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Critically Appraised Papers and Topics

Click on the following links for the CATs and CAPs of each Clinical Group:

• Adult Swallowing
• Adult Speech
• Adult Language
• Paediatric Language
• Paediatric Phonology
• Tracheostomy – Linked with Tracheostomy Discussion Group
• AAC

Adult Swallowing

Critically Appraised Topic

The effectiveness of positioning in eliminating aspiration needs to be examined under modified Barium Swallow conditions. When trialing positioning a range of strategies should be trialed to determine effectiveness.

Critically Appraised Papers

Shanahan, K., Logemann, J.A., Rademaker, A.W., Pauloski, B.R., and Kahrilas, P.J. (1993). Chin – Down Posture Effect on Aspiration in Dysphagic Patients. Archives of Physical Medicine and Rehabilitation. 74. 736 – 739. PDF format

Lewin, J.S., Hebert, T.M., Putman, J.B.Jr, and DuBrow, R.a. (2001). Experiences with Chin Tuck manoeuvre in postoesophagectomy aspirators. Dysphagia. 16(3). 216–219. PDF Format

Bulow, M., Olsson, R., Ekberg, O. (1999). Videomanometric analysis of supraglottic swallow, effortful swallow, and chin tuck in healthy volunteers. Dysphagia. 14(2). 67–72. PDF Format

Ertekin, C, Keskin, A., Kiylioglu, N., Kiralzi, Y., Yagiz On, A., Tarlaci, S. and Aydogdu, I. (2001). The effect of Head and Neck Positions on Oropharyngeal Swallowing: A Clinical and Electrophysiologic Study. Archives of Physical and Medical Rehabilitation. 82: 1255–1260. PDF Format

Ekberg, O.(1986). Posture of the Head and Pharyngeal Swallowing. Acta Radiologica Diagnosis 276:691–696. PDF Format

Welch, M., Logemann, J., Rademaker, A., and Kahrilas, P. (1993). Changes in Pharyngeal Dimensions Effected by Chin Tuck. Archives of Physical and Medical Rehabilitation. 74:178–181. PDF Format

Bulow, M, Ollsson, R., and Ekberg, O. (2001). Videomanometric Analysis of Supraglottic swallow, Effortful swallow, and Chin tuck in patients with Pharyngeal dysfunction. Dysphagia 16: 190–195. PDF Format

Logemann, J.A., Rademaker, A.W., Pauloski, B.R., and Kahrilas, P.J. (1994). Effects of Postural Changes on Aspiration in Head and Neck patients. Head and Neck Surgery. 110(2): 222–227. PDF Format

Deane, K.H., Whurr, R., Clarke, C.E., Playford, E.D., and Ben–Shlomo, Y. (2001). Non–pharmacological therapies for dysphagia in Parkinson’s Disease. Cochrane Database of Systematic Reviews. PDF Format

Critically Appraised Papers

Colodny N, Effects of Age, Gender, Disease and Multisystem Involvement on Oxygen Saturation levels in Dysphagic Persons Dysphagia 16: 48–57 (2001) PDF Format

Colodny N, Comparison of Dysphagics and Non–dysphagics on Pulse Oximetry during Oral Feeding. Dysphagia 15:68–73 (2000) PDF Format

Higo, R., Tayama, N., Watanabe, T., and Nito, T. (2003). Pulse Oximetry monitoring for the evaluation of swallowing function. European Archives of Otolaryngology 260; 124–127. PDF Format

Rowat, A.M., Wardlow, J.M., Dennis, M.S., and Warlow, C.P. (2000). Does feeding alter arterial saturation in patients with acute stroke. Stroke, 31. 2134 –2140 PDF Format

Sellars, C., Dunnet, C., Carter, R. (1998). A Preliminary comparison of videofluroscopy of swallow and pulse oximetry in the identification of aspiration in dysphagic patients. Dysphagia, 13, 82–86. PDF Format

Smith, H.A., Phil, M., Joseph, C. (2003). Evaluation and Treatment of Dysphagia following Stroke. Topics and Geriatric Rehabilitation. 19, 1. 43–59. PDF Format

Smith, H., Lee, S., O’Neill, P., and Connolly, M. (2000). The combination of bedside swallowing assessment and oxygen saturation monitoring of swallowing in acute stroke: a safe and humane screening tool. Age and Ageing, 29. 495–499. PDF Format

Zaidi, N.H., Smith, HA.A, King, S.C., Park, C., O’Neil, P.A., Connolly, M.J. (1995). Oxygen desaturation on swallowing as a potential marker of aspiration in acute stroke. Age and Aging. 24; 267 –270. PDF Format

Adult Speech

Critically Appraised Topic

Biofeedback of physiologic activity can be effective in altering physiologic parameters associated with speech production (for example, subglottal air pressure, excursion of the abdomen and ribcage, sound pressure level). These effects have been demonstrated in single cases or small groups of people with flaccid, spastic, mixed, and unspecified acquired dysarthria types. In general, the relationship between changes in specific physiologic variables and speech production or communicative participation has not been clearly established. The demonstrated effectiveness of biofeedback in altering physiologic variables justifies a conclusion that it has potential to impact speech production and communicative effectiveness and participation. Consideration should be given to the role of biofeedback in therapy where the patient demonstrates poor stimulability to the acquisition of a new motor skill. Further research is required.

Critically Appraised Papers

Scott, S., Caird, F.I. (1983). Speech therapy for Parkinson’s Disease. Journal of Neurology, neurosurgery and psychiatry, 46, 140-144 PDF Format

Volin, Robert A. (1998) A Relationship Between Stimulability and the Efficacy of Visual Biofeedback in the Training of a Respiratory Control Task. American Journal of Speech-Language Pathology Vol. 7 pg. 81 PDF Format

Yorkston, K.M., Spencer, K.A., Duffy, J.R. (2003). Behavioral Management of Respiratory / Phonatory Dysfunction From Dysarthria: A Systematic Review of the Evidence. Journal of Medical Speech-Language Pathology. Volume 14, Number 2, pp xiii-xxxviii PDF Format

Critically Appraised Paper

James, J. E. (1981). Behavioural self control of stuttering using time–out from speaking Journal of Applied Behaviour Analysis, 14, 411 – 419. PDF Format

Adult Language

Critically Appraised Paper

Francis, D, Clark, N, and Humphreys, G.W. (2002). Circumlocution–induced naming (CIN): a treatment for effect generalisation in anomia. Aphasiology. 16(3). 243–259. PDF Format

Critically Appraised Papers

Rayner, H. and Marshall, J. (2003). Training volunteers as conversation partners for people with aphasia. International Journal of Communication Disorders, 38(2), 149–164. PDF Format

Booth, S and Swabey, D. (1999). Group training in communication skills are for carers of adults with aphasia. International Journal of Language and Communication Disorders. Vol 34, No. 3, pp 291–309. PDF Format

Elman, R.J and Bernstein–Ellis, M.A. (1999). Psychosocial aspects of group communication treatment – preliminary findings. Seminars in Speech and Language. Vol 20(1), 65–72. PDF Format

Elman, R.J. AND Bernstein– Ellis, E. The efficacy of group communication treatment in adults with chronic aphasia. Journal of Speech, Language and Hearing Research. 42(2): 411–9, April 1999. PDF Format

Bollinger, R., Musson, N. and Holland, A. (1993). A study of group communication intervention with chronically aphasic persons. Aphasiology Vol 27, No. 3:301–313. PDF Format

Paediatric Language

Critically Appraised Topic

Training parents and teachers in using books and narratives can be effective in increasing the expressive language of two – four year old children in the general population

Critically Appraised Papers

Arnold, D.H., Lonigan, C.J., Whitehurst, G.J., Epstein, J.N. (1994). Accelerating language development through picture book reading: replication and extension to a videotape training format. Journal of Educational Psychology, 86(2), 235-243. PDF Format

Whitehurst, G.J., Falco, F.L., Lonigan, C.J., Fischel, J.E., DeBaryshe, B.D., Valdez-Menchaca, M.C., Caulfield, M. (1998). Accelerating language development through picture book reading. Developmental Psychology, 24(4), 552-559. PDF Format

Peterson, C., Jesso, B. & McCabe, A. (1999). Encouraging narratives in preschoolers, an intervention study. Journal of Child Language, 26, 49-67. PDF Format

Wasik, B.A. & Bond, M.A. (2001). Beyond the pages of a book: Interactive book reading and language development in preschool classrooms. Journal of Educational Psychology, 93(2), 243-250. PDF Format

Critically Appraised Topic

Strategies in discourse such as request for associations, request for clarification, confirmation, reconstruction, and phonological cueing or at single word level such as phonological association cues and syllables, may reduce word-finding errors

Critically Appraised Papers

Stiegler, L.N. & Hoffman, P.R. (2001). Discourse-based intervention for word finding in children. Journal of Communication Disorders, 34, 277-303. PDF Format

German, D. J, (2002). A phonologically based strategy to improve word finding abilities in children. Communication Disorders Quarterly, 23:4, 179-192. PDF Format

German, D. and Newman, R. (June 2004). The impact of lexical factors on children’s word finding errors. Journal of Speech, Language & Hearing Research, 47, 624-636. PDF Format

Critically Appraised Paper

Gillon, G.T. (2000). The Efficacy of Phonological Awareness Intervention for children with Spoken Language Impairment. Language Speech and Hearing Services in Schools. 31:126–141. PDF Format

Critically Appraised Paper

Stothard, S.E., Snowling, M. J., Bishop, D.V.M., Chipchase, B.B., Kaplan, C.A. (1998). Language–impaired preschoolers: A Follow–up into Adolescence. Journal of Speech language and Hearing Research, 41, 407–418. PDF Format

Critically Appraised Paper

Stiegler, L. N & Hoffman, P. R. (2001). Approaches for improving children’s word finding with one discourse–based approach. Journal of Communication disorders, 34, 277–303. PDF Format

Paediatric Phonology

Critically Appraised Topic

When selecting intervention targets for children with a phonological impairment of unknown origin – specifically, selecting phonemes that are stimulable versus nonstimulable, the evidence suggests that it is more efficient to select non-stimulable phonemes. In doing so, children may not only acquire the targeted non-stimulable phonemes, but the stimulable non-target phonemes during intervention– hence greater efficiency in terms of outcomes. Phonological generalisation data should be gathered to monitor progress - PDF Format.

Critically Appraised Paper

Miccio, A. & Elbert, M. (1996) Enhancing Stimulability: A Treatment Program. Journal of Communication Disorders, 29, 335 – 351. PDF Format

Miccio, A. W., Elbert, M., Forrest, K. (1999). The Relationship Between Stimulability and Phonological Acquisition in Children With Normally Developing and Disordered Phonologies. American Journal of Speech-Language Pathology, vol. 8, 347-363. PDF Format

Powell, T.W (1991) Stimulability as a factor in the phonological generalisation of misarticulating preschool children. Journal of Speech and Hearing Research, 34, 1318-1328 PDF Format

Powell, T. (1993) Phonetic inventory constraints in young children: factors effecting acquisition patterns during treatment. Clinical Linguistics and Phonetics, 7, 45-57. PDF Format

Rvachew, S, Rafaat, S & Martin, M (1999) Stimulability, Speech Perception Skills and the treatment of phonological disorders. American Journal of Speech-Language Pathology, 8 p.33-43 PDF Format

Tracheostomy

Critically Appraised Paper

Pinkus, NB., (1973) The Dangers of Oral Feeding in the Presence of Cuffed Tracheostomy Tubes. Medical Journal of Australia 1:1238–1240. PDF Format

Critically Appraised Paper

Elpern EH. Okonek MB. Bacon M. Gerstung C. Skrzynski M. Effect of the Passy–Muir tracheostomy speaking valve on pulmonary aspiration in adults. Heart & Lung: Journal of Acute & Critical Care 29 (4): 287–93 2000 July–Aug. PDF Format

Critically Appraised Paper

Davis, D.G., Beras, S., Barone, J.E., Corvo, P.R. and Tucker, J.B. (2002). Swallowing with a tracheotomy tube in place: Does cuff inflation matter? Journal of Intensive Care Medicine, 17(3), 132–135. PDF Format

Critically Appraised Paper

Davis, D.G., Beras, S., Barone, J.E., Corvo, P.R. and Tucker, J.B. (2002). Swallowing with a tracheotomy tube in place: Does cuff inflation matter? Journal of Intensive Care Medicine, 17(3), 132–135. PDF Format

 

AAC

Critically Appraised Topic

Presenting the word alone (i.e. without pictures) is more effective when teaching children with mild to moderate intellectual disabilities, to read new words.

Critically Appraised Paper

Didden, R., Prinsen, H., & Sigafoos, J. (2000). The Blocking effect of pictorial prompts on sight-word reading Journal of Applied Behaviour Analysis 33(3), 317-320.
PDF Format

Didden,R. de Graaff,S. Nelemans,M. Vooren,M. and Lancioni,G. (2006). Teaching Sight Words to Children with Moderate to Mild Mental Retardation: Comparison between Instructional Procedures. American Journal on Mental Retardation Vol.III, No.5, 357-365
PDF Format

Fossett,B. and Mirenda,P. (2006). Sight word reading in children with developmental disabilities: A comparison of paired associate and picture-to-text matching instruction. Research in Developmental Disabilities Vol.III, No.5, 357-365
PDF Format

Singh,N.N. & Solmon, R.T., A Stimulus Control Analysis of the Picture-Word Problem in Children Who are Mentally Retarded: The Blocking Effect. Journal of Applied Behaviour Analysis Vol.III, No.5, 357-365
PDF Format