ASHA 2009 Convention Program - (Page 123)

PROGRAM SESSIONSFR 3:30PM-5:30PM, Seminar 2 HR, CC/238-239 Mealtime Stories: A Creative Behavioral Approach to Feeding Therapy Maggie Tai Tucker, Special Education Consulting, China, Shanghai Persistent feeding difficulties in children often present with a strong psychosocial or behavioral component. The Mealtime Stories approach indirectly but effectively addresses these components, facilitating feeding progress. Three interventions are presented: personalized bookmaking, a behavioral marker system, and an interactive feeding game. These techniques were piloted and reviewed by OTs and SLPs over several years in clinical settings in the Pacific Northwest. They can easily be adapted by SLPs to their own settings. FR 10:00AM-10:15AM, Technical, CC/297 Intensive Patient Retraining Approach for Dysphagia Management in Elderly People Joselyn Eitemiller, RehabCare Group, Inc, Seattle, WA; Jalinda Bastian, RehabCare Group, Inc, Encinitas, CA Intensive patient retraining approach is the latest concept in dysphagia management. Clinical trials at the National Institute of Health demonstrated this innovative technique to be effective in treating dysphagia after brain injury. Our study investigates the prospective use and potential clinical application of this technique for treating swallowing disorders in elderly patients in the LTC setting. Our findings demonstrate the feasibility of utilizing patient-retraining technique with elderly and high-acuity dysphagic individuals residing in LTC settings. FR 1:30PM-1:45PM, Technical, CC/297 Neural Substrates of Corticobulbar & Corticospinal Dysfunction in Parkinson's Disease Emily Plowman-Prine, U of Florida, Gainesville, FL; Christine Sapienza, U of Florida, Gainesville, FL; Jeffrey Kleim, U of Florida, Gainesville, FL This study compared corticobulbar and corticospinal behavioral and neurophysiological changes in an animal model of PD. Results indicated that PD affected oral motor and upper extremity function and cortical movement representations, but to different degrees that were correlated with function. Results suggest that corticobulbar and corticospinal deficits in PD are mediated by different underlying neural pathologies and provides a framework to test novel oral motor therapies that can be translated to the human condition. FR 3:30PM-5:30PM, Seminar 2 HR, CC/395 Importance of Oral Care: Seriously Ill & Nursing Care Patients John Ashford, Tennessee St U/Vanderbilt U, Nashville, TN; Michelle Skelley, SA Swallowing Svcs, PLLC, Nashville, TN This presentation will examine the increasing importance of good oral care among seriously ill and elderly nursing care patients. The normal microbiological environment of the oropharynx, its immune defenses and alterations, including nosocomial infections resulting from serious illnesses and their treatments, will be reviewed. Currently used oral care practices by health professionals, including SLPs, will be examined for their utilization and effectiveness. FR 10:15AM-10:30AM, Technical, CC/297 Preparing for Pay for Performance Using Innovative Dysphagia Management Technologies Joselyn Eitemiller, RehabCare Group, Inc, Seattle, WA; Jalinda Bastian, RehabCare Group, Inc, Encinitas, CA Pay for performance (P4P) is the new business model for health care delivery, yet in order to implement P4P in dysphagia management, SLPs need tools to quantifiably measure outcomes and document treatment progress. Our study investigates the use of new outcome measurement and patient data management tools for dysphagia management. Our findings demonstrate the viability of utilizing new technology solutions to enhance P4P implementation in the clinical SLP practice. FR 9:30AM-9:45AM, Technical, CC/297 Naturally Thick Liquids: Investigation of Patient Education & Clinical Practice Christina Bratlund, James Madison U, Harrisonburg, VA; Cynthia O'Donoghue, James Madison U, Harrisonburg, VA This study explored how SLPs educate patients and family regarding thickened liquids. Results informed investigation and quantification of naturally thick liquids used as examples and in clinical practice. Of the 54 items tested, 7 nectars, 11 thin honeys, and 4 honeys were compatible with Varibar® viscosity ranges. All items quantified as naturally thick were plotted along a continuum by centipose, with Varibar ranges overlaid. SLPs' opinions and reactions to the thickness continuum as a dysphagia management tool are reported. FR 9:45AM-10:00AM, Technical, CC/297 The Relationship Between Swallowing Impairment & Patient Demographics Kelly MacDonald, Med U of South Carolina, Charleston, SC; Laura Draize, Med U of South Carolina, Charleston, SC; Amy Hartenburg, Med U of South Carolina, Charleston, SC; Katherine Viars, Med U of South Carolina, Charleston, SC; Shannon Torres, Med U of South Carolina, Charleston, SC; Kate Humphries, Med U of South Carolina, Charleston, SC; Yvonne Michel, Self-Employed, Charleston, SC; Bonnie Martin-Harris, Med U of South Carolina, Charleston, SC This study examines the relationships between patient demographic data and the nature and severity of swallowing impairment. Participants consisted of 332 in- and outpatients sequentially referred for modified barium swallowing studies (MBSS) that were interpreted using the Modified Barium Swallowing Impairment Profile (MBSImP). Patient demographic data includes age, gender, ethnicity, race, educational level, primary medical diagnosis, and comorbidities. It is anticipated that these data may lead to the development and validation of a predictive model for dysphagia. FR 1:00PM-1:15PM, Technical, CC/297 Respiratory-Pattern & Swallowing Impairment in Chronic Obstructive Pulmonary Disease Kate Humphries, Med U of South Carolina, Charleston, SC; Katherine Viars, Med U of South Carolina, Charleston, SC; Laura Draize, Med U of South Carolina, Charleston, SC; Amy Hartenburg, Med U of South Carolina, Charleston, SC; Kelly MacDonald, Med U of South Carolina, Charleston, SC; Shannon Torres, Med U of South Carolina, Charleston, SC; Bonnie Martin-Harris, Med U of South Carolina, Charleston, SC This study proposes to identify components of functional swallowing impairment and respiratory phase patterns surrounding swallowing in 20 patients with COPD compared to 20 age-matched controls. The association of COPD stage (GOLD classification) and nature of swallowing impairment and respiratory phase patterns will be described. The study will relate temporal characteristics of swallowing physiology to airflow and kinematic respiratory data. Results will clarify the presence and nature of swallowing impairment related to respiratory-swallow coordination. FR 1:45PM-2:00PM, Technical, CC/297 Oropharyngeal Dysphagia in Patients With COPD: A Systematic Review Lisa O'Kane, U of Redlands, Redlands, CA; Michael Groher, U of Redlands, Redlands, CA A systematic review was conducted to investigate the relationship between COPD and oropharyngeal dysphagia. Forty-seven articles were retrieved relating to COPD and dysphagia. Each article was graded using evidence-based methodology. Only 7 of the 47 articles directly addressed oropharyngeal swallowing disorders and only a few studies directly addressed the relationship between oropharyngeal dysphagia disorders and COPD. Although the evidence is not strong, it appears that patients with COPD are prone to oropharyngeal dysphagia during acute exacerbations. spEECh-LanguagE pathoLogY Friday, november 20, 2009 FR 2:30PM-2:45PM, Technical, CC/297 The Utility of Pitch Elevation in Dysphagia Evaluation Georgia Malandraki, U of Wisconsin, Madison, WI; Jacqueline Hind, U of Wisconsin, Madison, WI; Jeri Logemann, Northwestern U, Evanston, IL: JoAnne Robbins, U of Wisconsin, Madison, WI The present study examined the utility of a pitch-elevation task in identifying individuals at risk for dysphagia and aspiration. Preliminary results revealed that reduced pitch elevation and reduced duration of task performance were indicative of higher Penetration-Aspiration scale scores. The present findings suggest that pitch elevation is a simple and quickly accomplished task that can be useful in identifying individuals at risk for exhibiting increased risk of airway invasion related to dysphagia. FR 1:15PM-1:30PM, Technical, CC/297 Swallow, Voice, & Articulation Characteristics of People With Parkinson's Disease Leslie Mahler, U of Rhode Island, Kingston, RI; Lorraine Ramig, U of Colorado – Boulder, Boulder, CO; Jeri Logemann, Northwestern U, Evanston, IL; Angela Halpern, Natl Ctr for Voice & Speech, Denver, CO; Barbara Pauloski, Northwestern U, Evanston, IL; Muveddet Discekici-Harris, Northwestern U, Evanston, IL Swallowing disorders may occur in as many as 95% of people diagnosed with Parkinson's disease (PD). Swallowing disorders can affect all phases of swallowing and can have a significant negative impact on health and quality of life. The purpose of this study was to describe swallow, voice, and articulation characteristics of people with PD and compare them with healthy controls. This information will contribute to our knowledge about accurately assessing dysphagia in people with PD. FR 2:45PM-3:00PM, Technical, CC/297 Reference Chosen & Hyoid Measurement Result Yihe Zu, U of Illinois – Urbana-Champaign, Champaign, IL; Adrienne Perlman, U of Illinois – Urbana-Champaign, Champaign, IL; Zhenyu Yang, Florida International U, Miami, FL Analyses of hyoid movement patterns provide important information for dysphagia treatment. However, the conclusions drawn from videofluoroscopic studies are not always consistent. In this study, significant differences in hyoid displacement were found using two coordinate systems, C2–C4 and C2–C5. The result reinforces the need to consider the methodology used for measurement when referring to the results of published hyoid displacement studies and how they related to observations made during patient examinations. ASHA 2009 x Exhibits & pro gr am sEssions guidE

Table of Contents for the Digital Edition of ASHA 2009 Convention Program

ASHA 2009 Convention Program
Contents
Convention Schedule-At-A-Glance
Convention Center Floor Plans
Commercial Exhibitors with Booth Numbers
Commercial Exhibitor Profiles
Career Fair Floor Plan
Career Fair Exhibitors with Booth Numbers
Career Fair Exhibitor Profiles
Short Courses
Audiology
Exhibitor Sessions
Speech-Language Pathology
Presenter Index
Notes
Submit Your Convention CEU's Online

ASHA 2009 Convention Program

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