Amyotrophic Lateral Sclerosis

04/02/99

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Table of Contents

Amyotrophic Lateral Sclerosis

Symptoms and Natural Course

Survival

Communication Characteristics

Stage of Intervention 1: Normal (Yorkston et al.) 

Stage 2: Detectable Speech Disturbances

Stage 3: Behavioral Modifications

Stage 4: Use of AAC

Stage 5: Loss of Useful Speech

Unique AAC Issues

ALS & AAC Use

Timing

ALS Severity Scale (Speech) (Hillel, et al., 1989) 

ALS Severity Scale (Speech) (Con't)

Changes in Intelligibility, Speaking Rate, & Oral Movement Rates (Yorkston, Strand, Miller, Hillel, Smith, 1993)

PPT Slide

Implications for AAC Intervention (1)

Implications for AAC Intervention (2)

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Implications for AAC Intervention (3)

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Outcome Reports

Multiple AAC approaches for ALS

Brain Stem Stroke: Natural Course

Unique AAC Issues

Supplemented Speech: Speaker with Brain Stem Stroke (Beukelman & Yorkston, 1977)

Semantic Supplemented Speech (Hammen, Yorkston, & Dowden, 1991)

Gullian Barre' Syndrome: Symptoms and Natural Course

PPT Slide

Communication Characteristics

Unique AAC issues

Multiple Sclerosis

PPT Slide

Natural Course

Communication Characteristics

Unique AAC Issues

Case Study Report (Porter, 1989)

Parkinson's Disease

Communication Characteristics Stage 1 Normal Speech

Stage 2: Early Speech Problems

Stage 3: Moderate Speech Disability

Stage 4: Severe Speech Disability

Unique AAC Issues

Author: David Beukelman