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  • 1.
    Andersson, Julia
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Stepanyan, Gohar
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Åkerström, Hanna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Manliga och kvinnliga vårdnadshavares kommunikation med sitt barn: Undersökning av talspråksmiljön hos barn i åldrarna 12–30 månader med LENA™2020Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The language ability starts to develop before birth and the language and speech environment of toddlers has been found to be of significant importance for the further development of language acquisition. Earlier studies have shown that female caregivers talk more with toddlers compared with male caregivers. This study is a part of the ongoing research project “Words make a difference”, Karolinska Institutet. The purpose was to investigate caregiver gender differences amongst Swedish caregivers regarding the number of adult words in the environment around toddlers. Another purpose was to contribute in validating the Language ENvironment Analysis (LENA) in Swedish. The software LENA V3.1.0 analyzes the language environment and provides information about the number of adult words, child utterances and conversational turns. Estimated adult words can separate female adult words from male adult words. The authors also wanted to see if the LENA-result correlated with the child’s expressive vocabulary which was measured with the parent formulary CDI. Thirteen toddlers in the age of 12 - 30 months conducted an all-day recording with LENA. Random samples of the participants were chosen in order to validate the LENA-method. A total of 60 minutes of recordings was transcribed by the authors. The hypothesis that women talk more with toddlers was confirmed in this study, although the gender differences were less than in previous research. Male adult words showed a correlation with conversational turns. The result showed no significant correlation between expressive vocabulary and conversational turns. The human transcriptions were expected to conform with the LENA software especially regarding the number of adult words. The result showed that the conformity was high regarding the child utterances but somewhat lower regarding the adult words. In summary the study confirms the earlier research that female caregivers talk more to their toddlers compared with male caregivers, but the difference was not as large as shown in earlier research. Additional research about gender differences regarding adult talk and child directed speech is necessary to confirm this result. The result of the validation of LENA showed high conformity in a good audio environment. The LENA-method can be used as a useful tool to measure the listening and language environment in Sweden both in clinical and research contexts.

    Bakgrund och syfte: Barns språkförmåga börjar utvecklas redan innan födseln och tal- och språkmiljön som omger barnet har visat sig vara viktig för hur hens språk kommer utvecklas. Från tidigare studier har det framkommit att kvinnor talar mer med små barn gällande antal ord jämfört med manliga vårdnadshavare. Denna studie var en del av det pågående projektet “Ord gör skillnad”, Karolinska Institutet. Syftet var att undersöka skillnaderna mellan manliga och kvinnliga vårdnadshavare gällande antal ord i närheten av yngre barn. Hypotesen byggd på tidigare studier var att kvinnor skulle tala betydligt mer med sina barn än vad män skulle göra. Ett annat syfte vara att undersöka om LENA-resultatet korrelerade med barnets expressiva ordförråd. Hypotesen var att barn som hade ett större expressivt ordförråd hade fler turtagningsmöjligheter i verbal kommunikation med sina vårdnadshavare. Studien var också ett steg i processen att validera LENA-metoden (Language ENvironment Analysis) på svenska, med fokus på vuxenord och barnyttranden. Metod: 13 deltagande familjer med barn i åldrarna 12-30 månader genomförde en heldagsinspelning med LENA-metoden. Mjukvaran LENA V3.1.0 analyserar barns tal- och språkmiljö och kan ge information om antal vuxenord, barnyttranden och turtagningar. Estimerat antal talade vuxenord kan även separeras i ord från kvinnlig respektive manlig röst. Barnets expressiva ordförråd mättes med föräldraformuläret SE-CDI. För att validera LENA-metoden valdes stickprov ut från inspelningarna. Totalt 60 minuters inspelning från fyra deltagare (15 minuter per deltagare) transkriberades av testledarna för att sedan jämföras med LENA-beräkningen. Resultat: Kvinnliga vårdnadshavare använde fler antal ord än manliga vårdnadshavare. Dock var könsskillnaderna mindre än vad som tidigare påvisats. Det fanns ett samband mellan större andel ord från män och fler turtagningar. Resultatet visade dock ingen statistiskt signifikant korrelation mellan expressivt ordförråd och antal turtagningar. Gällande validering förväntades bedömarnas transkriptioner stämma överens med LENA-resultatet, särskilt beträffande estimerat antal vuxenord. Interbedömarreliabiliteten mellan de tre  bedömarna bedömdes hög. Överensstämmelsen mellan testledarna och LENA:s estimeringar blev hög gällande barnyttranden och något lägre för vuxenord. Sammanfattningsvis stärker studiens resultat tidigare forskning att kvinnor talar mer i närheten av små barn jämfört med män, även om könsskillnaderna inte blev lika stora i aktuell studie. Mer forskning beträffande könsskillnader och barnriktat tal behövs för att belägga om resultatet har en extern validitet. Gällande validering hade LENA en hög överensstämmelse med mänskliga transkriptioner vid de inspelningar där ljudmiljön var god, vilket innebär att LENA kan vara ett bra verktyg för att kartlägga svenska barns tal- och språkmiljö både kliniskt och i forskningssammanhang.

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  • 2.
    Blom Johansson, Monica
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Harmia, Stina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Palmquist, Emma
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    SLP services in Sweden and in Finland: A comparative study2019Conference paper (Refereed)
    Abstract [en]

    Background: About ten years ago surveys were conducted in Sweden and Finland in order to investigate SLP services for people with aphasia [1, 2] and their significant others [3]. Both in Sweden and Finland there are national legislations that demands evidence-based practice. Although there are still no national clinical guidelines on aphasia rehabilitation in Sweden, such evidence-based guidelines can be found internationally, such as Australian Aphasia Rehabilitation Practice [4]. In addition, Simmons-Mackie et al. [5] has through an extensive consensus work developed the top ten best practice statements for aphasia rehabilitation.

    Aim: The overall aim of this study was to describe and compare how speech-language pathologists (SLPs) in Sweden and Finland work with persons with aphasia and their significant others and if these speech-language pathology (SLP) practices differ from those reported about ten years ago. Of special interest was if and how the services followed evidence-based clinical guidelines about aphasia rehabilitation.

    Methods: The study was conducted as a web-based survey in Sweden and Finland in September 2018. The 43-item questionnaire was responded to by 141 (78 Swedish and 63 Finnish) SLPs working with persons with aphasia and their significant others. Quantitative data were analyzed with descriptive and comparative statistics. Qualitative data (answers to open-ended questions) were analyzed with qualitative content analysis.

    Results: The findings suggested that despite some commonalities (such as allocated time for different types of interventions), SLP services differed both within and between the countries. Most within-countries differences were found in relation to in which rehabilitation phase (acute, sub-acute, and chronic) the participants worked but also between private or public SLP services (Finland) or between regions of the countries (Sweden). Differences between the countries concerned for instance time allocated for assessment, measures, goal setting, total number of sessions, the use of specific treatment methods, and the contact with significant others. The majority of the participants, particularly in Sweden, expressed dissatisfaction with the resources allocated to people with aphasia and their significant others. Other expressed barriers to SLP services were lack of treatment material, lack of courses for further education, long distances, too short treatment periods, and lack of SLP services after discharge from hospitals. When comparing today’s SLP services in Sweden and Finland with internationally agreed on aphasia rehabilitation guidelines several gaps were found, particularly regarding duration and intensity of interventions. Moreover, the participants expressed difficulties with evidence-based practice; barriers such as lack of psychometric sound measures, lack of evidence-based treatment methods, and the need for individual adaptations of treatment methods and materials were mentioned. In comparison with the studies of Blom Johansson et al [1, 3] and Klippi et al [2] some positive trends could be identified but no major differences were found.

    Conclusion:Today’s SLP services to people with aphasia and their relatives in Sweden and Finland do not fulfill internationally recommended clinical guidelines. To change SLP services and implement clinical guidelines seems to be a time-consuming process that encounters several barriers.

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  • 3.
    Boussard, Fanny
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Bethoon, Natali
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Röstbehandling med LSVT LOUD för personer med cerebral pares och dysartri2020Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Approximately 50 % of all people with cerebral palsy (CP) have some form of speech or language disorder. Many of these have dysarthria, a neurological disorder that causes an impaired ability to articulate and effects respiration and phonation. Many people with CP consider dysarthria to be the biggest impairment as it has a major impact on their communication. Despite this there are limited voice and speech treatments for this group of patients. The purpose of this study was to evaluate whether treatment of speech and voice functions with intensive voice treatment (LSVT LOUD) can improve the speech intelligibility in patients with dysarthria secondary to CP. Five participants (3 male and 2 female) were recruited and underwent 16 one-hour sessions of intensive voice treatment. A single-case experimental design (SCED) was used and testing occurred two weeks prior to (PRE), during (TREAT) and immediately following (POST) treatment. Measures of sound pressure level (SPL) in decibel (dB) and speech intelligibility on word and sentence level were conducted, alongside perceptual ratings of voice quality. Before and after treatment, participants answered a self-response form to evaluate their speech and communication. In addition to this the participants also estimated how effortful the treatment was. The results showed improvement in speech intelligibility and increased dB SPL on word and sentence level for four of the five participants. Perceptual ratings showed minor improvements in voice quality. Two out of five participants rated an improvement in their speech and communication. Overall the participants estimated the treatment as “very strenuous”. This study has contributed knowledge about the effects of LSVT LOUD on a new age group of people with dysarthria secondary to CP. More research is needed to draw conclusions on the effects of LSVT LOUD on speech intelligibility for people with dysarthria secondary to CP.

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  • 4.
    Brunk, Matilda
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Blomqvist, Tyra
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Lyssningssvårigheter hos barn med fonologisk språkstörning: En retrospektiv journalstudie2020Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    ABSTRACT: Listening difficulties are characterized by impaired speech recognition in noisy environments. Listening difficulties often coexist with Developmental Language Disorder (DLD), attention difficulties or reading disorders. The aim of this study was to investigate the early communicative background of preschool children with Developmental Phonological Disorder (DPD), who had – in the ages 7-10 years – showed specific difficulties in one or more subscales of the questionnaire “Evaluation of Children’s Listening and Processing Skills” (ECLiPS, Barry & Moore, 2015; Forsberg & Ohtamaa, 2019). ECLiPS profiles parents’ perception of their children’s listening abilities. Furthermore, the purpose was to investigate how speech and language pathologists (SLPs) assessed listening abilities and to investigate which other care interventions had been given besides the SLPs’. This study was a retrospective medical record study. Text units were analyzed together with nominal and ordinal data. The early communicative background was characterized by a high prevalence of attention difficulties and high heredity for both DLD and reading disorders. Furthermore, there was a lack in SLPs use of valid test instruments for listening ability, for example speech recognition was only assessed face-to-face and in in an optimal sound environment. Referrals to psychologists were made only for a minor part of the children. The results suggest that the state of knowledge in listening difficulties needs to increase within child speech language pathology.

    Keywords: Developmental language disorder, Speech Sound disorder, Developmental phonological disorder, Listening difficulties, ECLiPS

    SAMMANFATTNING: Lyssningssvårigheter yttrar sig främst som nedsatt taluppfattning i bullriga miljöer. Lyssningssvårigheter förekommer ofta tillsammans med språkstörning, koncentrationssvårigheter eller läs- och skrivsvårigheter. Syftet med föreliggande studie var att undersöka den kommunikativa bakgrunden hos 37 förskolebarn med fonologisk språkstörning som i åldrarna 7–10 år uppvisat särskilda svårigheter inom en eller flera underkategorier i enkäten Evaluation of Children’s Listening and Processing Skills (ECLiPS, Barry & Moore, 2015; Forsberg & Ohtamaa, 2019). ECLiPS prövar föräldrars uppfattning av sitt barns lyssningsförmåga. Vidare var syftet att undersöka hur logopeder bedömer lyssningsförmåga samt vilka andra vårdinsatser utöver den logopediska som hade getts. Studien utgjordes av en retrospektiv journalstudie. En kombinerad analys av textsträngar och data på nominal- och ordinalskalenivå genomfördes. Den kommunikativa bakgrunden utmärktes av hög förekomst av koncentrationssvårigheter samt hög hereditet för både språkstörning och läs- och skrivsvårigheter. Vidare framkom en brist i användning av valida bedömningsinstrument för lyssningsförmåga, exempelvis bedömdes taluppfattningen enbart face-to-face och i optimal lyssningsmiljö. Remittering till psykolog med frågeställning koncentrationssvårigheter framkom i viss utsträckning. Resultaten tyder på att kunskapsläget kring lyssningssvårigheter behöver öka inom det barnlogopediska området.

    Nyckelord: språkstörning, fonologisk språkstörning, lyssningssvårigheter, ECLiPS

  • 5.
    Gonzalez Lindh, Margareta
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Allansson, Elina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Holm, Cecilia
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Jonsson, Mimmi
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Mälberg, Emma
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Jansson, Christer
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Lung- allergy- and sleep research.
    Blom Johansson, Monica
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Research in Disability and Habilitation. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Koyi, Hirsh
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg.
    Swallowing dysfunction in acute COPD: Is it merely an effect of malaise?2019Conference paper (Refereed)
  • 6.
    Gonzalez Lindh, Margareta
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Malinovschi, Andrei
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Cell Biology, Integrative Physiology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical Physiology.
    Brandén, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg.
    Jansson, Christer
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Lung- allergy- and sleep research.
    Ställberg, Björn
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Center for Clinical Research Dalarna.
    Bröms, Kristina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Blom Johansson, Monica
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Research in Disability and Habilitation. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Lisspers, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Center for Clinical Research Dalarna. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Koyi, Hirsh
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg.
    Subjective swallowing symptoms and related risk factors in COPD2019In: ERJ Open Research, Vol. 5, no 3Article in journal (Refereed)
  • 7.
    Grundvig Nylund, Anna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Gonzalez Lindh, Margareta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Ahlsson, Fredrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Perinatal, Neonatal and Pediatric Cardiology Research.
    Thernström Blomqvist, Ylva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Perinatal, Neonatal and Pediatric Cardiology Research.
    Parents experiences of feeding their extremely preterm children during the first 2‐3 years – A qualitative study2019In: ACTA PAEDIATRICAArticle in journal (Refereed)
  • 8.
    Heidenberg Sjögren, Gabriella
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Skorka, Stojan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Föräldrars upplevelser av KOMiTID: En analys av föräldrars nöjdhet efter tidig intervention2020Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: ComAlong Toddler is an intervention for parents of young children who early on struggle with communication. The goal with ComAlong Toddler is for parents to improve their parent-child-interaction, to aid their child’s communicativedevelopment, to gain knowledge about Augmentative and Alternative Communication (AAC), to practice it with their child, and to be confident in their parental role. Purpose: To evaluate parental satisfaction and experiences of the intervention ComAlong Toddler through questionnaires and to examine if there is a difference in satisfaction depending on different parameters. Method: The questionnaire contained statements about the course that the parents ranked and commented, and they also rated the entirety of the course. 94 parents with different background filled in the questionnaire. Their children were between 15 and 48 months with a mean of 28,2 months. The answers were analyzed, with comparisons based on the parents’ background information and the child’s age. Comparisons were made with Cohen’s d. Results: The results indicate high satisfaction overall. Parents of younger children rank slightly higher on statements regarding important parts of the course. Those who took part in many course sessions ranked higher throughout the whole questionnaire and were more satisfied with the course. Conclusion: The parents were generally satisfied with the early intervention. Parents who attended many course sessions and parents of the youngest children had the highest satisfaction.

  • 9.
    Jansson, Sara
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Näslund, Linn
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Expressiv tal-och språkförmåga hos spädbarn: En påbörjad validering av föräldraformuläret LEESPQ och undersökning av skärmars eventuella påverkan på spädbarns expressiva språkförmåga2020Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background:Today, there are only limitedSwedishscreening materials that can be usedtoassess early speech and language development in infancy. Studies have shown that children with diagnoses likehearing impairment, developmental language disorder and/or autism-spectrum disordershow anearly delay in their speechdevelopment. They often have a later onset of babbling and use less babbling in general. By identifyingthese children atan early age, they can get the help and support they need earlier, which in turnwill benefittheir speech and language development to progress in a more age-appropriate way. The purpose of this study was to validate the German questionnaire LittlEARS Early Speech Production Questionnaire, LEESPQ, to a Swedish context, and to investigatea possible correlation between reported screen time and toddlers’ expressive speech and language ability. Method:Three different questionnaires (LEESPQ, LEAQ, Screen time) were used inthe study and 41familieswith children in the ages between 0-18 months took part. The questionnaires consisted of yes/no and open-endedquestions. The results were analyzed with quantitative methods and were presented descriptively. The methods were also used to discover a potential correlation between LEESPQ and the children’s screen time. Results:The resultsshowedthat LEESPQ is valid in a Swedish context. There wasa positivecorrelation with the German LEESPQ and the Swedish validation of LEAQ. There was no correlation between the result on LEESPQ and the results of the questionnaire about Screen time.Conclusions:LEESPQ seems to be a valid screening instrument in a Swedish context. More studies are needed to see if the amount of screen time and age of screen time onset has any effect on children’s speech and language abilities over time.Keywords: infants, speechand language abilities, LEESPQ, screen time, LEAQ

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  • 10.
    Kahn, Elin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Cunningham, Rosanna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Svenska logopeders användning av afasivänligt skriftligt informationsmaterial: Används afasivänligt skriftligt informationsmaterial och är materialen verkligen afasivänliga?2020Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

    Purpose: This study aimed to investigate if Swedish speech and language pathologists use aphasia-friendly written information. The secondary aim of the study was to examine written materials provided by speech and language pathologists and determine if their materials could be classified as aphasia-friendly according to previous research.Method: This study used a mixed study design using both qualitative and quantitative research methods. An online survey was conducted, containing 11 qualitative and quantitative questions about speech and language pathologists’ use of aphasia-friendly written information. Submitted materials by speech and language pathologist were described and assessed according to 14 parameters based on previous research.Results: Thirty-one speech and language pathologists answered the survey. The results showed that 58% of the participants sometimes to always used aphasia-friendly written information with their aphasia patients, and that 90% of the participants felt a moderate to great need for aphasia-friendly written information. The highest ranked material received a score of 86% aphasia-friendliness and the lowest ranked material received a score of 36% aphasia-friendliness.Conclusion: The study showed that there is a need for aphasia-friendly materials for aphasia patients although the participants felt unsure about how to customize written material to patient needs. More research is needed to investigate what Swedish aphasia patients consider to be aphasia-friendly written information.

    Keywords: aphasia, aphasia-friendly, written information, speech and language pathology

    SAMMANFATTNING

    Syfte: Denna studie syftade till att kartlägga svenska logopeders användande av afasivänligt skriftligt informationsmaterial. Studiens sekundära syfte var att undersöka och bedöma huruvida inskickat skriftligt material från deltagare ansågs uppfylla kriterier för ”afasivänlighet” baserat på tidigare forskning.Metod: Studien använde sig av en blandad kvantitativ och kvalitativ studiedesign. En kartläggning genomfördes via en webbaserad enkät som bestod av 11 slutna och öppna frågor om logopeders användande av afasivänligt informationsmaterial. Inskickade informationsmaterial beskrevs och bedömdes utifrån 14 parametrar.Resultat: Det var 31 logopeder som besvarade enkäten. Resultaten visade att 58 % av deltagarna ibland till alltid använde afasivänligt skriftligt informationsmaterial till patienter med afasi. Av samtliga deltagare upplevde 90 % ett måttligt till stort behov av tillgång till afasivänligt skriftligt informationsmaterial. Det material som rankades högst uppfyllde 86 % av parametrarna och det som rankades lägst 36 %.Slutsats: Studien visar att det finns ett behov av afasivänligt skriftligt informationsmaterial till personer med afasi samt att en osäkerhet kring hur man bäst utformar ett sådant material föreligger. Vidare forskning behövs för att ta reda på vad personer med afasi i Sverige upplever som afasivänligt skriftligt material.

    Nyckelord: afasi, afasivänligt, skriftligt informationsmaterial, logopedi

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  • 11.
    Lindberg, Evelina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Skoghag, Victoria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Evidensbaserad logopedisk intervention vid nedsatt hörförståelse hos personer med afasi: Ett systematiskt kunskapsunderlag2020Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Among Swedish speech and language pathologists there is a need for extended knowledge of existing treatment methods for aphasia. Currently, there is an ongoing process to develop clinical guidelines for aphasia rehabilitation. Therefore, a knowledge base is needed, including a description of existing treatment methods, their theoretical foundation and evidence base. The aim of the present study was to compose an evidence-based summation of treatment methods for auditory comprehension disorder in people with aphasia. A systematic literature search was conducted using the following databases: PubMed, PsycINFO, Cochrane Library, CINAHL and Speechbite. Additionally, several studies were found by manual searches. Twenty-three articles were chosen and assessed. A total of 13 different treatment methods were described. Most of the included studies had a poor quality and few participants. The majority of the treatment methods were found to have an insufficient evidence base, with the exception of CIAT and Hand-action observation treatment. They were found to have moderate and limited evidence. Most of the included studies have shown a significant improvement of auditory comprehension following speech and language therapy. Although, for speech and language pathologists to be able to choose a specific treatment method based on evidence, larger studies with higher quality will be needed.

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    Lindberg & Skoghag, 2020
  • 12.
    Lundström, Louice
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Svensson, Louizé
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Utveckling av den aritmetiska förmågan för skolbarn i årskurs 4 – 6: Normering av test som mäter delar av den aritmetiska förmågan samt undersökning av könsskillnader2020Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Dyscalculia means that the individual has difficulties in acquiring arithmetic skills (i.e. addition, subtraction, division and multiplication). Even though dyscalculia affects 1.3- 10.3% of the population there is no national guidelines how dyscalculia should be investigated (SLL, 2015). The aim of this study is to standardize two tests and identify and compare any differences between genders and ages. The study includes 128 participants between school years 4-6 in central Sweden. To be included in this study the participants should have Swedish as their native language, fulfilled the tests and written informed consent from the caregivers. In this study two tests that measure parts of arithmetic ability were used; “Written multidigit calculation” and “Arithmetic fluency”. To standardize the tests descriptive statistics was made. Analysis of variance was computed to compare potential differences between gender and grades. Sidak Post hoc test was made to analyze the differences between grades. The results of the study were that school year 4 performed lower than school year 5 and 6 (p = < .05). Further we found that girls performed lower than boys on the test “Arithmetic fluency - subtraction” (p = .01). No differences between genders were found on the other tests.

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  • 13.
    Nakeva von Mentzer, Cecilia
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Kalnak, Nelli
    Lunds universitet.
    Jennische, Margareta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Intensive computer-basedphonics training in the educationalsetting of children with Downsyndrome: An explorative study2020In: Journal of Intellectual Disabilities, ISSN 1744-6295, E-ISSN 1744-6309Article in journal (Refereed)
    Abstract [en]

    Children with Down syndrome (DS) using intensive computer-based phonics (GraphoGame, GG)were studied. The children’s independence and improvement in phonological processing, letterknowledge, word decoding, and reading strategies were investigated. Seventeen children (5–16years) with DS participated in a crossover design through 8 weeks (one period), with three testsessions separated by 4 weeks. Children were randomly assigned to GG intervention or regularschooling (RS). All children completed one period and eight children completed two periods. Amajority gradually became independent in managing GG. At the group level, very little benefit wasfound from working with GG. At the individual level, several children with mild to severe intellectualdisabilities showed increased decoding of trained words. After one period of GG and RS, anincrease in alphabetically decoded words was found. The finding suggests that when individualchallenges are considered, computer-based phonics may be beneficial for children with DS in theireducational setting.

  • 14.
    Olsson, Camilla
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Arvidsson, Patrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg.
    Blom Johansson, Monica
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Measuring executive function in people with severe aphasia: Comparing neuropsychological tests and informant ratings2020In: NeuroRehabilitation (Reading, MA), ISSN 1053-8135, E-ISSN 1878-6448Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:Knowledge about patients’ executive function is important in the rehabilitation of language and communication in stroke patients with aphasia. Due to linguistic demands, most neuropsychological tests are unsuitable for this population, and it might seem appealing to use informant report of executive function as a substitute. OBJECTIVE:To investigate the relationships between scores on a neuropsychological test and informant ratings of executive function, as well as between the informant ratings and the functional communication ability, in people with severe aphasia after stroke. METHODS:Thirty-eight people with severe aphasia and their significant others participated. Executive function was tested with parts of the neuropsychological screening instrument CLQT and rated by significant others (informants) using BRIEF-A. Functional communication was assessed with a standardised test and rated by significant others. RESULTS:Results revealed few correlations between CLQT and BRIEF-A. There was no correlation between informant scores on BRIEF-A and scores on the measures of functional communication. CONCLUSIONS:Informant ratings of executive function does not measure the same construct as, and cannot be used as a substitute for, standardised neuropsychological tests. Informant ratings of executive function do not provide information that is relevant to the understanding of functional communication in people with severe aphasia.

  • 15.
    Olsson, Camilla
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Arvidsson, Patrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg.
    Blom Johansson, Monica
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Relations between executive function, language and functional communication in severe aphasia2019Conference paper (Refereed)
    Abstract [en]

    People who, due to aphasia, have severely limited ability to make themselves understood through speech, are forced to find other means of communication. However, the ability to flexibly and efficiently use gesture, drawing, writing, communication aids and so on differs widely in people with severe aphasia. Studies of interventions focusing on use of augmentative and alternative communication (AAC) in aphasia typically show that the participants have ability to learn to use the communication aid in the clinical context, but frequently fails to generalise the use to real-life functional communication (Jacobs, Drew, Ogletree, & Pierce, 2004). The same problem is often seen for other kinds of alternative communication, such as gesture and drawing. Intervention in severe aphasia aims for access to meaningful social interaction in spite of great linguistic barriers (Darrigrand et al., 2011; Koleck et al., 2017),  and a profound understanding of the different factors affecting the functional communication in this population is therefore crucial.

    One factor that is thought to play an important role is executive function. It has been shown that people with aphasia often have impaired executive function, and there also seems to be a link to functional communication (Fridriksson, Nettles, Davis, Morrow, & Montgomery, 2006; Murray, 2012; Purdy & Koch, 2006; Ramsberger, 2005). However, the studies are few and conducted on small samples often including participants with a wide variation in aphasia severity. The aim of the present study was to expand the understanding of the relations between executive functions, linguistic ability and functional communication in severe aphasia.

    Executive functions, linguistic ability and functional communication were assessed in 47 participants with severe aphasia. Functional communication was assessed using the Scenario Test (van der Meulen, van de Sandt-Koenderman, Duivenvoorden, & Ribbers, 2010). The results were analysed for the total sample as well as separated into a verbal and a non-verbal subgroup.

    Impairment of executive function was found in 79% of the participants. Moderate to strong correlations were found between linguistic ability and executive functions. In the total sample, partial correlation analysis showed that functional communication was mainly related to verbal output. In the verbal subgroup, no relations were found between functional communication and the other two variables. In the non-verbal subgroup however, the partial correlation analysis showed a strong relation between executive function and functional communication. Generally, there was large variation of executive functions and functional communication among the participants, especially in the nonverbal subgroup.

    The study led to several conclusions. Impairments of executive functions are, as expected, common in people with severe aphasia, and executive function is closely related to linguistic ability. The ability to produce verbal output is, also as expected, strongly related to functional communication and on the group level a small increase in verbal output results in a relatively large increase in functional communication, as measured by the Scenario Test. However, in people with extreme limitation or total absence of verbal output, where use of other modes of communication are ineluctable, executive functions seem to be an important factor. This suggests that executive functions need to be considered when planning intervention. In both design and training to use AAC and other forms of communication support, it is important to understand the demands the task puts on executive functions and, if possible, to minimise them. This also raises the importance of making sure people with severe aphasia are given a proper assessment of their cognitive abilities including executive functions, even though this is often challenging.

     

     

    Darrigrand, B., Dutheil, S., Michelet, V., Rereau, S., Rousseaux, M., & Mazaux, J.-M. (2011). Communication impairment and activity limitation in stroke patients with severe aphasia. Disabil Rehabil, 33(13-14), 1169-1178. doi:10.3109/09638288.2010.524271

    Fridriksson, J., Nettles, C., Davis, M., Morrow, L., & Montgomery, A. (2006). Functional communication and executive function in aphasia. Clinical Linguistics & Phonetics, 20(6), 401-410. doi:10.1080/02699200500075781

    Jacobs, B., Drew, R., Ogletree, B. T., & Pierce, K. (2004). Augmentative and Alternative Communication (AAC) for adults with severe aphasia: where we stand and how we can go further. Disabil Rehabil, 26(21-22), 1231-1240. doi:10.1080/09638280412331280244

    Koleck, M., Gana, K., Lucot, C., Darrigrand, B., Mazaux, J. M., & Glize, B. (2017). Quality of life in aphasic patients 1 year after a first stroke. Quality of Life Research, 26(1), 45-54. doi:10.1007/s11136-016-1361-z

    Murray, L. L. (2012). Attention and other cognitive deficits in aphasia: Presence and relation to language and communication measures. Am J Speech Lang Pathol, 21(2), s51-s64. doi:10.1044/1058-0360(2012/11-0067)

    Purdy, M., & Koch, A. (2006). Prediction of strategy usage by adults with aphasia. Aphasiology, 20(2-4), 337-348. doi:10.1080/02687030500475085

    Ramsberger, G. (2005). Achieving conversational success in aphasia by focusing on non-linguistic cognitive skills: A potentially promising new approach. Aphasiology, 19(10-11), 1066-1073. doi:10.1080/02687030544000254

    van der Meulen, I., van de Sandt-Koenderman, W. M., Duivenvoorden, H. J., & Ribbers, G. M. (2010). Measuring verbal and non-verbal communication in aphasia: reliability, validity, and sensitivity to change of the Scenario Test. Int J Lang Commun Disord, 45(4), 424-435. doi:10.3109/13682820903111952

     

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  • 16.
    Olsson, Camilla
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Arvidsson, Patrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg.
    Blom Johansson, Monica
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Relations between executive function, language, and functional communication in severe aphasia2019In: Aphasiology, ISSN 0268-7038, E-ISSN 1464-5041, Vol. 33, no 7, p. 821-845Article in journal (Refereed)
    Abstract [en]

    Background: Intervention in severe aphasia often means aiming for access to meaningful social interaction in spite of linguistic barriers that might not be treatable. This demands knowledge about the different factors that influence functional communication. Apart from linguistic ability, executive functions are thought to play an important role.

    Aims: To expand the understanding of the relations of executive functions and linguistic ability to functional communication in severe aphasia.

    Methods and Procedures: Executive functions, linguistic ability, and functional communication were assessed in 47 participants with severe aphasia. The results were analysed for the total sample and for a verbal and a nonverbal subgroup.

    Outcomes and Results: Impairment of executive function was found in 79% of the participants. There were moderate to strong correlations between all subtests of executive functions and linguistic ability. In the total sample, significant partial correlation was found between functional communication and verbal output. In the nonverbal subgroup, there was a significant partial correlation between executive function and functional communication, when controlling for linguistic ability. In the verbal subgroup, no relations were found between executive functions or language and functional communication.

    Conclusions: Impairments of executive functions are common in people with severe aphasia, and executive function and linguistic ability are closely related. The ability to produce verbal output is strongly related to functional communication, but in people with extreme limitation or total absence of verbal output, executive functions seem to be an important factor for functional communication. There is a large variation of executive functions and functional communication in people with severe aphasia, especially in the nonverbal subgroup. It is important that people with severe aphasia are given a complete and proper evaluation of their abilities, and that the possible importance of executive function to communication is considered in communication intervention.

     

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  • 17.
    Palm, Malin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Boman, Therese
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Evidensbaserad logopedisk intervention vid nedsatt ordmobilisering hos personer med afasi: Ett systematiskt kunskapsunderlag för behandlingsmetoder2020Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden there is currently no comprehensive information with in-depth descriptions, as well as degree of evidence, of treatment methods for word-finding difficulties, in aphasia. Clinical speech-language pathologists therefore often lack knowledge about the treatment methods that exist, their theoretical basis, how to perform the treatment, for what patients the methods are appropriate and what evidence they have.

    Aim: The aim of this study was to compose an evidence-based summation with descriptions of treatment methods targeting word-finding difficulties for people with aphasia. Method: A systematic literature search for studies evaluating methods for treating word finding difficulties was conducted in September - October 2019. Searches were conducted in several databases and on the websites of the American Speech-Language-Hearing Association (ASHA) and Australian Aphasia Rehabilitation Pathway (AARP). Moreover, additional articles were hand searched. Articles that met the inclusion criteria were quality checked and the evidence strength for each method was assessed. Results: The majority of the included studies showed improved word-finding ability of the participants. However, most of the studies had few participants and were of a design that made it difficult to generalize the results and thus lower the evidence level. The assessment resulted in two treatment methods with moderately strong degree of evidence, one with limited evidence and four treatment methods with insufficient evidence. For one of the methods, the authors found no research and the evidence for that method could therefore not be assessed. Conclusion: To increase the degree of evidence of treatment methods for people with aphasia, more and larger studies with RCT design must be carried out.

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  • 18.
    Svens, Sara
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Burman, Malin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Afasi inom strokevården: En kartläggning av hälso- och sjukvårdspersonalens kunskap, kommunikation och upplevelse2019Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Around 12.000 new patients gets aphasia in Sweden every year, the most common cause being stroke. Aphasia causes language difficulties, which can affect the communication with healthcare professionals. Previous research has examined both people with aphasia´s (PWA) perception of communication with healthcare professionals as well as how communication between them function. However, there is a lack of studies examining the healthcare professional´s knowledge, communication and experience of working with this patient group. Through the National Stroke Quality Registries in Sweden, 138 participants working with stroke patients were recruited. The participants answered a web-based questionnaire that was analyzed quantitatively and qualitatively. The results showed that healthcare professionals in Sweden hade a rather good knowledge of aphasia and aphasia friendly communication. However, some negative feelings, such as frustration, occurred when healthcare professionals communicate with PWA. In addition, the conversation topics tended to be less complex compared to other patient groups. Furthermore, communication materials and strategies were used to a large extent and with great variety, although only 3.3% always use the communication material. Significant differences regarding differences between professions, clinical experience and how often they met people with aphasia were found. Further research is indicated, especially regarding the continuing education that healthcare professionals are being offered.

    Ungefär 12 000 personer drabbas årligen av afasi i Sverige, vanligen efter en stroke. Afasi ger språkliga svårigheter vilket kan påverka kontakten med vården. Tidigare forskning har undersökt hur personer med afasi (PMA) uppfattar kommunikationen med vårdpersonal samt hur kommunikationen dem emellan kan se ut. Däremot saknas en större kartläggning av hälso- och sjukvårdspersonalens kunskap, kommunikation och upplevelse av att arbeta med denna patientgrupp. Via Riksstroke rekryterades 138 deltagare inom hälso- och sjukvården som arbetar med strokepatienter. Deltagarna besvarade en webbaserad enkät som analyserades kvantitativt och kvalitativt. Enligt resultatet hade svensk hälso- och sjukvårdspersonal relativt goda kunskaper om afasi och afasivänlig kommunikation. Negativa känslor förekom bland hälso- och sjukvårdspersonal i samtal med PMA, exempelvis känslor av frustration. Dessutom var samtalsämnena mindre komplexa jämfört med samtal med patienter utan afasi. Kommunikationsmaterial och kommunikationsstrategier användes i stor utsträckning och med stor variation. Dock använde endast 3,3 % av deltagarna alltid anpassat kommunikationsmaterial. Signifikanta skillnader framkom gällande professioner, klinisk erfarenhet samt hur ofta deltagarna träffade PMA. Vidare forskning inom ämnet är motiverat, framförallt gällande de vidareutbildningar hälso- och sjukvårdspersonal erbjuds.

    The full text will be freely available from 2021-01-14 17:59
  • 19.
    Söderberg, Rakel
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Asp, Sofie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Arvidzon, Lisette
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Evidensbaserad logopedisk intervention av grammatiska svårigheter och nedsatt diskursförmåga vid afasi: En systematisk kunskapsöversikt av behandlingsmetoder2020Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Aphasia is defined as an acquired language impairment and is often caused by stroke. The impairment can affect the person in many ways depending on the severity, and lasting effects often have a negative impact on the persons participation and communication. Currently there are no national guidelines for aphasia following stroke containing named interventions. The purpose of our study is to compose an evidence-based summation of interventions for aphasia currently in use which specifically target grammatical and discourse impairment. A systematic literature search was conducted, and the included studies were assessed. This resulted in a summation of ten included interventions for treating grammatical and discourse impairment. Persistently, the studies were of poor quality, had a flawed design and had a low number of participants. The majority of the interventions were, in spite of the occasional substantial theoretical framework, considered to have insufficient evidence base. There is a need for more extensive, high-quality studies for speech-language pathologists to be able to carry out evidence-based therapy in accordance with the recently published national guidelines for stroke.

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  • 20.
    Tegler, Helena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness.
    Demmelmaier, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness.
    Blom Johansson, Monica
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Research in Disability and Habilitation. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Norén, Niklas
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Languages, Department of Scandinavian Languages, Advanced Studies in Modern Swedish. Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Educational Sciences, Department of Education.
    Classroom Interaction Involving Students with Cerebral Palsy using Eye-gaze Accessed Speech-Generating DevicesManuscript (preprint) (Other academic)
  • 21.
    Tegler, Helena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness.
    Demmelmaier, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Blom Johansson, Monica
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Research in Disability and Habilitation. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Norén, Niklas
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Educational Sciences, Department of Education. Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Languages, Department of Scandinavian Languages, Advanced Studies in Modern Swedish.
    Features of Social Action that Mobilize Response when Professionals Interact with Young Beginner Users of Eye-gaze Accessed Speech Generating devicesManuscript (preprint) (Other academic)
  • 22.
    Telford, Jeanette Isadora
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
    Effects of contagious yawning on saliva production and swallowing in adults with traumatic brain injury – a possible treatment method2020Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Dysphagia is a severe, but common sequelae in traumatic brain injury (TBI). Because of complicated sub-acute phase and impaired cognition, patients often have to wait for spontaneous recovery, before swallowing rehabilitation is initiated. As a result, the risk is high for oral health problems and pneumonia. Being “nil by mouth” decreases the salivary flow rate (SFR) which leads to an unhealthy salivary pH and decreases spontaneous saliva swallows. A starting point in early dysphagia rehabilitation must be to consciously increase SFR and saliva swallows per minute (SPM), but there is no consensus of how to achieve this. Yawning have been associated with spontaneous saliva swallow in healthy individuals. Since yawning is contagious, the aim of this pilot study was to explore if contagious yawning (CY), in patients with severe TBI results in positive effects such as increased SFR and SPM. To our knowledge, CY has not been tested on patients with TBI before. Twelve participants with moderate to severe TBI, classified with initial Glasgow Coma Scale score 3-12, watched two movies, one control movie and one stimuli movie with yawning people. Number of contagious yawns, and important measures of oral health, such as, SFR, salivary pH and SPM, were measured after each movie. The number of CY increased during the stimuli movie; the number of CY correlated with SPM. Half of the participants elicited saliva swallows within 10 seconds after a CY. The SFR correlated with the pH value. This experimental pilot study indicates that CY can be applied on individuals with TBI and that CY affects the number of saliva swallows. Increased SFR and SPM are important factors for maintained oral health, avoiding pharyngeal secretion stagnation and aspiration pneumonia. The results indicate a potential use of CY as part of early dysphagia rehabilitation.

    Sväljsvårigheter (dysfagi) är vanligt efter traumatisk hjärnskada (TBI), det vill säga yttre våld/slag mot huvudet som skadar hjärnan. De vanligaste traumatiska hjärnskadorna orsakas av trafikolyckor eller fallolyckor. På grund av hjärnskadans komplexitet, behov av alternativa sätt att få i sig näring och nedsatta tankeförmågor kan behandlingen av dysfagin bli uppskjuten i väntan på spontan förbättring. Salivproduktionen minskar då, vilket leder till ogynnsamt pH-värde av saliven och frekvensen av salivsväljningarna minskar. Detta innebär en ökad risk för att drabbas av nedsatt oral hälsa och lunginflammation. Tidigt i dysfagibehandlingen bör därför ett mål vara att öka salivflödet och antal salivsväljningar. Det saknas dock specifika instruktioner för hur detta ska åstadkommas. Gäspning brukar följas av spontana salivsväljningar hos friska individer. Då gäspning är smittsam var syftet med denna studie att undersöka om smittsam gäspning (SG), och dess positiva följdeffekter så som ökad frekvens av salivsväljningar, kan användas i rehabiliteringen av individer med svår TBI och dysfagi. SG har inte studerats hos personer med TBI, såvitt författaren känner till. Tolv deltagare med måttlig till svår TBI fick se på två korta filmer. En kontrollfilm och en med stimuli som utgjordes av gäspande personer. Gäspningar, salivsväljningar, salivens pH och salivproduktion mättes efter varje film. Antalet SG ökade signifikant. Ett betydande samband sågs även mellan SG och salivsväljningar. Hälften av SG resulterade i en salivsväljning inom 10 sekunder. Salivens pH-värde korrelerade signifikant med mängden producerad saliv. Denna experimentella första teststudie visar att SG kan användas för individer med TBI och dysfagi samt att det kan påverka antal salivsväljningar. Mätning av salivsväljningar, salivens pH och salivflöde kan ge viktig information om munnens hälsa och har betydelse för att bibehålla en god munhälsa, undvika att slem samlas och minska risk för lunginflammation. Studien visar att SG kan vara en möjlig del i tidig dysfagibehandling hos patienter som har svårt att svälja viljemässigt.

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