McHenry,
M. & Wilson, R. (1993). The challenge of unintelligible speech following
traumatic brain injury. Brain Injury, 8(4), 363-375.
Type
of
Study |
Case
study |
| Subjects |
1
male; age 34; 9 years post-injury |
| Diagnoses |
Severe
TBI with drug addiction pre-injury and psychotic issues
post-injury |
Speech
Condition |
Moderate-severe
communication impairment with severe auditory comprehension
and intelligibility deficits, moderate expressive language
and pragmatic deficits |
| Purpose |
To
determine treatment strategies given the premorbid characteristics,
physiological and cognitive deficits, and psychosocial
variables for a single subject |
| Methods |
Speech
production therapy 1 hour a day 4 days a week for 8 months
Optimized physiological system-bilabials, palatal lift
Behavioral management-rate reduction with pacing board
Function therapy-hierarchy in 5 levels from initiation
of function phrases and multisyllabic words to unstructured
conversation with an unfamiliar listener
Self-monitoring |
| Results |
Pacing
board helped intelligibility and speaking rate
Refused wearing palatal lift
Subject ended therapy |
Treatment
Implications |
Consider
pre-morbid personality, physiological status, cognitive
deficits, and psychosocial history.
Sequence of treatment: optimize physiological system to
maximize behavior therapy, use functional contexts and
not meaningless drills, allow patient to make decisions
about therapy participation and use of strategies. |
| |
|
To
return to the Abstract References, click on Assessment,
Treatment, or Speech
Characteristics
or use your browser to go Back.
|