Auditory-motor adaptation is reduced in adults who stutter but not in children who stutter

Previous studies have shown that adults who stutter produce smaller corrective motor responses to compensate for unexpected auditory perturbations in comparison to adults who do not stutter, suggesting that stuttering may be associated with deficits in integration of auditory feedback for online speech monitoring. In this study, we examined whether stuttering is also associated with deficiencies in integrating and using discrepancies between expect ed and received auditory feedback to adaptively update motor programs for accurate speech production. Using a sensorimotor adaptation paradigm, we measured adaptive speech responses to auditory formant frequency perturbations in adults and children who stutter and their matched nonstuttering controls. We found that the magnitude of the speech adaptive response for children who stutter did not differ from that of fluent children. However, the adaptation magnitude of adults who stutter in response to formant perturbation was significantly smaller than the adaptation magnitude of adults who do not stutter. Together these results indicate that stuttering is associated with deficits in integrating discrepancies between predicted and received auditory feedback to calibrate the speech production system in adults but not children. This auditory-motor integration deficit thus appears to be a compensatory effect that develops over years of stuttering

Factors related to the rejection and/or abandonment of AAC devices

More than 3.5 million Americans have such significant communication disability that they cannot rely on their natural speech to meet their communication needs. As a result, these individuals are severely restricted in their participation in all aspects of life, including their education, employment, family, and community. Augmentative and alternative communication strategies offer great potential to enhance the communication of individuals with complex communication needs, and therefore improve their quality of life. Fifty-two ISAAC members that responded to the online survey utilized a 5 point Likert-type scale (strongly agree to strongly disagree) to rate the importance of factors as they relate to the rejection and/or abandonment. The mean values of ratings were calculated to determine which factors were cited as relevant in predicting AAC device rejection and abandonment. Additionally, an independent T-test was utilized to determine if the factors cited varied depending on the role of the person completing the survey. The results of this investigation indicate that it is imperative to consider a complex interaction of factors pertaining to the individuals who use AAC, their conversational partners, settings in which interactions occur, and devices used to interact, when designing an AAC intervention. The statistical analysis revealed no significance difference in how the respondents rated the factors based on their occupation. Based on the results of the study, a checklist of factors that an AAC practitioner might consider addressing in order to foster acceptance of AAC systems initially and later on was constructed

Working Effectively with Persons Who Are Hard of Hearing, Late-Deafened, or Deaf

This brochure on persons who are hard of hearing, late-deafened, or deaf and the Americans with Disability Act (ADA) is one of a series on human resources practices and workplace accommodations for persons with disabilities edited by Susanne M. Bruyère, Ph.D., CRC, SPHR, Director, Program on Employment and Disability, School of Industrial and Labor Relations – Extension Division, Cornell University. Cornell University was funded in the early 1990’s by the U.S. Department of Education National Institute on Disability and Rehabilitation Research as a National Materials Development Project on the employment provisions (Title I) of the ADA (Grant #H133D10155). These updates, and the development of new brochures, have been funded by Cornell’s Program on Employment and Disability, the Pacific Disability and Business Technical Assistance Center, and other supporters

Systematic Review: Comparative Efficacy of the Picture Exchange Communication System (PECS) to Other Augmentative Communication Systems in Increasing Social Communication Skills in Children with Autism Spectrum Disorder

Purpose: This systematic review aims to compare the efficacy of the Picture Exchange Communication System (PECS) to other forms of Augmentative and Alternative Communication (AAC) in increasing social communication skills in children with Autism Spectrum Disorder (ASD). Methods: A systematic review of the literature on PECS and other forms of AAC written between 2007 and 2018 was conducted. Studies were selected based on the established inclusionary and exclusionary criteria. The inclusionary criteria incorporated subjects with a formal diagnosis of ASD under the age of 18. Exclusionary criteria included individuals with severe sensory, motor, and/or other medical conditions that may have affected their use of PECS. 25 articles of varying study designs were critically appraised for validity and reliability to minimize bias. Results: Results suggest that both PECS and other forms of AAC are conducive to improving social communication in children (\u3c18 \u3eyears) with ASD. Advancements in conversation initiation, requesting behaviors and joint attention were noted, resulting in a global increase in communication interactions. However, studies demonstrated mixed results with specific consideration of rate of acquisition, modality preference, and overall effectiveness of the system. Conclusion: Synthesis of results from the 25 studies suggest that both PECS and other AAC systems show favorable outcomes for encouraging social-communicative behavior. The clinical implications of these results suggest the implementation of an AAC system may be client dependent. Single design designs were included in this review due to the lack of research in the areas of ASD and AAC. Further research of this comparison should be conducted on larger populations of children with ASD to improve clinical decision making to target social communication and increase generalizability.https://scholarworks.uvm.edu/csdms/1000/thumbnail.jp

Related Services for Vermont\u27s Students with Disabilities

The purpose of Related Services for Vermont’s Students with Disabilities is to offer information regarding related services that is consistent with IDEA and with Vermont Law and regulations. It also describes promising or exemplary practices in education, special education, and related services. The manual’s content applies to all related services disciplines which serve students with disabilities, ages 3 through 21, who have an Individualized Education Program (IEP)

Eye Tracking Impact on Quality-of-Life of ALS Patients

Chronic neurological disorders in their advanced phase are characterized by a progressive loss of mobility (use of upper and lower limbs), speech and social life. Some of these pathologies, such as amyotrophic lateral sclerosis and multiple sclerosis, are paradigmatic of these deficits. High technology communication instruments, such as eye tracking, can be an extremely important possibility to reintroduce these patients in their family and social life, in particular when they suffer severe disability. This paper reports and describes the results of an ongoing experimentation about Eye Tracking impact on the quality of life of amyotrophic lateral sclerosis patients. The aim of the experimentation is to evaluate if and when eye tracking technologies have a positive impact on patients' live

Use of Alternative and Augmentative Communication with Students who are Diagnosed with Autism Spectrum Disorder and who are also nonverbal

This review examines the use of alternative and augmentative communication (AAC) with individuals who have Autism Spectrum Disorders (ASD). In Chapter I, alternative and augmentative description is described, and Autism Spectrum Disorders are defined both operationally and theoretically. In addition, the use of AAC devices and strategies with individuals who are diagnosed with ASD are promulgated as the foci for the review. In Chapter II, research addressing the use of AAC as an intervention for the academic and social deficits as an epiphenomena of ASD that appears in the literature of education and of psychology will be reviewed. In Chapter III, the findings from the analysis are summarized, and the implications of these findings will be described