative diseases. 492 forms from AQT Color-Form tests were analyzed and diagnostic prediction and correlation with level of CSF biomarkers were determined for the first 374 patients. The results imply that AQT Color-Form may be sensitive to some symptoms of benign memory impairment that is found in patients admitted to a Memory Clinic, but that it is not always sensitive to mild degrees of dementia. Further research consecutive series of patients is needed in order to determine the diagnostic abilities of discrimination in clinical practice.

  • 24.
    Bengtsson, Lisa
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Jarbo, Philip
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    "Det var ju bara att erkänna, jag kan inte det här": Närstående till personer med afasi delar sina tankar om att leva ett gott liv med afasi2013Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Afasi är en språkstörning som uppstår till följd av en hjärnskada, där stroke är den vanligaste orsaken. Att få afasi innebär ofta en negativ psykosocial påverkan för personen som drabbas av afasi, men afasin medför också negativa följder för dennes närstående. Ett nytt område på frammarsch inom afasiforskningen berör hur både pma och deras närstående trots afasin ändå kan leva ett gott liv. Syftet med denna studie var att undersöka vilka faktorer som är betydelsefulla för närstående till personer med afasi för att kunna leva ett gott liv med afasi. I studien intervjuades åtta närstående till pma. De fick utifrån ett antal frågeområden dela med sig av sina erfarenheter av att leva ett gott liv med afasi. Data analyserades med en kvalitativ innehållsanalys och resulterade i 15 kategorier som indelades utifrån Socialstyrelsens Klassifikation av funktionstillstånd, funktionshinder och hälsa (ICF) domäner: Kroppsfunktioner och kroppsstruktur, Aktivitet och delaktighet, Omgivningsfaktorer och Personliga faktorer. Följande faktorer framhölls som viktiga för att hjälpa närstående att leva ett gott liv med afasi: informantens hälsa, personens med afasi hälsa, aktiviteter, egentid, god sjukvård, relationen till anhöriga, relationen mellan informanten och personen med afasi, externt stöd, informantens personlighet, personens med afasi personlighet, livssyn, prioriteringar, öppenhet, leva som tidigare och ekonomiska tillgångar. Kännedom om dessa faktorer kan bidra till att andra närstående till personer med afasi får ökade möjligheter att leva ett gott liv med afasi.

  • 25.
    Berglund, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Effekt av artikulationsträning med visuell återkoppling hos en vuxen person med hemifacial mikrosomi och talstörning2016Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to evaluate speech therapy using electropalatography (EPG) and portable training unit (PTU) in a subject with persistent articulation errors. The participant was a male adult with congenital hemifacial microsomia and micrognathia who previously had received conventional speech therapy. The subject had a retracted, velar/ uvular articulation of dental plosives with difficulty making speech understandable to listeners. A quasi-experimental prospective, controlled single-subject ABA design was used. Treatment efficacy was assessed by instrumental EPG analysis of  /t/ in single words before and after treatment and showed significant treatment results with a continuing improvement in the production of  /t/ in medial and final position even four years after completion of treatment. Perceptual listen assessment of trained and untrained listeners showed significantly improved estimation of the target /t/ in medial and final position over time. A very weak association was found between the perceptual estimation of t-likeness and the analyzed EPG values. Listener rating of spontaneous speech showed an improvement in intelligibility 4 years after completing training. The evaluation confirms previous research showing that speech therapy with EPG seems effective for providing visual feedback in the attempt to establish a correct articulation pattern, improved speech and enhanced intelligibility. This was investigated in the present study and although the results were not unambiguous, it was indicated that the method can be successful at long persisting well established articulation errors without signs of spontaneous change or after previous training without visual feedback. An important experience is to plan long term and wait for the automation of the new articulation movements that have a long establishment phase. Training with EPG is proposed to be offered to adults with persistent articulation disorders for which conventional therapy has been unable to provide desirable results.

    Keywords:  Electropalatography, treatment effect, hemifacial microsomia, articulation disorder, long- term follow- up, intelligibility

     

  • 26.
    Berglund, Viktoria
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Engström, Carin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Att lyssna på sväljning: En studie om användning av cervikal auskultation vid bedömning av dysfagi i Sverige2013Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to investigate the use of the assessment method cervical auscultation (CA) amongst speech and language pathologists (SLPs) in Sweden working with dysphagia. We wanted to find out: How widespread is the method in the SLP profession? How widespread is the method in the country? What opinions are there about the method amongst SLP´s in Sweden? What assessment methods within dysphagia are mostly used among SLP´s in Sweden? A total of 82 SLPs participated in the study. Data were collected through an online survey. The survey questions were of both quantitative and qualitative nature. The results showed that 18% of the respondents used CA. There was a significant correlation between the frequency of use of the method and how confident SLPs felt in the assessment. Significance was also found between the frequency of use of CA and how much importance SLPs assigned to what was discovered with the method when making the overall assessment. More importance was also ascribed to the results of CA from those who felt confident in assessing with the method. The results also showed that the longer SLPs had used the method, the more confident they felt in assessing with it. The majority of those who used CA were self-taught or had learned the method through colleagues. A thought that arose was whether the SLPs in Sweden possibly believe that CA is meant to be used as the sole method of assessment, replacing non-instrumental assessment. CA does not seem to be used frequently in Sweden, mainly because of lack of evidence and reliability but many see benefits that would justify the use of CA as part of the clinical assessment.

  • 27.
    Bergmann, Amanda
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Kjerrman, Corinne
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Ett intraoperativt ordrepetitionstest på svenska: Baserat på det nederländska testbatteriet Dutch Linguistic Intraoperative Protocol2017Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Low-grade gliomas are brain tumours that grow slowly and infiltrate brain tissue. The tumours often infiltrate tissue that is responsible for important functions such as language and motor skills. Resection of tumours in eloquent areas is done during awake surgery, which means that the patient is awake and undergoing testing during the operation. Depending on the area being subjected to surgery and what functions are expected to be affected, different tests are used, which allows a more extensive resection. In language testing during awake surgery, the patient's linguistic abilities can be tested and accordingly be preserved to a greater extent. At Akademiska sjukhuset in Uppsala the language tests currently in use are tests for example visual object naming, sentence production and reading aloud. There has been a growing demand for a greater variety of tests to allow a closer linguistic assessment during surgery. The aim of this thesis is to create a word repetition test based on the Dutch test battery DuLIP, and to conduct a pilot test to evaluate the quality of the test. This resulted in a Swedish word repetition test. A pilot test, conducted on 15 participants, established which words to be included in the test. This test will be used at Akademiska sjukhuset in Uppsala, but can also be used throughout Sweden if desired.

  • 28.
    Bergström, Anna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Due, Sofia
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Att mäta kommunikativ förmåga: Utvecklandet av ett självskattningsinstrument2009Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Working with communication is a key element in professional speech and language therapy. The aim of this study was to develop a self-report instrument that measures communicative ability, with a possibility to capture both positive and negative aspects of communication. The instrument was developed in accordance with classical measurement theory. A first evaluation of the instrument with 13 respondents was conducted. As a result the number of items, ie questions, was reduced from 133 to 78 and individual items were altered when needed. 254 respondents then answered the revised form on the internet. Four factors could be extracted from the material. These were: behavior in social situations, functional communication, linguistic skills and receptive skills plus voice. The four factors explained 30,4% of the variance within the material. Cronbach's alpha for all 78 items was α = 0,76. The result of this study is an instrument in need of further revision and development, primarily with respect to validation.

  • 29.
    Birck, Maria
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Lindblom, Sofia
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Testning av högläsning och spontantal vid neurokirurgi i vaket tillstånd: En litteraturgenomgång för att vidareutveckla de intraoperativa testmetoderna2015Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Awake surgery is the gold standard for treatment of low-grade gliomas nearby eloquent language areas in the brain. This method increases the possibility of radical resection while cognitive functions such as language are preserved, as the method allows for online testing of cognitive functions. Improvement of the intraoperative language tests could increase the possibility of more sensitive testing and thereby decrease the risk of postoperative language impairments. There is no international or national agreement on how intraoperative language testing should be performed. The aim of this study is to explore the possibility of developing the methods of language testing which are used today at Akademiska sjukhuset in Uppsala, focusing on reading and spontaneous speech. Therefore the authors have conducted a review of current literature. The literature review, observations of surgery and interviews with speech pathologists and neurosurgeons resulted in the development of an intraoperative reading aloud test with three tasks consisting of sentences with nonwords, sentences without nonwords and single words. The classification of the test material into different levels will allow clinicians to adapt the reading test based on each individual case. A pilot trial of the reading test was preformed. The proposed test is expected to be more comprehensive in comparison to the tests that are currently used, as it enables testing of the different reading routes described in the dual route model, a psycholinguistic reading model. Additionally, guidelines for eliciting spontaneous speech have been defined.

  • 30.
    Björklund, Staffan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Normativa data för samband mellan subglottalt tryck och ljudtrycksnivå2014Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to examine the relationship between subglottal pressure and sound pressure level (SPL), and to study the importance of gender and fundamental frequency in this relationship. Vocal loudness is strongly dependent on subglottal pressure. The relation between them has been analyzed in several investigations, all showing a linear relationship between the SPL and the log of the pressure. For example, Schutte (1980) analyzed the relation in 21 female and 24 male subjects who produced a great number of samples at different degrees of vocal loudness and at the subjects’ preferred pitch. Pressure was measured by means of an esophageal balloon. Tanaka and Gould (1982) analyzed 10 subjects each producing vowels at three loudness levels at comfortable pitch. Pressure data were obtained from a plethysmograph, with the subject sitting in an airtight box. Pressed phonation is characterized by a high subglottal pressure producing a comparatively low SPL, so hence the pressure – SPL relationship would be affected by glottal adduction and possibly also by F0. Therefore normative data from healthy voices should be of interest. In the present study 16 female and 15 male normal voices were asked to produce diminuendo and crescendo sequences of the syllable [pæ] at four pitches, equidistantly spaced within an octave. Trendlines were used to approximate the relation between SPL and the log of subglottal pressure. The resulting regression equations were used to calculate the average SPL increase for doubling of pressure and the SPL produced by a pressure of 10 cm H2O. The results showed an average correlation coefficient of 0.835 and 0.826 for female and male subjects. A doubled pressure produced an SPL increase of 11.5 dB (SD 3.8) and 10.0 dB (SD 2.7) for the female and the male voices. The difference between female and male voices was significant, which supports use of separate normative values for female and male voices. On average, a subglottal pressure of 10 cm H2O produced an SPL @ 0.15 m of 83.6 dB (SD 3.9) and 82.2 dB (SD 4.6) for the female and the male voices. The relationship between subglottal pressure and SPL depended somewhat on fundamental frequency, but the difference was not significant. In spite of the relatively high standard errors the results indicate that it would be worth to study in what extent differences from the potentially normative values of this study may be a sign of some sort of phonatory dysfunction. 

  • 31.
    Björklund, Staffan
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Sundberg, Johan
    KTH, Sch Comp Sci & Commun, Dept Speech Mus Hearing, SE-10044 Stockholm, Sweden.;Univ Coll Mus Educ, Stockholm, Sweden..
    Relationship Between Subglottal Pressure and Sound Pressure Level in Untrained Voices2016In: Journal of Voice, ISSN 0892-1997, E-ISSN 1873-4588, Vol. 30, no 1, 15-20 p.Article in journal (Refereed)
    Abstract [en]

    Objectives. Subglottal pressure (P-s) is strongly correlated with sound pressure level (SPL) and is easy to measure by means of commonly available equipment. The SPL/Ps ratio is strongly dependent on the efficiency of the phonatory apparatus and should be of great relevance to clinical practice. However, published normative data are still missing. Method. The subjects produced sequences of the syllable [pae], and P-s was measured as the oral pressure during the [p] occlusion. The P-s to SPL relationship was determined at four pitches produced by 16 female and 15 male healthy voices and analyzed by means of regression analysis. Average correlation between P-s and SPL, average SPL produced with a P-s of 10 cm H2O, and average SPL increase produced by a doubling of P-s were calculated for the female and for the male subjects. The significance of sex and pitch conditions was analyzed by means of analysis of variance (ANOVA). Results. Pitch was found to be an insignificant condition. The average correlation between P-s and SPL was 0.83 and did not differ significantly between the female and male subjects. In female and male subjects, P-s = 10 cm H2O produced 78.1 dB and 80.0 dB SPL at 0.3 m, and a doubling of P-s generated 11.1 dB and 9.3 dB increase of SPL. Both these gender differences were statistically significant. Conclusions. The relationship between P-s and SPL can be reliably established from series of repetitions of the syllable [pae] produced with a continuously changing degree of vocal loudness. Male subjects produce slightly higher SPL for a given pressure than female subjects but gain less for a doubling of P-s. As these relationships appear to be affected by phonation type, it seems possible that in the future, the method can be used for documenting degree of phonatory hypofunction and hyperfunction.

  • 32.
    Blom Johansson, Monica
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Research in Disability and Habilitation.
    Carlsson, Marianne
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Östberg, Per
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Sonnander, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Research in Disability and Habilitation.
    A multiple-case study of a family-oriented intervention practice in the early rehabilitation phase of persons with aphasia2013In: Aphasiology, ISSN 0268-7038, E-ISSN 1464-5041, Vol. 27, no 2, 201-226 p.Article in journal (Refereed)
    Abstract [en]

    Background:

    Having a family member with aphasia severely affects the everyday life of the significant others, resulting in their need for support and information. Family-oriented intervention programmes typically consist of support, information, and skill training, such as communication partner training (CPT). However, because of time constraints and perceived lack of skills and routines, such programmes, especially CPT, are not common practice among speech-language pathologists (SLPs).

    Aims:

    To design and evaluate an early family-oriented intervention of persons with stroke-induced moderate to severe aphasia and their significant others in dyads. The intervention was designed to be flexible to meet the needs of each participant, to emotionally support the significant others and supply them with information needed, to include CPT that is easy to learn and conduct for SLPs, and to be able to provide CPT when the persons with aphasia still have access to SLP services.

    Methods & Procedures:

    An evaluative multiple-case study, involving three dyads, was conducted no more than 2 months after the onset of aphasia. The intervention consisted of six sessions: three sessions directed to the significant other (primarily support and information) and three to the dyad (primarily CPT). The intervention was evaluated both qualitatively and quantitatively based on video recordings of conversations and self-assessment questionnaires.

    Outcomes & Results:

    The importance of emotional support as well as information about stroke/aphasia was clearly acknowledged, especially by the significant others. All significant others perceived increased knowledge and understanding of aphasia and related issues.

    Communicative skills (as manifested in the video recordings) showed improvements from pre- to post-intervention.

    Conclusions:

    The results corroborate the need for individualised and flexible family-oriented SLP services that are broad in content. Furthermore, the results support the early initiation of such services with recurrent contact. The usefulness of CPT this early in the rehabilitation process was indicated but is yet to be proved.

  • 33.
    Blom Johansson, Monica
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Research in Disability and Habilitation.
    Carlsson, Marianne
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Östberg, Per
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Sonnander, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Research in Disability and Habilitation.
    Communication changes and SLP-services according to significant others of persons with aphasia2012In: Aphasiology, ISSN 0268-7038, E-ISSN 1464-5041, Vol. 26, no 8, 1005-1028 p.Article in journal (Refereed)
    Abstract [en]

    Background: Significant others are important to persons with aphasia. For several reasons they should be involved in speech-language pathology (SLP) services, including acquiring facilitating communicative strategies and receiving support. In order to further adapt SLP services there is a need to know the perceptions and views of the significant others. Little is known about how they perceive changes in communication as well as received SLP services and in what way they want to be involved in these services.

    Aims: The study aimed to investigate which communicative changes significant others of persons with aphasia had experienced after a stroke event and to what extent these changes were experienced. A further aim was to describe the significant others’ experiences of SLP services and their motivation to participate in these services. Finally, the significant others’ experiences were compared in terms of sex, age, type of relationship, time since stroke onset, and type and severity of aphasia.

    Methods & Procedures: An 80-item study-specific questionnaire was answered by 173 significant others of persons with aphasia living throughout Sweden (response rate 69%). Of these, 33% were male and 67% female. Mean age was 64.2 years (range 33–87 years) and 85.5% of the participants were a cohabiting partner to a person with aphasia.

    Outcomes & Results: A total of 64% of participants perceived their conversations as being less stimulating and enjoyable compared with conversations before stroke onset. Aphasia was considered a substantial or very substantial problem by 64%. The participants took on an increased communicative responsibility, and 70% had changed their communicative behaviour in order to facilitate conversations. A total of 75% (n = 130) had met with the SLP of the person with aphasia. Of those, 63% perceived their own support from SLP services to be adequate; 87% considered language ability training as the most important SLP service. Type and severity of aphasia were especially related to the communicative experiences of the participants and their motivation to be involved in SLP services.

    Conclusions: The substantial decrease from pre- to post-stroke regarding enjoyment and meaningfulness of conversations suggests the need to further improve SLP services in order to help the people in question communicate at an optimal level. We suggest that clinicians should put more emphasis on explaining the benefits and availability of different kinds of aphasia rehabilitation services, such as functional communication training and communication partner training in addition to language ability training.

  • 34.
    Blom Johansson, Monica
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Hartelius, Lena
    Institutionen för neurovetenskap och fysiologi, Göteborgs Universitet.
    Per, Svensson
    Språk, tal och kommunikation samt sväljning2015In: Rehabiliteringsmedicin: Teori och praktik / [ed] Jörgen Borg, Kristian Borg, Björn Gerdle, Katharina Stibrant Sunnerhagen, Lund: Studentlitteratur , 2015, 1:1, 273-286 p.Chapter in book (Other academic)
  • 35.
    Blom Johansson, Monica
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Research in Habilitation and Disability.
    Jennische, Margareta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Pediatrics.
    Hartelius, Lena
    Institutionen för neurovetenskap och fysiologi, Göteborgs Universitet.
    Svensson, Per
    Språk och kommunikation, tal och sväljning2006In: Rehabiliteringsmedicin: Teori och praktik / [ed] Borg, Gerdle, Grimby, Stibrandt-Sunnerhagen, Lund: Studentlitteratur , 2006, 219-231 p.Chapter in book (Other academic)
  • 36.
    Brolin, Lina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Karlsson, Lina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Interaktion mellan små barn med Cerebral Pares och deras vardagliga samtalspartners på förskolan2014Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to increase the knowledge on how young children with severe Cerebral Palsy (CP) participate, interact and communicate with naturally speaking communication partners at preechool. Two young boys (2;4 and 4;3 years) with severe CP (GMFCS 5) with little or no spoken language participated in the study. They were recorded at preschool in various everyday activities and the recorded material arose from ordinary conversations with other children or staff at the preeschool. When analyzing the data, the principals and procedures of Conversation Analysis (CA), was used to study the childrens communicative resourses and the repeating conversational patterns on a detailed level. The analysis showed that the interlocutor had a very important role in the interaction with the child. The interlocutor attributed meaning to the boys' contributions and this was closely linked to the combination of different communicative resources by the boys. Which meaning that was attributed could, among other things be affected by how the children's contributions were produced, what activity the participants were involved in, or the interlocutors previous knowledge about the boys. In addition, the boys' bodily position relative to the other participants had an influence on communication. The boys inability to sit independently affected the participants positions in interaction, witch affected interaction and communication.  Qualitative detailed studies of interaction with children with severe motor impairment, (CP) is important since these can demonstrate which methods the communicative surround uses to create meaning in interaction despite the children's limited communication resources. Children’s signals can for example be difficult for the communication partners to interpret because of the motor function, but the adults are using the current activity or conversation to create a meaningful context for the children's contributions . This leads to children becoming less passive in their communication and communication becomes easier to understand.

    Keywords: Interaction, Communication, Cerebral Palsy (CP), Conversation Analysis (CA), Communicative resources

  • 37.
    Brännlund, Maxine
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Wallén, Sanne
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Grafisk Alternativ och Kompletterande Kommunikation, GAKK: Upplevelser från brukare och vårdnadshavare, en systematisk litteraturstudie.2015Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The ability to speak with one another is important for all people, but this ability can not be taken for granted when dealing with communicative disabilities. The aim of this systematic literature review was to highlight user and caregiver views and experiences of aided augmentative and alternative communication (aided AAC). The study included 15 articles that were examined by quality and analysed through a meta synthesis. Data was categorized into six main categories; (1) conversational patterns using aided AAC, (2) expectations and concerns, (3) environment, (4) the communication aid, (5) use: when and where, in what situations, (6) learning the communication and manage the communication aid . The result indicated that conversations with aided AAC were predictable and limited. The importance of communication beyond basic needs was discussed. The communication of users was depending on the support and competence from the environment and users were influenced by the treatment of others. Communication was dependent on availability and individual accommodation. Different strategies were used by users to adapt the conversations to people and situations. Beside communication, aided AAC could be used for other purposes, e.g., in daily routines. Different views were seen discussing high and low technology communication aids. Using aided AAC improved the users’ communication. The importance of including caregivers and users in the choice of communications aids was mentioned. In summary, there were many factors that needed to work together for an optimal use of aided AAC.

    Key words: communication, aided augmentative and alternative communication (aided AAC), caregivers, users, experiences, high technological aided AAC, low technological aided AAC

  • 38.
    Burström Gustavsson, Ingela
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Fogelberg, Agnes
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Att mäta vårdpersonals kunskap om afasi: Framtagande av items till bedömningsinstrument2012Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    In order for the language to function normally, the expression- and comprehension of language must work together. Aphasia is a language impairment caused by damage to the language areas of the brain. Getting aphasia can mean a big change in life and often requires adaptation regarding communication both for the person with aphasia and the persons around them. Adaptation regarding communication also includes healthcare staff working close to the person with aphasia. In order to reach understanding and to give care of good quality, knowledge about aphasia is necessary.  Previous research shows that health care staff lacks efficient understanding about aphasia. Considering that, a tool for measuring knowledge about aphasia would be desirable. This study's aim has been to produce questions (items) which can measure the level of knowledge in healthcare personnel. Qualitative research method was used in order to find material for the production of items. In order to gather experiences of how the health care staff's understanding of  aphasia are experienced by interested people today, interviews with three separate groups were performed: five persons with aphasia, five relatives to persons with aphasia and three speech and language pathologists with experience of working with persons with aphasia. The interviews were analyzed through qualitative content analysis. The result showed that all the participants' had various experiences of knowledge deficiencies regarding aphasia within the healthcare staff. The analyzed material resulted in 32 items, with the purpose of measuring the understanding of aphasia in healthcare staff. Since the material indicated that a deficiency in knowledge of aphasia exists in healthcare staff, the study was considered to be justified. Within qualitative research method, there are always risks that different elements, for example the researcher´s viewpoint, can affect the participants. Maximum consideration regarding this issue has been considered. Future benefits of this study could be an assessment instrument containing the items produced in this study. The purpose of an assessment instrument could be to measure health care staff´s knowledge about aphasia. Thereby, new opportunities are given to assure the quality of care for persons with aphasia, to justify education for healthcare staff and to evaluate the health care staff´s understanding in relation to the results of rehabilitation.

     

    Keywords: aphasia, knowledge, understanding, healthcare staff, items, assessment instruments, communication, healthcare personnel

  • 39.
    Böckman, Yesmin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Joof Flink, Felicia
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Samtal med foton och filmer: En studie av Fotokalendern som AKK för sex barn och ungdomar med autismspektrumtillstånd2015Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Communicative impairments occur with varying severity in children and adolescents

    within the habilitation services. Common in communicative impairments is that they

    often restrict the individual’s activity and participation in their daily lives. Engaging in

    conversation with someone in one’s surroundings helps create social closeness. The

    immediate surroundings are therefore highly important when it comes to ensuring that

    individuals with communicative impairments are able to be active participants in their

    own lives. The aim of the present study is to investigate, through video-recordings and

    surveys, whether the use of the aided communication application “Fotokalendern”

    affects the interaction between children and adolescents with autism spectrum disorders

    and their caregivers and school staff with focus on activity and participation. The results

    suggest an increased activity and participation in conversation as an effect of

    “Fotokalendern”, but also suggest that factors other than the communication aid might

    have affected the outcome. For example, what knowledge of and attitudes about

    communication the people in the individual’s surroundings have. Further research is

    needed to investigate how these factors can affect the interpersonal interactions where

    communication aids are used.

  • 40.
    Carlstrand, Alexandra
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Eriksson, Emmelie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Kan fonologisk språkstörning leda till läs- och skrivsvårigheter?: En studie om samband mellan fonologiska svårigheter under förskoleåren och läs- och skrivsvårigheter under skolåren.2015Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Phonological language impairment is the most common type of specific language impairment (SLI). The diagnosis includes difficulties with pronunciation and/or poor phonological awareness. The purpose of this study was to investigate whether children with the diagnosis are at risk for developing reading and writing disabilities. 14 children in third grade, who were diagnosed with phonological language impairment in kindergarten, were tested in phonological awareness, decoding of words and nonwords and spelling. The results showed that eight of the children have difficulties with reading- and writing and five of these showed signs of dyslexia. In an attempt to find correlations between components of the phonological ability in kindergarten and poor reading- and writing abilities , the children's medical records regarding speech-language treatment were analyzed. The authors found that the phonological awareness, which has been identified as the most reliable predictor of reading achievement, only had been tested in one out of 14 children. Any pattern of pronunciation difficulties in the children who showed signs of reading- and writing disabilities could not be found. The literature suggests that it should be possible to identify children at risk of developing reading and writing disabilities very early; perhaps even before they begin to learn how to read and write. The results of the present study indicate that children with phonological language impairment are at high risk of developing reading and writing disabilities, if their phonological awareness is poor, and that the phonological awareness therefore should be tested in all children with the diagnosis.

  • 41.
    Claesson, Jennifer
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Öhman, Ida
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Logopediskt omhändertagande av patienter med ALS: En enkätstudie med svenska logopeder2016Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Amyotrophic lateral sclerosis (ALS) is a progressively neurodegenerative motor neuron disease. ALS is chiefly characterised by atrophy and weakness of muscles, dysarthria and dysphagia being the foremost domains relevant to speech and language pathologists. The main purpose of this study was to investigate how the caretaking of patients with ALS is handled by speech and language pathologists regarding assessment, treatment and counselling. Furthermore the aim was to plot the access to guidelines for this group of patients at the regional hospitals of Sweden and what directions speech and language pathologists are given therein. The study was conducted using a questionnaire. The participants of the study were geographically scattered licensed speech and language pathologists who are clinically active with the group of patients at hand. The questionnaire was sent to 32 speech and language pathologists, of which 23 (72 %) answered. The acquirement of guidelines was done through contact by e-mail with each regional hospital respectively. The result shows variation within the caretaking of patients with ALS, due to differences in symptoms between patients. However, it is noted that the core is optimising the preservation of the patient's abilities and counselling on strategies. Out of the 7 regional hospitals of Sweden 2 have guidelines. Within these are recommendations for continuous and needs-oriented assessment, treatment, information and counselling. The content of the guidelines is overall unanimous with the questionnaire result.

  • 42.
    Cloud Mildton, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Kommunikativ intervention vid Alzheimers sjukdom: En metodöversikt ur logopedisk synvinkel2012Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The population in today´s society is getting older. A lot of people suffer from some kind of dementia, including Alzheimer´s disease, as this disease is strongly associated with old age. Dementia brings many difficulties, including difficulties with memory, language and communication. Many professions are represented around the person with dementia in Sweden today, however there is rarely any professional person with a thorough knowledge of the language and communication difficulties which the sick individual gets. In early Alzheimer´s disease the linguistic changes are barely noticeable, but as the disease gets worse, major linguistic difficulties will show. The occupational group that is already in the field of language and communication disorders is the speech therapist. The purpose of this study was to identify the Swedish speech therapists work today regard working with people with dementia and to map some of the methods described in the literature concerning cognitive communicative intervention of people with dementia. The results of this study showed, that few speech therapists are working with people with communication problems of dementia in Sweden today. There are still good examples though, where the speech therapist is involved in both diagnosing and advising the person with dementia and their relatives. The results also showed that in the literature there are methods for both direct and indirect interventions regarding this patient group. Perhaps some of the methods that Swedish speech therapists use today, like Supported Conversation for Adults with Aphasia (SCATM ) or Augmentative and Alternative Communication (AAC) can be used with patients with dementia. The conclusion is that there are few speech therapists that exist in the Swedish dementia care and that there are methods for working with this group of patients described in the literature, both for direct and indirect interventions, which can be used by speech therapists when working with people with dementia/Alzheimer´s disease. Spaced Retrieval training (SR-training), Reminiscence and “The Breakfast Club” are examples of some evidence based methods. To continue to develop methods and to assess its effect on people with dementia, further studies are needed both on the currently existing methods as well as testing of new ones.

  • 43.
    Cooke, Linnéa
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Wennerberg, Jenny
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Dynamic Temporal and Tactile Cueing (DTTC) för skolbarn med komplexa uttalssvårigheter: - en interventionsstudie2012Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Many children are struggling with speech sound development. Childhood Apraxia of Speech (CAS) is a neurological speech sound disorder with the core impairment in planning and/or programming parameters of speech movements. The treatment approach Dynamic Temporal and Tactile Cueing (DTTC) has been shown to improve the pronunciation of treated words/sentences for 5-8 years old children with CAS in a few recent studies. The main aim of this study was to investigate if any effect could be demonstrated when older children with complex speech sound disorders inclusive CAS are treated with DTTC 20-30 minutes, 3 days a week for 4 weeks. Eight school-age children (8-13 years old) with complex speech sound disorders inclusive CAS and possible comorbidity were participating in the study. Four of them received DTTC-treatment (A-group) and the remaining four children were controls (B-group). All participants were tested before- and after the treatment period. The A-group’s pronunciation at imitation of treated stimuli (words/sentences) had improved significantly in relation to the results of the B-group at the same stimuli (p = 0,029), after completed treatment. This study indicates that the treatment approach DTTC can improve the pronunciation of treated stimuli in school-aged children with complex speech sound disorders inclusive CAS when the children are seen 20-30 minutes, 3 times a week for 4 weeks. No transfer to similar but untrained stimuli could be demonstrated. This study also shows that imitation is not sufficient when assessing if stimuli are truly learned. Therefore spontaneous naming is important in the assessment of treatment outcomes. Also, all children demonstrated disabilities in the performance of voluntary oromotor- and face gestures.

  • 44. Crinelli, Raffaella
    et al.
    Östberg, Per
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Folstein's Mini-Mental State Examination: fat chance or slim hope?2008In: Journal of The American Geriatrics Society, ISSN 0002-8614, E-ISSN 1532-5415, Vol. 56, no 1, 171-172 p.Article in journal (Other academic)
  • 45.
    Dillström, Sibylle
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Kesti, Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Kan dold språkförståelse i andraspråket bli synlig vid återberättande på förstaspråket?: Språkförståelse och språkproduktion i förskolebarns berättelser av Buss-sagan (BST) på svenska och arabiska2009Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    This study examines if language comprehension which may be concealed in a second language can be made visible by retelling in the first language. It can be difficult to separate the language development of typically developed children with Swedish as their second language from that of multilingual children with language impairment. Therefore, reference data for multilingual children with typical language development are needed. Sixteen five-year-old children with normal language development, eight monolingual children with Swedish as their first language and eight multilingual children with Arabic as their first language and Swedish as their second language, were tested with Buss Story Test (BST) and TROG (Test for Reception of Grammar). The multilingual children got the story of Buss Story Test read to them in Swedish and then retold the story first in Swedish and then in Arabic. The result of the quantitative analysis showed that monolingual children achieved significantly better results for the parameter information on BST and better results on TROG. On the other hand, the result of the parameter information in the children’s Arabic retellings did not differ significantly from that in the multilingual children’s Swedish retellings. The qualitative analysis showed that the multilingual children’s retellings in Swedish and Arabic compared with the monolingual children’s retellings were less complex and correct in regard mostly to lexical and narrative structure. This can, to a certain extent, be due to the testing situation, but also due to deficiencies in language comprehension and means of expression. The authors conclude that speech therapists need to be aware of the fact that different linguistic structures develop at a different rate both in the first and the second language, and that tailored input in all the children’s languages is needed in order to facilitate comprehension and lexical development.

  • 46.
    Ek, Tom
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Does training with the PhonicStick improve phonological awareness?: A meta study including one new pilot study2011Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The PhonicStick is a joystick which has been developed as a communicative device to be used by people with severe physical disabilities. During the developmental phase the possibility of using this device in order to train the phonological awareness of 6 – 8 year old children was examined. The studies conducted did not show any statistical difference in phonological awareness when this was tested with current tests after the children had trained with the PhonicStick. One explanation for this could be that the children had already begun to read and write in school. Therefore, a part of the present study was aimed at investigating if a difference in results on the norm referenced tests could be obtained if the children were 4-5 years old instead of 6-8. Parts of a norm referenced test for phonological awareness and an adapted test material for the PhonicStick were used for this evaluation. The 10 examined children were equally divided into a test and a control group.In addition, a meta study was performed, where all the studies relevant to phonological awareness and the PhonicStick were evaluated. Data from these studies were summarized, and processed statistically. Only two statistically significant (p<0.05) differences could be shown after the training with the PhonicStick: both the test group and the control group obtained better results in the posttest in the test of “phoneme identification” and the test group performed better at the test “word production” then the control group. A possible interpretation of the results could be that there might be an intuitive phonological awareness that can not be tested with the current tests for phonological awareness.

  • 47.
    Eklinder, Jeanette
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Svensson, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Reparationer i AKK-samtal med Tellusdator: En samtalsanalytisk fallstudie om hur ett barn löser kommunikativa problem i interaktion med sin omgivning2009Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The main purpose of this study is to describe how a child, who uses a computer based graphical communication aid (Tellus), with the help of repairs resolves local communi­cative problems in cooperation with people in the immediate surroundings. The child has been videotaped in natural occurring activities – school and home. Conversation Analysis (CA) has been used as a method. The results show that repairs are a set of re­sources for the participants to, among other things, create mutual understanding by clarifying ambiguities and misunderstandings in the talk. The sequences of repair are often long, and lead to inserted sequences in the talk, but have an important interac­tional meaning in achieving mutual understanding. The analysis also shows that the computer based AAC is multimodal, despite the fact that the computer is the user’s pri­mary technical communication aid. For example, signs, gestures and sounds are used to indicate errors and to display emotion. The activity and the placement of the computer also affect the interaction. In school the computer is more often used as a traditional communication map. This is largely due to the fact that the communication partner is positioned in such a way that what the child is doing with the computer becomes visible to both of them. Presently, research that illustrates repair in these kinds or AAC conver­sations is sparse. This study will hopefully create interest for continuing research that, with an interactional approach, identifies and describes functional communicative prac­tices in AAC conversations.

  • 48.
    Eklund, David
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Rommel, Helena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Stamning i vardagliga samtal: En samtalsanalytisk studie av interaktionen i en familj med barn som stammar2014Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Syftet med följande studie var att beskriva interaktionella mönster i en familj med två barn som stammar. Familjen filmades sju gånger under måltidssituationer. Den teoretiska utgångspunkten är en etnometodologisk syn på deltagares egna metoder och praktiker att organisera sina gemensamma sociala aktiviteter. Studien använder Conversation Analysis (CA) som analysmetod för att undersöka interaktionella mönster i familjen. Studien har undersökt barns samtalsturer med stamningssekvenser, samt hur personer i samtalssituationen responderar på dessa i olika samtalskontexter och med vilka praktiker. Praktikerna som har belysts är upprepning, ifyllnad och inväntan. Upprepningar tycks kunna ha till funktion att uppnå förståelse. Ifyllnad förekommer vid stamningssekvenser där informationen är tillräcklig för att göra en ifyllnad. Inväntan förekommer vid stamningssekvenser där informationen inte är tillräcklig för att fylla i eller föreslå en tolkning. Studien visar även på topikstrukturens påverkan på responspraktiker, närmare bestämt bristen på respons på stammade turer som utgörförsök till ämnesbyte.

  • 49.
    Eliasson, Ann-Christin
    et al.
    Karolinska Inst, Dept Womens & Childrens Hlth, S-17176 Stockholm, Sweden..
    Holmström, Linda
    Karolinska Inst, Dept Womens & Childrens Hlth, S-17176 Stockholm, Sweden..
    Aarne, Päivikki
    Karolinska Inst, Div Speech & Language Pathol, Dept CLINTEC, Stockholm, Sweden.;Karolinska Univ Hosp, Dept Speech & Language Pathol, Stockholm, Sweden..
    von Mentzer, Cecilia Nakeva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Weiland, Ann-Louise
    Karolinska Inst, Dept Womens & Childrens Hlth, S-17176 Stockholm, Sweden..
    Sjöstrand, Lena
    Karolinska Inst, Dept Womens & Childrens Hlth, S-17176 Stockholm, Sweden..
    Forssberg, Hans
    Karolinska Inst, Dept Womens & Childrens Hlth, S-17176 Stockholm, Sweden..
    Tedroff, Kristina
    Karolinska Inst, Dept Womens & Childrens Hlth, S-17176 Stockholm, Sweden..
    Löwing, Kristina
    Karolinska Inst, Dept Womens & Childrens Hlth, S-17176 Stockholm, Sweden..
    Efficacy of the small step program in a randomised controlled trial for infants below age 12 months with clinical signs of CP; a study protocol2016In: BMC Pediatrics, ISSN 1471-2431, E-ISSN 1471-2431, Vol. 16, 175Article in journal (Refereed)
    Abstract [en]

    Background: Children with cerebral palsy (CP) have life-long motor disorders, and they are typically subjected to extensive treatment throughout their childhood. Despite this, there is a lack of evidence supporting the effectiveness of early interventions aiming at improving motor function, activity, and participation in daily life. The study will evaluate the effectiveness of the newly developed Small Step Program, which is introduced to children at risk of developing CP during their first year of life. The intervention is based upon theories of early learning-induced brain plasticity and comprises important components of evidence-based intervention approaches used with older children with CP.

    Method and design: A two-group randomised control trial will be conducted. Invited infants at risk of developing CP due to a neonatal event affecting the brain will be randomised to either the Small Step Program or to usual care. They will be recruited from Astrid Lindgren Children's Hospital at regular check-up and included at age 3-8 months. The Small Step Program was designed to provide individualized, goal directed, and intensive intervention focusing on hand use, mobility, and communication in the child's own home environment and carried out by their parents who have been trained and coached by therapists. The primary endpoint will be approximately 35 weeks after the start of the intervention, and the secondary endpoint will be at 2 years of age. The primary outcome measure will be the Peabody Developmental Motor Scale (second edition). Secondary assessments will measure and describe the children's general and specific development and brain pathology. In addition, the parents' perspective of the program will be evaluated. General linear models will be used to compare outcomes between groups.

    Discussion: This paper presents the background and rationale for developing the Small-Step Program and the design and protocol of a randomized controlled trial. The aim of the Small Step Program is to influence development by enabling children to function on a higher level than if not treated by the program and to evaluate whether the program will affect parent's ability to cope with stress and anxiety related to having a child at risk of developing CP.

  • 50.
    Englund, Sara
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Nordström, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Samband mellan anhörigskattning och logopedisk bedömning vid afasi: I akut skede och sex månader efter stroke2016Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    One third of all patients with acute stroke acquire the language impairment aphasia. The assessment of aphasia is important in order to give a correct diagnosis and treatment. Two types of aphasia assessments are assessment of language function and assessment of functional communication (communication in everyday life). The assessment is usually performed by a speech and language pathologist (SLP) but it can also be performed by a family member or close friend with a proxy rating questionnaire. In this study the correlation between proxy rating of functional communication and SLP assessment of both language function and functional communication were examined. The assessments were performed at 16 days and 6 months after stroke onset. The study also examined if two proxy ratings correlated. The study was conducted using ANH and CETI proxy ratings, and the SLP assessments NGTA and ANELT. The results revealed a strong, statistically significant, correlation between proxy rating and SLP assessment and a very strong, statistically significant, correlation between the two proxy ratings. All correlations remained strong over time. When differences between proxy rating and SLP assessment were observed there was a tendency that proxies rated the functional communication higher than the SLP did. When the participants were divided into groups based on severity of aphasia, the results revealed a greater consistency between proxy rating and SLP assessment for people with mild aphasia than for those with moderate to severe aphasia. 

1234 1 - 50 of 164
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf