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Articoli di riviste sul tema "Laryngectomie – Psychologie"

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Autore: Grafiati

Pubblicato: 22 giugno 2024

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1

Blood, Gordon W., Amy R. Luther e Joseph C. Stemple. "Coping and Adjustment in Alaryngeal Speakers". American Journal of Speech-Language Pathology 1, n. 2 (gennaio 1992): 63–69. http://dx.doi.org/10.1044/1058-0360.0102.63.

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In this investigation the coping, adjustment, self-esteem, general well-being, perceived communication abilities, and preferred communication modes of 41 patients with laryngectomies were evaluated. Specifically, we wanted to determine how well patients with laryngectomies adjust to and cope with their cancer, whether differences in coping and adjustment vary as a function either of the type of alaryngeal voice used or the amount of time since the laryngectomy, and whether relationships exist between the speech of patients with laryngectomies and their adjustment. Standardized interview protocols and tests were employed during face-to-face interviews. Results revealed that 73% of the sample showed good adjustment and used predominantly problem-focused and seeking-social-support strategies to cope with their cancer. The 27% who were classified as poor copers also performed poorly on self-esteem and general well-being measures and used more self-blame and avoidance strategies. There were no significant differences among different types of preferred communication modes. Significant differences existed between patients with recent and distant laryngectomies; the latter showed better overall adjustment. The subjects who were well adjusted also tended to view their voice rehabilitation as more beneficial and rated themselves as more easily understood by listeners than did those subjects demonstrating psychological distress and poor adjustment. Implications for advanced voice therapy, the need for counseling and referrals, and the relationship among voice, self-esteem, and therapy are discussed.

2

DeSanto, Lawrence W., Kerry D. Olsen, Daniel E. Rohe, William C. Perry e Robert L. Keith. "Quality of Life after Surgical Treatment of Cancer of the Larynx". Annals of Otology, Rhinology & Laryngology 104, n. 10 (ottobre 1995): 763–69. http://dx.doi.org/10.1177/000348949510401003.

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The purpose of the study was to assess the quality of life of patients after surgical treatment for cancer of the larynx. Three groups of patients were identified according to surgical treatment: total laryngectomy, 111 patients; near-total laryngectomy, 38 patients; and partial laryngectomy, 23 patients. The impact of successful surgical treatment on their life roles was analyzed in terms of work, activities, familial and spousal relationships, sexuality, and psychologic features such as stress and anxiety. Two questionnaires were used: the Psychosocial Adjustment to Illness Scale (PAIS) and the Mayo Clinic Postlaryngectomy Questionnaire. With the PAIS questionnaire, no difference was found in role adjustment between the total laryngectomy and near-total laryngectomy groups, with one exception. In the work domain, the total laryngectomy patients who were working had better adjustment than the near-total laryngectomy patients. The overall adjustment of both groups was less favorable than that of a comparison group of patients with nonlaryngeal cancer. The patients who had the classic conservation operations adjusted in all domains more favorably than the patients with permanent tracheostomas. The partial operation patients adjusted better than the nonlaryngeal cancer patients. We conclude that the stoma has a negative impact on adjustment postoperatively and that it may have a more serious impact on life adjustment than voice alteration. Further investigation and standardization of measurement tools are needed.

3

Harrus-Révidi, Gisèle. "La laryngectomie, un cataclysme de l'oralité". Champ psychosomatique 48, n. 4 (2007): 145. http://dx.doi.org/10.3917/cpsy.048.0145.

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4

Bornbaum, Catherine C., Adam M. B. Day e Philip C. Doyle. "Examining the Construct Validity of the V-RQOL in Speakers Who Use Alaryngeal Voice". American Journal of Speech-Language Pathology 23, n. 2 (maggio 2014): 196–202. http://dx.doi.org/10.1044/2013_ajslp-13-0024.

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Purpose The construct validity of the Voice-Related Quality of Life (V-RQOL; Hogikyan & Sethuraman, 1999) measure was evaluated in a sample of 109 individuals who have undergone total laryngectomy. Method A principal components factor analysis was performed on participant responses to the 10-question V-RQOL measure. Results Factor analysis of the V-RQOL in our alaryngeal sample confirmed the presence of two factors (physical and social–emotional), which is consistent with the identified domains in the current V-RQOL. However, the current data indicate that some of the questions proposed by the original authors of the V-RQOL (Questions 7 and 9) do not align with their proposed domains in this postlaryngectomy sample. Conclusion The results indicate that some V-RQOL questions do not align with their proposed domains. Consequently, an alternative scoring algorithm may be warranted for alaryngeal populations, and the authors make suggestions for this change that are simple and efficient. Based on the findings of the present factor analysis, use of this modified scoring procedure may serve to increase the sensitivity of the V-RQOL for those who are laryngectomized and use alaryngeal methods of voice and speech. Consequently, the value and application of the V-RQOL may be expanded in the clinical setting.

5

Miyaoka, Yozo, Masamichi Sawada, Takeo Sakaguchi, Akira Hasegawa e Tomio Shingai. "Differences in Drinking Behavior between Normal and Laryngectomized Man". Perceptual and Motor Skills 64, n. 3_suppl (giugno 1987): 1088–90. http://dx.doi.org/10.2466/pms.1987.64.3c.1088.

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The properties of drinking in normal and laryngectomized groups were examined. Drinking associated with meals was more frequent in the 76 young and 37 older normal subjects than the 25 laryngectomized persons. The laryngectomized group preferred tea and coffee to water to alleviate thirst sensation, while such a preference was hardly seen in either normal group. Results suggest that the larynx may contribute not only to thirst sensation but may be associated with preference in drinking.

6

Jamróz, Barbara, Joanna Chmielewska-Walczak e Magdalna Milewska. "Dysphagia among patients after total laryngectomy: diagnostic and therapeutic procedures". Polski Przegląd Otorynolaryngologiczny 9, n. 4 (4 dicembre 2020): 1–5. http://dx.doi.org/10.5604/01.3001.0014.5705.

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Dysphagia concerns 10–89% patients after total laryngectomy; to a greater extent, it concerns patients receiving complementary radiotherapy. The disease mechanism is associated with anatomical changes after surgery (scope of surgery) or complications of adjuvant therapy (xerostomia, neuropathy, swelling of tissue, etc.). The above changes lead to: decreased mobility of the lateral walls of the pharynx and tongue retraction, the occurrence of lingual pumping, decreased swallowing reflex, weakening of the upper esophageal sphincter opening, contraction of the cricopharyngeal muscle, tissue fibrosis, formation of pharyngeal pseudodiverticulum, etc. As a result: regurgitation of food through the nose and oral cavity, food sticking in middle and lower pharynx, prolongation of bolus transit time. Upon the formation of tracheoesophageal fistula, there may be aspiration of gastric contents. The above changes considerably reduce patients’ quality of life after surgery. The diagnostic protocol includes: medical interview (questionnaires can be helpful such as: EAT 10, SSQ, MDADI, DHI), clinical swallowing assessment and instrumental examinations: primarily videofluoroscopy but also endoscopic evaluation of swallowing. In selected cases, multifrequency manometry is necessary. The treatment options include: surgical methods (e.g. balloon dilatation of the upper esophageal sphincter, cricopharyngeal myotomy, pharyngeal plexus neurectomy, removal of the pharyngeal pseudodiverticulum), conservative methods (e.g. botulinum toxin injection of the upper esophageal sphincter, speech therapy, nutritional treatment) and supportive methods such as consultation with a psychologis physiotherapist, clinical dietitian. The selection of a specific treatment method should be preceded by a diagnostic process in which the mechanism of functional disorders related to voice formation and swallowing will be established.

7

Richardson, Jean L., e Linda B. Bourque. "Communication After Laryngectomy". Journal of Psychosocial Oncology 3, n. 3 (10 marzo 1986): 83–97. http://dx.doi.org/10.1300/j077v03n03_07.

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8

Miyaoka, Yozo, Takeo Sakaguchi, Masamichi Saw Ada e Tomio Shingai. "Sensation of Thirst in Normal and Laryngectomized Man". Perceptual and Motor Skills 64, n. 1 (febbraio 1987): 239–42. http://dx.doi.org/10.2466/pms.1987.64.1.239.

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The purpose of this study was to evaluate the role of the larynx in sensation of thirst and to identify precise areas responsible for the sensation in normal and laryngectomized groups. The present analysis showed that the laryngectomized group was less aware of the sensation and less able to localize it than the normal group. Both groups localized the sensation from the base of the tongue to the larynx as well as in the pharynx.

9

Blood, Gordon W., Kathleen C. Simpson, Susan C. Raimondi, Mary Dineen, Susan M. Kauffman e Kimberly A. Stagaard. "Social Support in Laryngeal Cancer Survivors". American Journal of Speech-Language Pathology 3, n. 1 (gennaio 1994): 37–44. http://dx.doi.org/10.1044/1058-0360.0301.37.

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Patients who had laryngectomies were grouped according to adjustment scales into "good copers" and "poorer copers." More than 70% of the laryngeal cancer survivors were well adjusted and classified as "good copers." Three social support scales were administered and revealed that "good copers" perceived themselves as having better quality networks and more functional support. A subjective self-evaluation of the subjects’ voices revealed a relationship between perceived voice quality, adjustment, and perceived social support. Rehabilitation for some patients with laryngectomies may need to include more direct nurturing; speech-language pathologists may want to suggest self-help groups or professional support counseling.

10

Anand, Susan Ainlay, e Vinod K. Anand. "Art Therapy with Laryngectomy Patients". Art Therapy 14, n. 2 (aprile 1997): 109–17. http://dx.doi.org/10.1080/07421656.1987.10759265.

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11

Goddet, Bernard, e Marie-Claire Guillard. "Le laryngectomisé, un mutilé de la voix". Champ psychosomatique 48, n. 4 (2007): 137. http://dx.doi.org/10.3917/cpsy.048.0137.

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12

Bretagne, E. "Être laryngectomisé : réhabilitation et réadaptation". Psycho-Oncologie 2, n. 2 (giugno 2008): 83–85. http://dx.doi.org/10.1007/s11839-008-0075-z.

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13

Stam, Henderikus J., Janice P. Koopmans e Cynthia M. Mathieson. "The Psychosocial Impact of a Laryngectomy". Journal of Psychosocial Oncology 9, n. 3 (3 dicembre 1991): 37–58. http://dx.doi.org/10.1300/j077v09n03_03.

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14

Blood, Gordon W., Mary Dineen, Susan M. Kauffman, Susan C. Raimondi e Kathleen C. Simpson. "Perceived Control, Adjustment, and Communication Problems in Laryngeal Cancer Survivors". Perceptual and Motor Skills 77, n. 3 (dicembre 1993): 764–66. http://dx.doi.org/10.2466/pms.1993.77.3.764.

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Health locus of control, adjustment to cancer, and communication experiences after a laryngectomy were investigated in 63 laryngeal cancer survivors. Survivors who showed internal control also scored as better adjusted and had fewer communication problems. Scales were intercorrelated (.68 to .92).

15

ÖZTÜRK, A., e M. MOLLAOĞLU. "Determination of problems in patients with post-laryngectomy". Scandinavian Journal of Psychology 54, n. 2 (17 gennaio 2013): 107–11. http://dx.doi.org/10.1111/sjop.12025.

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16

Hughes, Stephanie, e Rodney M. Gabel. "Stereotyping and Victim Blaming of Individuals with a Laryngectomy". Perceptual and Motor Skills 106, n. 2 (aprile 2008): 495–507. http://dx.doi.org/10.2466/pms.106.2.495-507.

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17

Childes, Jana M., Andrew D. Palmer, Melanie Fried-Oken e Donna J. Graville. "The Use of Technology for Phone and Face-to-Face Communication After Total Laryngectomy". American Journal of Speech-Language Pathology 26, n. 1 (febbraio 2017): 99–112. http://dx.doi.org/10.1044/2016_ajslp-14-0106.

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Purpose The purpose of this article is to describe the characteristics and experiences of individuals who use technology to support telephone or face-to-face communication after total laryngectomy. Method An online questionnaire was used to identify potential participants. Seventeen individuals met inclusion criteria and participated in an in-depth survey. They were compared with a reference group matched for age, gender, and time postsurgery who did not use these technologies. Open-ended responses were summarized. Results Compared with the matched reference group, individuals who used technology to support verbal communication had undergone more aggressive cancer treatment and used more communication methods. They were less likely to use an alaryngeal speech method, had greater difficulty over the telephone, and used more repair strategies in face-to-face communication. The 2 groups did not differ significantly in the frequency or success of their communication, however. Open-ended responses revealed great variety with regard to their reasons, purposes, and timing of technology use. Conclusions There is a subset of individuals using technology to support verbal communication very successfully after laryngectomy. Usage was not limited to those who were unable to communicate verbally and often continued long after the initial postoperative period in many settings, for various purposes, and in combination with other methods of communication.

18

Dahl, Kimberly L., Rachel K. Bolognone, Jana M. Childes, Rebecca L. Pryor, Donna J. Graville e Andrew D. Palmer. "Characteristics associated with communicative participation after total laryngectomy". Journal of Communication Disorders 96 (marzo 2022): 106184. http://dx.doi.org/10.1016/j.jcomdis.2022.106184.

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19

Smithwick, Lynn, Priscilla Davis, Jess Dancer, Gretchen Spring Hicks e Jim Montague. "Female Laryngectomees' Satisfaction with Communication Methods and Speech-Language Pathology Services". Perceptual and Motor Skills 94, n. 1 (febbraio 2002): 204–6. http://dx.doi.org/10.2466/pms.2002.94.1.204.

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Dolleans, M,, C. Teissier, S. Hans, D. Brasnu e SM Consoli. "8-A SUPPORT GROUP FOR PATIENTS WHO UNDERWENT LARYNGECTOMY FOR CANCER." Journal of Psychosomatic Research 56, n. 6 (giugno 2004): 563. http://dx.doi.org/10.1016/j.jpsychores.2004.04.012.

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21

Bickford, Jane M., John Coveney, Janet Baker e Deborah Hersh. "Self-expression and identity after total laryngectomy: Implications for support". Psycho-Oncology 27, n. 11 (12 luglio 2018): 2638–44. http://dx.doi.org/10.1002/pon.4818.

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22

Mathieson, Cynthia M., Henderikus J. Stam e Janice P. Scott. "The impact of a laryngectomy on the spouse: Who is better off?" Psychology & Health 5, n. 2 (aprile 1991): 153–63. http://dx.doi.org/10.1080/08870449108400418.

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23

Searl, Jeff, e Stephanie Knollhoff. "Sense of Effort and Fatigue Associated With Talking After Total Laryngectomy". American Journal of Speech-Language Pathology 27, n. 4 (21 novembre 2018): 1434–44. http://dx.doi.org/10.1044/2018_ajslp-17-0218.

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24

Evitts, Paul M., Fikret Kasapoglu, Ugur Demirci e Julia Sterne Miller. "Communication adjustment of patients with a laryngectomy in Turkey: Analysis by type of surgery and mode of speech". Psychology, Health & Medicine 16, n. 6 (12 luglio 2011): 650–60. http://dx.doi.org/10.1080/13548506.2011.575167.

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Searl, Jeff, Ann Kearney, Kathryn Genoa e Philip C. Doyle. "Clinical Experiences of People With a Laryngectomy During the SARS COVID-19 Pandemic". American Journal of Speech-Language Pathology 30, n. 6 (4 novembre 2021): 2430–45. http://dx.doi.org/10.1044/2021_ajslp-21-00117.

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Purpose This study described the clinical experiences of patients with a total laryngectomy (TL) during the COVID-19 pandemic and identified changes in communication, tracheostoma care, and heat–moisture exchange (HME) use that were recommended or self-implemented. Method An online survey addressing the study aims was completed by 173 people with a TL who live in the United States. The survey was open from July 5 to August 10, 2020. Results In-person clinic visits, appointment cancellations, and contact from their speech-language pathologists (SLPs) were reported by 42%, 19%, and 54% of the TL respondents, respectively. At clinic visits, 78% were required to wear a mask over their nose/mouth, and 73% were required to wear a mask over their tracheostoma. Masks, gloves, and face shields worn by the SLP at these visits were reported by 84%, 82%, and 70% of the TL patients, respectively. Alaryngeal communication changes were recommended by the SLP for 7%–18% of TL patients, depending on their method of communication, whereas 43%–45% implemented changes on their own. Changes in tracheostoma care and HME use were recommended by the SLP for 27% and 21% of the TL respondents, respectively, whereas 54% and 47% made changes on their own. Conclusions Individuals with a TL will require in-person care even during a pandemic, as reflected in this study. Many had not been contacted by their SLP or otolaryngologist about TL guidelines that were becoming available. Notably, larger percentages of TL patients reported self-initiated changes to their communication, tracheostoma care, and HME use because of the pandemic than their SLP had advised. The types of communication changes varied in part, depending on the method of alaryngeal speech a respondent used. Supplemental Material https://doi.org/10.23641/asha.16807270

26

Wang, Chen-Chi, Jia-Shiou Liao, Hsiu-Chin Lai e Yi-Hsuan Lo. "The Mandarin Voice Handicap Index for Laryngectomees With Pneumatic Artificial Laryngeal and Esophageal Speech". American Journal of Speech-Language Pathology 30, n. 4 (14 luglio 2021): 1781–92. http://dx.doi.org/10.1044/2021_ajslp-20-00241.

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Purpose The Voice Handicap Index (VHI) questionnaire assesses the impact of total laryngectomy on voice-related quality of life. This study evaluates the Mandarin VHI, including its internal consistency, test–retest reliability, content validity, and differences in scores for Mandarin alaryngeal patients with pneumatic artificial laryngeal (PA) and esophageal (ES) speech. Method Translation and validation of the VHI questionnaire was performed through the forward–backward translation technique. This study used a sample of 78 PA and 23 ES participants from Taiwan who completed the Mandarin VHI. Forty-two of the alaryngeal participants completed the Mandarin VHI twice over a period of 7–63 days. Results The measurement of the internal consistency of the Mandarin VHI showed a high Cronbach's alpha coefficient for the total score (.975) and the functional (.930), physical (.939), and emotional (.938) subscales. Based on the results of the intraclass correlation coefficients, good test–retest reliability for the total and domain scores was found (intraclass correlation coefficient = .827–.863). Conclusion The Mandarin VHI was validated as an instrument with proper internal consistency and reliability, which supports the Mandarin VHI as a valid instrument for the self-evaluation of handicaps related to voice problems in PA and ES speakers.

27

Carroll-Alfano, Miriam A. "Education, counseling, support groups, and provider knowledge of total laryngectomy: The patient’s perspective". Journal of Communication Disorders 82 (novembre 2019): 105938. http://dx.doi.org/10.1016/j.jcomdis.2019.105938.

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Allegra, Eugenia, Ignazio La Mantia, Maria Rita Bianco, Gaetano Davide Drago, Maria Cristina Le Fosse, Alfio Azzolina, Calogero Grillo e Vincenzo Saita. "Verbal performance of total laryngectomized patients rehabilitated with esophageal speech and tracheoesophageal speech: impacts on patient quality of life". Psychology Research and Behavior Management Volume 12 (agosto 2019): 675–81. http://dx.doi.org/10.2147/prbm.s212793.

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Yang, Yang, Haibin Zhang, Yuling Li, Zhifen Liu, Sha Liu, Xinrong Li, Gaiping Fan, Yong Xu e Bin-quan Wang. "The effectiveness of computer-assisted Cognitive Behavioral Therapy (cCBT) for psychological outcomes in patients with laryngectomy: Randomized controlled trial". Journal of Affective Disorders 300 (marzo 2022): 59–65. http://dx.doi.org/10.1016/j.jad.2021.12.068.

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Canady, Claudia J., e J. Ann Martinez. "Increased Tracheostoma Valve Seal Duration in Patients With Recessed or Irregular Stomas Using a Modified Application Method". American Journal of Speech-Language Pathology 5, n. 1 (febbraio 1996): 31–36. http://dx.doi.org/10.1044/1058-0360.0501.31.

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The effectiveness of using a skin barrier product in the application of tracheostoma valves to the peristomal skin of laryngectomized patients was investigated. Three patients who expressed a desire to use the tracheostoma valve but had experienced limited or unsuccessful use due to seal failure resulting from stoma irregularities and/or recessed stomas served as case study subjects. Each subject received six applications, three using the manufacturer's prescribed method and three with the procedure modified by use of a skin barrier product. The modified application method included an additional layer of a skin barrier product with an airway hole applied to the peristomal skin under the housing. Results of the study indicated that the addition of a skin barrier product in the application of the tracheostoma valve housing in subjects with recessed or irregular stomas dramatically increased mean seal duration. Subject A showed an increase from 1 hour 8 minutes to 9 hours 26 minutes, subject B's mean seal duration increased from 21 minutes to 3 hours 45 minutes, and subject C was able to change from 11 minutes to 8 hours 22 minutes with the modified technique.

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Torrence, Janaki M., Carolyn R. Baylor, Kathryn M. Yorkston e Kristie A. Spencer. "Addressing Communicative Participation in Treatment Planning for Adults: A Survey of U.S. Speech-Language Pathologists". American Journal of Speech-Language Pathology 25, n. 3 (agosto 2016): 355–70. http://dx.doi.org/10.1044/2015_ajslp-15-0049.

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Purpose In speech-language pathology, there is increasing attention on participation-focused interventions to optimize participation in valued life roles. The purpose of this study was to investigate how speech-language pathologists (SLPs) in the United States address life participation in therapy programs, as well as their opinions regarding barriers and facilitators to participation-focused intervention. Method An online questionnaire presented case scenarios for aphasia, dysarthria, and laryngectomy to 66 SLPs who have worked with adults. SLPs were asked to write goals and describe therapy activities for the scenarios. The final section of the questionnaire was an open-ended question regarding barriers and facilitators to participation-focused intervention. Results Many SLPs addressed participation in their rationales for therapy; 50% of goals had a participation-focused rationale. However, the goals, activities, and outcomes measures typically focused more on impairment and skill performance. Only 8% of goals specifically referenced participation. Although many SLPs stated that participation-focused intervention is important, they identified many barriers to implementation including time and productivity constraints, limits of clinical settings, and documentation challenges. Conclusions There is potential for gaps between SLPs' participation-focused rationale for therapy and activities or outcomes measures that often do not include participation elements. SLPs are interested in participation-focused treatment resources.

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Kearney, Ann, Jeff Searl, Elizabeth Erickson-DiRenzo e Philip C. Doyle. "The Impact of COVID-19 on Speech-Language Pathologists Engaged in Clinical Practices With Elevated Coronavirus Transmission Risk". American Journal of Speech-Language Pathology 30, n. 4 (14 luglio 2021): 1673–85. http://dx.doi.org/10.1044/2021_ajslp-20-00325.

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Purpose This study assessed and described potential clinical practice changes secondary to COVID-19 that emerged as an early response to the pandemic for speech-language pathologists (SLPs) engaged in voice, alaryngeal, and swallowing activities that may increase the risk of virus transmission. Method SLPs from the United States and Canada ( n = 665) who were engaged in clinical activities that might elevate the risk of COVID-19 exposure completed an online survey regarding their clinical practices. Topics assessed included potential clinical service modifications, COVID-19 testing and health, and potential financial impacts in the early time period of the pandemic. Results The percentage of SLPs completing the most endoscopic procedures prepandemic (≥ 10/week) was reduced from 39% of respondents to 3% due to the pandemic. Those who completed the most tracheoesophageal puncture voice prosthesis changes (≥ 5/week) reported a reduction in frequency from 24% to 6%. Twenty-five percent of SLPs reported that they were tested for COVID-19, and 6% reported a positive result. Descriptive statistics suggest that COVID-19 testing rates of SLPs, the percentage of SLPs experiencing a financial impact, and the percentage who were furloughed varied across SLP work setting. Conclusions These findings provide the first data characterizing the impact on COVID-19 on clinical practice for SLPs engaged in procedures such as endoscopy and laryngectomy care. The results indicate that, as frontline workers, SLPs were directly impacted in their practice patterns, personal health, safety, and financial security, and that these reported impacts occurred differently across SLP work settings.

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Liao, Jia-Shiou. "An Acoustic Study of Vowels Produced by Alaryngeal Speakers in Taiwan". American Journal of Speech-Language Pathology 25, n. 4 (novembre 2016): 481–92. http://dx.doi.org/10.1044/2016_ajslp-15-0068.

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PurposeThis study investigated the acoustic properties of 6 Taiwan Southern Min vowels produced by 10 laryngeal speakers (LA), 10 speakers with a pneumatic artificial larynx (PA), and 8 esophageal speakers (ES).MethodEach of the 6 monophthongs of Taiwan Southern Min (/i, e, a, ɔ, u, ə/) was represented by a Taiwan Southern Min character and appeared randomly on a list 3 times (6 Taiwan Southern Min characters × 3 repetitions = 18 tokens). Each Taiwan Southern Min character in this study has the same syllable structure, /V/, and all were read with tone 1 (high and level). Acoustic measurements of the 1st formant, 2nd formant, and 3rd formant were taken for each vowel. Then, vowel space areas (VSAs) enclosed by /i, a, u/ were calculated for each group of speakers. The Euclidean distance between vowels in the pairs /i, a/, /i, u/, and /a, u/ was also calculated and compared across the groups.ResultsPA and ES have higher 1st or 2nd formant values than LA for each vowel. The distance is significantly shorter between vowels in the corner vowel pairs /i, a/ and /i, u/. PA and ES have a significantly smaller VSA compared with LA.ConclusionsIn accordance with previous studies, alaryngeal speakers have higher formant frequency values than LA because they have a shortened vocal tract as a result of their total laryngectomy. Furthermore, the resonance frequencies are inversely related to the length of the vocal tract (on the basis of the assumption of the source filter theory). PA and ES have a smaller VSA and shorter distances between corner vowels compared with LA, which may be related to speech intelligibility. This hypothesis needs further support from future study.

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Longobardi, Ylenia, Vezio Savoia, Rosa Libero, Maria Elisabetta Marenda, Ilaria Proietti, Pasqualina Maria Picciotti, Giorgia Mari, Claudio Parrilla e Lucia D'Alatri. "Rehabilitation After Total Laryngectomy: An Integrated Protocol Remotely Delivered During COVID-19". International Journal of Telerehabilitation 15, n. 1 (11 maggio 2023). http://dx.doi.org/10.5195/ijt.2023.6548.

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The aim of this paper was to evaluate the results of an integrated treatment delivered remotely to laryngectomized patients with voice prosthesis. Eighteen laryngectomized patients were treated remotely in groups co-led by a speech therapist and a psychologist ("Online Group"). The results were compared with those of 17 patients ("In-Person Group") previously studied. The two groups obtained comparable results on all parameters of the INFVo perceptual rating scale, in the DEP, ANX, PHO and HOS areas of the Symptom Check List-90-Revised questionnaire, and in the areas investigated by the WHOQOL-B questionnaire. The "In-Person Group" obtained statistically better results on the Italian Self-Evaluation of Communication Experiences after Laryngeal Cancer questionnaire. Although the in-person treatment favored the acceptance of the new voice and the development of conversational skills, telerehabilitation guaranteed an adequate level of assistance in terms of voice acquisition, prevention of anxiety and depression, and recovery of a good QoL.

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Moors, Thomas, Sanjeev Silva, Donatella Maraschin, David Young, John M. Quinn, John de Carpentier, Johan Allouche e Evangelos Himonides. "Using Beatboxing for Creative Rehabilitation After Laryngectomy: Experiences From a Public Engagement Project". Frontiers in Psychology 10 (14 gennaio 2020). http://dx.doi.org/10.3389/fpsyg.2019.02854.

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Roick, Julia, Andreas Dietz, Sven Koscielny, Friedemann Pabst, Kerstin Breitenstein, Jens Oeken, Elke-Juliane Schock et al. "Course of social support and associations with distress after partial laryngectomy". Journal of Psychosocial Oncology, 14 agosto 2021, 1–14. http://dx.doi.org/10.1080/07347332.2021.1958122.

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Longobardi, Ylenia, Vezio Savoia, Claudio Parrilla, Maria Raffaella Marchese, Luciana Morra, Giorgia Mari, Emilia Degni e Lucia D’Alatri. "Pre-operative speech-language pathology counselling in patients undergoing total laryngectomy: A pilot randomized clinical trial". Current Psychology, 31 maggio 2021. http://dx.doi.org/10.1007/s12144-021-01932-z.

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Searl, Jeff, Kathryn Genoa, Alyssa Fritz, Ann Kearney e Philip C. Doyle. "Usage of Heat and Moisture Exchange Devices, Virtual Visits, Masking, and Vaccinations Among People With a Laryngectomy During COVID-19". American Journal of Speech-Language Pathology, 10 febbraio 2023, 1–21. http://dx.doi.org/10.1044/2022_ajslp-22-00254.

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Purpose: This study described the COVID-19 risk mitigation actions of people with a total laryngectomy (TL) during the pandemic. Method: An online survey was completed by 215 people with a TL who lived in the United States. The survey was open from December 1, 2021, to January 15, 2022. Results: There was a significant increase in frequency of heat and moisture exchange (HME) device use during the pandemic compared with pre–COVID-19. Frequency of HME use was significantly greater for those who were vaccinated and those who had at least one clinical visit with their speech-language pathologist (SLP). The use of virtual visits increased from 9% pre–COVID-19 to 37% during the pandemic. Seventy percent of respondents were “satisfied” or “very satisfied” with virtual visits and 51% judged them “as good as in-person.” Eighty percent were vaccinated for COVID-19 and 75% received a booster. One third reported that they did not wear mask over the face or over the tracheostoma. Twenty percent had tested positive for COVID-19 with 70% of these people requiring hospitalization. Conclusions: HME use and virtual SLP visits increased during the pandemic and the vaccination rate was high among this group of respondents. Overall, there were still large percentages of people with a TL who were not using an HME, not vaccinated, and did not wear a mask. SLPs should consider reaching out directly to their TL caseload, particularly those not yet seen during the pandemic, to support uptake of COVID-19 mitigation activities specific to people with a TL as the pandemic persists.

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"Analysis of the Nursing Effect of Early Behavioral Intervention in Total Laryngectomy for Patients with Laryngeal Cancer". Foreign Language Science and Technology Journal Database Medicine and Health, 10 gennaio 2022. http://dx.doi.org/10.47939/mh.v3i1.121.

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