CASL
Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/22
Browse
3 results
Search Results
Item Automated assessment of hyoid movement during normal swallow using ultrasound(Royal College of Speech and Language Therapists, 2022-03-14) Ma, Joan K-Y; Wrench, Alan A.Background The potential for using ultrasound by speech and language therapists (SLTs) as an adjunct clinical tool to assess swallowing function has received increased attention during the COVID-19 pandemic, with a recent review highlighting the need for further research on normative data, objective measurement, elicitation protocol and training. The dynamic movement of the hyoid, visible in ultrasound, is crucial in facilitating bolus transition and protection of the airway during a swallow and has shown promise as a biomarker of swallowing function.Item Translating ultrasound into clinical practice for the assessment of swallowing and laryngeal function: A speech and language pathology-led consensus study(Springer, 2022-02-24) Allen, Jodi E.; Clunie, Gemma; Ma, Joan K-Y; Coffey, Margaret; Winiker, Katharina; Richmond, Sally; Lowell, Soren Y.; Volkmer, AnnaUltrasound (US) has an emerging evidence base for the assessment of swallowing and laryngeal function. Accessibility and technological advances support the use of US as a clinical assessment tool; however, there is insufficient evidence to support its translation into clinical practice. This study aimed to establish consensus on the priorities for translation of US into clinical practice for the assessment of swallowing and laryngeal function. Nominal Group Technique (NGT) was used as a formal method of consensus development. Clinicians and academics, all members of an international US working group, were invited to participate in the study. Two NGT meetings were held, where participants silently generated and then shared ideas. Participants anonymously ranked items. Rankings were aggregated before participants re-ranked items in order of priority. Discussions regarding rankings were recorded and transcribed to inform analysis. Member-checking with participants informed the final analysis. Participants (n = 15) were speech and language pathologists, physiotherapists and sonographers representing six countries. Fifteen items were identified and prioritised 1–13 (including two equally ranked items). Reliability, validity and normative data emerged as key areas for research while development of training protocols and engagement with stakeholders were considered vital to progressing US into practice. Analysis revealed common themes that might be addressed together in research, in addition to the ranked priority. A measured approach to the translation of US into clinical practice will enable effective implementation of this tool. Priorities may evolve as clinical and professional contexts shift, but this study provides a framework to advance research and clinical practice in this field.Item Say again? Individual articulatory strategies for producing a clearly-spoken minimal pair wordlist(International Phonetic Association, 2019-08-10) Scobbie, James M.; Ma, Joan K-YWe describe articulatory differences (lingual and labial) between two versions (neutral and clear) of a CVC wordlist of 12 targets (V = /ieaɔoʉ/; C_C = /p_p/ or /m_m/). A companion paper describes the background; the participants, materials and tasks; the impressionistic and acoustic results. Labial measures reflect vowel opening (and edge-spreading) and consonant compression using fleshpoint markers captured by head-mounted video. Consonant closure and total word duration are based on visual judgement of complete closure. Ultrasound data provides the absolute area between neutral and clear mid-sagittal tongue-surface splines at the maximum of each vowel target, and a qualitative description of tongue shape and location. Strong and systematic interspeaker variation was evident in how articulation, acoustics and functional clarity were enhanced. Some large phonologically motivated segmental hyperspeech enhancements were observed, but they were not related straightforwardly to the phonological oppositions in the material nor consistently used by all speakers. Differences in utterance initiation are also discussed.