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Sample records for alaryngeal speech rehabilitation

  1. Improving Alaryngeal Speech Intelligibility.

    ERIC Educational Resources Information Center

    Christensen, John M.; Dwyer, Patricia E.

    1990-01-01

    Laryngectomized patients using esophageal speech or an electronic artificial larynx have difficulty producing correct voicing contrasts between homorganic consonants. This paper describes a therapy technique that emphasizes "pushing harder" on voiceless consonants to improve alaryngeal speech intelligibility and proposes focusing on the production…

  2. Prosodic Boundaries in Alaryngeal Speech

    ERIC Educational Resources Information Center

    van Rossum, M. A.; Quene, H.; Nooteboom, S. G.

    2008-01-01

    Alaryngeal speakers (speakers in whom the larynx has been removed) have inconsistent control over acoustic parameters such as F[subscript 0] and duration. This study investigated whether proficient tracheoesophageal and oesophageal speakers consistently convey phrase boundaries. It was further investigated if these alaryngeal speakers used the…

  3. Acoustic Markers of Prosodic Boundaries in Spanish Spontaneous Alaryngeal Speech

    ERIC Educational Resources Information Center

    Cuenca, M. H.; Barrio, M. M.

    2010-01-01

    Prosodic information aids segmentation of the continuous speech signal and thereby facilitates auditory speech processing. Durational and pitch variations are prosodic cues especially necessary to convey prosodic boundaries, but alaryngeal speakers have inconsistent control over acoustic parameters such as F0 and duration, being as a result noisy…

  4. The Lombard Effect on Alaryngeal Speech.

    ERIC Educational Resources Information Center

    Zeine, Lina; Brandt, John F.

    1988-01-01

    The study investigated the Lombard effect (evoking increased speech intensity by applying masking noise to ears of talker) on the speech of esophageal talkers, artificial larynx users, and normal speakers. The noise condition produced the highest intensity increase in the esophageal speakers. (Author/DB)

  5. Reaction Times of Normal Listeners to Laryngeal, Alaryngeal, and Synthetic Speech

    ERIC Educational Resources Information Center

    Evitts, Paul M.; Searl, Jeff

    2006-01-01

    The purpose of this study was to compare listener processing demands when decoding alaryngeal compared to laryngeal speech. Fifty-six listeners were presented with single words produced by 1 proficient speaker from 5 different modes of speech: normal, tracheosophageal (TE), esophageal (ES), electrolaryngeal (EL), and synthetic speech (SS).…

  6. Effects of Audio-Visual Information on the Intelligibility of Alaryngeal Speech

    ERIC Educational Resources Information Center

    Evitts, Paul M.; Portugal, Lindsay; Van Dine, Ami; Holler, Aline

    2010-01-01

    Background: There is minimal research on the contribution of visual information on speech intelligibility for individuals with a laryngectomy (IWL). Aims: The purpose of this project was to determine the effects of mode of presentation (audio-only, audio-visual) on alaryngeal speech intelligibility. Method: Twenty-three naive listeners were…

  7. Effects of irradiation on alaryngeal voice of totally laryngectomized patients

    SciTech Connect

    Izdebski, K.; Fontanesi, J.; Ross, J.C.; Hetzler, D.

    1988-06-01

    The effects of radiation therapy on the ability of totally laryngectomized patients to produce voice and speech were examined using objective non-invasive methods. Moderate to severe losses were noted in patients producing voice with all types of alaryngeal modalities: tracheoesophageal, esophageal, and electrolaryngeal. Voice and speech losses were related to the impaired motility and vibratory capability of the esophageal wall and mucosa, to fibrosis of the submandibular region and to trismus. Tracheoesophageal and esophageal voice was recovered some weeks after completion of irradiation. No voice losses were observed in alaryngeal speakers who did not undergo voice restoration until after irradiation. All irradiated patients also showed various degrees of dysphagia during the treatment.

  8. Speech Training for Inmate Rehabilitation.

    ERIC Educational Resources Information Center

    Parkinson, Michael G.; Dobkins, David H.

    1982-01-01

    Using a computerized content analysis, the authors demonstrate changes in speech behaviors of prison inmates. They conclude that two to four hours of public speaking training can have only limited effect on students who live in a culture in which "prison speech" is the expected and rewarded form of behavior. (PD)

  9. Rehabilitation of impaired speech function (dysarthria, dysglossia)

    PubMed Central

    Schröter-Morasch, Heidrun; Ziegler, Wolfram

    2005-01-01

    Speech disorders can result (1) from sensorimotor impairments of articulatory movements = dysarthria, or (2) from structural changes of the speech organs, in adults particularly after surgical and radiochemical treatment of tumors = dysglossia. The decrease of intelligibility, a reduced vocal stamina, the stigmatization of a conspicuous voice and manner of speech, the reduction of emotional expressivity all mean greatly diminished quality of life, restricted career opportunities and diminished social contacts. Intensive therapy based on the pathophysiological facts is absolutely essential: Functional exercise therapy plays a central role; according to symptoms and their progression it can be complemented with prosthetic and surgical approaches. In severe cases communicational aids have to be used. All rehabilitation measures have to take account of frequently associated disorders of body motor control and/or impairment of cognition and behaviour. PMID:22073063

  10. Acoustic assessment of erygmophonic speech of Moroccan laryngectomized patients

    PubMed Central

    Ouattassi, Naouar; Benmansour, Najib; Ridal, Mohammed; Zaki, Zouheir; Bendahhou, Karima; Nejjari, Chakib; Cherkaoui, Abdeljabbar; El Alami, Mohammed Nouredine El Amine

    2015-01-01

    Introduction Acoustic evaluation of alaryngeal voices is among the most prominent issues in speech analysis field. In fact, many methods have been developed to date to substitute the classic perceptual evaluation. The Aim of this study is to present our experience in erygmophonic speech objective assessment and to discuss the most widely used methods of acoustic speech appraisal. through a prospective case-control study we have measured acoustic parameters of speech quality during one year of erygmophonic rehabilitation therapy of Moroccan laryngectomized patients. Methods We have assessed acoustic parameters of erygmophonic speech samples of eleven laryngectomized patients through the speech rehabilitation therapy. Acoustic parameters were obtained by perturbation analysis method and linear predictive coding algorithms also through the broadband spectrogram. Results Using perturbation analysis methods, we have found erygmophonic voice to be significantly poorer than normal speech and it exhibits higher formant frequency values. However, erygmophonic voice shows also higher and extremely variable Error values that were greater than the acceptable level. And thus, live a doubt on the reliability of those analytic methods results. Conclusion Acoustic parameters for objective evaluation of alaryngeal voices should allow a reliable representation of the perceptual evaluation of the quality of speech. This requirement has not been fulfilled by the common methods used so far. Therefore, acoustical assessment of erygmophonic speech needs more investigations. PMID:26587121

  11. Speech rehabilitation using a voice prostheses following laryngectomy.

    PubMed

    Kramp, B; Boehm, F; Fischer, A L

    2000-01-01

    The most serious consequence for patients following laryngectomy is the restriction of verbal communication. Since the introduction of laryngectomy significant concerns have already been focused on the field of speech rehabilitation. The operational procedures for the speech rehabilitation include training of the oesophageal voice speech and the voice prostheses. Speech prostheses are available in our hospital since 1983. The speech quality of the speech prostheses is compared with the classical oesophageal voice or to the voice by means of a Provox speech help. Bacteriological and mycological colonisation as a function of the length of implantation are defined. Our approach to the voice rehabilitation after a laryngectomy by use of a spacer during the laryngectomy has proven successful. As a result patients do not fall into a "hole" of non verbal communication. The aim of our efforts is always to create a functioning oesophageal voice after leaving the care of the hospital. PMID:11265379

  12. Voice and Speech after Laryngectomy

    ERIC Educational Resources Information Center

    Stajner-Katusic, Smiljka; Horga, Damir; Musura, Maja; Globlek, Dubravka

    2006-01-01

    The aim of the investigation is to compare voice and speech quality in alaryngeal patients using esophageal speech (ESOP, eight subjects), electroacoustical speech aid (EACA, six subjects) and tracheoesophageal voice prosthesis (TEVP, three subjects). The subjects reading a short story were recorded in the sound-proof booth and the speech samples…

  13. Speech Rehabilitation of Maxillectomy Patients with Hollow Bulb Obturator

    PubMed Central

    Kumar, Pravesh; Jain, Veena; Thakar, Alok

    2012-01-01

    Aim: To evaluate the effect of hollow bulb obturator prosthesis on articulation and nasalance in maxillectomy patients. Materials and Methods: A total of 10 patients, who were to undergo maxillectomy, falling under Aramany classes I and II, with normal speech and hearing pattern were selected for the study. They were provided with definitive maxillary obturators after complete healing of the defect. The patients were asked to wear the obturator for six weeks and speech analysis was done to measure changes in articulation and nasalance at four different stages of treatment, namely, preoperative, postoperative (after complete healing, that is, 3-4 months after surgery), after 24 hours, and after six weeks of providing the obturators. Articulation was measured objectively for distortion, addition, substitution, and omission by a speech pathologist, and nasalance was measured by Dr. Speech software. Results: The statistical comparison of preoperative and six weeks post rehabilitation levels showed insignificance in articulation and nasalance. Comparison of post surgery complete healing with six weeks after rehabilitation showed significant differences in both nasalance and articulation. Conclusion: Providing an obturator improves the speech closer to presurgical levels of articulation and there is improvement in nasality also. PMID:23440022

  14. Fundamental Frequency Variation with an Electrolarynx Improves Speech Understanding: A Case Study

    ERIC Educational Resources Information Center

    Watson, Peter J.; Schlauch, Robert S.

    2009-01-01

    Purpose: This study examined the effect of fundamental frequency (F0) variation on the intelligibility of speech in an alaryngeal talker who used an electrolarynx (EL). Method: One experienced alaryngeal talker produced variable F0 and a constant F0 with his EL as he read sentences aloud. As a control, a group of sentences with variable F0 was…

  15. Speech-Language Therapists' Process of Including Significant Others in Aphasia Rehabilitation

    ERIC Educational Resources Information Center

    Hallé, Marie-Christine; Le Dorze, Guylaine; Mingant, Anne

    2014-01-01

    Background: Although aphasia rehabilitation should include significant others, it is currently unknown how this recommendation is adopted in speech-language therapy practice. Speech-language therapists' (SLTs) experience of including significant others in aphasia rehabilitation is also understudied, yet a better understanding of clinical…

  16. Automatic speaking valve in speech rehabilitation for laryngectomized patients.

    PubMed

    Tervonen, Hanna; Bäck, Leif; Juvas, Anja; Räsänen, Pirjo; Mäkitie, Antti A; Sintonen, Harri; Roine, Risto P; Vilkman, Erkki; Aaltonen, Leena-Maija

    2005-10-01

    For speech rehabilitation after total laryngectomy, the Provox FreeHands Heat and Moisture Exchanger (FreeHands HME; Atos Medical AB, Hörby, Sweden) was compared with the Provox Heat and Moisture Exchanger (HME), and the patients' Health-Related Quality of Life (HRQoL) was assessed. A review of the English literature was performed considering automatic speaking valves. The study design was a cohort study. Fourteen laryngectomized male patients who had used the HME successfully before receiving the FreeHands HME entered the study. An ENT specialist and a speech pathologist examined these patients. Data concerning voicing, breathing, skin adhesion, voice and speech quality, and HRQoL were collected by a structured questionnaire. Voice recordings were performed for evaluation of the quality of the voice. A computer-aided search of the MED-LINE database was conducted, supplemented by hand searches of key journals. Twelve patients had used the FreeHands HME on special social occasions and reported three main reasons why FreeHands HME was unsuitable for continuous use: heavier breathing, more difficult speaking, and worse subjective quality of voice. With HME, phonation time tended to be longer and the softest phonation softer ( P =0.034). The loudest phonation was louder with FreeHands HME ( P =0.015). Patients' HRQoL assessed by the 15D profile was similar to that of the age- and sex-matched male Finnish general population (patients 0.877, population 0.884). A review of the literature showed few works dealing with automatic speaking valves. The FreeHands HME is a useful additional device in a selected group of laryngectomized patients. Total laryngectomy did not lower patients' HRQoL notably. PMID:15739088

  17. Translating Principles of Neural Plasticity into Research on Speech Motor Control Recovery and Rehabilitation

    ERIC Educational Resources Information Center

    Ludlow, Christy L.; Hoit, Jeannette; Kent, Raymond; Ramig, Lorraine O.; Shrivastav, Rahul; Strand, Edythe; Yorkston, Kathryn; Sapienza, Christine M.

    2008-01-01

    Purpose: To review the principles of neural plasticity and make recommendations for research on the neural bases for rehabilitation of neurogenic speech disorders. Method: A working group in speech motor control and disorders developed this report, which examines the potential relevance of basic research on the brain mechanisms involved in neural…

  18. The relationship between adience-abience scale scores and judged communication proficiency of alaryngeal speakers.

    PubMed

    Goldstein, L P; Salmon, S J

    1978-11-01

    Fifteen esophageal speakers and 15 artificial larynx speakers were administered the Hutt Adaptation of the Bender-Gestalt Test (HABGT): Adience-Abience Scale. Adience was defined as the individual's tendency to be motivated to adapt to new experiences that effect his physical functioning. Conversely, abience was defined as the individual's tendency to avoid or be inhibited from adapting to new experiences that effect his physical functioning. Audio-tape recordings were made of each speaker and used to determine verbal communication proficiency by six speech pathologists. Results indicated that the HABGT: Adience-Abience Scale was able to differentiate between the two groups of alaryngeal speakers, as well as relate to their verbal communication proficiency. PMID:713676

  19. An acoustic feature-based similarity scoring system for speech rehabilitation assistance.

    PubMed

    Syauqy, Dahnial; Wu, Chao-Min; Setyawati, Onny

    2016-08-01

    The purpose of this study is to develop a tool to assist speech therapy and rehabilitation, which focused on automatic scoring based on the comparison of the patient's speech with another normal speech on several aspects including pitch, vowel, voiced-unvoiced segments, strident fricative and sound intensity. The pitch estimation employed the use of cepstrum-based algorithm for its robustness; the vowel classification used multilayer perceptron (MLP) to classify vowel from pitch and formants; and the strident fricative detection was based on the major peak spectral intensity, location and the pitch existence in the segment. In order to evaluate the performance of the system, this study analyzed eight patient's speech recordings (four males, four females; 4-58-years-old), which had been recorded in previous study in cooperation with Taipei Veterans General Hospital and Taoyuan General Hospital. The experiment result on pitch algorithm showed that the cepstrum method had 5.3% of gross pitch error from a total of 2086 frames. On the vowel classification algorithm, MLP method provided 93% accuracy (men), 87% (women) and 84% (children). In total, the overall results showed that 156 tool's grading results (81%) were consistent compared to 192 audio and visual observations done by four experienced respondents. Implication for Rehabilitation Difficulties in communication may limit the ability of a person to transfer and exchange information. The fact that speech is one of the primary means of communication has encouraged the needs of speech diagnosis and rehabilitation. The advances of technology in computer-assisted speech therapy (CAST) improve the quality, time efficiency of the diagnosis and treatment of the disorders. The present study attempted to develop tool to assist speech therapy and rehabilitation, which provided simple interface to let the assessment be done even by the patient himself without the need of particular knowledge of speech processing while at the

  20. State of the Art in Rehabilitative Audiology: Speech Intelligibility.

    ERIC Educational Resources Information Center

    Schultz, Martin C.

    In a speech presented at the Annual Meeting of the American Speech and Hearing Association (1974), the author discusses prospective direction for research in speech recognition and comprehension of the hearing impaired. A theoretical perspective focuses on the role of probabilities in the process of transmitting and receiving auditory messages.…

  1. Contemporary review: Impact of primary neopharyngoplasty on acoustic characteristics of alaryngeal tracheoesophageal voice.

    PubMed

    Albirmawy, Osama A; Elsheikh, Mohamed N; Silver, Carl E; Rinaldo, Alessandra; Ferlito, Alfio

    2012-02-01

    The physiology of the vibratory mechanism in alaryngeal tracheoesophageal speech depends on several factors. The structure and resulting function of the neoglottis (or neopharynx) varies from patient to patient depending on the individual details of the surgical procedure performed, as well as the patient's anatomy. In general, the vibratory segment is a blending of the pharyngeal constrictor muscles, cricopharyngeus, and upper circular fibers of the esophagus. Limited ability to visualize dynamically these three-dimensional structures during rapid events of voice and speech production impedes complete understanding of the vibratory function of the neopharynx. Acoustic studies have elucidated some general characteristics of the pharyngoesophagus and neoglottic vibratory mechanism in the laryngectomized population. A critical degree of tonicity is necessary for apposition of mucosal surfaces in the production of tracheoesophageal voice. Deficiencies in the vibratory segment can usually be managed with various surgical procedures (neopharyngoplasty), resulting in reduced intraesophageal pressure and corresponding increase in fluent, intelligible, effortless speech. The acoustic measures, when correlated with neopharyngoplasty variables, produce many significant associations. Some of them are paramount and deserve further attention. PMID:22258890

  2. Translating Principles of Neural Plasticity into Research on Speech Motor Control Recovery and Rehabilitation

    PubMed Central

    Ludlow, Christy L.; Hoit, Jeannette; Kent, Raymond; Ramig, Lorraine O.; Shrivastav, Rahul; Strand, Edythe; Yorkston, Kathryn; Sapienza, Christine

    2008-01-01

    Purpose To review the principles of neural plasticity and make recommendations for research on the neural bases for rehabilitation of neurogenic speech disorders. Method A working group in speech motor control and disorders developed this report, which examines the potential relevance of basic research on the brain mechanisms involved in neural plasticity and discusses possible similarities and differences for application to speech motor control disorders. The possible involvement of neural plasticity in changes in speech production in normalcy, development, aging, and neurological diseases and disorders was considered. This report focuses on the appropriate use of functional and structural neuroimaging and the design of feasibility studies aimed at understanding how brain mechanisms are altered by environmental manipulations such as training and stimulation and how these changes might enhance the future development of rehabilitative methods for persons with speech motor control disorders. Conclusions Increased collaboration with neuroscientists working in clinical research centers addressing human communication disorders might foster research in this area. It is hoped that this paper will encourage future research on speech motor control disorders to address the principles of neural plasticity and their application for rehabilitation. PMID:18230849

  3. Black Students Prepare for Rehabilitation Careers in Speech Therapy

    ERIC Educational Resources Information Center

    Siegenthaler, Bruce M.

    1972-01-01

    A special summer program at Pennsylvania State University was conceived to stimulate career interests in speech pathology and audiology among black students from allied fields and other colleges. (DM)

  4. Occupational, Physical, and Speech Therapy Treatment Activities during Inpatient Rehabilitation for Traumatic Brain Injury

    PubMed Central

    Beaulieu, Cynthia L.; Dijkers, Marcel P.; Barrett, Ryan S.; Horn, Susan D.; Giuffrida, Clare G.; Timpson, Misti L.; Carroll, Deborah M.; Smout, Randy J.; Hammond, Flora M.

    2015-01-01

    Objective To describe use of Occupational Therapy (OT), Physical Therapy (PT) and Speech Therapy (ST) treatment activities throughout the acute rehabilitation stay of patients with traumatic brain injuries (TBI). Design Multi-site prospective observational cohort study. Setting 9 U.S. and 1 Canadian inpatient rehabilitation settings. Participants 2130 patients admitted for initial acute rehabilitation following TBI. Patients were categorized based on admission FIM cognitive scores, resulting in 5 fairly homogenous groups. Interventions Not applicable. Main Outcome Measures Percentage of patients engaged in specific activities and mean time patients engaged in the activities, per 10-hour block of time for OT, PT, and ST combined. Results Therapy activities in OT, PT, and ST across all 5 cognitive groups had a primary focus on basic activities. While advanced activities occurred in each discipline and within each cognitive group, these advanced activities occurred with fewer patients and usually only toward the end of the rehabilitation stay. Conclusions The pattern of activities engaged in was both similar to and different from patterns seen in previous PBE studies with different rehabilitation diagnostic groups. PMID:26212399

  5. Novel esophageal speech therapy method in total laryngectomized patients: biofeedback by intraesophageal impedance.

    PubMed

    Şahin, M; Ogut, M F; Vardar, R; Kirazli, T; Engin, E Z; Bor, S

    2016-01-01

    The loss of the best communication port after total laryngectomy surgery makes speech rehabilitation an important goal. Our aim was to improve the quality of esophageal speech (ES) using online esophageal multichannel intra-luminal impedance (MII) as a new biofeedback method. Twenty-six total laryngectomized patients were included. Before ES therapy, an esophageal motility test was carried out. MII catheters were placed in all subjects who were then randomized into two groups. Group 1 included 13 cases, who were retrained according to the classical method. Group 2 included 13 cases, who were retrained according to the simplified animation of air movements within the esophagus and upper stomach resulting from the modifications of intra-esophageal air kinetics gained by MII. The level of speech proficiency was evaluated relative to pretraining levels using perceptual scales in the third and sixth months. Acoustic voice was analyzed. The number of syllables read per minute and the intelligibility of monosyllabic and dissyllabic words were calculated. In this study, MII was used for the first time in alaryngeal speech rehabilitation as a biofeedback method; an overall sufficient speech level was achieved by 68.4% at the end of therapy, whereas attendance was 90%. A statistically significant improvement was found in both groups in terms of ES level compared with the pretraining period although there was no significant difference between groups. Although we did not observe the expected difference between groups suggested by our hypothesis, MII may be used as an objective tool to show patients how to swallow and regurgitate air during training, and may thus expedite ES therapy both for the speech therapist and the patient in the future. PMID:25515163

  6. Training Effects on Speech Production Using a Hands-Free Electromyographically Controlled Electrolarynx

    ERIC Educational Resources Information Center

    Goldstein, Ehab A.; Heaton, James T.; Stepp, Cara E.; Hillman, Robert E.

    2007-01-01

    Purpose: The "electrolarynx (EL)" is a widely used device for alaryngeal speech, but it requires manual operation and produces voice that typically has a constant fundamental frequency. An electromyographically controlled EL (EMG-EL) was designed and implemented to provide hands-free control with dynamic pitch modulation. Method: Three…

  7. The Role of Rhythm in Speech and Language Rehabilitation: The SEP Hypothesis

    PubMed Central

    Fujii, Shinya; Wan, Catherine Y.

    2014-01-01

    For thousands of years, human beings have engaged in rhythmic activities such as drumming, dancing, and singing. Rhythm can be a powerful medium to stimulate communication and social interactions, due to the strong sensorimotor coupling. For example, the mere presence of an underlying beat or pulse can result in spontaneous motor responses such as hand clapping, foot stepping, and rhythmic vocalizations. Examining the relationship between rhythm and speech is fundamental not only to our understanding of the origins of human communication but also in the treatment of neurological disorders. In this paper, we explore whether rhythm has therapeutic potential for promoting recovery from speech and language dysfunctions. Although clinical studies are limited to date, existing experimental evidence demonstrates rich rhythmic organization in both music and language, as well as overlapping brain networks that are crucial in the design of rehabilitation approaches. Here, we propose the “SEP” hypothesis, which postulates that (1) “sound envelope processing” and (2) “synchronization and entrainment to pulse” may help stimulate brain networks that underlie human communication. Ultimately, we hope that the SEP hypothesis will provide a useful framework for facilitating rhythm-based research in various patient populations. PMID:25352796

  8. The Role of Rhythm in Speech and Language Rehabilitation: The SEP Hypothesis.

    PubMed

    Fujii, Shinya; Wan, Catherine Y

    2014-01-01

    For thousands of years, human beings have engaged in rhythmic activities such as drumming, dancing, and singing. Rhythm can be a powerful medium to stimulate communication and social interactions, due to the strong sensorimotor coupling. For example, the mere presence of an underlying beat or pulse can result in spontaneous motor responses such as hand clapping, foot stepping, and rhythmic vocalizations. Examining the relationship between rhythm and speech is fundamental not only to our understanding of the origins of human communication but also in the treatment of neurological disorders. In this paper, we explore whether rhythm has therapeutic potential for promoting recovery from speech and language dysfunctions. Although clinical studies are limited to date, existing experimental evidence demonstrates rich rhythmic organization in both music and language, as well as overlapping brain networks that are crucial in the design of rehabilitation approaches. Here, we propose the "SEP" hypothesis, which postulates that (1) "sound envelope processing" and (2) "synchronization and entrainment to pulse" may help stimulate brain networks that underlie human communication. Ultimately, we hope that the SEP hypothesis will provide a useful framework for facilitating rhythm-based research in various patient populations. PMID:25352796

  9. Rehabilitation

    MedlinePlus

    ... doing things you did before. This process is rehabilitation. Rehabilitation often focuses on Physical therapy to help your ... who has had a stroke may simply want rehabilitation to be able to dress or bathe without ...

  10. Rehabilitation

    MedlinePlus

    ... This process is rehabilitation. Rehabilitation often focuses on Physical therapy to help your strength, mobility and fitness Occupational ... who has had a stroke may simply want rehabilitation to be able to dress or bathe without ...

  11. Rehabilitation of oropharyngeal dysphagia in children with cerebral palsy: A systematic review of the speech therapy approach

    PubMed Central

    Hirata, Gisela Carmona; Santos, Rosane Sampaio

    2012-01-01

    Summary Introduction: There are an estimated 30,000–40,000 new cases of cerebral palsy per year in Brazil. Motor disorders caused by cerebral palsy can lead to dysphagia as they may alter the preparatory, oral, pharyngeal, and esophageal phases. Aim: To identify existing rehabilitation methods of swallowing disorders in cerebral palsy, with emphasis on the pursuit of research using the Bobath concept, the Castillo Morales concept, oral sensorimotor therapy, and continuing education. Summary of the findings: We performed a systematic review of the medical and speech therapy literature on the rehabilitation of oropharyngeal dysphagia in children with cerebral palsy spanning 1977–2010 and from all languages and nations. Among the 310 articles retrieved, only 22 (7.09%) addressed therapeutic rehabilitation of oropharyngeal dysphagia in children with cerebral palsy. Of the 22 reports, 12 (54.5%) were from Canada, 3 (13.6%) were from Japan, 2 (9%) were from Brazil, 2 (9%) were from Germany, 1 (4.5%) was from the USA, 1 (4.5%) was from the United Kingdom, and 1 (4.5%) was from Poland. Of these reports, 63.6% used oral sensorimotor therapy as a therapeutic method, 36.3% reported continuing education as a therapeutic approach, and only 18.1% and 9% used the Bobath concept and Castillo Morales concept, respectively. Conclusion: Even with a constantly increasing cerebral palsy population, few studies include (re)habilitation in the treatment of oropharyngeal dysphagia in these children. PMID:25991964

  12. 42 CFR 483.45 - Specialized rehabilitative services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    .... If specialized rehabilitative services such as but not limited to physical therapy, speech-language pathology, occupational therapy, and mental health rehabilitative services for mental illness and...

  13. 42 CFR 483.45 - Specialized rehabilitative services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    .... If specialized rehabilitative services such as but not limited to physical therapy, speech-language pathology, occupational therapy, and mental health rehabilitative services for mental illness...

  14. 42 CFR 483.45 - Specialized rehabilitative services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    .... If specialized rehabilitative services such as but not limited to physical therapy, speech-language pathology, occupational therapy, and mental health rehabilitative services for mental illness and...

  15. Multilevel Analysis in Analyzing Speech Data

    ERIC Educational Resources Information Center

    Guddattu, Vasudeva; Krishna, Y.

    2011-01-01

    The speech produced by human vocal tract is a complex acoustic signal, with diverse applications in phonetics, speech synthesis, automatic speech recognition, speaker identification, communication aids, speech pathology, speech perception, machine translation, hearing research, rehabilitation and assessment of communication disorders and many…

  16. Rehabilitation or Compensation: Time for a Fresh Perspective on Speech and Language Therapy for Dysphagia and Parkinson's Disease?

    ERIC Educational Resources Information Center

    Smith, Sarah K.; Roddam, Hazel; Sheldrick, Heulwen

    2012-01-01

    Background: Dysphagia is a common symptom of Parkinson's disease and can have negative consequences for physical health and quality of life. A variety of treatment options are available to clinicians working with people who have dysphagia and Parkinson's disease. These options can be broadly categorized as being compensatory or rehabilitative in…

  17. 34 CFR 386.1 - What is the Rehabilitation Long-Term Training program?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) Rehabilitation dentistry; (9) Physical therapy; (10) Occupational therapy; (11) Speech pathology and audiology; (12) Physical education; (13) Therapeutic recreation; (14) Community rehabilitation program personnel... the specialty of physical medicine and rehabilitation. (b) The Rehabilitation Long-Term...

  18. 34 CFR 386.1 - What is the Rehabilitation Long-Term Training program?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...) Rehabilitation dentistry; (9) Physical therapy; (10) Occupational therapy; (11) Speech pathology and audiology; (12) Physical education; (13) Therapeutic recreation; (14) Community rehabilitation program personnel... the specialty of physical medicine and rehabilitation. (b) The Rehabilitation Long-Term...

  19. 34 CFR 386.1 - What is the Rehabilitation Long-Term Training program?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...) Rehabilitation dentistry; (9) Physical therapy; (10) Occupational therapy; (11) Speech pathology and audiology; (12) Physical education; (13) Therapeutic recreation; (14) Community rehabilitation program personnel... the specialty of physical medicine and rehabilitation. (b) The Rehabilitation Long-Term...

  20. 34 CFR 386.1 - What is the Rehabilitation Long-Term Training program?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) Rehabilitation dentistry; (9) Physical therapy; (10) Occupational therapy; (11) Speech pathology and audiology; (12) Physical education; (13) Therapeutic recreation; (14) Community rehabilitation program personnel... the specialty of physical medicine and rehabilitation. (b) The Rehabilitation Long-Term...

  1. Aerodynamic characteristics associated with oesophageal and tracheoesophageal speech of Cantonese.

    PubMed

    Ng, Manwa L

    2011-04-01

    The present study investigated the aerodynamic differences between standard oesophageal (SE) and tracheoesophageal (TE) speech. Airflow and air pressure values below the pharyngoesophageal segment were obtained from 10 SE and 12 TE superior speakers of Cantonese. Airflow data were directly measured from sustained vowels, and sub-pharyngoesophageal segment pressure was estimated from /ip(h)ip(h)i/ syllables produced by the alaryngeal speakers. Results indicated that SE speech was associated with a lower rate of airflow and a higher pressure below the pharyngoesophageal segment than TE speech. SE and TE speakers exhibited an average airflow and sub-pharyngoesophageal segment pressure values of 70.50 mL/s and 134.15 mL/s, and 25.13 cm H(2)O and 22.61 cm H(2)O, respectively. Using the airflow and sub-pharyngoesophageal segment pressure, neoglottal resistance values were derived. The estimated neoglottal resistance was greater in SE speakers than in TE speakers. It is speculated that such difference in neoglottal resistance may be related to the use of different air reservoir mechanisms between SE and TE speakers. Such information will help speech-language pathologists design better speech therapy regimes for SE and TE speakers by understanding more about the difference between SE and TE phonation. PMID:21480810

  2. 42 CFR 482.56 - Condition of participation: Rehabilitation services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... provides rehabilitation, physical therapy, occupational therapy, audiology, or speech pathology services... to properly supervise and administer the services. (2) Physical therapy, occupational therapy, speech..., physical therapist assistants, occupational therapists, occupational therapy assistants,...

  3. 42 CFR 482.56 - Condition of participation: Rehabilitation services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... provides rehabilitation, physical therapy, occupational therapy, audiology, or speech pathology services... to properly supervise and administer the services. (2) Physical therapy, occupational therapy, speech..., physical therapist assistants, occupational therapists, occupational therapy assistants,...

  4. 42 CFR 482.56 - Condition of participation: Rehabilitation services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... provides rehabilitation, physical therapy, occupational therapy, audiology, or speech pathology services... to properly supervise and administer the services. (2) Physical therapy, occupational therapy, speech..., physical therapist assistants, occupational therapists, occupational therapy assistants,...

  5. 42 CFR 482.56 - Condition of participation: Rehabilitation services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... provides rehabilitation, physical therapy, occupational therapy, audiology, or speech pathology services... to properly supervise and administer the services. (2) Physical therapy, occupational therapy, speech..., physical therapist assistants, occupational therapists, occupational therapy assistants,...

  6. L. S. Tsvetkova's Individual Aphasia Rehabilitation Method and Its Applications.

    ERIC Educational Resources Information Center

    Hanninen, Ritva

    The goal of all speech rehabilitation methods is the restoration of speech as a unitary higher function. One approach views speech as a complex but coherent system where all levels and components are interconnected. This view takes into consideration the use of verbal communication, which takes place at a higher speech level and includes activity,…

  7. Rehabilitation of Poststroke Cognition

    PubMed Central

    Shigaki, Cheryl L.; Frey, Scott H.; Barrett, A.M.

    2015-01-01

    Given the increasing rates of stroke and our aging population, it is critical that we continue to foster innovation in stroke rehabilitation. Although there is evidence supporting cognitive rehabilitation in stroke, the set of cognitive domains effectively addressed to date represents only a small subset of the problems experienced by stroke survivors. Further, a gap remains between investigational treatments and our evolving theories of brain function. These limitations present opportunities for improving the functional impact of stroke rehabilitation. The authors use a case example to encourage the reader to consider the evidence base for cognitive rehabilitation in stroke, focusing on four domains critical to daily life function: (1) speech and language, (2) functional memory, (3) executive function and skilled learned purposive movements, and (4) spatial-motor systems. Ultimately, they attempt to draw neuroscience and practice closer together by using translational reasoning to suggest possible new avenues for treating these disorders. PMID:25520021

  8. Cardiac Rehabilitation

    MedlinePlus

    ... from the NHLBI on Twitter. What Is Cardiac Rehabilitation? Cardiac rehabilitation (rehab) is a medically supervised program ... be designed to meet your needs. The Cardiac Rehabilitation Team Cardiac rehab involves a long-term commitment ...

  9. Long term rehabilitation of a total glossectomy patient.

    PubMed

    Bachher, Gurmit Kaur; Dholam, Kanchan P

    2010-09-01

    Malignant tumours of the oral cavity that require resection of the tongue result in severe deficiencies in speech and deglutition. Speech misarticulation leads to loss of speech intelligibility, which can prevent or limit communication. Prosthodontic rehabilitation involves fabrication of a Palatal Augmentation Prosthesis (PAP) following partial glossectomy and a mandibular tongue prosthesis after total glossectomy [1]. Speech analysis of a total glossectmy patient rehabilitated with a tongue prosthesis was done with the help of Dr. Speech Software Version 4 (Tiger DRS, Inc., Seattle) twelve years after treatment. Speech therapy sessions along with a prosthesis helped him to correct the dental sounds by using the lower lip and upper dentures (labio-dentals). It was noticed that speech intelligibility, intonation pattern, speech articulation and overall loudness was noticeably improved. PMID:21886413

  10. Speech Development

    MedlinePlus

    ... W View More… Donate Donor Spotlight Fundraising Ideas Vehicle Donation Volunteer Efforts Speech Development skip to submenu ... Lip and Palate . Bzoch (1997). Cleft Palate Speech Management: A Multidisciplinary Approach . Shprintzen, Bardach (1995). Cleft Palate: ...

  11. Speech Problems

    MedlinePlus

    ... a person's ability to speak clearly. Some Common Speech Disorders Stuttering is a problem that interferes with fluent ... is a language disorder, while stuttering is a speech disorder. A person who stutters has trouble getting out ...

  12. Chinese tonal language rehabilitation following cochlear implantation in children.

    PubMed

    Wei, W I; Wong, R; Hui, Y; Au, D K; Wong, B Y; Ho, W K; Tsang, A; Kung, P; Chung, E

    2000-03-01

    Cantonese language rehabilitation in 28 prelingually deaf children who underwent cochlear implantation was evaluated. All patients were implanted with multichannel devices and the operations went smoothly. They all had improved scores on audiological assessments and speech perception tests. The speech evaluation tests included the recognition of sounds, vowels, consonants and tone. Sentence recognition and story comprehension were both improved after training for 2 years. Cochlear implantation is a useful measure for the speech rehabilitation of prelingually profound deaf children when hearing aids are of no benefit. The multichannel implant device is of clinical significance in the rehabilitation of those patients using tonal language. PMID:11603776

  13. Rehabilitation Options

    MedlinePlus

    ... Speech Pathology Occupational Therapy Art Therapy Recreational therapy Neuropsychology Home Care Options Advanced Care Planning Palliative Care ... Speech Pathology Occupational Therapy Art Therapy Recreational therapy Neuropsychology Home Care Options Advanced Care Planning Palliative Care ...

  14. VISIBLE SPEECH.

    ERIC Educational Resources Information Center

    POTTER, RALPH K.; AND OTHERS

    A CORRECTED REPUBLICATION OF THE 1947 EDITION, THE BOOK DESCRIBES A FORM OF VISIBLE SPEECH OBTAINED BY THE RECORDING OF AN ANALYSIS OF SPEECH SOMEWHAT SIMILAR TO THE ANALYSIS PERFORMED BY THE EAR. ORIGINALLY INTENDED TO PRESENT AN EXPERIMENTAL TRAINING PROGRAM IN THE READING OF VISIBLE SPEECH AND EXPANDED TO INCLUDE MATERIAL OF INTEREST TO VARIOUS…

  15. Stroke Rehabilitation

    MedlinePlus

    ... relearn skills they lose because of the damage. Rehabilitation can help them relearn those skills. Stroke can ... Problems with thinking and memory Emotional disturbances Stroke rehabilitation involves many kinds of health professionals. The goal ...

  16. Pulmonary Rehabilitation

    MedlinePlus

    Pulmonary Rehabilitation If you have shortness of breath because of lung problems, you may have asked yourself: • Can I ... medications do I really need to take? Pulmonary rehabilitation can help answer these and other questions. Enrolling ...

  17. Hearing speech in music.

    PubMed

    Ekström, Seth-Reino; Borg, Erik

    2011-01-01

    The masking effect of a piano composition, played at different speeds and in different octaves, on speech-perception thresholds was investigated in 15 normal-hearing and 14 moderately-hearing-impaired subjects. Running speech (just follow conversation, JFC) testing and use of hearing aids increased the everyday validity of the findings. A comparison was made with standard audiometric noises [International Collegium of Rehabilitative Audiology (ICRA) noise and speech spectrum-filtered noise (SPN)]. All masking sounds, music or noise, were presented at the same equivalent sound level (50 dBA). The results showed a significant effect of piano performance speed and octave (P<.01). Low octave and fast tempo had the largest effect; and high octave and slow tempo, the smallest. Music had a lower masking effect than did ICRA noise with two or six speakers at normal vocal effort (P<.01) and SPN (P<.05). Subjects with hearing loss had higher masked thresholds than the normal-hearing subjects (P<.01), but there were smaller differences between masking conditions (P<.01). It is pointed out that music offers an interesting opportunity for studying masking under realistic conditions, where spectral and temporal features can be varied independently. The results have implications for composing music with vocal parts, designing acoustic environments and creating a balance between speech perception and privacy in social settings. PMID:21768731

  18. [Rehabilitation in Huntington's Disease].

    PubMed

    Rollnik, J D

    2015-06-01

    Huntington's disease (HD) is a chronic neurodegenerative disease for which as yet no disease-modifying therapy is available. Even at the early stage of the disease, HD patients suffer from motor and cognitive impairments. They are in need of physical, occupational and speech therapy or (inpatient) multidisciplinary rehabilitation. This paper reviews the available evidence for the usefulness of these therapeutic interventions. Studies using HD animal models have shown that motor training per se or as part of an enriched environment setting may have a positive impact on disease onset and progression. There are four clinical randomized controlled trials (RCT) showing beneficial effects of physical therapy (standardized home-based training program). In particular, inpatient neurological rehabilitation may have positive effects on activities of daily living (ADL) in HD patients. A non-controlled trial on multidisciplinary rehabilitation showed a reduction of oxidative stress and associated neurodegeneration, with another study even demonstrating an increase in the volume of the right caudate and the dorsolateral prefrontal cortex. Among the studies focusing on multidisciplinary rehabilitation, there is only one RCT. Further controlled studies are needed. PMID:26098083

  19. Speech Communication.

    ERIC Educational Resources Information Center

    Anderson, Betty

    The communications approach to teaching speech to high school students views speech as the study of the communication process in order to develop an awareness of and a sensitivity to the variables that affect human interaction. In using this approach the student is encouraged to try out as many types of messages using as many techniques and…

  20. Speech Aids

    NASA Technical Reports Server (NTRS)

    1987-01-01

    Designed to assist deaf and hearing impaired-persons in achieving better speech, Resnick Worldwide Inc.'s device provides a visual means of cuing the deaf as a speech-improvement measure. This is done by electronically processing the subjects' sounds and comparing them with optimum values which are displayed for comparison.

  1. Symbolic Speech

    ERIC Educational Resources Information Center

    Podgor, Ellen S.

    1976-01-01

    The concept of symbolic speech emanates from the 1967 case of United States v. O'Brien. These discussions of flag desecration, grooming and dress codes, nude entertainment, buttons and badges, and musical expression show that the courts place symbolic speech in different strata from verbal communication. (LBH)

  2. Speech coding

    SciTech Connect

    Ravishankar, C., Hughes Network Systems, Germantown, MD

    1998-05-08

    Speech is the predominant means of communication between human beings and since the invention of the telephone by Alexander Graham Bell in 1876, speech services have remained to be the core service in almost all telecommunication systems. Original analog methods of telephony had the disadvantage of speech signal getting corrupted by noise, cross-talk and distortion Long haul transmissions which use repeaters to compensate for the loss in signal strength on transmission links also increase the associated noise and distortion. On the other hand digital transmission is relatively immune to noise, cross-talk and distortion primarily because of the capability to faithfully regenerate digital signal at each repeater purely based on a binary decision. Hence end-to-end performance of the digital link essentially becomes independent of the length and operating frequency bands of the link Hence from a transmission point of view digital transmission has been the preferred approach due to its higher immunity to noise. The need to carry digital speech became extremely important from a service provision point of view as well. Modem requirements have introduced the need for robust, flexible and secure services that can carry a multitude of signal types (such as voice, data and video) without a fundamental change in infrastructure. Such a requirement could not have been easily met without the advent of digital transmission systems, thereby requiring speech to be coded digitally. The term Speech Coding is often referred to techniques that represent or code speech signals either directly as a waveform or as a set of parameters by analyzing the speech signal. In either case, the codes are transmitted to the distant end where speech is reconstructed or synthesized using the received set of codes. A more generic term that is applicable to these techniques that is often interchangeably used with speech coding is the term voice coding. This term is more generic in the sense that the

  3. 42 CFR 412.29 - Excluded rehabilitation units: Additional requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., rehabilitation nursing, physical therapy, and occupational therapy, plus, as needed, speech-language pathology... 42 Public Health 2 2010-10-01 2010-10-01 false Excluded rehabilitation units: Additional requirements. 412.29 Section 412.29 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT...

  4. Vocal Rehabilitation after Partial or Total Laryngectomy

    PubMed Central

    Calcaterra, Thomas C.; Zwitman, Daniel H.

    1972-01-01

    One of the paramount concerns of a patient who must undergo surgical intervention for laryngeal cancer is the effect on his speech. The type of operation is based on the anatomic extent of the cancer, but each procedure presents inherent problems in vocal rehabilitation. Glottic incompetence is the primary deficit to be overcome following hemilaryngectomy, whereas the aspirate voice is the principal problem with supraglottic laryngectomy. When the larynx must be sacrificed by total laryngectomy, the patient attempts to learn esophageal speech. If this fails, a vibrating sound source for speech can be acquired, either by the construction of a trachealpharyngeal communication or by use of a manual electric vibrator. PMID:5052051

  5. Rehabilitation challenges in multiple sclerosis.

    PubMed

    Burks, Jack S; Bigley, George Kim; Hill, Harry Haydon

    2009-10-01

    While current immunomodulating drugs aim to reduce multiple sclerosis (MS) exacerbations and slow disease progression, rehabilitation aims to improve and maintain the functional abilities of patients in the face of disease progression. An increasing number of journal articles are describing the value of the many rehabilitation interventions that can be used throughout the course of the disease, from the initial symptoms to the advanced stages. An integrated team of healthcare professionals is necessary to address a myriad of problems to reduce impairments, disabilities, and handicaps. The problems may be related to fatigue, weakness, spasticity, mobility, balance, pain, cognition, mood, relationships, bowel, bladder, sexual function, swallowing, speech, transportation, employment, recreation, and activities of daily living (ADL) such as dressing, eating, bathing, and household chores. The team can help prevent complications and secondary disabilities, while increasing patient safety. Improving neurologically related function, maintaining good relationships, and feeling productive and creative adds enormously to the quality of life of people with MS and their families. Rehabilitation is more than an 'extra' service that is given after medical therapies; it is an integral part of the management of the diverse set of problems encountered throughout the course of the disease. An interdisciplinary team may have many members, including physicians, nurses, physical therapists, occupational therapists, speech and language pathologists, psychotherapists, social workers, recreational therapists, vocational rehabilitation therapists, patients, families, and other caregivers. PMID:20182578

  6. Perceptual Learning of Interrupted Speech

    PubMed Central

    Benard, Michel Ruben; Başkent, Deniz

    2013-01-01

    The intelligibility of periodically interrupted speech improves once the silent gaps are filled with noise bursts. This improvement has been attributed to phonemic restoration, a top-down repair mechanism that helps intelligibility of degraded speech in daily life. Two hypotheses were investigated using perceptual learning of interrupted speech. If different cognitive processes played a role in restoring interrupted speech with and without filler noise, the two forms of speech would be learned at different rates and with different perceived mental effort. If the restoration benefit were an artificial outcome of using the ecologically invalid stimulus of speech with silent gaps, this benefit would diminish with training. Two groups of normal-hearing listeners were trained, one with interrupted sentences with the filler noise, and the other without. Feedback was provided with the auditory playback of the unprocessed and processed sentences, as well as the visual display of the sentence text. Training increased the overall performance significantly, however restoration benefit did not diminish. The increase in intelligibility and the decrease in perceived mental effort were relatively similar between the groups, implying similar cognitive mechanisms for the restoration of the two types of interruptions. Training effects were generalizable, as both groups improved their performance also with the other form of speech than that they were trained with, and retainable. Due to null results and relatively small number of participants (10 per group), further research is needed to more confidently draw conclusions. Nevertheless, training with interrupted speech seems to be effective, stimulating participants to more actively and efficiently use the top-down restoration. This finding further implies the potential of this training approach as a rehabilitative tool for hearing-impaired/elderly populations. PMID:23469266

  7. Measuring the Expertise of Paediatric Rehabilitation Therapists

    ERIC Educational Resources Information Center

    King, Gillian; Bartlett, Doreen J.; Currie, Melissa; Gilpin, Michelle; Baxter, Donna; Willoughby, Colleen; Tucker, Mary Ann; Strachan, Deborah

    2008-01-01

    This article describes the development of a classification system to measure the expertise levels of practicing paediatric rehabilitation therapists. Seventy-five therapists from five disciplines (physical, occupational, speech-language, behaviour, and recreational therapy) were involved, along with 170 peers, and 188 parents of children with…

  8. [Vocational rehabilitation.

    PubMed

    Labriola, Merete; Thielen, Karsten; Eplov, Lene Falgaard; Nielsen, Claus Vinther

    2014-05-12

    Work is known to be one of the main sources of human identity. It might be threatened when ill-health impairs individual labour market participation. Vocational rehabilitation, which is based on the bio-psycho-social model of health and function, is the systematic approach to improve employability for those who suffer from health-related disabilities. This article gives a short historical overview about vocational rehabilitation in Denmark, describes the current structural and political framework and gives practice examples of local multidisciplinary and intersectoral rehabilitation efforts. PMID:25096745

  9. Cardiac rehabilitation

    MedlinePlus

    ... 123-210. Thomas PD. Exercise-Based, Comprehensive Cardiac Rehabilitation. In: Bonow RO, Mann DL, Zipes DP, Libby P, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine . 9th ed. Philadelphia, PA: Saunders Elsevier; 2011: ...

  10. [Psychiatric rehabilitation].

    PubMed

    Dusek, K

    1990-04-01

    The author presents a brief account of the development of psychiatric rehabilitation during the past two centuries. He draws attention to new trends in rehabilitation of the mentally sick during the post-war period and at present. He describes the system of rehabilitation in the Soviet Union which began to develop as a results of efforts in the Bekhterev Institute in Leningrad. In our country the law on social security in 1964 created conditions for protected workshop and protected work places. In 1973 methodical instructions of the Ministry of Labour and Social Affairs issued instructions which specified the principles of planning, establishment and operation of these facilities. At the end of 1986 the Ministry of Health CSR issued an amendment to the concept of psychiatry which contains the organization of psychiatric rehabilitation not only in in-patient but in particular in out-patient psychiatric facilities. PMID:2194684

  11. [Pulmonary rehabilitation].

    PubMed

    Senjyu, Hideaki

    2016-05-01

    Pulmonary rehabilitation commenced in Japan in 1957. However, the development of pulmonary rehabilitation took a long time due to the lack of the necessary health and medical services. Pulmonary rehabilitation is a comprehensive intervention based on a thorough patient assessment followed by patient-tailored therapies that include, but are not limited to, exercise training, education, and behavior change, designed to improve the physical and psychological condition of people with chronic respiratory disease and to promote the long-term adherence to health-enhancing behaviors. The benefits of pulmonary rehabilitation include a decrease in breathlessness and an improvement in exercise tolerance. It is important that the gains in exercise tolerance lead to an increase in daily physical activity. PMID:27254948

  12. Stroke rehabilitation.

    PubMed

    Langhorne, Peter; Bernhardt, Julie; Kwakkel, Gert

    2011-05-14

    Stroke is a common, serious, and disabling global health-care problem, and rehabilitation is a major part of patient care. There is evidence to support rehabilitation in well coordinated multidisciplinary stroke units or through provision of early supported provision of discharge teams. Potentially beneficial treatment options for motor recovery of the arm include constraint-induced movement therapy and robotics. Promising interventions that could be beneficial to improve aspects of gait include fitness training, high-intensity therapy, and repetitive-task training. Repetitive-task training might also improve transfer functions. Occupational therapy can improve activities of daily living; however, information about the clinical effect of various strategies of cognitive rehabilitation and strategies for aphasia and dysarthria is scarce. Several large trials of rehabilitation practice and of novel therapies (eg, stem-cell therapy, repetitive transcranial magnetic stimulation, virtual reality, robotic therapies, and drug augmentation) are underway to inform future practice. PMID:21571152

  13. Stroke Rehabilitation

    MedlinePlus

    A stroke can cause lasting brain damage. People who survive a stroke need to relearn skills they lose because of ... damage. Rehabilitation can help them relearn those skills. Stroke can cause five types of disabilities: Paralysis or ...

  14. Rehabilitation robotics

    PubMed Central

    KREBS, H.I.; VOLPE, B.T.

    2015-01-01

    This chapter focuses on rehabilitation robotics which can be used to augment the clinician’s toolbox in order to deliver meaningful restorative therapy for an aging population, as well as on advances in orthotics to augment an individual’s functional abilities beyond neurorestoration potential. The interest in rehabilitation robotics and orthotics is increasing steadily with marked growth in the last 10 years. This growth is understandable in view of the increased demand for caregivers and rehabilitation services escalating apace with the graying of the population. We will provide an overview on improving function in people with a weak limb due to a neurological disorder who cannot properly control it to interact with the environment (orthotics); we will then focus on tools to assist the clinician in promoting rehabilitation of an individual so that s/he can interact with the environment unassisted (rehabilitation robotics). We will present a few clinical results occurring immediately poststroke as well as during the chronic phase that demonstrate superior gains for the upper extremity when employing rehabilitation robotics instead of usual care. These include the landmark VA-ROBOTICS multisite, randomized clinical study which demonstrates clinical gains for chronic stroke that go beyond usual care at no additional cost. PMID:23312648

  15. Rehabilitation of spinal cord injuries

    PubMed Central

    Nas, Kemal; Yazmalar, Levent; Şah, Volkan; Aydın, Abdulkadir; Öneş, Kadriye

    2015-01-01

    Spinal cord injury (SCI) is the injury of the spinal cord from the foramen magnum to the cauda equina which occurs as a result of compulsion, incision or contusion. The most common causes of SCI in the world are traffic accidents, gunshot injuries, knife injuries, falls and sports injuries. There is a strong relationship between functional status and whether the injury is complete or not complete, as well as the level of the injury. The results of SCI bring not only damage to independence and physical function, but also include many complications from the injury. Neurogenic bladder and bowel, urinary tract infections, pressure ulcers, orthostatic hypotension, fractures, deep vein thrombosis, spasticity, autonomic dysreflexia, pulmonary and cardiovascular problems, and depressive disorders are frequent complications after SCI. SCI leads to serious disability in the patient resulting in the loss of work, which brings psychosocial and economic problems. The treatment and rehabilitation period is long, expensive and exhausting in SCI. Whether complete or incomplete, SCI rehabilitation is a long process that requires patience and motivation of the patient and relatives. Early rehabilitation is important to prevent joint contractures and the loss of muscle strength, conservation of bone density, and to ensure normal functioning of the respiratory and digestive system. An interdisciplinary approach is essential in rehabilitation in SCI, as in the other types of rehabilitation. The team is led by a physiatrist and consists of the patients’ family, physiotherapist, occupational therapist, dietician, psychologist, speech therapist, social worker and other consultant specialists as necessary. PMID:25621206

  16. Free Speech Yearbook: 1972.

    ERIC Educational Resources Information Center

    Tedford, Thomas L., Ed.

    This book is a collection of essays on free speech issues and attitudes, compiled by the Commission on Freedom of Speech of the Speech Communication Association. Four articles focus on freedom of speech in classroom situations as follows: a philosophic view of teaching free speech, effects of a course on free speech on student attitudes,…

  17. Speech analyzer

    NASA Technical Reports Server (NTRS)

    Lokerson, D. C. (Inventor)

    1977-01-01

    A speech signal is analyzed by applying the signal to formant filters which derive first, second and third signals respectively representing the frequency of the speech waveform in the first, second and third formants. A first pulse train having approximately a pulse rate representing the average frequency of the first formant is derived; second and third pulse trains having pulse rates respectively representing zero crossings of the second and third formants are derived. The first formant pulse train is derived by establishing N signal level bands, where N is an integer at least equal to two. Adjacent ones of the signal bands have common boundaries, each of which is a predetermined percentage of the peak level of a complete cycle of the speech waveform.

  18. Speech Research

    NASA Astrophysics Data System (ADS)

    Several articles addressing topics in speech research are presented. The topics include: exploring the functional significance of physiological tremor: A biospectroscopic approach; differences between experienced and inexperienced listeners to deaf speech; a language-oriented view of reading and its disabilities; Phonetic factors in letter detection; categorical perception; Short-term recall by deaf signers of American sign language; a common basis for auditory sensory storage in perception and immediate memory; phonological awareness and verbal short-term memory; initiation versus execution time during manual and oral counting by stutterers; trading relations in the perception of speech by five-year-old children; the role of the strap muscles in pitch lowering; phonetic validation of distinctive features; consonants and syllable boundaires; and vowel information in postvocalic frictions.

  19. SCIRehab Project Series: The Speech Language Pathology Taxonomy

    PubMed Central

    Gordan, Wendy; Spivak-David, Dana; Adornato, Viki; Dale, Beverly; Brougham, Rebecca; Georgeadis, Amy C; Gassaway, Julie

    2009-01-01

    Introduction: Outcomes research for speech language pathology (SLP) interventions for acute traumatic spinal cord injury (SCI) rehabilitation in the US is difficult because of the lack of a treatment classification system (taxonomy). Objective: To describe a taxonomy developed by speech language pathologists (SLPs) to examine the effects of SLP interventions on SCI rehabilitation outcomes. Methods: The SCIRehab study uses practice-based evidence, a rigorous observational methodology that examines treatment processes without specifying or requiring specific therapeutic interventions. Speech language pathology lead clinicians and researchers at 6 US SCI centers developed a detailed SLP taxonomy documentation process that is comprehensive of SLP interventions for patients with SCI. Results: The SLP taxonomy consists of 7 intervention categories that address deficits (speech production for patients with artificial airway, motor speech and voice, swallowing, cognitive-communication, and communication) and the associated exercises and tasks that patients perform. Time is recorded for each category, and supplementary information focuses on cueing needs and family involvement that helps to describe and guide intervention selection. The SCIRehab project is enrolling 1,500 patients with acute traumatic SCI at 6 inpatient rehabilitation facilities. Conclusions: Speech language pathology taxonomy information is being captured for the SCIRehab patients who are referred for SLP services; this may be the first attempt to document the many details of the SLP rehabilitation process for patients with SCI in the US. PMID:19810632

  20. Pulmonary rehabilitation.

    PubMed

    Troosters, Thierry; Demeyer, Heleen; Hornikx, Miek; Camillo, Carlos Augusto; Janssens, Wim

    2014-03-01

    Pulmonary rehabilitation is a therapy that offers benefits to patients with chronic obstructive pulmonary disease that are complementary to those obtained by pharmacotherapy. The main objective of pulmonary rehabilitation is to restore muscle function and exercise tolerance, reverse other nonrespiratory consequences of the disease, and help patients to self-manage chronic obstructive pulmonary disease and its exacerbations and symptoms. To do so, a multidisciplinary program tailored to the patient in terms of program content, exercise prescription, and setting must be offered. Several settings and programs have shown to spin off in significant immediate results. The challenge lies in maintaining the benefits outside the program. PMID:24507849

  1. Speech Intelligibility

    NASA Astrophysics Data System (ADS)

    Brand, Thomas

    Speech intelligibility (SI) is important for different fields of research, engineering and diagnostics in order to quantify very different phenomena like the quality of recordings, communication and playback devices, the reverberation of auditoria, characteristics of hearing impairment, benefit using hearing aids or combinations of these things.

  2. Speech Improvement.

    ERIC Educational Resources Information Center

    Gordon, Morton J.

    This book serves as a guide for the native and non-native speaker of English in overcoming various problems in articulation, rhythm, and intonation. It is also useful in group therapy speech programs. Forty-five practice chapters offer drill materials for all the vowels, diphthongs, and consonants of American English plus English stress and…

  3. Therapeutic music and nursing in poststroke rehabilitation.

    PubMed

    Knight, Andrew J; Wiese, Nikki

    2011-01-01

    Individuals who experience stroke undergo a critical rehabilitation process with the aid of professionals including physical, occupational, and speech therapists, as well as primary care from nursing staff. However, the extent of the role that music can play in facilitating the rehabilitation process is unknown. Board-certified music therapists are employed in several capacities within the rehabilitation environment. There is a need for nursing professionals in this area to better understand the role a music therapist may play and how they can assist clients in using music in a therapeutically beneficial way. The purpose of this article is to educate nurses about music therapy and provide evidence for the therapeutic use of music in the rehabilitation setting for victims of stroke. PMID:21882798

  4. Apraxia of speech: an overview.

    PubMed

    Ogar, Jennifer; Slama, Hilary; Dronkers, Nina; Amici, Serena; Gorno-Tempini, Maria Luisa

    2005-12-01

    Apraxia of speech (AOS) is a motor speech disorder that can occur in the absence of aphasia or dysarthria. AOS has been the subject of some controversy since the disorder was first named and described by Darley and his Mayo Clinic colleagues in the 1960s. A recent revival of interest in AOS is due in part to the fact that it is often the first symptom of neurodegenerative diseases, such as primary progressive aphasia and corticobasal degeneration. This article will provide a brief review of terminology associated with AOS, its clinical hallmarks and neuroanatomical correlates. Current models of motor programming will also be addressed as they relate to AOS and finally, typical treatment strategies used in rehabilitating the articulation and prosody deficits associated with AOS will be summarized. PMID:16393756

  5. Rehabilitation Aids.

    ERIC Educational Resources Information Center

    National Center on Educational Media and Materials for the Handicapped, Columbus, OH.

    Selected from the National Instructional Materials Information System (NIMIS)--a computer based on-line interactive retrieval system on special education materials--the bibliography covers 40 equipment items for rehabilitation and physical therapy programs for all levels of handicapped children. Described are such items as a handygym, a suspension…

  6. Outpatient Rehabilitation for Medicaid-insured Children Hospitalized With Traumatic Brain Injury

    PubMed Central

    Jimenez, Nathalia; Symons, Rebecca G.; Wang, Jin; Ebel, Beth H.; Vavilala, Monica S.; Buchwald, Dedra; Temkin, Nancy; Jaffe, Kenneth M.; Rivara, Frederick P.

    2016-01-01

    OBJECTIVES To describe the prevalence of postdischarge outpatient rehabilitation among Medicaid-insured children hospitalized with a traumatic brain injury (TBI) and to identify factors associated with receipt of services. METHODS Retrospective cohort of children <21 years, hospitalized for a TBI between 2007 and 2012, from a national Medicaid claims database. Outcome measures were receipt of outpatient rehabilitation (physical, occupational, or speech therapies or physician visits to a rehabilitation provider) 1 and 3 years after discharge. Multivariable regression analyses determined the association of demographic variables, injury severity, and receipt of inpatient services with receipt of outpatient rehabilitation at 1 and 3 years. The mean number of services was compared between racial/ethnic groups. RESULTS Among 9361 children, only 29% received any type of outpatient rehabilitation therapy during the first year after injury, although 62% sustained a moderate to severe TBI. The proportion of children receiving outpatient therapies declined to 12% in the second and third years. The most important predictor of receipt of outpatient rehabilitation was receipt of inpatient therapies or consultation with a rehabilitation physician during acute care. Compared with children of other racial/ethnic groups, Hispanic children had lower rates of receipt of outpatient speech therapy. CONCLUSIONS Hospitalized children who received inpatient assessment of rehabilitation needs were more likely to continue outpatient rehabilitation care. Hispanic children with TBI were less likely than non-Hispanics to receive speech therapy. Interventions to increase inpatient rehabilitation during acute care might increase outpatient rehabilitation and improve outcomes for all children. PMID:27244850

  7. Stroke Rehabilitation Using Virtual Environments.

    PubMed

    Fu, Michael J; Knutson, Jayme S; Chae, John

    2015-11-01

    This review covers the rationale, mechanisms, and availability of commercially available virtual environment-based interventions for stroke rehabilitation. It describes interventions for motor, speech, cognitive, and sensory dysfunction. Also discussed are the important features and mechanisms that allow virtual environments to facilitate motor relearning. A common challenge is the inability to translate success in small trials to efficacy in larger populations. The heterogeneity of stroke pathophysiology has been blamed, and experts advocate for the study of multimodal approaches. Therefore, this article also introduces a framework to help define new therapy combinations that may be necessary to address stroke heterogeneity. PMID:26522910

  8. Speech communications in noise

    NASA Technical Reports Server (NTRS)

    1984-01-01

    The physical characteristics of speech, the methods of speech masking measurement, and the effects of noise on speech communication are investigated. Topics include the speech signal and intelligibility, the effects of noise on intelligibility, the articulation index, and various devices for evaluating speech systems.

  9. Cued speech for enhancing speech perception and first language development of children with cochlear implants.

    PubMed

    Leybaert, Jacqueline; LaSasso, Carol J

    2010-06-01

    Nearly 300 million people worldwide have moderate to profound hearing loss. Hearing impairment, if not adequately managed, has strong socioeconomic and affective impact on individuals. Cochlear implants have become the most effective vehicle for helping profoundly deaf children and adults to understand spoken language, to be sensitive to environmental sounds, and, to some extent, to listen to music. The auditory information delivered by the cochlear implant remains non-optimal for speech perception because it delivers a spectrally degraded signal and lacks some of the fine temporal acoustic structure. In this article, we discuss research revealing the multimodal nature of speech perception in normally-hearing individuals, with important inter-subject variability in the weighting of auditory or visual information. We also discuss how audio-visual training, via Cued Speech, can improve speech perception in cochlear implantees, particularly in noisy contexts. Cued Speech is a system that makes use of visual information from speechreading combined with hand shapes positioned in different places around the face in order to deliver completely unambiguous information about the syllables and the phonemes of spoken language. We support our view that exposure to Cued Speech before or after the implantation could be important in the aural rehabilitation process of cochlear implantees. We describe five lines of research that are converging to support the view that Cued Speech can enhance speech perception in individuals with cochlear implants. PMID:20724357

  10. Cued Speech for Enhancing Speech Perception and First Language Development of Children With Cochlear Implants

    PubMed Central

    Leybaert, Jacqueline; LaSasso, Carol J.

    2010-01-01

    Nearly 300 million people worldwide have moderate to profound hearing loss. Hearing impairment, if not adequately managed, has strong socioeconomic and affective impact on individuals. Cochlear implants have become the most effective vehicle for helping profoundly deaf children and adults to understand spoken language, to be sensitive to environmental sounds, and, to some extent, to listen to music. The auditory information delivered by the cochlear implant remains non-optimal for speech perception because it delivers a spectrally degraded signal and lacks some of the fine temporal acoustic structure. In this article, we discuss research revealing the multimodal nature of speech perception in normally-hearing individuals, with important inter-subject variability in the weighting of auditory or visual information. We also discuss how audio-visual training, via Cued Speech, can improve speech perception in cochlear implantees, particularly in noisy contexts. Cued Speech is a system that makes use of visual information from speechreading combined with hand shapes positioned in different places around the face in order to deliver completely unambiguous information about the syllables and the phonemes of spoken language. We support our view that exposure to Cued Speech before or after the implantation could be important in the aural rehabilitation process of cochlear implantees. We describe five lines of research that are converging to support the view that Cued Speech can enhance speech perception in individuals with cochlear implants. PMID:20724357

  11. Speech coding

    NASA Astrophysics Data System (ADS)

    Gersho, Allen

    1990-05-01

    Recent advances in algorithms and techniques for speech coding now permit high quality voice reproduction at remarkably low bit rates. The advent of powerful single-ship signal processors has made it cost effective to implement these new and sophisticated speech coding algorithms for many important applications in voice communication and storage. Some of the main ideas underlying the algorithms of major interest today are reviewed. The concept of removing redundancy by linear prediction is reviewed, first in the context of predictive quantization or DPCM. Then linear predictive coding, adaptive predictive coding, and vector quantization are discussed. The concepts of excitation coding via analysis-by-synthesis, vector sum excitation codebooks, and adaptive postfiltering are explained. The main idea of vector excitation coding (VXC) or code excited linear prediction (CELP) are presented. Finally low-delay VXC coding and phonetic segmentation for VXC are described.

  12. Speech and Communication Disorders

    MedlinePlus

    ... or understand speech. Causes include Hearing disorders and deafness Voice problems, such as dysphonia or those caused by cleft lip or palate Speech problems like stuttering Developmental disabilities Learning disorders Autism spectrum disorder Brain injury Stroke Some speech and ...

  13. Speech impairment (adult)

    MedlinePlus

    Language impairment; Impairment of speech; Inability to speak; Aphasia; Dysarthria; Slurred speech; Dysphonia voice disorders ... disorders develop gradually, but anyone can develop a speech and ... suddenly, usually in a trauma. APHASIA Alzheimer disease ...

  14. Speech impairment (adult)

    MedlinePlus

    Language impairment; Impairment of speech; Inability to speak; Aphasia; Dysarthria; Slurred speech; Dysphonia voice disorders ... Common speech and language disorders include: APHASIA Aphasia is ... understand or express spoken or written language. It commonly ...

  15. Speech research

    NASA Astrophysics Data System (ADS)

    1992-06-01

    Phonology is traditionally seen as the discipline that concerns itself with the building blocks of linguistic messages. It is the study of the structure of sound inventories of languages and of the participation of sounds in rules or processes. Phonetics, in contrast, concerns speech sounds as produced and perceived. Two extreme positions on the relationship between phonological messages and phonetic realizations are represented in the literature. One holds that the primary home for linguistic symbols, including phonological ones, is the human mind, itself housed in the human brain. The second holds that their primary home is the human vocal tract.

  16. Balance (or Vestibular) Rehabilitation

    MedlinePlus

    ... for the Public / Hearing and Balance Balance (or Vestibular) Rehabilitation Audiologic (hearing), balance, and medical diagnostic tests help indicate whether you are a candidate for vestibular (balance) rehabilitation. Vestibular rehabilitation is an individualized balance ...

  17. What Is Cardiac Rehabilitation?

    MedlinePlus

    ANSWERS by heart Treatments + Tests What Is Cardiac Rehabilitation? A cardiac rehabilitation (rehab) program takes place in a hospital or ... special help in making lifestyle changes. During your rehabilitation program you’ll… • Have a medical evaluation to ...

  18. Speech recognition and understanding

    SciTech Connect

    Vintsyuk, T.K.

    1983-05-01

    This article discusses the automatic processing of speech signals with the aim of finding a sequence of works (speech recognition) or a concept (speech understanding) being transmitted by the speech signal. The goal of the research is to develop an automatic typewriter that will automatically edit and type text under voice control. A dynamic programming method is proposed in which all possible class signals are stored, after which the presented signal is compared to all the stored signals during the recognition phase. Topics considered include element-by-element recognition of words of speech, learning speech recognition, phoneme-by-phoneme speech recognition, the recognition of connected speech, understanding connected speech, and prospects for designing speech recognition and understanding systems. An application of the composition dynamic programming method for the solution of basic problems in the recognition and understanding of speech is presented.

  19. Peace Corps in Special Education and Rehabilitation. Case Study CS-2. Appropriate Technologies for Development

    ERIC Educational Resources Information Center

    Dixon, Gregory L.; Davis, Katherine

    The monograph evaluates the efforts of the Peace Corps in special education and rehabilitation. Charts list levels of activity; work sectors (health, education, social service, or vocational); locale; specialty area (special education, occupational, physical, and speech therapy, vocational rehabilitation, and social work); and disabilities served…

  20. Cardiac rehabilitation.

    PubMed

    Ehsani, A A

    1984-02-01

    Exercise training is a major, and the most important, component of cardiac rehabilitation. Besides providing psychological benefits and promoting a "sense of well being," it elicits a number of adaptations in patients with ischemic heart disease. Among the clinically important adaptations are changes in the trained skeletal muscles and autonomic nervous system, resulting not only in increased maximum exercise capacity but also a slower heart rate and, at times, a lower systolic blood pressure during submaximal exercise. The reduction in the rate pressure product decreases myocardial O2 demand at any given submaximal exercise intensity and may thus alleviate myocardial ischemia and angina in patients with coronary artery disease. These adaptive responses occur even with a relatively modest exercise intensity. Although short-term exercise training of moderate intensity has not been reported to result in improvement in left ventricular performance, recent data suggest that exercise training of higher intensity and longer duration (12 months or longer) than has conventionally been used in cardiac rehabilitation programs may favorably affect the heart. This is characterized by improvements in left ventricular function, diminished electrocardiographic criteria of myocardial ischemia and increased stroke volume during exercise. Modest weight reduction accompanies regularly performed prolonged exercise training. It is important, however, to recognize that high-intensity exercise programs are suitable for only some patients with coronary artery disease who are stable and should be used only under strict medical supervision. PMID:6400004

  1. Careers in Speech Communication.

    ERIC Educational Resources Information Center

    Speech Communication Association, New York, NY.

    Brief discussions in this pamphlet suggest educational and career opportunities in the following fields of speech communication: rhetoric, public address, and communication; theatre, drama, and oral interpretation; radio, television, and film; speech pathology and audiology; speech science, phonetics, and linguistics; and speech education.…

  2. Opportunities in Speech Pathology.

    ERIC Educational Resources Information Center

    Newman, Parley W.

    The importance of speech is discussed and speech pathology is described. Types of communication disorders considered are articulation disorders, aphasia, facial deformity, hearing loss, stuttering, delayed speech, voice disorders, and cerebral palsy; examples of five disorders are given. Speech pathology is investigated from these aspects: the…

  3. Models of speech synthesis.

    PubMed Central

    Carlson, R

    1995-01-01

    The term "speech synthesis" has been used for diverse technical approaches. In this paper, some of the approaches used to generate synthetic speech in a text-to-speech system are reviewed, and some of the basic motivations for choosing one method over another are discussed. It is important to keep in mind, however, that speech synthesis models are needed not just for speech generation but to help us understand how speech is created, or even how articulation can explain language structure. General issues such as the synthesis of different voices, accents, and multiple languages are discussed as special challenges facing the speech synthesis community. PMID:7479805

  4. Reasons for holding a Consensus Conference on neuropsychological rehabilitation in adult patients.

    PubMed

    Làdavass, E; Paolucci, S; Umiltà, C

    2011-03-01

    Neuropsychological deficits are common in various cerebrovascular, neurodegenerative and traumatic pathologies. Neuropsychological rehabilitation refers to a set of interventions that aim to improve a person's ability to perform cognitive tasks by retraining previously learned skills and teaching compensatory strategies. However, today there are some relevant points that need of further investigations. In 2007, a Task Force was set up under the auspices of several scientific societies that operate in the field of psychology, neuropsychology, rehabilitation and neurology (AIP, GIRN, SIMFER, SIN, SINP, and SPAN) with the aim to clarify the theoretical background of neuropsychological rehabilitation and to assess the diagnostic instruments and the treatments available to date. This consensus conference (CC), using methods derived from those of Evidence-Based-Medicine (EMB), evaluated several points, including: a) legal aspects; b) epidemiological aspects; c) neuropsychological rehabilitation of attentional and executive disorders; d) neuropsychological rehabilitation of speech/language disorders; e) neuropsychological rehabilitation of visual field defects; f) neuropsychological rehabilitation of neglect; g) neuropsychological rehabilitation of memory disorders; h) cognitive rehabilitation of arm apraxia; i) neuropsychological rehabilitation of Alzheimer disease; j) rehabilitation of multiple sclerosis; k) rehabilitation of severe brain injuries; l) rehabilitation of mild to moderate brain injuries; m) rehabilitation of behavioral disorders in severe brain injuries. Then, CC submitted to a specific Jury a final report with summary tables and questions. The final meeting of the Jury was held in Siena in February 2010. PMID:21448122

  5. Using Telerehabilitation to Assess Apraxia of Speech in Adults

    ERIC Educational Resources Information Center

    Hill, Anne Jane; Theodoros, Deborah; Russell, Trevor; Ward, Elizabeth

    2009-01-01

    Background: Telerehabilitation is the remote delivery of rehabilitation services via information technology and telecommunication systems. There have been a number of studies that have used videoconferencing to assess speech and language skills in people with acquired neurogenic communication disorders. However, few studies have focused on cases…

  6. Ultrasound in Speech Therapy with Adolescents and Adults

    ERIC Educational Resources Information Center

    Bernhardt, Barbara; Gick, Bryan; Bacsfalvi, Penelope; Adler-Bock, Marcy

    2005-01-01

    The present paper comprises an overview of techniques using ultrasound in speech (re)habilitation. Ultrasound treatment techniques have been developed for English lingual stops, vowels, sibilants, and liquids. These techniques come from a series of small "n" studies with adolescents and adults with severe hearing impairment, residual speech…

  7. Cognitive Rehabilitation for Children with Acquired Brain Injury

    ERIC Educational Resources Information Center

    Slomine, Beth; Locascio, Gianna

    2009-01-01

    Cognitive deficits are frequent consequences of acquired brain injury (ABI) and often require intervention. We review the theoretical and empirical literature on cognitive rehabilitation in a variety of treatment domains including attention, memory, unilateral neglect, speech and language, executive functioning, and family involvement/education.…

  8. Rehabilitation Tool

    NASA Technical Reports Server (NTRS)

    1993-01-01

    Biotran, or Fastex as named by Cybex, the company that manufactures it, is a force sensing system that helps physicians and physical therapists treat people with movement deficiencies. Based on NASA sensor technology, it also has applications in sports training and evaluation. Biotran provides a means of testing weight-bearing capabilities that may have been compromised by injury or disease. It also assists in the rehabilitation process by putting patients through a course of computer-directed exercises designed to improve strength and balance reaction time. The system tests and documents progress until maximum medical improvement is achieved. Lewis Research Center also assisted the company in the selection of the material used in the Biotran force sensing platforms. Biotran is currently manufactured by Cybex under the name Fastex.

  9. Speech research directions

    SciTech Connect

    Atal, B.S.; Rabiner, L.R.

    1986-09-01

    This paper presents an overview of the current activities in speech research. The authors discuss the state of the art in speech coding, text-to-speech synthesis, speech recognition, and speaker recognition. In the speech coding area, current algorithms perform well at bit rates down to 9.6 kb/s, and the research is directed at bringing the rate for high-quality speech coding down to 2.4 kb/s. In text-to-speech synthesis, what we currently are able to produce is very intelligible but not yet completely natural. Current research aims at providing higher quality and intelligibility to the synthetic speech that these systems produce. Finally, today's systems for speech and speaker recognition provide excellent performance on limited tasks; i.e., limited vocabulary, modest syntax, small talker populations, constrained inputs, etc.

  10. Delayed Speech or Language Development

    MedlinePlus

    ... to Know About Zika & Pregnancy Delayed Speech or Language Development KidsHealth > For Parents > Delayed Speech or Language ... your child is right on schedule. Normal Speech & Language Development It's important to discuss early speech and ...

  11. Maximizing cochlear implant patients' performance with advanced speech training procedures.

    PubMed

    Fu, Qian-Jie; Galvin, John J

    2008-08-01

    Advances in implant technology and speech processing have provided great benefit to many cochlear implant patients. However, some patients receive little benefit from the latest technology, even after many years' experience with the device. Moreover, even the best cochlear implant performers have great difficulty understanding speech in background noise, and music perception and appreciation remain major challenges. Recent studies have shown that targeted auditory training can significantly improve cochlear implant patients' speech recognition performance. Such benefits are not only observed in poorly performing patients, but also in good performers under difficult listening conditions (e.g., speech noise, telephone speech, music, etc.). Targeted auditory training has also been shown to enhance performance gains provided by new implant devices and/or speech processing strategies. These studies suggest that cochlear implantation alone may not fully meet the needs of many patients, and that additional auditory rehabilitation may be needed to maximize the benefits of the implant device. Continuing research will aid in the development of efficient and effective training protocols and materials, thereby minimizing the costs (in terms of time, effort and resources) associated with auditory rehabilitation while maximizing the benefits of cochlear implantation for all recipients. PMID:18295992

  12. A novel speech prosthesis for mandibular guidance therapy in hemimandibulectomy patient: A clinical report

    PubMed Central

    Adaki, Raghavendra; Shigli, Kamal; Hormuzdi, Dinshaw M.; Gali, Sivaranjani

    2016-01-01

    Treating diverse maxillofacial patients poses a challenge to the maxillofacial prosthodontist. Rehabilitation of hemimandibulectomy patients must aim at restoring mastication and other functions such as intelligible speech, swallowing, and esthetics. Prosthetic methods such as palatal ramp and mandibular guiding flange reposition the deviated mandible. Such prosthesis can also be used to restore speech in case of patients with debilitating speech following surgical resection. This clinical report gives detail of a hemimandibulectomy patient provided with an interim removable dental speech prosthesis with composite resin flange for mandibular guidance therapy. PMID:27041917

  13. Acceptance speech.

    PubMed

    Carpenter, M

    1994-01-01

    In Bangladesh, the assistant administrator of USAID gave an acceptance speech at an awards ceremony on the occasion of the 25th anniversary of oral rehydration solution (ORS). The ceremony celebrated the key role of the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) in the discovery of ORS. Its research activities over the last 25 years have brought ORS to every village in the world, preventing more than a million deaths each year. ORS is the most important medical advance of the 20th century. It is affordable and client-oriented, a true appropriate technology. USAID has provided more than US$ 40 million to ICDDR,B for diarrheal disease and measles research, urban and rural applied family planning and maternal and child health research, and vaccine development. ICDDR,B began as the relatively small Cholera Research Laboratory and has grown into an acclaimed international center for health, family planning, and population research. It leads the world in diarrheal disease research. ICDDR,B is the leading center for applied health research in South Asia. It trains public health specialists from around the world. The government of Bangladesh and the international donor community have actively joined in support of ICDDR,B. The government applies the results of ICDDR,B research to its programs to improve the health and well-being of Bangladeshis. ICDDR,B now also studies acute respiratory diseases and measles. Population and health comprise 1 of USAID's 4 strategic priorities, the others being economic growth, environment, and democracy, USAID promotes people's participation in these 4 areas and in the design and implementation of development projects. USAID is committed to the use and improvement of ORS and to complementary strategies that further reduce diarrhea-related deaths. Continued collaboration with a strong user perspective and integrated services will lead to sustainable development. PMID:12345470

  14. Speech disorders - children

    MedlinePlus

    ... deficiency; Voice disorders; Vocal disorders; Disfluency; Communication disorder - speech disorder ... The following tests can help diagnose speech disorders: Denver ... Peabody Picture Test Revised A hearing test may also be done.

  15. Speech and Communication Disorders

    MedlinePlus

    ... speech. Causes include Hearing disorders and deafness Voice problems, such as dysphonia or those caused by cleft lip or palate Speech problems like stuttering Developmental disabilities Learning disorders Autism spectrum ...

  16. Speech disorders - children

    MedlinePlus

    ... person has problems creating or forming the speech sounds needed to communicate with others. Three common speech ... are disorders in which a person repeats a sound, word, or phrase. Stuttering may be the most ...

  17. Speech imagery recalibrates speech-perception boundaries.

    PubMed

    Scott, Mark

    2016-07-01

    The perceptual boundaries between speech sounds are malleable and can shift after repeated exposure to contextual information. This shift is known as recalibration. To date, the known inducers of recalibration are lexical (including phonotactic) information, lip-read information and reading. The experiments reported here are a proof-of-effect demonstration that speech imagery can also induce recalibration. PMID:27068050

  18. Speech and Language Delay

    MedlinePlus

    MENU Return to Web version Speech and Language Delay Overview How do I know if my child has speech delay? Every child develops at his or her ... of the same age, the problem may be speech delay. Your doctor may think your child has ...

  19. Talking Speech Input.

    ERIC Educational Resources Information Center

    Berliss-Vincent, Jane; Whitford, Gigi

    2002-01-01

    This article presents both the factors involved in successful speech input use and the potential barriers that may suggest that other access technologies could be more appropriate for a given individual. Speech input options that are available are reviewed and strategies for optimizing use of speech recognition technology are discussed. (Contains…

  20. Speech 7 through 12.

    ERIC Educational Resources Information Center

    Nederland Independent School District, TX.

    GRADES OR AGES: Grades 7 through 12. SUBJECT MATTER: Speech. ORGANIZATION AND PHYSICAL APPEARANCE: Following the foreward, philosophy and objectives, this guide presents a speech curriculum. The curriculum covers junior high and Speech I, II, III (senior high). Thirteen units of study are presented for junior high, each unit is divided into…

  1. The Tao of Speech.

    ERIC Educational Resources Information Center

    Dance, Frank E. X.

    1981-01-01

    Argues that the study of speech may present the characteristics of a "tao"--a path leading to an increase in humane being. Calls for speech teachers to profess the primacy of speech: "...the source of life of the human mind, the source of the compassion of the human spirit." (PD)

  2. Free Speech Yearbook 1978.

    ERIC Educational Resources Information Center

    Phifer, Gregg, Ed.

    The 17 articles in this collection deal with theoretical and practical freedom of speech issues. The topics include: freedom of speech in Marquette Park, Illinois; Nazis in Skokie, Illinois; freedom of expression in the Confederate States of America; Robert M. LaFollette's arguments for free speech and the rights of Congress; the United States…

  3. Issues in International Rehabilitation.

    ERIC Educational Resources Information Center

    Nathanson, Jeanne H., Ed.

    1991-01-01

    Eight articles address issues and programs in international rehabilitation. The issue is introduced by a message from the Assistant Secretary of the United States Department of Education for the Office of Special Education and Rehabilitation Services, Robert R. Davila. Next, "A History of International Rehabilitation" (Nora Ellen Groce) reports on…

  4. Research in Correctional Rehabilitation.

    ERIC Educational Resources Information Center

    Rehabilitation Services Administration (DHEW), Washington, DC.

    Forty-three leaders in corrections and rehabilitation participated in the seminar planned to provide an indication of the status of research in correctional rehabilitation. Papers include: (1) "Program Trends in Correctional Rehabilitation" by John P. Conrad, (2) "Federal Offenders Rahabilitation Program" by Percy B. Bell and Merlyn Mathews, (3)…

  5. Offender Rehabilitation Down Under

    ERIC Educational Resources Information Center

    Ward, Tony; Day, Andrew; Casey, Sharon

    2006-01-01

    In this paper we offer an overview of reintegration policies in both Australia and New Zealand. We describe the rehabilitative practices of both countries, and their basis in the Risk-Needs-Responsivity model of offender rehabilitation, before outlining the recently developed Good Lives Model of offender rehabilitation. Our conclusion is that the…

  6. [Cardiac Rehabilitation 2015].

    PubMed

    Hoffmann, Andreas

    2015-11-25

    The goals of cardiac rehabilitation are (re-)conditioning and secondary prevention in patients with heart disease or an elevated cardiovascular risk profile. Rehabilitation is based on motivation through education, on adapted physical activity, instruction of relaxation techniques, psychological support and optimized medication. It is performed preferably in groups either in outpatient or inpatient settings. The Swiss working group on cardiac rehabilitation provides a network of institutions with regular quality auditing. Positive effects of rehabilitation programs on mortality and morbidity have been established by numerous studies. Although a majority of patients after cardiac surgery are being referred to rehabilitation, these services are notoriously underused after catheter procedures. PMID:26602848

  7. Hydropower major rehabilitation projects

    SciTech Connect

    Norlin, J.A.

    1995-12-31

    The Corps of Engineers has developed an active Major Rehabilitation Program to handle large, long duration restoration projects. These projects are funded by specific appropriations and subsequently are required to have detailed rehabilitation plans to justify the work. The emphasis of the Major Rehabilitation Program is correcting reliability problems. Papers that were presented at Waterpower `93 discussed the basic concepts that are required in preparing a Major Rehabilitation Evaluation Report. This paper will cover the current status of each of the current major rehabilitation projects that the Corps of Engineers has in progress.

  8. Degraded neural and behavioral processing of speech sounds in a rat model of Rett syndrome.

    PubMed

    Engineer, Crystal T; Rahebi, Kimiya C; Borland, Michael S; Buell, Elizabeth P; Centanni, Tracy M; Fink, Melyssa K; Im, Kwok W; Wilson, Linda G; Kilgard, Michael P

    2015-11-01

    Individuals with Rett syndrome have greatly impaired speech and language abilities. Auditory brainstem responses to sounds are normal, but cortical responses are highly abnormal. In this study, we used the novel rat Mecp2 knockout model of Rett syndrome to document the neural and behavioral processing of speech sounds. We hypothesized that both speech discrimination ability and the neural response to speech sounds would be impaired in Mecp2 rats. We expected that extensive speech training would improve speech discrimination ability and the cortical response to speech sounds. Our results reveal that speech responses across all four auditory cortex fields of Mecp2 rats were hyperexcitable, responded slower, and were less able to follow rapidly presented sounds. While Mecp2 rats could accurately perform consonant and vowel discrimination tasks in quiet, they were significantly impaired at speech sound discrimination in background noise. Extensive speech training improved discrimination ability. Training shifted cortical responses in both Mecp2 and control rats to favor the onset of speech sounds. While training increased the response to low frequency sounds in control rats, the opposite occurred in Mecp2 rats. Although neural coding and plasticity are abnormal in the rat model of Rett syndrome, extensive therapy appears to be effective. These findings may help to explain some aspects of communication deficits in Rett syndrome and suggest that extensive rehabilitation therapy might prove beneficial. PMID:26321676

  9. Thinking About Better Speech: Mental Practice for Stroke-Induced Motor Speech Impairments

    PubMed Central

    Page, Stephen J.; Harnish, Stacy

    2012-01-01

    Background Mental practice (MP) is a mind-body technique in which physical movements are cognitively rehearsed. It has shown efficacy in reducing the severity of a number of neurological impairments. Aims In the present review, we highlight recent developments in MP research, and the basis for MP use after stroke-induced motor speech disorders. Main Contribution In this review, we: (a) propose a novel conceptual model regarding the development of learned nonuse in people with motor speech impairments; (b) review the rationale and efficacy of MP for reducing the severity of stroke-induced impairments; (c) review evidence demonstrating muscular and neural activations during and following MP use; (d) review evidence showing that MP increases skill acquisition, use, and function in stroke; (e) review literature regarding neuroplasticity after stroke, including MP-induced neuroplasticity and the neural substrates underlying motor and language reacquisition; and (f) based on the above, review the rationale and clinical application of MP for stroke-induced motor speech impairments. Conclusions Support for MP use includes decades of MP neurobiological and behavioral efficacy data in a number of populations. Most recently, these data have expanded to the application of MP in neurological populations. Given increasingly demanding managed care environments, efficacious strategies that can be easily administered are needed. We also encounter clinicians who aspire to use MP, but their protocols do not contain several of the elements shown to be fundamental to effective MP implementation. Given shortfalls of some conventional aphasia and motor speech rehabilitative techniques, and uncertainty regarding optimal MP implementation, this paper introduces the neurophysiologic bases for MP, the evidence for MP use in stroke rehabilitation, and discusses its applications and considerations in patients with stroke-induced motor speech impairments. PMID:22308050

  10. [Rehabilitation after total laryngectomy--vision and realization].

    PubMed

    Betlejewski, Stanisław; Ossowski, Roman; Sinkiewicz, Anna

    2007-01-01

    Universality, early initiation, complexity and continuity - should be the main attributes of rehabilitation in patients after laryngectomy. The authors discuss the problem of universality and accessibility of rehabilitation in Poland. A great role in realization of this attributes played since 20 years the Polish Society of Laryngectomees. Till now the governmental help and the participation of the National Health Fund for the patients after laryngectomy is very limited. The early rehabilitation should be started before the operation and a particular note must be taken to the patient's changed vital situation after the surgical treatment. The complexity of the rehabilitation must cover the whole spectrum of rehabilitation; it means voice and speech therapy, the improvement of respiratory system function, the problems of respiratory air conditioning and the psychological as well as social psychological aspects. The authors describe a model of such a complex rehabilitation that can be provided in health resorts. In the postoperative period the role of the laryngectomee clubs and associations is very important to assure the continuity of rehabilitation. PMID:17847796

  11. Early recognition of speech

    PubMed Central

    Remez, Robert E; Thomas, Emily F

    2013-01-01

    Classic research on the perception of speech sought to identify minimal acoustic correlates of each consonant and vowel. In explaining perception, this view designated momentary components of an acoustic spectrum as cues to the recognition of elementary phonemes. This conceptualization of speech perception is untenable given the findings of phonetic sensitivity to modulation independent of the acoustic and auditory form of the carrier. The empirical key is provided by studies of the perceptual organization of speech, a low-level integrative function that finds and follows the sensory effects of speech amid concurrent events. These projects have shown that the perceptual organization of speech is keyed to modulation; fast; unlearned; nonsymbolic; indifferent to short-term auditory properties; and organization requires attention. The ineluctably multisensory nature of speech perception also imposes conditions that distinguish language among cognitive systems. WIREs Cogn Sci 2013, 4:213–223. doi: 10.1002/wcs.1213 PMID:23926454

  12. Speech Alarms Pilot Study

    NASA Technical Reports Server (NTRS)

    Sandor, Aniko; Moses, Haifa

    2016-01-01

    Speech alarms have been used extensively in aviation and included in International Building Codes (IBC) and National Fire Protection Association's (NFPA) Life Safety Code. However, they have not been implemented on space vehicles. Previous studies conducted at NASA JSC showed that speech alarms lead to faster identification and higher accuracy. This research evaluated updated speech and tone alerts in a laboratory environment and in the Human Exploration Research Analog (HERA) in a realistic setup.

  13. Speech input and output

    NASA Astrophysics Data System (ADS)

    Class, F.; Mangold, H.; Stall, D.; Zelinski, R.

    1981-12-01

    Possibilities for acoustical dialogs with electronic data processing equipment were investigated. Speech recognition is posed as recognizing word groups. An economical, multistage classifier for word string segmentation is presented and its reliability in dealing with continuous speech (problems of temporal normalization and context) is discussed. Speech synthesis is considered in terms of German linguistics and phonetics. Preprocessing algorithms for total synthesis of written texts were developed. A macrolanguage, MUSTER, is used to implement this processing in an acoustic data information system (ADES).

  14. Advances in speech processing

    NASA Astrophysics Data System (ADS)

    Ince, A. Nejat

    1992-10-01

    The field of speech processing is undergoing a rapid growth in terms of both performance and applications and this is fueled by the advances being made in the areas of microelectronics, computation, and algorithm design. The use of voice for civil and military communications is discussed considering advantages and disadvantages including the effects of environmental factors such as acoustic and electrical noise and interference and propagation. The structure of the existing NATO communications network and the evolving Integrated Services Digital Network (ISDN) concept are briefly reviewed to show how they meet the present and future requirements. The paper then deals with the fundamental subject of speech coding and compression. Recent advances in techniques and algorithms for speech coding now permit high quality voice reproduction at remarkably low bit rates. The subject of speech synthesis is next treated where the principle objective is to produce natural quality synthetic speech from unrestricted text input. Speech recognition where the ultimate objective is to produce a machine which would understand conversational speech with unrestricted vocabulary, from essentially any talker, is discussed. Algorithms for speech recognition can be characterized broadly as pattern recognition approaches and acoustic phonetic approaches. To date, the greatest degree of success in speech recognition has been obtained using pattern recognition paradigms. It is for this reason that the paper is concerned primarily with this technique.

  15. Swallowing and speech therapy after definitive treatment for laryngeal cancer.

    PubMed

    Samlan, Robin A; Webster, Kimberly T

    2002-10-01

    As the trend in laryngeal cancer treatment shifts towards organ-conservation surgeries and organ-preservation protocols, patients will more often retain anatomy vital to communication and swallowing. Despite a conservative approach, results of treatment may have debilitating effects. Rehabilitation efforts are directed towards a return to functional, if not normal, status. Although there are predictable trends in voice and swallowing disorders of patients with laryngeal cancer, posttreatment dysphonia and dysphagia are diverse in presentation. Considering the significant diversity of this population, speech pathologists should work closely with otolaryngologists to determine the most appropriate treatment for each patient. As this article demonstrates, voice and swallowing therapy are necessary components of the rehabilitation process following treatment for head and neck cancers. As always, treatment is tailored to the specific individual and based on information obtained during a thorough evaluation by a speech pathologist. Fortunately, with the help of voice and swallowing therapy, many patients return to functional communication and oral feeding. PMID:12587251

  16. Distributed processing for speech understanding

    SciTech Connect

    Bronson, E.C.; Siegel, L.

    1983-01-01

    Continuous speech understanding is a highly complex artificial intelligence task requiring extensive computation. This complexity precludes real-time speech understanding on a conventional serial computer. Distributed processing technique can be applied to the speech understanding task to improve processing speed. In the paper, the speech understanding task and several speech understanding systems are described. Parallel processing techniques are presented and a distributed processing architecture for speech understanding is outlined. 35 references.

  17. Speech-Language Therapy (For Parents)

    MedlinePlus

    ... 5 Things to Know About Zika & Pregnancy Speech-Language Therapy KidsHealth > For Parents > Speech-Language Therapy Print ... with speech and/or language disorders. Speech Disorders, Language Disorders, and Feeding Disorders A speech disorder refers ...

  18. Time-expanded speech and speech recognition in older adults.

    PubMed

    Vaughan, Nancy E; Furukawa, Izumi; Balasingam, Nirmala; Mortz, Margaret; Fausti, Stephen A

    2002-01-01

    Speech understanding deficits are common in older adults. In addition to hearing sensitivity, changes in certain cognitive functions may affect speech recognition. One such change that may impact the ability to follow a rapidly changing speech signal is processing speed. When speakers slow the rate of their speech naturally in order to speak clearly, speech recognition is improved. The acoustic characteristics of naturally slowed speech are of interest in developing time-expansion algorithms to improve speech recognition for older listeners. In this study, we tested younger normally hearing, older normally hearing, and older hearing-impaired listeners on time-expanded speech using increased duration and increased intensity of unvoiced consonants. Although all groups performed best on unprocessed speech, performance with processed speech was better with the consonant gain feature without time expansion in the noise condition and better at the slowest time-expanded rate in the quiet condition. The effects of signal processing on speech recognition are discussed. PMID:17642020

  19. Robotics in shoulder rehabilitation

    PubMed Central

    Sicuri, Chiara; Porcellini, Giuseppe; Merolla, Giovanni

    2014-01-01

    Summary In the last few decades, several researches have been conducted in the field of robotic rehabilitation to meet the intensive, repetitive and task-oriented training, with the goal to recover the motor function. Up to now, robotic rehabilitation studies of the upper extremity have generally focused on stroke survivors leaving less explored the field of orthopaedic shoulder rehabilitation. In this review we analyse the present status of robotic technologies, in order to understand which are the current indications and which may be the future perspective for their application in both neurological and orthopaedic shoulder rehabilitation. PMID:25332937

  20. Vicissitudes of Rehabilitation Research.

    ERIC Educational Resources Information Center

    Parker, Randall M.

    1986-01-01

    The topics of adopting ideas from related fields, initiating a "scientific revolution," using new statistical methodologies, and employing research consultation are discussed regarding rehabilitation research. (Author)

  1. Child Speech, Language and Communication Need Re-Examined in a Public Health Context: A New Direction for the Speech and Language Therapy Profession

    ERIC Educational Resources Information Center

    Law, James; Reilly, Sheena; Snow, Pamela C.

    2013-01-01

    Background: Historically speech and language therapy services for children have been framed within a rehabilitative framework with explicit assumptions made about providing therapy to individuals. While this is clearly important in many cases, we argue that this model needs revisiting for a number of reasons. First, our understanding of the nature…

  2. Rehabilitative and Assistive Technology: Overview

    MedlinePlus

    ... simple as a magnifying glass to improve visual perception or as complex as a computerized communication system. ... aids Independent living aids Mobility aids Prosthetics Rehabilitation robotics Wheelchairs Medical rehabilitative aids and devices Rehabilitative engineering ...

  3. Free Speech Yearbook 1980.

    ERIC Educational Resources Information Center

    Kane, Peter E., Ed.

    The 11 articles in this collection deal with theoretical and practical freedom of speech issues. The topics covered are (1) the United States Supreme Court and communication theory; (2) truth, knowledge, and a democratic respect for diversity; (3) denial of freedom of speech in Jock Yablonski's campaign for the presidency of the United Mine…

  4. Free Speech. No. 38.

    ERIC Educational Resources Information Center

    Kane, Peter E., Ed.

    This issue of "Free Speech" contains the following articles: "Daniel Schoor Relieved of Reporting Duties" by Laurence Stern, "The Sellout at CBS" by Michael Harrington, "Defending Dan Schorr" by Tome Wicker, "Speech to the Washington Press Club, February 25, 1976" by Daniel Schorr, "Funds Voted For Schorr Inquiry" by Richard Lyons, "Erosion of the…

  5. Tracking Speech Sound Acquisition

    ERIC Educational Resources Information Center

    Powell, Thomas W.

    2011-01-01

    This article describes a procedure to aid in the clinical appraisal of child speech. The approach, based on the work by Dinnsen, Chin, Elbert, and Powell (1990; Some constraints on functionally disordered phonologies: Phonetic inventories and phonotactics. "Journal of Speech and Hearing Research", 33, 28-37), uses a railway idiom to track gains in…

  6. Chief Seattle's Speech Revisited

    ERIC Educational Resources Information Center

    Krupat, Arnold

    2011-01-01

    Indian orators have been saying good-bye for more than three hundred years. John Eliot's "Dying Speeches of Several Indians" (1685), as David Murray notes, inaugurates a long textual history in which "Indians... are most useful dying," or, as in a number of speeches, bidding the world farewell as they embrace an undesired but apparently inevitable…

  7. Illustrated Speech Anatomy.

    ERIC Educational Resources Information Center

    Shearer, William M.

    Written for students in the fields of speech correction and audiology, the text deals with the following: structures involved in respiration; the skeleton and the processes of inhalation and exhalation; phonation and pitch, the larynx, and esophageal speech; muscles involved in articulation; muscles involved in resonance; and the anatomy of the…

  8. Migrations in Speech Recognition.

    ERIC Educational Resources Information Center

    Kolinsky, Regine; Morais, Jose

    1996-01-01

    Describes a new paradigm that may be appropriate for uncovering speech perceptual codes. Illusory words are detected by blending two dichotic stimuli. The paradigm's design allows for comparison of different speech units by the manipulation of the distribution of information between two inputs. (23 references) (Author/CK)

  9. Private Speech in Ballet

    ERIC Educational Resources Information Center

    Johnston, Dale

    2006-01-01

    Authoritarian teaching practices in ballet inhibit the use of private speech. This paper highlights the critical importance of private speech in the cognitive development of young ballet students, within what is largely a non-verbal art form. It draws upon research by Russian psychologist Lev Vygotsky and contemporary socioculturalists, to…

  10. Teaching Freedom of Speech.

    ERIC Educational Resources Information Center

    McGaffey, Ruth

    1983-01-01

    The speech communication department at the University of Wisconsin, Madison, provides a rigorous and legally oriented course in freedom of speech. The objectives of the course are to help students gain insight into the historical and philosophical foundations of the First Amendment, the legal/judicial processes concerning the First Amendment, and…

  11. Free Speech Yearbook 1976.

    ERIC Educational Resources Information Center

    Phifer, Gregg, Ed.

    The articles collected in this annual address several aspects of First Amendment Law. The following titles are included: "Freedom of Speech As an Academic Discipline" (Franklyn S. Haiman), "Free Speech and Foreign-Policy Decision Making" (Douglas N. Freeman), "The Supreme Court and the First Amendment: 1975-1976" (William A. Linsley), "'Arnett v.…

  12. Speech processing standards

    NASA Astrophysics Data System (ADS)

    Ince, A. Nejat

    1990-05-01

    Speech processing standards are given for 64, 32, 16 kb/s and lower rate speech and more generally, speech-band signals which are or will be promulgated by CCITT and NATO. The International Telegraph and Telephone Consultative Committee (CCITT) of the International body which deals, among other things, with speech processing within the context of ISDN. Within NATO there are also bodies promulgating standards which make interoperability, possible without complex and expensive interfaces. Some of the applications for low-bit rate voice and the related work undertaken by CCITT Study Groups which are responsible for developing standards in terms of encoding algorithms, codec design objectives as well as standards on the assessment of speech quality, are highlighted.

  13. Automatic speech recognition

    NASA Astrophysics Data System (ADS)

    Espy-Wilson, Carol

    2005-04-01

    Great strides have been made in the development of automatic speech recognition (ASR) technology over the past thirty years. Most of this effort has been centered around the extension and improvement of Hidden Markov Model (HMM) approaches to ASR. Current commercially-available and industry systems based on HMMs can perform well for certain situational tasks that restrict variability such as phone dialing or limited voice commands. However, the holy grail of ASR systems is performance comparable to humans-in other words, the ability to automatically transcribe unrestricted conversational speech spoken by an infinite number of speakers under varying acoustic environments. This goal is far from being reached. Key to the success of ASR is effective modeling of variability in the speech signal. This tutorial will review the basics of ASR and the various ways in which our current knowledge of speech production, speech perception and prosody can be exploited to improve robustness at every level of the system.

  14. Rehabilitation of Hearing.

    ERIC Educational Resources Information Center

    World Federation of the Deaf, Rome (Italy).

    Rehabilitation of hearing is considered in five conference papers. Two papers come from Poland: "Rehabilitation of Hearing in Children 'Deaf' in First 5 Years of Age" by D. Borkowska-Gaertig and others and "Possibilities of Hearing Improvement in Adults with Conservative Methods" by T. Bystrzanowska. Also included are "Re-Education and…

  15. Supportive and Rehabilitative Programs.

    ERIC Educational Resources Information Center

    American Annals of the Deaf, 2001

    2001-01-01

    This directory provides information on a variety of supportive and rehabilitative programs for people with deafness and hearing impairment. Listed are federal programs, state vocational rehabilitation offices, and regional and local programs. Also provided is a list of national professional organizations and centers, contacts for the National…

  16. Supportive and Rehabilitative Programs.

    ERIC Educational Resources Information Center

    American Annals of the Deaf, 1999

    1999-01-01

    This directory lists supportive and rehabilitative programs for the deaf. Listed separately are federal programs, state vocational rehabilitation offices, regional and local programs, national professional organizations and centers, state chapters of the National Association of the Deaf, and committee members (Conference of Educational…

  17. Rehabilitation in German Prisons.

    ERIC Educational Resources Information Center

    Dammer, Harry R.

    1996-01-01

    Using interviews, literature reviews, and prison visits, describes three prominent features that promote rehabilitation in one country's prisons: unique environmental conditions, extensive work and training programs, and frequent use of community reintegration programs. Attributes rehabilitation success to its high priority in correctional law and…

  18. Effective Teamwork in Rehabilitation.

    ERIC Educational Resources Information Center

    Bakheit, A. M. O.

    1996-01-01

    This paper examines the merits of the interdisciplinary team model in rehabilitation settings and defines the organizational characteristics and operational polices that enhance the performance of a rehabilitation team. Team structure, leadership, process, decision making, communication, and the roles of team members are addressed. (CR)

  19. [Rehabilitative measures in hearing-impaired children].

    PubMed

    von Wedel, H; von Wedel, U C; Zorowka, P

    1991-12-01

    On the basis of certain fundamental data on the maturation processes of the central auditory pathways in early childhood the importance of early intervention with hearing aids is discussed and emphasized. Pathological hearing, that is acoustical deprivation in early childhood will influence the maturation process. Very often speech development is delayed if diagnosis and therapy or rehabilitation are not early enough. Anamnesis, early diagnosis and clinical differential diagnosis are required before a hearing aid can be fitted. Selection criteria and adjustment parameters are discussed, showing that the hearing aid fitting procedure must be embedded in a complex matrix of requirements related to the development of speech as well as to the cognitive, emotional and social development of the child. As a rule, finding and preparing the "best" hearing aids (binaural fitting is obligatory) for a child is a long and often difficult process, which can only be performed by specialists who are pedo-audiologists. After the binaural fitting of hearing aids an intensive hearing and speech education in close cooperation between parents, pedo-audiologist and teacher must support the whole development of the child. PMID:1770955

  20. Speech changes after coordinative training in patients with cerebellar ataxia: a pilot study.

    PubMed

    Tykalova, Tereza; Pospisilova, Mariana; Cmejla, Roman; Jerabek, Jaroslav; Mares, Pavel; Rusz, Jan

    2016-02-01

    Although rehabilitative training is a necessary adjunct in the management of gait ataxia, it remains unknown whether the possible beneficial effect of intensive coordinative training may translate to activities of daily living, which are closely connected with postural alignment. The aim of the present study was to examine the effectiveness of a 2-week intensive coordinative motor training on speech production. Speech and motor performances in a cohort of ten individuals with cerebellar degeneration were examined three times; before the introduction of training, directly and 4 weeks after the last training session. Each patient was instructed to perform a speaking task of fast syllable repetition and monologue. Objective acoustic analyses were used to investigate six key aspects of speech production disturbed in ataxic dysarthria including accuracy of consonant articulation, accuracy of vowel articulation, irregular alternating motion rates, prolonged phonemes, slow alternating motion rates and inappropriate segmentation. We found that coordinative training had a mild beneficial effect on speech in cerebellar patients. Immediately after the last training session, slight speech improvements were evident in all ten patients. Furthermore, follow-up assessment performed 4 weeks later revealed that 90 % of the patients showed better speech performance than before initiation of the therapy. The present study supports evidence that the intensive rehabilitative training may positively affect fine-motor movements such as speech in patients with cerebellar ataxia. PMID:26377098

  1. Rehabilitation for Adults with Traumatic Brain Injury: Where Will We Be Clinically in 2026?

    PubMed

    Turkstra, Lyn S

    2016-08-01

    In 10 years, there might be fewer adults who need rehabilitation after traumatic brain injury because of advances in injury prevention and very early treatment. For adults who do need rehabilitation, assessment might include biosensor recordings in their everyday communication contexts, and home practice might be delivered by a robot that can be programmed to mimic target characteristics of human behavior. These advances in science and technology will enhance rehabilitation, but it will always be our responsibility as speech-language pathologists to advocate for our patients and clients and support them in achieving the best possible quality of communication life. PMID:27232097

  2. The Knowledge of Rehabilitation Professionals Concerning Fetal Alcohol Spectrum Disorders.

    PubMed

    Birch, Stephanie M; Carpenter, Heidi A; Marsh, Anna M; McClung, Kimberly A; Doll, Joy D

    2016-01-01

    The purpose of this study was to explore rehabilitation professionals' knowledge regarding signs and symptoms, prevention, and intervention of fetal alcohol spectrum disorders (FASD). Participants were 111 rehabilitation practitioners (e.g., occupational therapy, physical therapy, and speech-language pathology practitioners) recruited through email using a quantitative online survey design with purposive, snowball sampling. Results showed the majority of participants' demonstrated accurate knowledge of the signs and symptoms of FASD. Since professionals who received formal education on FASD reported significantly higher feelings of preparedness to identify children with FASD and manage/coordinate intervention plans, this study suggests rehabilitation professionals may be better prepared to treat individuals with FASD if they participate in formal training. PMID:26115404

  3. Rehabilitation of occlusion - science or art?

    PubMed

    Koyano, K; Tsukiyama, Y; Kuwatsuru, R

    2012-07-01

    The primary objective of rehabilitating occlusion is to improve stomatognathic function in patients experiencing dysfunction in mastication, speech, and swallowing as a consequence of tooth loss. The procedure of occlusal treatment involves improving the morphology and the stomatognathic function. Several practical methods and morphological endpoints have been described in occlusal rehabilitation. We made a selection of these (mandibular position, occlusal plane, occlusal guidance, occlusal contact, face-bow transfer, use of an adjustable articulator and occlusal support) and performed a literature review to verify the existence of compelling scientific evidence for each of these. A literature search was conducted using Medline/PubMed in March 2011. Over 400 abstracts were reviewed, and more than 50 manuscripts selected. An additional hand search was also conducted. Of the many studies investigating stomatognathic function in relation to specific occlusal schemes, most studies were poorly designed and of low quality, thus yielding ambiguous results. Overall, there is no scientific evidence that supports any specific occlusal scheme being superior to others in terms of improving stomatognathic function, nor that sophisticated methods are superior to simpler ones in terms of clinical outcomes. However, it is obvious that the art of occlusal rehabilitation requires accurate, reproducible, easy and quick procedures to reduce unnecessary technical failures and/or the requirement for compensatory adjustments. Therefore, despite the lack of scientific evidence for specific treatments, the acquisition of these general skills by dentists and attaining profound knowledge and skills in postgraduate training will be necessary for specialists in charge of complicated cases. PMID:22489962

  4. Sperry Univac speech communications technology

    NASA Technical Reports Server (NTRS)

    Medress, Mark F.

    1977-01-01

    Technology and systems for effective verbal communication with computers were developed. A continuous speech recognition system for verbal input, a word spotting system to locate key words in conversational speech, prosodic tools to aid speech analysis, and a prerecorded voice response system for speech output are described.

  5. Speech Pathology Assistant. Trainee Manual.

    ERIC Educational Resources Information Center

    National Association for Hearing and Speech Action, Silver Spring, MD.

    Part of an instructional set which includes an instructor's guide, this trainee manual is designed to provide speech pathology students with some basic and essential knowledge about the communication process. The manual contains nine modules: (1) speech pathology assistant, (2) the bases of speech (structure and function of the speech mechanism,…

  6. Speech Correction in the Schools.

    ERIC Educational Resources Information Center

    Eisenson, Jon; Ogilvie, Mardel

    An introduction to the problems and therapeutic needs of school age children whose speech requires remedial attention, the text is intended for both the classroom teacher and the speech correctionist. General considerations include classification and incidence of speech defects, speech correction services, the teacher as a speaker, the mechanism…

  7. Cardiac rehabilitation in Germany.

    PubMed

    Karoff, Marthin; Held, Klaus; Bjarnason-Wehrens, Birna

    2007-02-01

    The purpose of this review is to give an overview of the rehabilitation measures provided for cardiac patients in Germany and to outline its legal basis and outcomes. In Germany the cardiac rehabilitation system is different from rehabilitation measures in other European countries. Cardiac rehabilitation in Germany since 1885 is based on specific laws and the regulations of insurance providers. Cardiac rehabilitation has predominantly been offered as an inpatient service, but has recently been complemented by outpatient services. A general agreement on the different indications for offering these two services has yet to be reached. Cardiac rehabilitation is mainly offered after an acute cardiac event and bypass surgery. It is also indicated in severe heart failure and special cases of percutaneous coronary intervention. Most patients are men (>65%) and the age at which events occur is increasing. The benefits obtained during the 3-4 weeks after an acute event, and confirmed in numerous studies, are often later lost under 'usual care' conditions. Many attempts have been made by rehabilitation institutions to improve this deficit by providing intensive aftercare. One instrument set up to achieve this is the nationwide institution currently comprising more than 6000 heart groups with approximately 120000 outpatients. After coronary artery bypass grafting or acute coronary syndrome cardiac rehabilitation can usually be started within 10 days. The multidisciplinary rehabilitation team consists of cardiologists, psychologists, exercise therapists, social workers, nutritionists and nurses. The positive effects of cardiac rehabilitation are also important economically, for example, for the improvement of secondary prevention and vocational integration. PMID:17301623

  8. Speech Delay: Its Treatment by Speech Play.

    ERIC Educational Resources Information Center

    Craft, Michael

    Directed to parents, the text discusses normal and delayed speech development and considers the causes of delay. Suggestions are given for helping deaf, emotionally disturbed, brain damaged, and physically handicapped children. Additional suggestions are provided for parents of twins, of stutterers, and of mongoloid or multiply handicapped…

  9. Portable Speech Synthesizer

    NASA Technical Reports Server (NTRS)

    Leibfritz, Gilbert H.; Larson, Howard K.

    1987-01-01

    Compact speech synthesizer useful traveling companion to speech-handicapped. User simply enters statement on board, and synthesizer converts statement into spoken words. Battery-powered and housed in briefcase, easily carried on trips. Unit used on telephones and face-to-face communication. Synthesizer consists of micro-computer with memory-expansion module, speech-synthesizer circuit, batteries, recharger, dc-to-dc converter, and telephone amplifier. Components, commercially available, fit neatly in 17-by 13-by 5-in. briefcase. Weighs about 20 lb (9 kg) and operates and recharges from ac receptable.

  10. The Effect of SpeechEasy on Stuttering Frequency, Speech Rate, and Speech Naturalness

    ERIC Educational Resources Information Center

    Armson, Joy; Kiefte, Michael

    2008-01-01

    The effects of SpeechEasy on stuttering frequency, stuttering severity self-ratings, speech rate, and speech naturalness for 31 adults who stutter were examined. Speech measures were compared for samples obtained with and without the device in place in a dispensing setting. Mean stuttering frequencies were reduced by 79% and 61% for the device…

  11. Assessing Disordered Speech and Voice in Parkinson's Disease: A Telerehabilitation Application

    ERIC Educational Resources Information Center

    Constantinescu, Gabriella; Theodoros, Deborah; Russell, Trevor; Ward, Elizabeth; Wilson, Stephen; Wootton, Richard

    2010-01-01

    Background: Patients with Parkinson's disease face numerous access barriers to speech pathology services for appropriate assessment and treatment. Telerehabilitation is a possible solution to this problem, whereby rehabilitation services may be delivered to the patient at a distance, via telecommunication and information technologies. A number of…

  12. Speech perception as categorization

    PubMed Central

    Holt, Lori L.; Lotto, Andrew J.

    2010-01-01

    Speech perception (SP) most commonly refers to the perceptual mapping from the highly variable acoustic speech signal to a linguistic representation, whether it be phonemes, diphones, syllables, or words. This is an example of categorization, in that potentially discriminable speech sounds are assigned to functionally equivalent classes. In this tutorial, we present some of the main challenges to our understanding of the categorization of speech sounds and the conceptualization of SP that has resulted from these challenges. We focus here on issues and experiments that define open research questions relevant to phoneme categorization, arguing that SP is best understood as perceptual categorization, a position that places SP in direct contact with research from other areas of perception and cognition. PMID:20601702

  13. [Social rehabilitation through sports].

    PubMed

    Strohkendl, H

    1995-11-01

    The contribution community disabled sports is making towards comprehensive rehabilitation of people with disabilities is interpreted much too narrowly by the statutory definition of rehabilitation sports. In the member clubs of Deutscher Behinderten-Sportverband, the German disabled sports association, severely disabled individuals rediscover their potential and self-worth, which may entail self-determination, solidarity with others, and genuine social integration. Renewed awareness of the traditional values of German disabled sports as a self-help movement of those concerned, and characterization of rehabilitation as a complex learning process towards regaining personal autonomy--both call for a thorough reconsideration of ambulatory disabled sports in organizational and funding respects. PMID:8570904

  14. Computer-generated speech

    SciTech Connect

    Aimthikul, Y.

    1981-12-01

    This thesis reviews the essential aspects of speech synthesis and distinguishes between the two prevailing techniques: compressed digital speech and phonemic synthesis. It then presents the hardware details of the five speech modules evaluated. FORTRAN programs were written to facilitate message creation and retrieval with four of the modules driven by a PDP-11 minicomputer. The fifth module was driven directly by a computer terminal. The compressed digital speech modules (T.I. 990/306, T.S.I. Series 3D and N.S. Digitalker) each contain a limited vocabulary produced by the manufacturers while both the phonemic synthesizers made by Votrax permit an almost unlimited set of sounds and words. A text-to-phoneme rules program was adapted for the PDP-11 (running under the RSX-11M operating system) to drive the Votrax Speech Pac module. However, the Votrax Type'N Talk unit has its own built-in translator. Comparison of these modules revealed that the compressed digital speech modules were superior in pronouncing words on an individual basis but lacked the inflection capability that permitted the phonemic synthesizers to generate more coherent phrases. These findings were necessarily highly subjective and dependent on the specific words and phrases studied. In addition, the rapid introduction of new modules by manufacturers will necessitate new comparisons. However, the results of this research verified that all of the modules studied do possess reasonable quality of speech that is suitable for man-machine applications. Furthermore, the development tools are now in place to permit the addition of computer speech output in such applications.

  15. Auditory speech preprocessors

    SciTech Connect

    Zweig, G.

    1989-01-01

    A nonlinear transmission line model of the cochlea (Zweig 1988) is proposed as the basis for a novel speech preprocessor. Sounds of different intensities, such as voiced and unvoiced speech, are preprocessed in radically different ways. The Q's of the preprocessor's nonlinear filters vary with input amplitude, higher Q's (longer integration times) corresponding to quieter sounds. Like the cochlea, the preprocessor acts as a ''subthreshold laser'' that traps and amplifies low level signals, thereby aiding in their detection and analysis. 17 refs.

  16. Research in speech communication.

    PubMed Central

    Flanagan, J

    1995-01-01

    Advances in digital speech processing are now supporting application and deployment of a variety of speech technologies for human/machine communication. In fact, new businesses are rapidly forming about these technologies. But these capabilities are of little use unless society can afford them. Happily, explosive advances in microelectronics over the past two decades have assured affordable access to this sophistication as well as to the underlying computing technology. The research challenges in speech processing remain in the traditionally identified areas of recognition, synthesis, and coding. These three areas have typically been addressed individually, often with significant isolation among the efforts. But they are all facets of the same fundamental issue--how to represent and quantify the information in the speech signal. This implies deeper understanding of the physics of speech production, the constraints that the conventions of language impose, and the mechanism for information processing in the auditory system. In ongoing research, therefore, we seek more accurate models of speech generation, better computational formulations of language, and realistic perceptual guides for speech processing--along with ways to coalesce the fundamental issues of recognition, synthesis, and coding. Successful solution will yield the long-sought dictation machine, high-quality synthesis from text, and the ultimate in low bit-rate transmission of speech. It will also open the door to language-translating telephony, where the synthetic foreign translation can be in the voice of the originating talker. Images Fig. 1 Fig. 2 Fig. 5 Fig. 8 Fig. 11 Fig. 12 Fig. 13 PMID:7479806

  17. Rehabilitation in Managing MS

    MedlinePlus

    ... tool to locate physiatrists. American Academy of Clinical Neuropsychology Provides an online directory of psychologists who are board-certified in clinical neuropsychology. American Occupational Therapy Assocation American Speech-Language-Hearing ...

  18. Feedback delays eliminate auditory-motor learning in speech production.

    PubMed

    Max, Ludo; Maffett, Derek G

    2015-03-30

    Neurologically healthy individuals use sensory feedback to alter future movements by updating internal models of the effector system and environment. For example, when visual feedback about limb movements or auditory feedback about speech movements is experimentally perturbed, the planning of subsequent movements is adjusted - i.e., sensorimotor adaptation occurs. A separate line of studies has demonstrated that experimentally delaying the sensory consequences of limb movements causes the sensory input to be attributed to external sources rather than to one's own actions. Yet similar feedback delays have remarkably little effect on visuo-motor adaptation (although the rate of learning varies, the amount of adaptation is only moderately affected with delays of 100-200ms, and adaptation still occurs even with a delay as long as 5000ms). Thus, limb motor learning remains largely intact even in conditions where error assignment favors external factors. Here, we show a fundamentally different result for sensorimotor control of speech articulation: auditory-motor adaptation to formant-shifted feedback is completely eliminated with delays of 100ms or more. Thus, for speech motor learning, real-time auditory feedback is critical. This novel finding informs theoretical models of human motor control in general and speech motor control in particular, and it has direct implications for the application of motor learning principles in the habilitation and rehabilitation of individuals with various sensorimotor speech disorders. PMID:25676810

  19. Physical medicine and rehabilitation

    MedlinePlus

    ... Brain disorders, such as stroke , multiple sclerosis , or cerebral palsy Chronic pain, including back and neck pain Major bone or joint surgery, severe burns , or limb amputation Severe ... brain injury Children may need rehabilitation services for: Down ...

  20. Pulmonary rehabilitation in adults.

    PubMed

    2016-06-01

    Pulmonary rehabilitation can help people with long-term lung conditions whose symptoms, such as breathlessness and being easily tired out by daily activities, seriously impact their lives. PMID:27408642

  1. Physical medicine and rehabilitation

    MedlinePlus

    ... this type of center if they have significant orthopedic problems, burns, a spinal cord injury or severe ... be members of a rehabilitation team include neurologists, orthopedic surgeons, psychiatrists and primary care doctors. Other health ...

  2. Space flight rehabilitation.

    PubMed

    Payne, Michael W C; Williams, David R; Trudel, Guy

    2007-07-01

    The weightless environment of space imposes specific physiologic adaptations on healthy astronauts. On return to Earth, these adaptations manifest as physical impairments that necessitate a period of rehabilitation. Physiologic changes result from unloading in microgravity and highly correlate with those seen in relatively immobile terrestrial patient populations such as spinal cord, geriatric, or deconditioned bed-rest patients. Major postflight impairments requiring rehabilitation intervention include orthostatic intolerance, bone demineralization, muscular atrophy, and neurovestibular symptoms. Space agencies are preparing for extended-duration missions, including colonization of the moon and interplanetary exploration of Mars. These longer-duration flights will result in more severe and more prolonged disability, potentially beyond the point of safe return to Earth. This paper will review and discuss existing space rehabilitation plans for major postflight impairments. Evidence-based rehabilitation interventions are imperative not only to facilitate return to Earth but also to extend the safe duration of exposure to a physiologically hostile microgravity environment. PMID:17167347

  3. Robust Speech Rate Estimation for Spontaneous Speech

    PubMed Central

    Wang, Dagen; Narayanan, Shrikanth S.

    2010-01-01

    In this paper, we propose a direct method for speech rate estimation from acoustic features without requiring any automatic speech transcription. We compare various spectral and temporal signal analysis and smoothing strategies to better characterize the underlying syllable structure to derive speech rate. The proposed algorithm extends the methods of spectral subband correlation by including temporal correlation and the use of prominent spectral subbands for improving the signal correlation essential for syllable detection. Furthermore, to address some of the practical robustness issues in previously proposed methods, we introduce some novel components into the algorithm such as the use of pitch confidence for filtering spurious syllable envelope peaks, magnifying window for tackling neighboring syllable smearing, and relative peak measure thresholds for pseudo peak rejection. We also describe an automated approach for learning algorithm parameters from data, and find the optimal settings through Monte Carlo simulations and parameter sensitivity analysis. Final experimental evaluations are conducted based on a portion of the Switchboard corpus for which manual phonetic segmentation information, and published results for direct comparison are available. The results show a correlation coefficient of 0.745 with respect to the ground truth based on manual segmentation. This result is about a 17% improvement compared to the current best single estimator and a 11% improvement over the multiestimator evaluated on the same Switchboard database. PMID:20428476

  4. Vocal rehabilitation after total laryngectomy using the Provox voice prosthesis.

    PubMed

    Van Weissenbruch, R; Albers, F W

    1993-10-01

    Vocal rehabilitation in laryngectomized patients can be attained by surgical (tracheoesophageal speech) or conservative methods (oesophageal speech or artificial larynx). We prospectively studied voice restoration in 37 patients who underwent total laryngectomy in the period from February 1991 to February 1993. The patients were given the opportunity to assess both non-shunt oesophageal speech and shunt oesophageal speech using the Provox voice prosthesis. The Provox low resistance, self-retaining voice prosthesis is a biflanged device made of silicon rubber. A primary tracheoesophageal puncture was made in 28 patients, while a secondary puncture was performed in another nine patients. The results were assessed according to criteria established at the 'Third International Congress on Voice Prosthesis' in Groningen (1988). Functional tracheoesophageal speech after primary puncture was achieved in 95% of patients 12 months after puncture, while oesophageal voice was acquired by 55%. Only minor surgical and prosthesis-related complications were encountered during this follow-up period in 29% of the patients. The device lifetime varied from 3 months to at least 2 years (mean 5.4 months). PMID:8877200

  5. Rehabilitation in cerebral palsy.

    PubMed Central

    Molnar, G. E.

    1991-01-01

    Cerebral palsy is the most frequent physical disability of childhood onset. Over the past four decades, prevalence has remained remarkably constant at 2 to 3 per 1,000 live births in industrialized countries. In this article I concentrate on the rehabilitation and outcome of patients with cerebral palsy. The epidemiologic, pathogenetic, and diagnostic aspects are highlighted briefly as they pertain to the planning and implementation of the rehabilitation process. PMID:1866952

  6. Rehabilitation Management of Hemicorporectomy.

    PubMed

    Cavalheiro, Daniela Potas; Marten Teixeira, João Eduardo; Braga, Douglas Martins; Pessoa, Claudia Vöhringer; Ceregatti, Marina; McNeill Ingham, Sheila Jean

    2015-07-01

    This is a case report of a 55-year-old woman who was treated with a hemicorporectomy consequent to an invasive undifferentiated sacral chordoma. We describe the clinical course and rehabilitation process in an amputee outpatient clinic and report outcome measures such as the modified Functional Reach Test, the Amputee Mobility Predictor, the Functional Independence Measure, and the Short-Form Health Survey after 9 months of rehabilitation. PMID:25794625

  7. Rehabilitation after amputation.

    PubMed

    Esquenazi, A; DiGiacomo, R

    2001-01-01

    The principles of amputee rehabilitation, from preamputation to reintegration into the work force and community, are reviewed. The authors discuss exercise techniques, training programs, and environmental modifications that have been found to be helpful in the rehabilitation of the amputee. The exercise programs presented here are divided into four main components: flexibility, muscle strength, cardiovascular training, and balance and gait. The programs include interventions by the physical, occupational, and recreational therapist under the supervision and guidance of a physician. PMID:11196327

  8. Speech processing using maximum likelihood continuity mapping

    SciTech Connect

    Hogden, John E.

    2000-01-01

    Speech processing is obtained that, given a probabilistic mapping between static speech sounds and pseudo-articulator positions, allows sequences of speech sounds to be mapped to smooth sequences of pseudo-articulator positions. In addition, a method for learning a probabilistic mapping between static speech sounds and pseudo-articulator position is described. The method for learning the mapping between static speech sounds and pseudo-articulator position uses a set of training data composed only of speech sounds. The said speech processing can be applied to various speech analysis tasks, including speech recognition, speaker recognition, speech coding, speech synthesis, and voice mimicry.

  9. Speech processing using maximum likelihood continuity mapping

    SciTech Connect

    Hogden, J.E.

    2000-04-18

    Speech processing is obtained that, given a probabilistic mapping between static speech sounds and pseudo-articulator positions, allows sequences of speech sounds to be mapped to smooth sequences of pseudo-articulator positions. In addition, a method for learning a probabilistic mapping between static speech sounds and pseudo-articulator position is described. The method for learning the mapping between static speech sounds and pseudo-articulator position uses a set of training data composed only of speech sounds. The said speech processing can be applied to various speech analysis tasks, including speech recognition, speaker recognition, speech coding, speech synthesis, and voice mimicry.

  10. Alleviating speech and deglutition: Role of a prosthodontist in multidisciplinary management of velopharyngeal insufficiency.

    PubMed

    Nanda, Aditi; Koli, Dheeraj; Sharma, Sunanda; Suryavanshi, Shalini; Verma, Mahesh

    2015-01-01

    Surgical resection of soft palate due to cancer affects the effective functioning of the velopharyngeal mechanism (speech and deglutition). With the loss of speech intelligibility, hyper resonance in voice and impaired function of swallowing (due to nasal regurgitation), there is a depreciation in the quality of life of such an individual. In a multidisciplinary setup, the role of a prosthodontist has been described to rehabilitate such patients by fabrication of speech aid prosthesis. The design and method of fabrication of the prosthesis are simple and easy to perform. The use of prosthesis, together with training (of speech) by a speech pathologist resulted in improvement in speech. Furthermore, an improvement in swallowing had been noted, resulting in an improved nutritional intake and general well-being of an individual. The take-home message is that in the treatment of oral cancer, feasible, and rapid rehabilitation should be endeavored in order to make the patient socially more acceptable. The onus lies on the prosthodontist to practise the same in a rapid manner before the moral of the patient becomes low due to the associated stigma of cancer. PMID:26929526

  11. Speech Alarms Pilot Study

    NASA Technical Reports Server (NTRS)

    Sandor, A.; Moses, H. R.

    2016-01-01

    Currently on the International Space Station (ISS) and other space vehicles Caution & Warning (C&W) alerts are represented with various auditory tones that correspond to the type of event. This system relies on the crew's ability to remember what each tone represents in a high stress, high workload environment when responding to the alert. Furthermore, crew receive a year or more in advance of the mission that makes remembering the semantic meaning of the alerts more difficult. The current system works for missions conducted close to Earth where ground operators can assist as needed. On long duration missions, however, they will need to work off-nominal events autonomously. There is evidence that speech alarms may be easier and faster to recognize, especially during an off-nominal event. The Information Presentation Directed Research Project (FY07-FY09) funded by the Human Research Program included several studies investigating C&W alerts. The studies evaluated tone alerts currently in use with NASA flight deck displays along with candidate speech alerts. A follow-on study used four types of speech alerts to investigate how quickly various types of auditory alerts with and without a speech component - either at the beginning or at the end of the tone - can be identified. Even though crew were familiar with the tone alert from training or direct mission experience, alerts starting with a speech component were identified faster than alerts starting with a tone. The current study replicated the results from the previous study in a more rigorous experimental design to determine if the candidate speech alarms are ready for transition to operations or if more research is needed. Four types of alarms (caution, warning, fire, and depressurization) were presented to participants in both tone and speech formats in laboratory settings and later in the Human Exploration Research Analog (HERA). In the laboratory study, the alerts were presented by software and participants were

  12. The effects of auditory and visual vowel training on speech reading performance

    NASA Astrophysics Data System (ADS)

    Richie, Carolyn; Kewley-Port, Diane

    2003-10-01

    Speech reading, the use of visual cues to understand speech, may provide a substantial benefit for normal-hearing listeners in noisy environments and for hearing-impaired listeners in everyday communication. However, there exists great individual variability in speech reading ability, and studies have shown that only a modest improvement in speech reading ability is achieved with training. The purpose of this investigation was to determine the effects of a novel approach to speech reading training on word and sentence identification tasks. In contrast to previous research, which involved training on consonant recognition, this study focused on vowels. Two groups of normal-hearing adults participated in auditory-visual (AV) conditions with added background noise. The first group of listeners received training on the recognition of 14 English vowels in isolated words, while the second group of listeners received no training. All listeners performed speech reading pre- and post-tests, on words and sentences. Results are discussed in terms of differences between groups, dependent upon whether training was administered, and a comparison is made between this and other speech reading training methods. Finally, the potential benefit of this vowel-based speech reading training method for the rehabilitation for hearing-impaired listeners is discussed. [Work supported by NIHDCD-02229.

  13. How do skilled nursing rehabilitation managers track efficiency and costs?

    PubMed

    Harrison, F G; Kuhlemeier, K A

    2001-01-01

    Financial and efficiency indicators have not been used extensively by skilled nursing (SNF) rehabilitation managers, but may prove useful in the prospective payment system (PPS)-dominated long-term care (LTC) environment. The purpose of this pilot study was to demonstrate a method for measuring the extent of SNF rehabilitation managers' use of volume, revenue, cost, and manpower indicators; and whether usages differ among occupational, physical, and speech therapy managers. The subjects were 74 occupational, 75 physical, and 72 speech therapy managers employed by a multinational health care corporation. A total of 221 Likert scale surveys were mailed to SNF rehabilitation managers to obtain data on use of 32 efficiency and financial indicators. The 32 indicators were in four categories: visit volume, revenue, costs, and manpower utilization. Twelve indicators were used regularly by at least 60% and three were used regularly by 85-100% of respondents. The response rate was 17.89%. Chi-square analyses were performed for therapy discipline and response frequency. None was significant at 0.05. Three of the payermix indicators demonstrated post-hoc significance in "regular" or "sometimes" use by the physical therapy managers. The results show discipline-specific differences among LTC rehabilitation managers in the extents of efficiency and financial indicator usage for decision making. Suggestions for future use of the survey instrument are provided. The method proved useful for demonstrating differences in the combinations and degrees of use of the 32 indicators. The results point to a need to educate SNF rehabilitation managers in cost-monitoring techniques. Recommendations for cost monitoring are provided. PMID:11265273

  14. Differential Diagnosis of Severe Speech Disorders Using Speech Gestures

    ERIC Educational Resources Information Center

    Bahr, Ruth Huntley

    2005-01-01

    The differentiation of childhood apraxia of speech from severe phonological disorder is a common clinical problem. This article reports on an attempt to describe speech errors in children with childhood apraxia of speech on the basis of gesture use and acoustic analyses of articulatory gestures. The focus was on the movement of articulators and…

  15. Effects of Voice Rehabilitation After Radiation Therapy for Laryngeal Cancer: A Randomized Controlled Study

    SciTech Connect

    Tuomi, Lisa; Andréll, Paulin

    2014-08-01

    Background: Patients treated with radiation therapy for laryngeal cancer often experience voice problems. The aim of this randomized controlled trial was to assess the efficacy of voice rehabilitation for laryngeal cancer patients after having undergone radiation therapy and to investigate whether differences between different tumor localizations with regard to rehabilitation outcomes exist. Methods and Materials: Sixty-nine male patients irradiated for laryngeal cancer participated. Voice recordings and self-assessments of communicative dysfunction were performed 1 and 6 months after radiation therapy. Thirty-three patients were randomized to structured voice rehabilitation with a speech-language pathologist and 36 to a control group. Furthermore, comparisons with 23 healthy control individuals were made. Acoustic analyses were performed for all patients, including the healthy control individuals. The Swedish version of the Self Evaluation of Communication Experiences after Laryngeal Cancer and self-ratings of voice function were used to assess vocal and communicative function. Results: The patients who received vocal rehabilitation experienced improved self-rated vocal function after rehabilitation. Patients with supraglottic tumors who received voice rehabilitation had statistically significant improvements in voice quality and self-rated vocal function, whereas the control group did not. Conclusion: Voice rehabilitation for male patients with laryngeal cancer is efficacious regarding patient-reported outcome measurements. The patients experienced better voice function after rehabilitation. Patients with supraglottic tumors also showed an improvement in terms of acoustic voice outcomes. Rehabilitation with a speech-language pathologist is recommended for laryngeal cancer patients after radiation therapy, particularly for patients with supraglottic tumors.

  16. Hearing or speech impairment - resources

    MedlinePlus

    ... resources for information on hearing impairment or speech impairment: Alexander Graham Bell Association for the Deaf and Hard of Hearing -- www.agbell.org American Speech-Language-Hearing Association -- www.asha.org/public Center for ...

  17. Why Go to Speech Therapy?

    MedlinePlus

    ... Teachers Speech-Language Pathologists Physicians Employers Tweet Why Go To Speech Therapy? Parents of Preschoolers Parents of ... types of therapy work best when you can go on an intensive schedule (i.e., every day ...

  18. Development of a speech autocuer

    NASA Technical Reports Server (NTRS)

    Bedles, R. L.; Kizakvich, P. N.; Lawson, D. T.; Mccartney, M. L.

    1980-01-01

    A wearable, visually based prosthesis for the deaf based upon the proven method for removing lipreading ambiguity known as cued speech was fabricated and tested. Both software and hardware developments are described, including a microcomputer, display, and speech preprocessor.

  19. Hearing or speech impairment - resources

    MedlinePlus

    Resources - hearing or speech impairment ... The following organizations are good resources for information on hearing impairment or speech impairment: Alexander Graham Bell Association for the Deaf and Hard of Hearing -- www.agbell. ...

  20. Speech spectrogram expert

    SciTech Connect

    Johannsen, J.; Macallister, J.; Michalek, T.; Ross, S.

    1983-01-01

    Various authors have pointed out that humans can become quite adept at deriving phonetic transcriptions from speech spectrograms (as good as 90percent accuracy at the phoneme level). The authors describe an expert system which attempts to simulate this performance. The speech spectrogram expert (spex) is actually a society made up of three experts: a 2-dimensional vision expert, an acoustic-phonetic expert, and a phonetics expert. The visual reasoning expert finds important visual features of the spectrogram. The acoustic-phonetic expert reasons about how visual features relates to phonemes, and about how phonemes change visually in different contexts. The phonetics expert reasons about allowable phoneme sequences and transformations, and deduces an english spelling for phoneme strings. The speech spectrogram expert is highly interactive, allowing users to investigate hypotheses and edit rules. 10 references.

  1. Rehabilitation Role Perceptions and Vocational Interests of Undergraduate Rehabilitation Students

    ERIC Educational Resources Information Center

    Kelz, James W.; Fullerton, John

    1972-01-01

    This study focused on how undergraduate rehabilitation students perceive the ideal person in rehabilitation services and related these perceptions to vocational interests as measured by the Strong Vocational Interest Blank. (Author)

  2. 20. Interior view of rehabilitation area in rehabilitation and testing ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    20. Interior view of rehabilitation area in rehabilitation and testing facilities; near center of occupied portion; view to northeast. - Ellsworth Air Force Base, Mess & Administration Building, 2279 Risner Drive, Blackhawk, Meade County, SD

  3. 48 CFR 871.208 - Rehabilitation facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Rehabilitation facilities... DEPARTMENT SUPPLEMENTARY REGULATIONS LOAN GUARANTY AND VOCATIONAL REHABILITATION AND EMPLOYMENT PROGRAMS Vocational Rehabilitation and Employment Service 871.208 Rehabilitation facilities. Charges by...

  4. 48 CFR 871.208 - Rehabilitation facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Rehabilitation facilities... DEPARTMENT SUPPLEMENTARY REGULATIONS LOAN GUARANTY AND VOCATIONAL REHABILITATION AND EMPLOYMENT PROGRAMS Vocational Rehabilitation and Employment Service 871.208 Rehabilitation facilities. Charges by...

  5. 48 CFR 871.208 - Rehabilitation facilities.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Rehabilitation facilities... DEPARTMENT SUPPLEMENTARY REGULATIONS LOAN GUARANTY AND VOCATIONAL REHABILITATION AND EMPLOYMENT PROGRAMS Vocational Rehabilitation and Employment Service 871.208 Rehabilitation facilities. Charges by...

  6. 48 CFR 871.208 - Rehabilitation facilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Rehabilitation facilities... DEPARTMENT SUPPLEMENTARY REGULATIONS LOAN GUARANTY AND VOCATIONAL REHABILITATION AND EMPLOYMENT PROGRAMS Vocational Rehabilitation and Employment Service 871.208 Rehabilitation facilities. Charges by...

  7. 48 CFR 871.208 - Rehabilitation facilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Rehabilitation facilities... DEPARTMENT SUPPLEMENTARY REGULATIONS LOAN GUARANTY AND VOCATIONAL REHABILITATION AND EMPLOYMENT PROGRAMS Vocational Rehabilitation and Employment Service 871.208 Rehabilitation facilities. Charges by...

  8. Only Behavioral But Not Self-Report Measures of Speech Perception Correlate with Cognitive Abilities

    PubMed Central

    Heinrich, Antje; Henshaw, Helen; Ferguson, Melanie A.

    2016-01-01

    Good speech perception and communication skills in everyday life are crucial for participation and well-being, and are therefore an overarching aim of auditory rehabilitation. Both behavioral and self-report measures can be used to assess these skills. However, correlations between behavioral and self-report speech perception measures are often low. One possible explanation is that there is a mismatch between the specific situations used in the assessment of these skills in each method, and a more careful matching across situations might improve consistency of results. The role that cognition plays in specific speech situations may also be important for understanding communication, as speech perception tests vary in their cognitive demands. In this study, the role of executive function, working memory (WM) and attention in behavioral and self-report measures of speech perception was investigated. Thirty existing hearing aid users with mild-to-moderate hearing loss aged between 50 and 74 years completed a behavioral test battery with speech perception tests ranging from phoneme discrimination in modulated noise (easy) to words in multi-talker babble (medium) and keyword perception in a carrier sentence against a distractor voice (difficult). In addition, a self-report measure of aided communication, residual disability from the Glasgow Hearing Aid Benefit Profile, was obtained. Correlations between speech perception tests and self-report measures were higher when specific speech situations across both were matched. Cognition correlated with behavioral speech perception test results but not with self-report. Only the most difficult speech perception test, keyword perception in a carrier sentence with a competing distractor voice, engaged executive functions in addition to WM. In conclusion, any relationship between behavioral and self-report speech perception is not mediated by a shared correlation with cognition. PMID:27242564

  9. "Zero Tolerance" for Free Speech.

    ERIC Educational Resources Information Center

    Hils, Lynda

    2001-01-01

    Argues that school policies of "zero tolerance" of threatening speech may violate a student's First Amendment right to freedom of expression if speech is less than a "true threat." Suggests a two-step analysis to determine if student speech is a "true threat." (PKP)

  10. Signed Soliloquy: Visible Private Speech

    ERIC Educational Resources Information Center

    Zimmermann, Kathrin; Brugger, Peter

    2013-01-01

    Talking to oneself can be silent (inner speech) or vocalized for others to hear (private speech, or soliloquy). We investigated these two types of self-communication in 28 deaf signers and 28 hearing adults. With a questionnaire specifically developed for this study, we established the visible analog of vocalized private speech in deaf signers.…

  11. Abortion and compelled physician speech.

    PubMed

    Orentlicher, David

    2015-01-01

    Informed consent mandates for abortion providers may infringe the First Amendment's freedom of speech. On the other hand, they may reinforce the physician's duty to obtain informed consent. Courts can promote both doctrines by ensuring that compelled physician speech pertains to medical facts about abortion rather than abortion ideology and that compelled speech is truthful and not misleading. PMID:25846035

  12. Skilled nursing or rehabilitation facilities

    MedlinePlus

    ... page: //medlineplus.gov/ency/patientinstructions/000435.htm Skilled nursing or rehabilitation facilities To use the sharing features ... facility. Who Needs to go to a Skilled Nursing or Rehabilitation Facility? Your health care provider may ...

  13. Skilled nursing or rehabilitation facilities

    MedlinePlus

    ... may need to be transferred to a skilled nursing or rehabilitation facility. ... Common medical problems that often lead to skilled nursing or rehabilitation facility care include: Joint replacement surgery, ...

  14. PSP Stechovice rehabilitation

    SciTech Connect

    Svoboda, J.

    1998-07-01

    The original pumped storage plant Stechovice (2 x 21 MW) was put into operation during 1947--1948. At that time it was one of the biggest PSP in Europe, having very progressive technical solution. After more than forty years of intensive operation, at the end of the eighties, the Czech power company CEZ faced the decision on the PSP Stechovice fate. Based on the review of eleven variants of rehabilitation, the most investment-demanding solution was selected including the machinery house rebuilding and new power technology installation (1 x 45 MW). The project was completed at the end of 1996. The present experience with operation and guarantee measurements records demonstrate that PSP Stechovice is again, after rehabilitation, a power plant with parameters and performance comparable with the world's best. The cost for rehabilitation amounted only to half of the estimated cost for a new source of similar type.

  15. Microphones for speech and speech recognition

    NASA Astrophysics Data System (ADS)

    West, James E.

    2004-10-01

    Automatic speech recognition (ASR) requires about a 15- to 20-dB signal-to-noise ratio (S/N) for high accuracy even for small vocabulary systems. This S/N is generally achievable using a telephone handset in normal office or home environments. In the early 1990s ATT and the regional telephone companies began using speaker-independent ASR to replace several operator services. The variable distortion in the carbon microphone was not transparent and resulted in reduced ASR accuracy. The linear electret condenser microphone, common in most modern telephones, improved handset performance both in sound quality and ASR accuracy. Hands-free ASR in quiet conditions is a bit more complex because of the increased distance between the microphone and the speech source. Cardioid directional microphones offer some improvement in noisy locations when the noise and desired signals are spatially separated, but this is not the general case and the resulting S/N is not adequate for seamless machine translation. Higher-order directional microphones, when properly oriented with respect to the talker and noise, have shown good improvement over omni-directional microphones. Some ASR results measured in simulated car noise will be presented.

  16. Speech transmission index from running speech: A neural network approach

    NASA Astrophysics Data System (ADS)

    Li, F. F.; Cox, T. J.

    2003-04-01

    Speech transmission index (STI) is an important objective parameter concerning speech intelligibility for sound transmission channels. It is normally measured with specific test signals to ensure high accuracy and good repeatability. Measurement with running speech was previously proposed, but accuracy is compromised and hence applications limited. A new approach that uses artificial neural networks to accurately extract the STI from received running speech is developed in this paper. Neural networks are trained on a large set of transmitted speech examples with prior knowledge of the transmission channels' STIs. The networks perform complicated nonlinear function mappings and spectral feature memorization to enable accurate objective parameter extraction from transmitted speech. Validations via simulations demonstrate the feasibility of this new method on a one-net-one-speech extract basis. In this case, accuracy is comparable with normal measurement methods. This provides an alternative to standard measurement techniques, and it is intended that the neural network method can facilitate occupied room acoustic measurements.

  17. [Rehabilitation after periprosthetic fractures].

    PubMed

    Schmitt-Sody, M; Valle, C

    2016-03-01

    Periprosthetic fractures of the upper and lower extremities not only represent a challenge for surgeons but also for the rehabilitation team. The sometimes multimorbid patients have often undergone several surgical operations and need special planning and cooperation between an interdisciplinary team in order to achieve the best possible functional result and social reintegration. A structured rehabilitation planning after surgical treatment is a prerequisite for the patient to return to life as normal as possible. The aim is always rapid mobilization to achieve independence in activities of daily living. Special attention should be paid to postoperative immobilization and weight bearing. PMID:26923872

  18. Microprocessor for speech recognition

    SciTech Connect

    Ishizuka, H.; Watari, M.; Sakoe, H.; Chiba, S.; Iwata, T.; Matsuki, T.; Kawakami, Y.

    1983-01-01

    A new single-chip microprocessor for speech recognition has been developed utilizing multi-processor architecture and pipelined structure. By DP-matching algorithm, the processor recognizes up to 340 isolated words or 40 connected words in realtime. 6 references.

  19. On Curbing Racial Speech.

    ERIC Educational Resources Information Center

    Gale, Mary Ellen

    1991-01-01

    An alternative interpretation of the First Amendment guarantee of free speech suggests that universities may prohibit and punish direct verbal assaults on specific individuals if the speaker intends to do harm and if a reasonable person would recognize the potential for serious interference with the victim's educational rights. (MSE)

  20. Mandarin Visual Speech Information

    ERIC Educational Resources Information Center

    Chen, Trevor H.

    2010-01-01

    While the auditory-only aspects of Mandarin speech are heavily-researched and well-known in the field, this dissertation addresses its lesser-known aspects: The visual and audio-visual perception of Mandarin segmental information and lexical-tone information. Chapter II of this dissertation focuses on the audiovisual perception of Mandarin…

  1. Packet speech systems technology

    NASA Astrophysics Data System (ADS)

    Weinstein, C. J.; Blankenship, P. E.

    1982-09-01

    The long-range objectives of the Packet Speech Systems Technology Program are to develop and demonstrate techniques for efficient digital speech communications on networks suitable for both voice and data, and to investigate and develop techniques for integrated voice and data communication in packetized networks, including wideband common-user satellite links. Specific areas of concern are: the concentration of statistically fluctuating volumes of voice traffic, the adaptation of communication strategies to varying conditions of network links and traffic volume, and the interconnection of wideband satellite networks to terrestrial systems. Previous efforts in this area have led to new vocoder structures for improved narrowband voice performance and multiple-rate transmission, and to demonstrations of conversational speech and conferencing on the ARPANET and the Atlantic Packet Satellite Network. The current program has two major thrusts: i.e., the development and refinement of practical low-cost, robust, narrowband, and variable-rate speech algorithms and voice terminal structures; and the establishment of an experimental wideband satellite network to serve as a unique facility for the realistic investigation of voice/data networking strategies.

  2. Perceptual Learning in Speech

    ERIC Educational Resources Information Center

    Norris, Dennis; McQueen, James M.; Cutler, Anne

    2003-01-01

    This study demonstrates that listeners use lexical knowledge in perceptual learning of speech sounds. Dutch listeners first made lexical decisions on Dutch words and nonwords. The final fricative of 20 critical words had been replaced by an ambiguous sound, between [f] and [s]. One group of listeners heard ambiguous [f]-final words (e.g.,…

  3. Free Speech Yearbook 1979.

    ERIC Educational Resources Information Center

    Kane, Peter E., Ed.

    The seven articles in this collection deal with theoretical and practical freedom of speech issues. Topics covered are: the United States Supreme Court, motion picture censorship, and the color line; judicial decision making; the established scientific community's suppression of the ideas of Immanuel Velikovsky; the problems of avant-garde jazz,…

  4. 1984 Newbery Acceptance Speech.

    ERIC Educational Resources Information Center

    Cleary, Beverly

    1984-01-01

    This acceptance speech for an award honoring "Dear Mr. Henshaw," a book about feelings of a lonely child of divorce intended for eight-, nine-, and ten-year-olds, highlights children's letters to author. Changes in society that affect children, the inception of "Dear Mr. Henshaw," and children's reactions to books are highlighted. (EJS)

  5. Black History Speech

    ERIC Educational Resources Information Center

    Noldon, Carl

    2007-01-01

    The author argues in this speech that one cannot expect students in the school system to know and understand the genius of Black history if the curriculum is Eurocentric, which is a residue of racism. He states that his comments are designed for the enlightenment of those who suffer from a school system that "hypocritically manipulates Black…

  6. Speech to schoolchildren

    NASA Astrophysics Data System (ADS)

    Angell, C. Austen

    2013-02-01

    Prof. C. A. Angell from Arizona State University read the following short and simple speech, saying the sentences in Italics in the best Japanese he could manage (after earnest coaching from a Japanese colleague). The rest was translated on the bus ride, and then spoken, as I spoke, by Ms. Yukako Endo- to whom the author is very grateful.

  7. Free Speech Yearbook 1973.

    ERIC Educational Resources Information Center

    Barbour, Alton, Ed.

    The first article in this collection examines civil disobedience and the protections offered by the First Amendment. The second article discusses a study on antagonistic expressions in a free society. The third essay deals with attitudes toward free speech and treatment of the United States flag. There are two articles on media; the first examines…

  8. Speech and Hearing Therapy.

    ERIC Educational Resources Information Center

    Sakata, Reiko; Sakata, Robert

    1978-01-01

    In the public school, the speech and hearing therapist attempts to foster child growth and development through the provision of services basic to awareness of self and others, management of personal and social interactions, and development of strategies for coping with the handicap. (MM)

  9. Speech and Language Impairments

    MedlinePlus

    ... SLP) who can help you identify strategies for teaching and supporting this student, ways to adapt the ... ASHA | American Speech-Language-Hearing Association Information in Spanish | Información en español. 1.800.638.8255 | actioncenter@ ...

  10. Free Speech Yearbook, 1974.

    ERIC Educational Resources Information Center

    Barbour, Alton, Ed.

    A collection of essays on free speech and communication is contained in this book. The essays include "From Fairness to Access and Back Again: Some Dimensions of Free Expression in Broadcasting"; "Local Option on the First Amendment?"; "A Look at the Fire Symbol Before and After May 4, 1970"; "Freedom to Teach, to Learn, and to Speak: Rhetorical…

  11. Expectations and speech intelligibility.

    PubMed

    Babel, Molly; Russell, Jamie

    2015-05-01

    Socio-indexical cues and paralinguistic information are often beneficial to speech processing as this information assists listeners in parsing the speech stream. Associations that particular populations speak in a certain speech style can, however, make it such that socio-indexical cues have a cost. In this study, native speakers of Canadian English who identify as Chinese Canadian and White Canadian read sentences that were presented to listeners in noise. Half of the sentences were presented with a visual-prime in the form of a photo of the speaker and half were presented in control trials with fixation crosses. Sentences produced by Chinese Canadians showed an intelligibility cost in the face-prime condition, whereas sentences produced by White Canadians did not. In an accentedness rating task, listeners rated White Canadians as less accented in the face-prime trials, but Chinese Canadians showed no such change in perceived accentedness. These results suggest a misalignment between an expected and an observed speech signal for the face-prime trials, which indicates that social information about a speaker can trigger linguistic associations that come with processing benefits and costs. PMID:25994710

  12. Rehabilitation Nutrition for Possible Sarcopenic Dysphagia After Lung Cancer Surgery: A Case Report.

    PubMed

    Wakabayashi, Hidetaka; Uwano, Rimiko

    2016-06-01

    Sarcopenic dysphagia is characterized by the loss of swallowing muscle mass and function associated with generalized loss of skeletal muscle mass and function. In this report, the authors describe a patient with possible sarcopenic dysphagia after lung cancer surgery and was treated subsequently by rehabilitation nutrition. A 71-year-old man with lung cancer experienced complications of an acute myocardial infarction and pneumonia after surgery. He was ventilated artificially, and a tracheotomy was performed. The patient received diagnoses of malnutrition, severe sarcopenia, and possible sarcopenic dysphagia. His dysphagia was improved by a combination of dysphagia rehabilitation including physical and speech therapy and an improvement in nutrition initiated by a nutrition support team. Finally, he no longer had dysphagia and malnutrition. Sarcopenic dysphagia should be considered in patients with sarcopenia and dysphagia. Rehabilitation nutrition using a combination of both rehabilitation and nutritional care management is presumptively useful for treating sarcopenic dysphagia. PMID:26829095

  13. Surgical treatment and rehabilitation of prelingually and perilingually deafened children and adults with the nucleus multichannel cochlear implant.

    PubMed

    García, J M; Barón de Otero, C; García, J; Peñaranda, A; Niño, C; Campos, S

    1994-03-01

    We began our program in September 1992, using the Nucleus 22 Channel Cochlear Implant. To date, we have operated on four patients, one child with congenital hearing loss, two prelinguistically deaf adults and one perilingually deaf adult. Our results have shown a significant increase in auditory and speech reception and perception skills in the child. The perilingually deaf adult is able to understand speech in open set speech discrimination testing and, although we do not expect open set speech discrimination in the prelinguistically deaf adults, to date their results have been satisfactory. The two prelingually deaf adults are in an audiological rehabilitation program. Their response in prosodic aspects of speech and lipreading ability with sound have improved significantly. The only surgical complication was an infection of the flap in the child, but it was treated satisfactorily with i.v. penicillin. PMID:8205978

  14. Telerehabilitation, Virtual Therapists, and Acquired Neurologic Speech and Language Disorders

    PubMed Central

    Cherney, Leora R.; van Vuuren, Sarel

    2013-01-01

    Telerehabilitation (telererehab) offers cost effective services that potentially can improve access to care for those with acquired neurologic communication disorders. However, regulatory issues including licensure, reimbursement, and threats to privacy and confidentiality hinder the routine implementation of telerehab services into the clinical setting. Despite these barriers, rapid technological advances and a growing body of research regarding the use of telerehab applications support its use. This article reviews the evidence related to acquired neurologic speech and language disorders in adults, focusing on studies that have been published since 2000. Research studies have used telerehab systems to assess and treat disorders including dysarthria, apraxia of speech, aphasia, and mild Alzheimer’s disease. They show that telerehab is a valid and reliable vehicle for delivering speech and language services. The studies represent a progression of technological advances in computing, Internet, and mobile technologies. They range on a continuum from working synchronously (in real-time) with a speech-language pathologist to working asynchronously (offline) with a stand-in virtual therapist. One such system that uses a virtual therapist for the treatment of aphasia, the Web-ORLA™ (Rehabilitation Institute of Chicago, Chicago, IL) system, is described in detail. Future directions for the advancement of telerehab for clinical practice are discussed. PMID:22851346

  15. Predicting the intelligibility of deaf children's speech from acoustic measures

    NASA Astrophysics Data System (ADS)

    Uchanski, Rosalie M.; Geers, Ann E.; Brenner, Christine M.; Tobey, Emily A.

    2001-05-01

    A weighted combination of speech-acoustic measures may provide an objective assessment of speech intelligibility in deaf children that could be used to evaluate the benefits of sensory aids and rehabilitation programs. This investigation compared the accuracy of two different approaches, multiple linear regression and a simple neural net. These two methods were applied to identical sets of acoustic measures, including both segmental (e.g., voice-onset times of plosives, spectral moments of fricatives, second formant frequencies of vowels) and suprasegmental measures (e.g., sentence duration, number and frequency of intersentence pauses). These independent variables were obtained from digitized recordings of deaf children's imitations of 11 simple sentences. The dependent measure was the percentage of spoken words from the 36 McGarr Sentences understood by groups of naive listeners. The two predictive methods were trained on speech measures obtained from 123 out of 164 8- and 9-year-old deaf children who used cochlear implants. Then, predictions were obtained using speech measures from the remaining 41 children. Preliminary results indicate that multiple linear regression is a better predictor of intelligibility than the neural net, accounting for 79% as opposed to 65% of the variance in the data. [Work supported by NIH.

  16. [Quality in rehabilitation].

    PubMed

    Jäckel, W H

    2010-12-01

    Particularly in the context of introduction of quality assurance programmes 15 years ago, "quality" became a central issue for rehabilitation, and its importance is bound to grow in the years to come. After giving a general definition of quality, this article deals more closely with 3 aspects of quality: quality development, quality assurance, and data on quality. Quality development in rehabilitation centres demands an atmosphere that supports change, encourages creativity, courage, transparency and involvement, and reduces fear. The creation of such an atmosphere is, in particular, the responsibility of a centre's management. Routine interviews regarding patient as well as employee satisfaction, and the use of strategic planning and management systems have proven successful instruments in the practice of quality development. Compared with other sectors of the health system, quality assurance in rehabilitation is marked by its comprehensive approach, intense patient orientation, scientific underpinning, and nationwide implementation. Regarding the benefits of these programmes for the health system at large, however, no clear scientific proof is available yet. Data gained from quality assurance programmes on the whole show a high amount of patient satisfaction, good quality of structures and processes as well as an improvement of the patients' health status. Between centres, however, there are marked differences of quality in a number of cases, and long-term effectiveness could be improved in some indications. Finally, suggestions are offered concerning further development of quality in rehabilitation as well as of the quality assurance programmes. PMID:21140318

  17. Research Utilization in Rehabilitation.

    ERIC Educational Resources Information Center

    Rogers, Everett M.

    In terms of its attention to research utilization, vocational rehabilitation today may be where agriculture was in 1913. One reason for this is an inadequate understanding of the process of research utilization. Scattered studies of research utilization have occurred, but suffer from a lack of integration. Among propositions that may be postulated…

  18. Outpatients in Neurological Rehabilitation.

    ERIC Educational Resources Information Center

    Barnes, M. P.; Skeil, D. A.

    1996-01-01

    This paper describes the multidisciplinary approach used at a neurological rehabilitation clinic in England. Analysis of questionnaire responses from outpatients indicated general support for the multidisciplinary approach, though a significant minority felt intimidated by the large number of professionals seen simultaneously. Patients also…

  19. Rehabilitation: Psychology's Greatest Opportunity?

    ERIC Educational Resources Information Center

    Frank, Robert G.; And Others

    1990-01-01

    Discusses how psychologists have established themselves as integral health care providers in rehabilitation. Discusses how psychologists and the psychological associations have failed to recognize the importance of public policy for the practice of psychology. Explores the role of Medicare, and the effects of the inclusion of psychologists in…

  20. Supportive and Rehabilitative Programs.

    ERIC Educational Resources Information Center

    American Annals of the Deaf, 1998

    1998-01-01

    This directory of supportive and rehabilitative programs for the deaf lists federal programs, state vocational-rehabiltation offices, regional and local programs, national professional organizations and centers, state contacts for the National Association of the Deaf, and professional committee members of the Conference of Educational…

  1. [Chronic pain and rehabilitation].

    PubMed

    Berker, Ender; Dinçer, Nilay

    2005-04-01

    The perception and interpretation of pain is the end point of an interaction of cognitive, cultural, and environmental factors and this complex interaction effects the pain response and quality of life of each person which shows that pain perception and the verbal and behavioral response shows variations and is specific for each patient. Chronic pain can be due to Fibromyalgia Syndrome (FMS) and Neuropathic Pain (NP) where the underlying pathophysiologic mechanisms are being revealed or it can be chronic low back pain (CLBP) where pain persists in spite of healing of tissue and no underlying pathologic mechanism can be defected. Central sensitization, inhibition of descending pain inhibitory systems, functional changes in autonomic nervous system amd neurotransmitter as well as changes in stress response system are factors contributing to the initiation and maintenance of pain and cognitive, behavioral factors are also important contributors in chronic pain. Biopsychosocial and biomedical mechanisms should be assessed in the rehabilitation interventions. The aims of rehabilitation in chronic pain are to increase activity tolerance, functional capacity and to decrease socio-economic loads. The targets of activity should be physical, functional and social. Psychologic based programs as cognitive-behavioral techniques and operant conditioning are also valid procedures in rehabilitation of chronic pain patients. Rehabilitation should be multidisciplinary and of long-term targeted to valid out-come for success. PMID:15977088

  2. Token Economies in Rehabilitation

    ERIC Educational Resources Information Center

    Walls, Richard T.; Nicholas, Heather

    1973-01-01

    Behavior modification has become a widely known practice in rehabilitation during the past decade. A medium of exchange or token is typically used to facilitate transactions and can be traded for backup reinforcers later on. This review of the use of token economies focuses on groups of individuals usually considered target rehabilitation…

  3. Rehabilitation in Japan, 1988.

    ERIC Educational Resources Information Center

    Japanese Society for Rehabilitation of the Disabled, Tokyo.

    The scope of Japan's rehabilitation services for persons with disabilities is reviewed and discussed from the perspective of social and demographic change in that country. An introductory chapter on the current situation in Japan looks at characteristics of the land, the people, the government, industry and the economy, and the culture. The second…

  4. Prosthodontic rehabilitation of completely edentulous patient with partial glossectomy.

    PubMed

    Garg, Aditi

    2016-01-01

    Oral cancer accounts for about 40% of all cancers inflicting the human beings. Those involving the tongue results in mild to severe deficiencies of phonation, deglutition, mastication, and taste depending upon the degree and extent tissues involved. Often rehabilitation of such patient is a challenge for the prosthodontist and involves a careful observation and evaluation of the residual oral function and ways to restore them. This article presents a case report of prosthodontic rehabilitation completely edentulous patient, who underwent partial glossectomy following surgical resection of the squamous cell carcinoma involving left lateral borders of the tongue. An attempt was made to restore the comfort and function of the patient with the help of palatal augmentation prosthesis, with additional assistance through speech therapy and simple oral exercises. PMID:27141173

  5. Dysphagia in the elderly: focus on rehabilitation strategies.

    PubMed

    Di Pede, C; Mantovani, M E; Del Felice, A; Masiero, S

    2016-08-01

    Prevalence of oropharyngeal dysphagia among the elderly is high, but underestimated and underdiagnosed. It may give raise to relevant complications impacting on morbidity, hospital length of stay and health care costs. Dysphagia evaluation and management is a multidisciplinary task; it includes a detailed history taking, clinical and instrumental exams, and identification of the risk of aspiration. Long-standing individual abilities and impairments determine the goals of an ad hoc rehabilitation program. Currently there are no standard algorithmic approaches for the management of dysphagia in the elderly. Education of health professionals on early diagnosis and improvement of therapeutic strategies are mainstays to allow maximal recovery potential in this population. This narrative review summarizes the current rehabilitation approaches for dysphagia in the elderly. The aim is to inform the treating health care professionals, whether caring physician, physical medicine doctor, speech/swallowing therapist or nurse, on the state-of-the-art and stimulate discussion in the scientific community. PMID:26589905

  6. [Cardiac rehabilitation after myocardial infarction].

    PubMed

    Ghannem, M; Ghannem, L; Ghannem, L

    2015-12-01

    Although the proofs of the benefits of cardiac rehabilitation accumulate, many patients are not sent to rehabilitation units, especially younger and very elderly patients. As the length of stay in acute care units decreases, rehabilitation offers more time to fully assess the patients' conditions and needs. Meta-analyses of randomised trials suggest that mortality can be improved by as much as 20-30%. In addition, rehabilitation helps managing risk factors, including hyperlipidemia, diabetes, smoking and sedentary behaviours. Physical training also helps improving exercise capacity. Because of all of these effects, cardiac rehabilitation for post-myocardial infarction patients has been given a class IA recommendation in current guidelines. PMID:26548984

  7. The cortical representation of the speech envelope is earlier for audiovisual speech than audio speech.

    PubMed

    Crosse, Michael J; Lalor, Edmund C

    2014-04-01

    Visual speech can greatly enhance a listener's comprehension of auditory speech when they are presented simultaneously. Efforts to determine the neural underpinnings of this phenomenon have been hampered by the limited temporal resolution of hemodynamic imaging and the fact that EEG and magnetoencephalographic data are usually analyzed in response to simple, discrete stimuli. Recent research has shown that neuronal activity in human auditory cortex tracks the envelope of natural speech. Here, we exploit this finding by estimating a linear forward-mapping between the speech envelope and EEG data and show that the latency at which the envelope of natural speech is represented in cortex is shortened by >10 ms when continuous audiovisual speech is presented compared with audio-only speech. In addition, we use a reverse-mapping approach to reconstruct an estimate of the speech stimulus from the EEG data and, by comparing the bimodal estimate with the sum of the unimodal estimates, find no evidence of any nonlinear additive effects in the audiovisual speech condition. These findings point to an underlying mechanism that could account for enhanced comprehension during audiovisual speech. Specifically, we hypothesize that low-level acoustic features that are temporally coherent with the preceding visual stream may be synthesized into a speech object at an earlier latency, which may provide an extended period of low-level processing before extraction of semantic information. PMID:24401714

  8. [Speech and regulation of behavior: the works of LS Vygosty and AR Luria].

    PubMed

    Derouesné, Christian

    2011-09-01

    The role of speech in the regulation of behavior was described in child psychology by LS Vygotsky and AR Luria in the Soviet Union during the twenties, and extended to neuropsychology by Luria after the World War II. According to Vygotsky, man built up « psychological tools » on the model of material tools to extend his natural capacities. Psychological tools, such as language, are symbolic systems from social origin, which control activity and behavior, and convert natural cognitive processes into higher cortical functions. Therefore child's development is embedded into particular social relationships. First communicational speech then inner speech plays a major role in the regulation of behavior in man: at first it goes with action, then precedes it, and finally replaces it. A willful action is thus an action largely controlled by inner speech, especially in novel and complex tasks, but the properties of inner speech differ from those of communicational speech. Assessment of the role of speech on the regulation of action and behavior should be part of the neuropsychological examination of frontal lobe functions. It also could be useful to assess the ability of patients to participate in cognitive rehabilitation, particularly in Alzheimer's disease. PMID:21896438

  9. A magnetic resonance imaging study on the articulatory and acoustic speech parameters of Malay vowels

    PubMed Central

    2014-01-01

    The phonetic properties of six Malay vowels are investigated using magnetic resonance imaging (MRI) to visualize the vocal tract in order to obtain dynamic articulatory parameters during speech production. To resolve image blurring due to the tongue movement during the scanning process, a method based on active contour extraction is used to track tongue contours. The proposed method efficiently tracks tongue contours despite the partial blurring of MRI images. Consequently, the articulatory parameters that are effectively measured as tongue movement is observed, and the specific shape of the tongue and its position for all six uttered Malay vowels are determined. Speech rehabilitation procedure demands some kind of visual perceivable prototype of speech articulation. To investigate the validity of the measured articulatory parameters based on acoustic theory of speech production, an acoustic analysis based on the uttered vowels by subjects has been performed. As the acoustic speech and articulatory parameters of uttered speech were examined, a correlation between formant frequencies and articulatory parameters was observed. The experiments reported a positive correlation between the constriction location of the tongue body and the first formant frequency, as well as a negative correlation between the constriction location of the tongue tip and the second formant frequency. The results demonstrate that the proposed method is an effective tool for the dynamic study of speech production. PMID:25060583

  10. Top-down restoration of speech in cochlear-implant users.

    PubMed

    Bhargava, Pranesh; Gaudrain, Etienne; Başkent, Deniz

    2014-03-01

    In noisy listening conditions, intelligibility of degraded speech can be enhanced by top-down restoration. Cochlear implant (CI) users have difficulty understanding speech in noisy environments. This could partially be due to reduced top-down restoration of speech, which may be related to the changes that the electrical stimulation imposes on the bottom-up cues. We tested this hypothesis using the phonemic restoration (PhR) paradigm in which speech interrupted with periodic silent intervals is perceived illusorily continuous (continuity illusion or CoI) and becomes more intelligible (PhR benefit) when the interruptions are filled with noise bursts. Using meaningful sentences, both CoI and PhR benefit were measured in CI users, and compared with those of normal-hearing (NH) listeners presented with normal speech and 8-channel noise-band vocoded speech, acoustically simulating CIs. CI users showed different patterns in both PhR benefit and CoI, compared to NH results with or without the noise-band vocoding. However, they were able to use top-down restoration under certain test conditions. This observation supports the idea that changes in bottom-up cues can impose changes to the top-down processes needed to enhance intelligibility of degraded speech. The knowledge that CI users seem to be able to do restoration under the right circumstances could be exploited in patient rehabilitation and product development. PMID:24368138

  11. Propositional speech in unselected stroke: The effect of genre and external support.

    PubMed

    Law, Bonnie; Young, Breanne; Pinsker, Donna; Robinson, Gail A

    2015-01-01

    Distinguished from nominal language, propositional language generation refers to the spontaneous and voluntary aspect of language that introduces novel concepts to a specific context. Propositional language can be impaired in a range of neurological disorders, including stroke, despite well-preserved nominal language. Although external support can increase speech rate in patients with reduced propositional speech, no specific investigation of propositional speech has been carried out in unselected stroke patients. The current study investigated propositional language in an unselected post-acute stroke group (N = 18) with mild cognitive impairment and prominent executive dysfunction, but without significant aphasia. Specifically, we investigated whether genre or external support affected the number of words, sentences, and novel ideas produced, compared to healthy controls (N = 27). Results showed that discourse genre was not associated with differential performances. By contrast, speech quantity increased without external support although, for stroke patients, speech novelty decreased. Overall, the novelty deficit in unselected stroke patients highlights the importance of assessing cognition and propositional speech. Our findings suggest that for stroke patients with mild cognitive deficits, including executive dysfunction, introducing external support improved speech quality but not quantity. Implications for both assessment and rehabilitation of social communication are discussed. PMID:25040298

  12. [Effectiveness of music in brain rehabilitation. A systematic review].

    PubMed

    Sihvonen, Aleksi J; Leo, Vera; Särkämö, Teppo; Soinila, Seppo

    2014-01-01

    There is no curative treatment for diseases causing brain injury. Music causes extensive activation of the brain, promoting the repair of neural systems. Addition of music listening to rehabilitation enhances the regulation or motor functions in Parkinson and stroke patients, accelerates the recovery of speech disorder and cognitive injuries after stroke, and decreases the behavioral disorders of dementia patients. Music enhances the ability to concentrate and decreases mental confusion. The effect of music can also be observed as structural and functional changes of the brain. The effect is based, among other things, on lessening of physiologic stress and depression and on activation of the dopaminergic mesolimbic system. PMID:25558627

  13. Non-invasive brain stimulation in early rehabilitation after stroke.

    PubMed

    Blesneag, A V; Popa, L; Stan, A D

    2015-01-01

    The new tendency in rehabilitation involves non-invasive tools that, if applied early after stroke, promote neurorecovery. Repetitive transcranial magnetic stimulation and transcranial direct current stimulation may correct the disruption of cortical excitability and effectively contribute to the restoration of movement and speech. The present paper analyses the results of non-invasive brain stimulation (NIBS) trials, highlighting different aspects related to the repetitive transcranial magnetic stimulation frequency, transcranial direct current stimulation polarity, the period and stimulation places in acute and subacute ischemic strokes. The risk of adverse events, the association with motor or language recovery specific training, and the cumulative positive effect evaluation are also discussed. PMID:26361512

  14. System and method for characterizing voiced excitations of speech and acoustic signals, removing acoustic noise from speech, and synthesizing speech

    DOEpatents

    Burnett, Greg C.; Holzrichter, John F.; Ng, Lawrence C.

    2002-01-01

    Low power EM waves are used to detect motions of vocal tract tissues of the human speech system before, during, and after voiced speech. A voiced excitation function is derived. The excitation function provides speech production information to enhance speech characterization and to enable noise removal from human speech.

  15. Speech Motor Control in Fluent and Dysfluent Speech Production of an Individual with Apraxia of Speech and Broca's Aphasia

    ERIC Educational Resources Information Center

    van Lieshout, Pascal H. H. M.; Bose, Arpita; Square, Paula A.; Steele, Catriona M.

    2007-01-01

    Apraxia of speech (AOS) is typically described as a motor-speech disorder with clinically well-defined symptoms, but without a clear understanding of the underlying problems in motor control. A number of studies have compared the speech of subjects with AOS to the fluent speech of controls, but only a few have included speech movement data and if…

  16. Creating a pipeline rehabilitation plan

    SciTech Connect

    Marshall, W.F.

    1997-05-01

    This paper will highlight the various aspects of planning a pipeline rehabilitation project to maximize used resources. The paper will visit in some detail the aspect of pipeline data collection to make rehabilitation decisions, including intelligent pig data and its use, close interval survey and its use, hydrotest data and its use, etc. This paper will also review the analysis of the hydrotest data, the close interval survey data, and its meaning to the overall rehabilitation design and plan. The paper will also assess the various types of pipeline coatings and methods of recoating and typical and innovative cathodic protection methods. The paper will stress analysis of pipeline structural integrity prior to making rehabilitation decisions. It will review cost estimating for various types of pipeline rehabilitation, and look at various alternatives. Finally, this paper will review typical results from various types of rehabilitation and soil conditions. It will emphasize the need to assess the results of the different rehabilitation methods and detail the future pipeline rehabilitation project decision making. The paper will discuss the use of RAP sheets (rehabilitation analysis profile) for data review and suggest various methods to invest rehabilitation dollars to get the greatest quantity of rehabilitation work done for the least cost.

  17. The Perceptions of Students in the Allied Health Professions towards Stroke Rehabilitation Teams and the SLP's Role

    ERIC Educational Resources Information Center

    Insalaco, Deborah; Ozkurt, Elcin; Santiago, Dign

    2007-01-01

    The purpose of this study was to determine the perceptions and knowledge of final-year speech-language pathology (SLP), physical and occupational therapy (PT, OT) students toward stroke rehabilitation teams and the SLPs' roles on them. The investigators adapted a survey developed by (Felsher & Ross, 1994) and administered it to 35 PT, 35 OT, and…

  18. [Rehabilitation for Pain Relief: Preface and Comments].

    PubMed

    Hanaoka, Kazuo

    2015-07-01

    Chronic intractable pain is difficult to manage as the mechanisms of chronic pain are complicated. Recently rehabilitation is used in patients with chronic pain not responding to NSAIDs, non-opioids, anti-depressants and so on. Rehabilitation includes acute, recovery and maintained modes of rehabilitation. This review is focused on the concept of rehabilitation, rehabilitation therapy, rehabilitation during recovery period, nerve rehabilitation, music-trampoline therapy and so on. PMID:26422935

  19. TEACHER'S GUIDE TO HIGH SCHOOL SPEECH.

    ERIC Educational Resources Information Center

    JENKINSON, EDWARD B., ED.

    THIS GUIDE TO HIGH SCHOOL SPEECH FOCUSES ON SPEECH AS ORAL COMPOSITION, STRESSING THE IMPORTANCE OF CLEAR THINKING AND COMMUNICATION. THE PROPOSED 1-SEMESTER BASIC COURSE IN SPEECH ATTEMPTS TO IMPROVE THE STUDENT'S ABILITY TO COMPOSE AND DELIVER SPEECHES, TO THINK AND LISTEN CRITICALLY, AND TO UNDERSTAND THE SOCIAL FUNCTION OF SPEECH. IN ADDITION…

  20. Hate Speech: Power in the Marketplace.

    ERIC Educational Resources Information Center

    Harrison, Jack B.

    1994-01-01

    A discussion of hate speech and freedom of speech on college campuses examines the difference between hate speech from normal, objectionable interpersonal comments and looks at Supreme Court decisions on the limits of student free speech. Two cases specifically concerning regulation of hate speech on campus are considered: Chaplinsky v. New…

  1. Headphone localization of speech

    NASA Technical Reports Server (NTRS)

    Begault, Durand R.; Wenzel, Elizabeth M.

    1993-01-01

    Three-dimensional acoustic display systems have recently been developed that synthesize virtual sound sources over headphones based on filtering by head-related transfer functions (HRTFs), the direction-dependent spectral changes caused primarily by the pinnae. In this study, 11 inexperienced subjects judged the apparent spatial location of headphone-presented speech stimuli filtered with nonindividualized HRTFs. About half of the subjects 'pulled' their judgments toward either the median or the lateral-vertical planes, and estimates were almost always elevated. Individual differences were pronounced for the distance judgments; 15 to 46 percent of stimuli were heard inside the head, with the shortest estimates near the median plane. The results suggest that most listeners can obtain useful azimuth information from speech stimuli filtered by nonindividualized HRTFs. Measurements of localization error and reversal rates are comparable with a previous study that used broadband noise stimuli.

  2. Neurophysiology of speech differences in childhood apraxia of speech.

    PubMed

    Preston, Jonathan L; Molfese, Peter J; Gumkowski, Nina; Sorcinelli, Andrea; Harwood, Vanessa; Irwin, Julia R; Landi, Nicole

    2014-01-01

    Event-related potentials (ERPs) were recorded during a picture naming task of simple and complex words in children with typical speech and with childhood apraxia of speech (CAS). Results reveal reduced amplitude prior to speaking complex (multisyllabic) words relative to simple (monosyllabic) words for the CAS group over the right hemisphere during a time window thought to reflect phonological encoding of word forms. Group differences were also observed prior to production of spoken tokens regardless of word complexity during a time window just prior to speech onset (thought to reflect motor planning/programming). Results suggest differences in pre-speech neurolinguistic processes. PMID:25090016

  3. [Improving speech comprehension using a new cochlear implant speech processor].

    PubMed

    Müller-Deile, J; Kortmann, T; Hoppe, U; Hessel, H; Morsnowski, A

    2009-06-01

    The aim of this multicenter clinical field study was to assess the benefits of the new Freedom 24 sound processor for cochlear implant (CI) users implanted with the Nucleus 24 cochlear implant system. The study included 48 postlingually profoundly deaf experienced CI users who demonstrated speech comprehension performance with their current speech processor on the Oldenburg sentence test (OLSA) in quiet conditions of at least 80% correct scores and who were able to perform adaptive speech threshold testing using the OLSA in noisy conditions. Following baseline measures of speech comprehension performance with their current speech processor, subjects were upgraded to the Freedom 24 speech processor. After a take-home trial period of at least 2 weeks, subject performance was evaluated by measuring the speech reception threshold with the Freiburg multisyllabic word test and speech intelligibility with the Freiburg monosyllabic word test at 50 dB and 70 dB in the sound field. The results demonstrated highly significant benefits for speech comprehension with the new speech processor. Significant benefits for speech comprehension were also demonstrated with the new speech processor when tested in competing background noise.In contrast, use of the Abbreviated Profile of Hearing Aid Benefit (APHAB) did not prove to be a suitably sensitive assessment tool for comparative subjective self-assessment of hearing benefits with each processor. Use of the preprocessing algorithm known as adaptive dynamic range optimization (ADRO) in the Freedom 24 led to additional improvements over the standard upgrade map for speech comprehension in quiet and showed equivalent performance in noise. Through use of the preprocessing beam-forming algorithm BEAM, subjects demonstrated a highly significant improved signal-to-noise ratio for speech comprehension thresholds (i.e., signal-to-noise ratio for 50% speech comprehension scores) when tested with an adaptive procedure using the Oldenburg

  4. Neurophysiology of Speech Differences in Childhood Apraxia of Speech

    PubMed Central

    Preston, Jonathan L.; Molfese, Peter J.; Gumkowski, Nina; Sorcinelli, Andrea; Harwood, Vanessa; Irwin, Julia; Landi, Nicole

    2014-01-01

    Event-related potentials (ERPs) were recorded during a picture naming task of simple and complex words in children with typical speech and with childhood apraxia of speech (CAS). Results reveal reduced amplitude prior to speaking complex (multisyllabic) words relative to simple (monosyllabic) words for the CAS group over the right hemisphere during a time window thought to reflect phonological encoding of word forms. Group differences were also observed prior to production of spoken tokens regardless of word complexity during a time window just prior to speech onset (thought to reflect motor planning/programming). Results suggest differences in pre-speech neurolinguistic processes. PMID:25090016

  5. Trends in pediatric rehabilitation.

    PubMed

    Burkett, K W

    1989-03-01

    The 1980s have been declared the decade of the disabled. Surgeon General Koop has stated that "it is profoundly important for our own society that we tend to these issues of disabled children, that these children not be forgotten or pushed aside, and that we retain our belief in the strength of the American family". The field of pediatric rehabilitation, unheard of as recently as the late 1970s, has become a recognized specialty. The definition of pediatric rehabilitation has expanded to include the care and treatment of children with congenital and acquired disabilities. The pediatric rehabilitation nurse is challenged to keep abreast of new developments in the field while seeking and implementing innovative ways to assist the child and family in their adjustment to the child's disability. A knowledge base of normal growth and development is essential when assessing abnormal patterns in the child with a disability. Complete assessment of the child with a disability includes a parent-child interview and physical assessment, with particular focus on the child's developmental age, movement patterns, and functional activities of daily living. The reaction of the child and family to the disability is all too often viewed as lack of "acceptance" of the child's disability. A continuum of "adjustment" to the disability for both family and child describes normal coping mechanisms for living with and managing the needs of a disabled child. It is important for the pediatric rehabilitation nurse to develop a partnership with parents in which they serve as consultants to families, not as directors of the child's care. Cerebral palsy and spina bifida are the two most common childhood disabilities. With advanced technologic equipment and refined surgical procedures, the child's potential for independence is reaching new heights. Computerized technology has aided the motor-impaired child to progress through normal developmental processes of exploration and discovery. Specialized

  6. Applications for Subvocal Speech

    NASA Technical Reports Server (NTRS)

    Jorgensen, Charles; Betts, Bradley

    2007-01-01

    A research and development effort now underway is directed toward the use of subvocal speech for communication in settings in which (1) acoustic noise could interfere excessively with ordinary vocal communication and/or (2) acoustic silence or secrecy of communication is required. By "subvocal speech" is meant sub-audible electromyographic (EMG) signals, associated with speech, that are acquired from the surface of the larynx and lingual areas of the throat. Topics addressed in this effort include recognition of the sub-vocal EMG signals that represent specific original words or phrases; transformation (including encoding and/or enciphering) of the signals into forms that are less vulnerable to distortion, degradation, and/or interception; and reconstruction of the original words or phrases at the receiving end of a communication link. Potential applications include ordinary verbal communications among hazardous- material-cleanup workers in protective suits, workers in noisy environments, divers, and firefighters, and secret communications among law-enforcement officers and military personnel in combat and other confrontational situations.

  7. Speech rhythm: a metaphor?

    PubMed Central

    Nolan, Francis; Jeon, Hae-Sung

    2014-01-01

    Is speech rhythmic? In the absence of evidence for a traditional view that languages strive to coordinate either syllables or stress-feet with regular time intervals, we consider the alternative that languages exhibit contrastive rhythm subsisting merely in the alternation of stronger and weaker elements. This is initially plausible, particularly for languages with a steep ‘prominence gradient’, i.e. a large disparity between stronger and weaker elements; but we point out that alternation is poorly achieved even by a ‘stress-timed’ language such as English, and, historically, languages have conspicuously failed to adopt simple phonological remedies that would ensure alternation. Languages seem more concerned to allow ‘syntagmatic contrast’ between successive units and to use durational effects to support linguistic functions than to facilitate rhythm. Furthermore, some languages (e.g. Tamil, Korean) lack the lexical prominence which would most straightforwardly underpin prominence of alternation. We conclude that speech is not incontestibly rhythmic, and may even be antirhythmic. However, its linguistic structure and patterning allow the metaphorical extension of rhythm in varying degrees and in different ways depending on the language, and it is this analogical process which allows speech to be matched to external rhythms. PMID:25385774

  8. [Speech changes in dementia].

    PubMed

    Benke, T; Andree, B; Hittmair, M; Gerstenbrand, F

    1990-06-01

    This review analyzes the spectrum of language deficits commonly encountered in dementia. A specific communication profile is found in dementia of the "cortical" type, such as Alzheimer's disease. With advancing disease lexical, comprehension and pragmatic functions deteriorate, whereas syntax and phonology tend to be preserved. This pattern bears some resemblance to aphasia types like transcortical and Wernicke's aphasia, however, a much broader range of communicative functions is impaired in Alzheimer's disease than in aphasia. Differentiation of dementia and aphasia, especially in elderly patients requires careful neuropsychological assessment of language, memory and other psychological functions. "Subcortical" dementia commonly presents with dysarthria as the leading symptom and linguistic impairment is rarely of crucial importance until late stages. Thus, the interetiologic dissociation of language and speech impairment can be used for dementia differentiation. Aphasia batteries are not sufficient to comprehend the range of language deficits in demented patients. Testing the communication impairment in dementia requires specific tasks for spontaneous speech, naming, comprehension, reading, writing, repetition and motor speech functions. Tasks for verbal learning and metalinguistic abilities should also be performed. Language deficits are frequent initial symptoms of dementia, thus language assessment may be of diagnostic relevance. Many data support the concept that the communication deficit in dementia results from a particular impairment of semantic memory. PMID:1695887

  9. Speech rhythm: a metaphor?

    PubMed

    Nolan, Francis; Jeon, Hae-Sung

    2014-12-19

    Is speech rhythmic? In the absence of evidence for a traditional view that languages strive to coordinate either syllables or stress-feet with regular time intervals, we consider the alternative that languages exhibit contrastive rhythm subsisting merely in the alternation of stronger and weaker elements. This is initially plausible, particularly for languages with a steep 'prominence gradient', i.e. a large disparity between stronger and weaker elements; but we point out that alternation is poorly achieved even by a 'stress-timed' language such as English, and, historically, languages have conspicuously failed to adopt simple phonological remedies that would ensure alternation. Languages seem more concerned to allow 'syntagmatic contrast' between successive units and to use durational effects to support linguistic functions than to facilitate rhythm. Furthermore, some languages (e.g. Tamil, Korean) lack the lexical prominence which would most straightforwardly underpin prominence of alternation. We conclude that speech is not incontestibly rhythmic, and may even be antirhythmic. However, its linguistic structure and patterning allow the metaphorical extension of rhythm in varying degrees and in different ways depending on the language, and it is this analogical process which allows speech to be matched to external rhythms. PMID:25385774

  10. Somatosensory function in speech perception

    PubMed Central

    Ito, Takayuki; Tiede, Mark; Ostry, David J.

    2009-01-01

    Somatosensory signals from the facial skin and muscles of the vocal tract provide a rich source of sensory input in speech production. We show here that the somatosensory system is also involved in the perception of speech. We use a robotic device to create patterns of facial skin deformation that would normally accompany speech production. We find that when we stretch the facial skin while people listen to words, it alters the sounds they hear. The systematic perceptual variation we observe in conjunction with speech-like patterns of skin stretch indicates that somatosensory inputs affect the neural processing of speech sounds and shows the involvement of the somatosensory system in the perceptual processing in speech. PMID:19164569

  11. [Current issues in gastroeneterologic rehabilitation].

    PubMed

    Petri, M

    2000-10-01

    In Hungary gastroenteric diseases' rehabilitation, which is one of the youngest branch of medical rehabilitation, has grown out of traditional, sanatorial care from the 70s. Its main feature that it is based on a biopsychosocial attitude towards patients as a team-work. Though it comprises traditional, medical diagnosis and treatment, medicine and medical technology are not the primary resources of gastroenteric diseases rehabilitation: it is mainly built on a friendly and co-operating relations with the patients, which helps doctors to exert their mental and intellectual influence promoting their patients recovery. Therefore, gastroenteric diseases' rehabilitation can be sharply separated from active treatment and care. The article gives full details of the possible methods of gastroenteric diseases' rehabilitation, such as diagnosis, medicinal treatment, psychotherapy, dietotherapy, physiotherapy and regimen guidance. In addition, it is emphasized that under sanatorial circumstances the effects of rehabilitation, especially of regimen guidance multiplies. Furthermore it gives numerical data about the present situation of gastroenteric diseases' rehabilitation in Hungary. Considering the data gained from the special rehabilitation hospital located in Visegrád, the article touches upon the illnesses calling for this kind of rehabilitative treatment not passing over the fact of multimorbidity, especially important in rehabilitation. PMID:11064571

  12. Evaluation of NASA speech encoder

    NASA Technical Reports Server (NTRS)

    1976-01-01

    Techniques developed by NASA for spaceflight instrumentation were used in the design of a quantizer for speech-decoding. Computer simulation of the actions of the quantizer was tested with synthesized and real speech signals. Results were evaluated by a phometician. Topics discussed include the relationship between the number of quantizer levels and the required sampling rate; reconstruction of signals; digital filtering; speech recording, sampling, and storage, and processing results.

  13. SEFRE: Semiexoskeleton Rehabilitation System.

    PubMed

    Chonnaparamutt, Winai; Supsi, Witsarut

    2016-01-01

    SEFRE (Shoulder-Elbow-Forearm Robotics Economic) rehabilitation system is presented in this paper. SEFRE Rehab System is composed of a robotic manipulator and an exoskeleton, so-called Forearm Supportive Mechanism (FSM). The controller of the system is developed as the Master PC consisting of five modules, that is, Intelligent Control (IC), Patient Communication (PC), Training with Game (TG), Progress Monitoring (PM), and Patient Supervision (PS). These modules support a patient to exercise with SEFRE in six modes, that is, Passive, Passive Stretching, Passive Guiding, Initiating Active, Active Assisted, and Active Resisted. To validate the advantages of the system, the preclinical trial was carried out at a national rehabilitation center. Here, the implement of the system and the preclinical results are presented as the verifications of SEFRE. PMID:27578961

  14. SEFRE: Semiexoskeleton Rehabilitation System

    PubMed Central

    Supsi, Witsarut

    2016-01-01

    SEFRE (Shoulder-Elbow-Forearm Robotics Economic) rehabilitation system is presented in this paper. SEFRE Rehab System is composed of a robotic manipulator and an exoskeleton, so-called Forearm Supportive Mechanism (FSM). The controller of the system is developed as the Master PC consisting of five modules, that is, Intelligent Control (IC), Patient Communication (PC), Training with Game (TG), Progress Monitoring (PM), and Patient Supervision (PS). These modules support a patient to exercise with SEFRE in six modes, that is, Passive, Passive Stretching, Passive Guiding, Initiating Active, Active Assisted, and Active Resisted. To validate the advantages of the system, the preclinical trial was carried out at a national rehabilitation center. Here, the implement of the system and the preclinical results are presented as the verifications of SEFRE. PMID:27578961

  15. Rehabilitation in extremity fractures.

    PubMed

    Moskowitz, E

    1975-03-01

    General principles in the rehabilitation of a patient with an extremity fracture include: treat the patient, not the x-ray; move all joints not immobilized; prevent disuse atrophy; use gravity to assist in mobilizing a joint; stabilize proximal joints to avoid reverse action of biarticular muscles; permit early protected weight bearing until adequate joint mobility is achieved; appropriately instruct the patient in a home program, and avoid all stretching. PMID:1114932

  16. Somatosensory basis of speech production.

    PubMed

    Tremblay, Stéphanie; Shiller, Douglas M; Ostry, David J

    2003-06-19

    The hypothesis that speech goals are defined acoustically and maintained by auditory feedback is a central idea in speech production research. An alternative proposal is that speech production is organized in terms of control signals that subserve movements and associated vocal-tract configurations. Indeed, the capacity for intelligible speech by deaf speakers suggests that somatosensory inputs related to movement play a role in speech production-but studies that might have documented a somatosensory component have been equivocal. For example, mechanical perturbations that have altered somatosensory feedback have simultaneously altered acoustics. Hence, any adaptation observed under these conditions may have been a consequence of acoustic change. Here we show that somatosensory information on its own is fundamental to the achievement of speech movements. This demonstration involves a dissociation of somatosensory and auditory feedback during speech production. Over time, subjects correct for the effects of a complex mechanical load that alters jaw movements (and hence somatosensory feedback), but which has no measurable or perceptible effect on acoustic output. The findings indicate that the positions of speech articulators and associated somatosensory inputs constitute a goal of speech movements that is wholly separate from the sounds produced. PMID:12815431

  17. A Cool Approach to Probing Speech Cortex

    PubMed Central

    Flinker, Adeen; Knight, Robert T.

    2016-01-01

    In this issue of Neuron, Long et al. (2016) employ a novel technique of intraoperative cortical cooling in humans during speech production. They demonstrate that cooling Broca’s area interferes with speech timing but not speech quality. PMID:26985719

  18. A Cool Approach to Probing Speech Cortex.

    PubMed

    Flinker, Adeen; Knight, Robert T

    2016-03-16

    In this issue of Neuron, Long et al. (2016) employ a novel technique of intraoperative cortical cooling in humans during speech production. They demonstrate that cooling Broca's area interferes with speech timing but not speech quality. PMID:26985719

  19. Speech Recognition: How Do We Teach It?

    ERIC Educational Resources Information Center

    Barksdale, Karl

    2002-01-01

    States that growing use of speech recognition software has made voice writing an essential computer skill. Describes how to present the topic, develop basic speech recognition skills, and teach speech recognition outlining, writing, proofreading, and editing. (Contains 14 references.) (SK)

  20. Speech systems research at Texas Instruments

    NASA Technical Reports Server (NTRS)

    Doddington, George R.

    1977-01-01

    An assessment of automatic speech processing technology is presented. Fundamental problems in the development and the deployment of automatic speech processing systems are defined and a technology forecast for speech systems is presented.

  1. Huntington's Disease: Speech, Language and Swallowing

    MedlinePlus

    ... the course of the disease. What do speech-language pathologists do when working with people with Huntington's ... of Neurological Disorders and Stroke Typical Speech and Language Development Learning More Than One Language Adult Speech ...

  2. Activities to Encourage Speech and Language Development

    MedlinePlus

    ... and Swallowing / Development Activities to Encourage Speech and Language Development Birth to 2 Years Encourage your baby ... or light) of the packages. Typical Speech and Language Development Learning More Than One Language Adult Speech ...

  3. What Is Language? What Is Speech?

    MedlinePlus

    ... Public / Speech, Language and Swallowing / Development What Is Language? What Is Speech? [ en Español ] Kelly's 4-year-old son, Tommy, has speech and language problems. Friends and family have a hard time ...

  4. General American Speech and Phonic Symbols.

    ERIC Educational Resources Information Center

    Calvert, Donald R.

    1982-01-01

    General American Symbols, speech and phonic symbols adapted from the Northampton symbols, are presented as a simplified system for teaching reading and speech to deaf children. Ways to use symbols for indicating features of speech production are suggested. (Author)

  5. 38 CFR 21.70 - Vocational rehabilitation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Vocational rehabilitation...) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31 Duration of Rehabilitation Programs § 21.70 Vocational rehabilitation. (a) General. The goal of...

  6. 38 CFR 21.70 - Vocational rehabilitation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2012-07-01 2012-07-01 false Vocational rehabilitation...) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31 Duration of Rehabilitation Programs § 21.70 Vocational rehabilitation. (a) General. The goal of...

  7. 38 CFR 21.70 - Vocational rehabilitation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false Vocational rehabilitation...) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31 Duration of Rehabilitation Programs § 21.70 Vocational rehabilitation. (a) General. The goal of...

  8. 38 CFR 21.70 - Vocational rehabilitation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2013-07-01 2013-07-01 false Vocational rehabilitation...) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31 Duration of Rehabilitation Programs § 21.70 Vocational rehabilitation. (a) General. The goal of...

  9. 38 CFR 21.70 - Vocational rehabilitation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2014-07-01 2014-07-01 false Vocational rehabilitation...) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31 Duration of Rehabilitation Programs § 21.70 Vocational rehabilitation. (a) General. The goal of...

  10. [Rehabilitation in Alzheimer's dementia].

    PubMed

    Cicconetti, P; Fionda, A; Zannino, G; Ettorre, E; Marigliano, V

    2000-09-01

    Alzheimer's disease is a neurodegenerative disease that causes a progressive decline of cognitive and behavioural functions. The simultaneous presence of these disorders requires a treatment not only for cognitive decline, but also for behavioural symptoms, depression and caregiver's stress. Research has made many efforts to develop a wide range of treatments, different from current pharmacological therapy, which is not resolutive, owing to the absence of an exact etiopathogenetic mechanism. Since new drugs have not been shown to be really effective in slowing cognitive impairment, various forms of rehabilitative interventions have been proposed in order to treat Alzheimer's disease. Their efficacy in the improvement of cognitive functions is still not completely clear. Surely, interesting results have been obtained from studies about Reality Orientation Therapy, Occupational Therapy and Memory Training. Music therapy might provide a new form of rehabilitative intervention, especially acting on the reducing of behavioural symptoms. These alternative forms of non pharmacological treatment may have a positive effect on caregiver. The heavy emotional burden of seeing a loved one becoming confused and isolated and of having to accept new responsibilities, may be reduced by rehabilitative supports, complementary to the pharmacological therapy. Caregiver stress could be reduced in two ways: by promoting the hope that something is being done for the patient and providing free time for himself. PMID:11021168

  11. Cardiac rehabilitation in Germany.

    PubMed

    Cantwell, J D

    1976-09-01

    The concept of cardiac reconditioning centers for the prevention and rehabilitation of coronary patients has been tremendously successful in Germany over the past 20 years. At least 40 such centers are located throughout the country. Physicians, nurses, and physical therapists work closely together in the various facets of the rehabilitation process. The financial backing for these facilities is primarily through governmental and regional insurance companies, whose officials are apparently convinced that in the long run supporting preventive measures is financially sound. Objective data supporting their convictions come from studies such as that of Brusis, who showed that such as that of 1,500 employees was diminished by nearly 70 percent during a two-year period after cardiac reconditioning, as compared to a similar time period before the rehabilitation experience. Subjective benefits, which are extremely difficult to quantitate in meaningful terms, were nonetheless expressed by nearly all the patients with whom I conversed. Perhaps they have experienced the same feelings that Mark Twain did when he observed that "all frets and worries and chafings sank to sleep in the presence of the benignant serenity of the Alps; the Great Spirit of the Mountains breathed his own peace upon their hurt minds and sore hearts and healed them." PMID:959329

  12. Biofeedback in rehabilitation

    PubMed Central

    2013-01-01

    This paper reviews the literature relating to the biofeedback used in physical rehabilitation. The biofeedback methods used in rehabilitation are based on biomechanical measurements and measurements of the physiological systems of the body. The physiological systems of the body which can be measured to provide biofeedback are the neuromuscular system, the respiratory system and the cardiovascular system. Neuromuscular biofeedback methods include electromyography (EMG) biofeedback and real-time ultrasound imaging (RTUS) biofeedback. EMG biofeedback is the most widely investigated method of biofeedback and appears to be effective in the treatment of many musculoskeletal conditions and in post cardiovascular accident (CVA) rehabilitation. RTUS biofeedback has been demonstrated effective in the treatment of low back pain (LBP) and pelvic floor muscle dysfunction. Cardiovascular biofeedback methods have been shown to be effective in the treatment of a number of health conditions such as hypertension, heart failure, asthma, fibromyalgia and even psychological disorders however a systematic review in this field has yet to be conducted. Similarly, the number of large scale studies examining the use of respiratory biofeedback in rehabilitation is limited. Measurements of movement, postural control and force output can be made using a number of different devices and used to deliver biomechanical biofeedback. Inertial based sensing biofeedback is the most widely researched biomechanical biofeedback method, with a number of studies showing it to be effective in improving measures of balance in a number of populations. Other types of biomechanical biofeedback include force plate systems, electrogoniometry, pressure biofeedback and camera based systems however the evidence for these is limited. Biofeedback is generally delivered using visual displays, acoustic or haptic signals, however more recently virtual reality (VR) or exergaming technology have been used as biofeedback

  13. Alternative Speech Communication System for Persons with Severe Speech Disorders

    NASA Astrophysics Data System (ADS)

    Selouani, Sid-Ahmed; Sidi Yakoub, Mohammed; O'Shaughnessy, Douglas

    2009-12-01

    Assistive speech-enabled systems are proposed to help both French and English speaking persons with various speech disorders. The proposed assistive systems use automatic speech recognition (ASR) and speech synthesis in order to enhance the quality of communication. These systems aim at improving the intelligibility of pathologic speech making it as natural as possible and close to the original voice of the speaker. The resynthesized utterances use new basic units, a new concatenating algorithm and a grafting technique to correct the poorly pronounced phonemes. The ASR responses are uttered by the new speech synthesis system in order to convey an intelligible message to listeners. Experiments involving four American speakers with severe dysarthria and two Acadian French speakers with sound substitution disorders (SSDs) are carried out to demonstrate the efficiency of the proposed methods. An improvement of the Perceptual Evaluation of the Speech Quality (PESQ) value of 5% and more than 20% is achieved by the speech synthesis systems that deal with SSD and dysarthria, respectively.

  14. Enhancing Peer Feedback and Speech Preparation: The Speech Video Activity

    ERIC Educational Resources Information Center

    Opt, Susan

    2012-01-01

    In the typical public speaking course, instructors or assistants videotape or digitally record at least one of the term's speeches in class or lab to offer students additional presentation feedback. Students often watch and self-critique their speeches on their own. Peers often give only written feedback on classroom presentations or completed…

  15. Of Speech and Time: Temporal Speech Patterns in Interpersonal Contexts.

    ERIC Educational Resources Information Center

    Sieqman, Aron W., Ed.; Feldstein, Stanley, Ed.

    The temporal patterning of speech, primarily within the context of interpersonal exchanges, is traced in this cross-section of research exploring the major directions such studies have taken. Eighteen authors contributed selections to support the thesis that time as a dimension of speech reflects many of the important processes that occur during…

  16. Speech-in-Speech Recognition: A Training Study

    ERIC Educational Resources Information Center

    Van Engen, Kristin J.

    2012-01-01

    This study aims to identify aspects of speech-in-noise recognition that are susceptible to training, focusing on whether listeners can learn to adapt to target talkers ("tune in") and learn to better cope with various maskers ("tune out") after short-term training. Listeners received training on English sentence recognition in speech-shaped noise…

  17. Auditory detection of non-speech and speech stimuli in noise: Native speech advantage.

    PubMed

    Huo, Shuting; Tao, Sha; Wang, Wenjing; Li, Mingshuang; Dong, Qi; Liu, Chang

    2016-05-01

    Detection thresholds of Chinese vowels, Korean vowels, and a complex tone, with harmonic and noise carriers were measured in noise for Mandarin Chinese-native listeners. The harmonic index was calculated as the difference between detection thresholds of the stimuli with harmonic carriers and those with noise carriers. The harmonic index for Chinese vowels was significantly greater than that for Korean vowels and the complex tone. Moreover, native speech sounds were rated significantly more native-like than non-native speech and non-speech sounds. The results indicate that native speech has an advantage over other sounds in simple auditory tasks like sound detection. PMID:27250202

  18. Statistical assessment of speech system performance

    NASA Technical Reports Server (NTRS)

    Moshier, Stephen L.

    1977-01-01

    Methods for the normalization of performance tests results of speech recognition systems are presented. Technological accomplishments in speech recognition systems, as well as planned research activities are described.

  19. New tools in pulmonary rehabilitation.

    PubMed

    Wijkstra, P J; Wempe, J B

    2011-12-01

    In patients with more severe chronic obstructive pulmonary disease (COPD), the benefits of rehabilitation might not be clear and, therefore, new treatment options have been developed to increase the benefits of rehabilitation. This review provides an overview of new approaches being developed as an addition to exercise training. In turn, the benefits of adding ventilatory support, oxygen, anabolics or neuromuscular stimulation to a rehabilitation programme will be discussed. While positive benefits for a number of these approaches have been found, many questions remain unsolved. Therefore, at present, we cannot recommend these new tools as part of the routine management of patients with COPD who start a rehabilitation programme. PMID:21828026

  20. Urut Melayu, the Traditional Malay Massage, as a Complementary Rehabilitative Care in Postpartum Stroke

    PubMed Central

    Anuar, Haniza Mohd; Ismail, Suhaila; Abd Ghani, Norsuria; Ahmad, Norlaili

    2012-01-01

    Abstract Background The case of a 32-year-old Malay woman who developed postpartum stroke is reported. Methods The patient received a series of urut Melayu, the traditional Malay massage, sessions at one of the newly established integrated hospitals in the country. Results After 14 urut Melayu sessions, she improved tremendously in her speech and fine motor skills and regained her activities of daily living. Conclusions This use of urut Melayu to complement rehabilitation care in patients poststroke is promising. PMID:22401300

  1. The Future Roles of the Rehabilitation Counselor

    ERIC Educational Resources Information Center

    Muthard, John E.; Salomone, Paul R.

    1972-01-01

    The expectations of 50 rehabilitation leaders for the role and responsibilities of rehabilitation counselors in 1980 are summarized. Their projections, made in 1967, include the types of tasks, settings, clients, and services rehabilitation counselors will experience. (Author)

  2. Interpersonal Orientation and Speech Behavior.

    ERIC Educational Resources Information Center

    Street, Richard L., Jr.; Murphy, Thomas L.

    1987-01-01

    Indicates that (1) males with low interpersonal orientation (IO) were least vocally active and expressive and least consistent in their speech performances, and (2) high IO males and low IO females tended to demonstrate greater speech convergence than either low IO males or high IO females. (JD)

  3. American Studies through Folk Speech.

    ERIC Educational Resources Information Center

    Pedersen, E. Martin

    1993-01-01

    American slang reflects diversity, imagination, self-confidence, and optimism of the American people. Its vitality is due in part to the guarantee of free speech and lack of a national academy of language or of any official attempt to purify American speech, in part to Americans' historic geographic mobility. Such "folksay" includes riddles and…

  4. Speech Restoration: An Interactive Process

    ERIC Educational Resources Information Center

    Grataloup, Claire; Hoen, Michael; Veuillet, Evelyne; Collet, Lionel; Pellegrino, Francois; Meunier, Fanny

    2009-01-01

    Purpose: This study investigates the ability to understand degraded speech signals and explores the correlation between this capacity and the functional characteristics of the peripheral auditory system. Method: The authors evaluated the capability of 50 normal-hearing native French speakers to restore time-reversed speech. The task required them…

  5. SILENT SPEECH DURING SILENT READING.

    ERIC Educational Resources Information Center

    MCGUIGAN, FRANK J.

    EFFORTS WERE MADE IN THIS STUDY TO (1) RELATE THE AMOUNT OF SILENT SPEECH DURING SILENT READING TO LEVEL OF READING PROFICIENCY, INTELLIGENCE, AGE, AND GRADE PLACEMENT OF SUBJECTS, AND (2) DETERMINE WHETHER THE AMOUNT OF SILENT SPEECH DURING SILENT READING IS AFFECTED BY THE LEVEL OF DIFFICULTY OF PROSE READ AND BY THE READING OF A FOREIGN…

  6. Speech Prosody in Cerebellar Ataxia

    ERIC Educational Resources Information Center

    Casper, Maureen A.; Raphael, Lawrence J.; Harris, Katherine S.; Geibel, Jennifer M.

    2007-01-01

    Persons with cerebellar ataxia exhibit changes in physical coordination and speech and voice production. Previously, these alterations of speech and voice production were described primarily via perceptual coordinates. In this study, the spatial-temporal properties of syllable production were examined in 12 speakers, six of whom were healthy…

  7. Taking a Stand for Speech.

    ERIC Educational Resources Information Center

    Moore, Wayne D.

    1995-01-01

    Asserts that freedom of speech issues were among the first major confrontations in U.S. constitutional law. Maintains that lessons from the controversies surrounding the Sedition Act of 1798 have continuing practical relevance. Describes and discusses the significance of freedom of speech to the U.S. political system. (CFR)

  8. Methods of Teaching Speech Recognition

    ERIC Educational Resources Information Center

    Rader, Martha H.; Bailey, Glenn A.

    2010-01-01

    Objective: This article introduces the history and development of speech recognition, addresses its role in the business curriculum, outlines related national and state standards, describes instructional strategies, and discusses the assessment of student achievement in speech recognition classes. Methods: Research methods included a synthesis of…

  9. SPEECH--MAN'S NATURAL COMMUNICATION.

    ERIC Educational Resources Information Center

    DUDLEY, HOMER; AND OTHERS

    SESSION 63 OF THE 1967 INSTITUTE OF ELECTRICAL AND ELECTRONIC ENGINEERS INTERNATIONAL CONVENTION BROUGHT TOGETHER SEVEN DISTINGUISHED MEN WORKING IN FIELDS RELEVANT TO LANGUAGE. THEIR TOPICS INCLUDED ORIGIN AND EVOLUTION OF SPEECH AND LANGUAGE, LANGUAGE AND CULTURE, MAN'S PHYSIOLOGICAL MECHANISMS FOR SPEECH, LINGUISTICS, AND TECHNOLOGY AND…

  10. Techniques for automatic speech recognition

    NASA Astrophysics Data System (ADS)

    Moore, R. K.

    1983-05-01

    A brief insight into some of the algorithms that lie behind current automatic speech recognition system is provided. Early phonetically based approaches were not particularly successful, due mainly to a lack of appreciation of the problems involved. These problems are summarized, and various recognition techniques are reviewed in the contect of the solutions that they provide. It is pointed out that the majority of currently available speech recognition equipments employ a "whole-word' pattern matching approach which, although relatively simple, has proved particularly successful in its ability to recognize speech. The concepts of time-normalizing plays a central role in this type of recognition process and a family of such algorithms is described in detail. The technique of dynamic time warping is not only capable of providing good performance for isolated word recognition, but how it is also extended to the recognition of connected speech (thereby removing one of the most severe limitations of early speech recognition equipment).

  11. Female urinary incontinence rehabilitation.

    PubMed

    Di Benedetto, P

    2004-08-01

    Pelvic floor rehabilitation (PFR) is an important and recommended strategy for the treatment of many urogynecological disorders including urinary incontinence (UI). The recognised pioneer of PFR is the American gynecologist Arnold Kegel who, over 50 years ago, proposed pelvic floor muscle exercises (PFME) to prevent and/or treat female UI. Kegel's techniques were successfully used by others too, but as the years passed these techniques sank into unjustified oblivion. In the 1980s in Europe the medical world's interest in PFME techniques gained ground, contemporaneously with functional electrical stimulation (FES) and biofeedback (BFB). As a general rule, the least invasive and least dangerous procedure for the patient should be the first choice, and behavioural and rehabilitative techniques should be considered as the first line of therapy for UI. The behavioural approaches in women with UI and without cognitive deficits are tailored to the patient's underlying problem, such as bladder training or retraining (BR) for urge UI. BR has many variations but generally consists of education, scheduled voiding, and positive reinforcements. The rehabilitative approaches comprise BFB, FES, PFME, and vaginal cones (VC). BFB allows the subject to modify the unconscious physiological events, while FES is aimed at strengthening perineal awareness, increasing the tone and trophism of the pelvic floor, and inhibiting detrusor overactivity. PFME play an extremely important role in the conservative treatment of UI and overactive bladder, and many studies have demonstrated their effectiveness. Many authors have used the different methods for PFR in a heterogeneous manner: the best results were obtained when protocols requiring the contemporary use of 2 or more techniques were followed. PMID:15377984

  12. Psychosocial Recovery and Rehabilitation.

    PubMed

    Antai-Otong, Deborah

    2016-06-01

    This article discusses a psychosocial recovery and rehabilitation recovery model that uses an intensive case management approach. The approach offers an interdisciplinary model that integrates pharmacotherapy, social skills training, cognitive remediation, family involvement, and community integration. This evidence-based plan of care instills hope and nurtures one's capacity to learn and improve function and quality of life. It is cost-effective and offers psychiatric nurses opportunities to facilitate symptomatic remission, facilitate self-efficacy, and improve communication and social cognition skills. Nurses in diverse practice settings must be willing to plan and implement innovative treatment models that provide seamless mental health care across the treatment continuum. PMID:27229282

  13. [Rehabilitation of facial paralysis].

    PubMed

    Martin, F

    2015-10-01

    Rehabilitation takes an important part in the treatment of facial paralysis, especially when these are severe. It aims to lead the recovery of motor activity and prevent or reduce sequelae like synkinesis or spasms. It is preferable that it be proposed early in order to set up a treatment plan based on the results of the assessment, sometimes coupled with an electromyography. In case of surgery, preoperative work is recommended, especially in case of hypoglossofacial anastomosis or lengthening temporalis myoplasty (LTM). Our proposal is to present an original technique to enhance the sensorimotor loop and the cortical control of movement, especially when using botulinum toxin and after surgery. PMID:26195012

  14. [New approaches in the treatment of speech disorders in children with an organic brain lesion].

    PubMed

    Dubovtseva, O A; Evtushenko, S K; Omel'ianenko, A A; Sazhneva, I A

    1999-01-01

    Speech disorders encountered in children presenting with neurological pathology make their medical and social rehabilitation a real challenge. Overall sixty children were examined. Of these, 38 had infantile cerebral paralysis, 22 that being presented with sequelae of the hypoxic affection of the brain in ante- and perinatal period, who exhibited speech disorders (alalia, dysarthria, retarded speech development). Described in the paper are features of bloodflow disorders in intracranial and vertebral arteries as evidenced by ultrasonic Doppler technique and changes in brain bioelectrical activity according to findings from electroencephalomapping. In 53 patients, a positive effect was obtained as a result of therapy conducted in accordance with the stimulation type techniques (electroscalp therapy against the background of intramuscular administration of nicotinic acid plus laser therapy, transcutaneous electrostimulation, employment of such drug preparations as cogitum, nero-force, sirdalud). PMID:10474956

  15. Interactions between distal speech rate, linguistic knowledge, and speech environment.

    PubMed

    Morrill, Tuuli; Baese-Berk, Melissa; Heffner, Christopher; Dilley, Laura

    2015-10-01

    During lexical access, listeners use both signal-based and knowledge-based cues, and information from the linguistic context can affect the perception of acoustic speech information. Recent findings suggest that the various cues used in lexical access are implemented with flexibility and may be affected by information from the larger speech context. We conducted 2 experiments to examine effects of a signal-based cue (distal speech rate) and a knowledge-based cue (linguistic structure) on lexical perception. In Experiment 1, we manipulated distal speech rate in utterances where an acoustically ambiguous critical word was either obligatory for the utterance to be syntactically well formed (e.g., Conner knew that bread and butter (are) both in the pantry) or optional (e.g., Don must see the harbor (or) boats). In Experiment 2, we examined identical target utterances as in Experiment 1 but changed the distribution of linguistic structures in the fillers. The results of the 2 experiments demonstrate that speech rate and linguistic knowledge about critical word obligatoriness can both influence speech perception. In addition, it is possible to alter the strength of a signal-based cue by changing information in the speech environment. These results provide support for models of word segmentation that include flexible weighting of signal-based and knowledge-based cues. PMID:25794478

  16. Subjective Experiences of Speech and Language Therapy in Patients with Parkinson's Disease: A Pilot Study

    PubMed Central

    Spurgeon, Laura; Clarke, Carl E.; Sackley, Cath

    2015-01-01

    Purpose. Parkinson's disease can produce a range of speech-language pathologies, which may require intervention. While evaluations of speech-language therapy have been undertaken, no work has been undertaken to capture patients' experiences of therapy. This was the aim of the present study. Methods. Semistructured interviews, using themes derived from the literature, were conducted with nine Parkinson's disease patients, all of whom had undergone speech-language therapy. Participants' responses were analysed in accordance with Thematic Network Analysis. Results. Four themes emerged: emotional reactions (frustration, embarrassment, lack of confidence, disappointment, and anxiety); physical impact (fatigue, breathing and swallowing, and word production); practical aspects (cost of treatment, waiting times, and the actual clinical experience); and expectations about treatment (met versus unmet). Conclusions. While many benefits of speech-language therapy were reported, several negative issues emerged which could impact adversely on rehabilitation. Parkinson's disease is associated with a range of psychological and physical sequelae, such as fatigue and depression; recognising any individual experiences which could exacerbate the existing condition and incorporating these into treatment planning may improve rehabilitation outcomes. PMID:26236508

  17. Hate Speech or Free Speech: Can Broad Campus Speech Regulations Survive Current Judicial Reasoning?

    ERIC Educational Resources Information Center

    Heiser, Gregory M.; Rossow, Lawrence F.

    1993-01-01

    Federal courts have found speech regulations overbroad in suits against the University of Michigan and the University of Wisconsin System. Attempts to assess the theoretical justification and probable fate of broad speech regulations that have not been explicitly rejected by the courts. Concludes that strong arguments for broader regulation will…

  18. Rehabilitation Technologies for Water Mains

    EPA Science Inventory

    This paper presents on-going research work for the USEPA Research Project on “Rehabilitation of Water and Wastewater Systems.” It will compare various renewal methods (i.e. replacement, rehabilitation and repair technologies that are available in the market). The paper discusse...

  19. Qualitative Research in Rehabilitation Counseling

    ERIC Educational Resources Information Center

    Hanley-Maxwell, Cheryl; Al Hano, Ibrahim; Skivington, Michael

    2007-01-01

    Qualitative research approaches offer rehabilitation scholars and practitioners avenues into understanding the lives and experiences of people with disabilities and those people and systems with whom they interact. The methods used often parallel those used in counseling and appear to be well matched with the field of rehabilitation counseling.…

  20. Physical Therapy Principles in Rehabilitation

    PubMed Central

    Sparto, Patrick J.

    2016-01-01

    The use of vestibular rehabilitation for persons with balance and vestibular disorders is used to improve function and decrease dizziness symptoms. Principles of a vestibular rehabilitation program are described including common exercises and outcome measures used to report change. A review of negative and positive predictive factors related to recovery is also provided. PMID:22027077

  1. [Coordinating schooling, care and rehabilitation].

    PubMed

    Sarrazin, Françoise

    2014-05-01

    Close collaboration has been established between a care and rehabilitation centre and a regional special needs school. The cooperation and interdisciplinarity of the approach ensures young people with motor disabilities are supported throughout their schooling, while being provided with the necessary care and rehabilitation. PMID:24941531

  2. Directions in Rehabilitation Counseling, 2001.

    ERIC Educational Resources Information Center

    Flach, Frederic, Ed.

    2001-01-01

    This volume of 12 lessons provides expert information on a variety of medical and psychological issues in rehabilitative counseling. The lessons, which may be applied toward continuing education credits, are: (1) "Integration of Psychiatric Treatment and Rehabilitation" (Jeanne Steiner, Larry Davidson, Michael A. Hoge, and Selby Jacobs); (2)…

  3. Statistical Prediction in Proprietary Rehabilitation.

    ERIC Educational Resources Information Center

    Johnson, Kurt L.; And Others

    1987-01-01

    Applied statistical methods to predict case expenditures for low back pain rehabilitation cases in proprietary rehabilitation. Extracted predictor variables from case records of 175 workers compensation claimants with some degree of permanent disability due to back injury. Performed several multiple regression analyses resulting in a formula that…

  4. Directions in Rehabilitation Counseling, 1990.

    ERIC Educational Resources Information Center

    Directions in Rehabilitation Counseling, 1990

    1990-01-01

    This volume of 12 lessons--each one written by either a medical or a mental health professional--provides expert information on a variety of medical and psychological issues in rehabilitative counseling. The lessons, each of which concludes with a few multiple-choice questions, are as follows: (1) "Rehabilitation of the Seriously Mentally Ill"…

  5. Vocational Rehabilitation 1999 Annual Report.

    ERIC Educational Resources Information Center

    Thompson, Barry; Larson, Catherine; Thomas, Raelene

    Some highlights included in the 1999 Annual Report of the Idaho Division of Vocational Rehabilitation (IDVR) are the following: (1) an all-time record number of people were served (10,363), and 1,442 people were rehabilitated and entered employment, close to the 1998 record; (2) a collaborative effort with the Division of Human Resources was…

  6. Vocational Rehabilitation Counselor Resource Book.

    ERIC Educational Resources Information Center

    Employment Standards Administration (DOL), Washington, DC.

    The mission of the Office of Workers' Compensation Programs (OWCP) rehabilitation program is to assist injured workers, covered by Federal Employees' Compensation Act and the Longshore and Harbor Workers' Compensation Act, to return to gainful employment through vocational rehabilitation services. Information that certified counselors who work…

  7. Rehabilitation Education: A Pilot Study

    ERIC Educational Resources Information Center

    Vander Kolk, Charles; Jaques, Marceline E.

    1972-01-01

    The presentation of undergraduate courses in rehabilitation could serve several purposes: (a) preparation for graduate level work; (b) training for support personnel; and (c) interdisciplinary education. This article describes a pilot study of a course in rehabilitation to investigate through pre- and post measures, attitude change, attainment of…

  8. [Erectile rehabilitation after radical prostatectomy].

    PubMed

    Droupy, S; Giuliano, F; Costa, P

    2009-12-01

    The concept of penile rehabilitation involves the procedures designed to improve oxygen delivery the penile erectile tissue to minimized tissue damage during the period of neural recovery following radical prostatectomy. Many basic research studies support the rationale and mechanism of the concept of penile rehabilitation, however they are few clinical studies in the literature that provide a clear medical evidence of its efficacy in patients. Waiting for new data, it is recommended to propose to the patients, following a radical prostatectomy, an active pharmacological penile rehabilitation. This rehabilitation involves counselling with the couple to have regular sexual activities, ideally 1 to 3 times a week. Penile erections could be induced by intracavernosal injections of PGE1 or improved by using PDE5 inhibitors on demand. The results of daily use of PDE5 inhibitor are conflicting and then it cannot be recommended systematically waiting for new data. The rehabilitation could be maintained for about 2 years as results improve with time. PMID:20123519

  9. Current trends in cardiac rehabilitation

    PubMed Central

    Dafoe, W; Huston, P

    1997-01-01

    Cardiac rehabilitation can reduce mortality and morbidity for patients with many types of cardiac disease cost-effectively, yet is generally underutilized. Rehabilitation is helpful not only for patients who have had a myocardial infarction but also for those with stable angina or congestive heart failure or those who have undergone myocardial revascularization procedures, a heart transplant or heart valve surgery. The beneficial effects of rehabilitation include a reduction in the rate of death from cardiovascular disease, improved exercise tolerance, fewer cardiac symptoms, improved lipid levels, decreased cigarette smoking, improvement in psychosocial well-being and increased likelihood of return to work. Rehabilitation involves a multidisciplinary team that focuses on education, individually tailored exercise, risk-factor modification and the optimization of functional status and mental health. Current research trends in this area include the evaluation of new secondary-prevention modalities and alternative program options, such as home-based rehabilitation. PMID:9054823

  10. Prosthetic rehabilitation of large mid-facial defect with magnet-retained silicone prosthesis

    PubMed Central

    Shrivastava, Kirti Jajoo; Shrivastava, Saurabh; Agarwal, Surendra; Bhoyar, Anjali

    2015-01-01

    Rehabilitation of maxillofacial defect patients is a challenging task. The most common prosthetic treatment problem with such patients is, getting adequate retention, stability, and support. In cases of large maxillofacial defect, movement of the prosthesis is inevitable. The primary objectives in rehabilitating the maxillofacial defect patients are to restore the function of mastication, deglutition, speech, and to achieve normal orofacial appearance. This clinical report describes maxillofacial prosthetic rehabilitation of large midfacial defect including orbit along with its contents, zygoma and soft tissues including half of the nose, cheeks, upper lip of left side, accompanying postsurgical microstomia and orofacial communication, which resulted from severe fungal infection mucormycosis. The defect in this case was restored with magnet retained two piece maxillofacial prosthesis having hollow acrylic resin framework and an overlying silicone facial prosthesis. The retention of prosthesis was further enhanced with the use of spectacles. This type of combination prosthesis enhanced the cosmesis and functional acceptability of prosthesis. PMID:26929525

  11. Prosthetic rehabilitation of large mid-facial defect with magnet-retained silicone prosthesis.

    PubMed

    Shrivastava, Kirti Jajoo; Shrivastava, Saurabh; Agarwal, Surendra; Bhoyar, Anjali

    2015-01-01

    Rehabilitation of maxillofacial defect patients is a challenging task. The most common prosthetic treatment problem with such patients is, getting adequate retention, stability, and support. In cases of large maxillofacial defect, movement of the prosthesis is inevitable. The primary objectives in rehabilitating the maxillofacial defect patients are to restore the function of mastication, deglutition, speech, and to achieve normal orofacial appearance. This clinical report describes maxillofacial prosthetic rehabilitation of large midfacial defect including orbit along with its contents, zygoma and soft tissues including half of the nose, cheeks, upper lip of left side, accompanying postsurgical microstomia and orofacial communication, which resulted from severe fungal infection mucormycosis. The defect in this case was restored with magnet retained two piece maxillofacial prosthesis having hollow acrylic resin framework and an overlying silicone facial prosthesis. The retention of prosthesis was further enhanced with the use of spectacles. This type of combination prosthesis enhanced the cosmesis and functional acceptability of prosthesis. PMID:26929525

  12. Hate Speech/Free Speech: Using Feminist Perspectives To Foster On-Campus Dialogue.

    ERIC Educational Resources Information Center

    Cornwell, Nancy; Orbe, Mark P.; Warren, Kiesha

    1999-01-01

    Explores the complex issues inherent in the tension between hate speech and free speech, focusing on the phenomenon of hate speech on college campuses. Describes the challenges to hate speech made by critical race theorists and explains how a feminist critique can reorient the parameters of hate speech. (SLD)

  13. ON THE NATURE OF SPEECH SCIENCE.

    ERIC Educational Resources Information Center

    PETERSON, GORDON E.

    IN THIS ARTICLE THE NATURE OF THE DISCIPLINE OF SPEECH SCIENCE IS CONSIDERED AND THE VARIOUS BASIC AND APPLIED AREAS OF THE DISCIPLINE ARE DISCUSSED. THE BASIC AREAS ENCOMPASS THE VARIOUS PROCESSES OF THE PHYSIOLOGY OF SPEECH PRODUCTION, THE ACOUSTICAL CHARACTERISTICS OF SPEECH, INCLUDING THE SPEECH WAVE TYPES AND THE INFORMATION-BEARING ACOUSTIC…

  14. Freedom of Speech Newsletter, February 1976.

    ERIC Educational Resources Information Center

    Allen, Winfred G., Jr., Ed.

    The "Freedom of Speech Newsletter" is the communication medium, published four times each academic year, of the Freedom of Speech Interest Group, Western Speech Communication Association. Articles included in this issue are "What Is Academic Freedom For?" by Ralph Ross, "A Sociology of Free Speech" by Ray Heidt, "A Queer Interpretation fo the…

  15. Multifractal nature of unvoiced speech signals

    SciTech Connect

    Adeyemi, O.A.; Hartt, K.; Boudreaux-Bartels, G.F.

    1996-06-01

    A refinement is made in the nonlinear dynamic modeling of speech signals. Previous research successfully characterized speech signals as chaotic. Here, we analyze fricative speech signals using multifractal measures to determine various fractal regimes present in their chaotic attractors. Results support the hypothesis that speech signals have multifractal measures. {copyright} {ital 1996 American Institute of Physics.}

  16. Infant Perception of Atypical Speech Signals

    ERIC Educational Resources Information Center

    Vouloumanos, Athena; Gelfand, Hanna M.

    2013-01-01

    The ability to decode atypical and degraded speech signals as intelligible is a hallmark of speech perception. Human adults can perceive sounds as speech even when they are generated by a variety of nonhuman sources including computers and parrots. We examined how infants perceive the speech-like vocalizations of a parrot. Further, we examined how…

  17. Is Birdsong More Like Speech or Music?

    PubMed

    Shannon, Robert V

    2016-04-01

    Music and speech share many acoustic cues but not all are equally important. For example, harmonic pitch is essential for music but not for speech. When birds communicate is their song more like speech or music? A new study contrasting pitch and spectral patterns shows that birds perceive their song more like humans perceive speech. PMID:26944220

  18. Phonetic Recalibration Only Occurs in Speech Mode

    ERIC Educational Resources Information Center

    Vroomen, Jean; Baart, Martijn

    2009-01-01

    Upon hearing an ambiguous speech sound dubbed onto lipread speech, listeners adjust their phonetic categories in accordance with the lipread information (recalibration) that tells what the phoneme should be. Here we used sine wave speech (SWS) to show that this tuning effect occurs if the SWS sounds are perceived as speech, but not if the sounds…

  19. Preschool Children's Awareness of Private Speech

    ERIC Educational Resources Information Center

    Manfra, Louis; Winsler, Adam

    2006-01-01

    The present study explored: (a) preschool children's awareness of their own talking and private speech (speech directed to the self); (b) differences in age, speech use, language ability, and mentalizing abilities between children with awareness and those without; and (c) children's beliefs and attitudes about private speech. Fifty-one children…

  20. Automated Speech Rate Measurement in Dysarthria

    ERIC Educational Resources Information Center

    Martens, Heidi; Dekens, Tomas; Van Nuffelen, Gwen; Latacz, Lukas; Verhelst, Werner; De Bodt, Marc

    2015-01-01

    Purpose: In this study, a new algorithm for automated determination of speech rate (SR) in dysarthric speech is evaluated. We investigated how reliably the algorithm calculates the SR of dysarthric speech samples when compared with calculation performed by speech-language pathologists. Method: The new algorithm was trained and tested using Dutch…

  1. Speech Patterns and Racial Wage Inequality

    ERIC Educational Resources Information Center

    Grogger, Jeffrey

    2011-01-01

    Speech patterns differ substantially between whites and many African Americans. I collect and analyze speech data to understand the role that speech may play in explaining racial wage differences. Among blacks, speech patterns are highly correlated with measures of skill such as schooling and AFQT scores. They are also highly correlated with the…

  2. Speech Perception Outcomes after Cochlear Implantation in Children with GJB2/DFNB1 associated Deafness

    PubMed Central

    Davcheva-Chakar, Marina; Sukarova-Stefanovska, Emilija; Ivanovska, Valentina; Lazarevska, Vesna; Filipche, Ilija; Zafirovska, Beti

    2014-01-01

    Background: Cochlear implants (CI) for the rehabilitation of patients with profound or total bilateral sensorineural hypoacusis represent the initial use of electrical fields to provide audibility in cases where the use of sound amplifiers does not provide satisfactory results. Aims: To compare speech perception performance after cochlear implantation in children with connexin 26-associated deafness with that of a control group of children with deafness of unknown etiology. Study Design: Retrospective comparative study. Methods: During the period from 2006 to, cochlear implantation was performed on 26 children. Eighteen of these children had undergone genetic tests for mutation of the Gap Junction Protein Beta 2 (GJB2) gene. Bi-allelic GJB2 mutations were confirmed in 7 out of 18 examined children. In order to confirm whether genetic factors have influence on speech perception after cochlear implantation, we compared the post-implantation speech performance of seven children with mutations of the GBJ2 (connexin 26) gene with seven other children who had the wild type version of this particular gene. The latter were carefully matched according to the age at cochlear implantation. Speech perception performance was measured before cochlear implantation, and one and two years after implantation. All the patients were arranged in line with the appropriate speech perception category (SPC). Non-parametric tests, Friedman ANOVA and Mann-Whitney’s U test were used for statistical analysis. Results: Both groups showed similar improvements in speech perception scores after cochlear implantation. Statistical analysis did not confirm significant differences between the groups 12 and 24 months after cochlear implantation. Conclusion: The results obtained in this study showed an absence of apparent distinctions in the scores of speech perception between the two examined groups and therefore might have significant implications in selecting prognostic indicators of speech

  3. Metrical perception of trisyllabic speech rhythms.

    PubMed

    Benadon, Fernando

    2014-01-01

    The perception of duration-based syllabic rhythm was examined within a metrical framework. Participants assessed the duration patterns of four-syllable phrases set within the stress structure XxxX (an Abercrombian trisyllabic foot). Using on-screen sliders, participants created percussive sequences that imitated speech rhythms and analogous non-speech monotone rhythms. There was a tendency to equalize the interval durations for speech stimuli but not for non-speech. Despite the perceptual regularization of syllable durations, different speech phrases were conceived in various rhythmic configurations, pointing to a diversity of perceived meters in speech. In addition, imitations of speech stimuli showed more variability than those of non-speech. Rhythmically skilled listeners exhibited lower variability and were more consistent with vowel-centric estimates when assessing speech stimuli. These findings enable new connections between meter- and duration-based models of speech rhythm perception. PMID:23417710

  4. Pronunciation models for conversational speech

    NASA Astrophysics Data System (ADS)

    Johnson, Keith

    2005-09-01

    Using a pronunciation dictionary of clear speech citation forms a segment deletion rate of nearly 12% is found in a corpus of conversational speech. The number of apparent segment deletions can be reduced by constructing a pronunciation dictionary that records one or more of the actual pronunciations found in conversational speech; however, the resulting empirical pronunciation dictionary often fails to include the citation pronunciation form. Issues involved in selecting pronunciations for a dictionary for linguistic, psycholinguistic, and ASR research will be discussed. One conclusion is that Ladefoged may have been the wiser for avoiding the business of producing pronunciation dictionaries. [Supported by NIDCD Grant No. R01 DC04330-03.

  5. Speech recovery device

    DOEpatents

    Frankle, Christen M.

    2004-04-20

    There is provided an apparatus and method for assisting speech recovery in people with inability to speak due to aphasia, apraxia or another condition with similar effect. A hollow, rigid, thin-walled tube with semi-circular or semi-elliptical cut out shapes at each open end is positioned such that one end mates with the throat/voice box area of the neck of the assistor and the other end mates with the throat/voice box area of the assisted. The speaking person (assistor) makes sounds that produce standing wave vibrations at the same frequency in the vocal cords of the assisted person. Driving the assisted person's vocal cords with the assisted person being able to hear the correct tone enables the assisted person to speak by simply amplifying the vibration of membranes in their throat.

  6. Speech recovery device

    SciTech Connect

    Frankle, Christen M.

    2000-10-19

    There is provided an apparatus and method for assisting speech recovery in people with inability to speak due to aphasia, apraxia or another condition with similar effect. A hollow, rigid, thin-walled tube with semi-circular or semi-elliptical cut out shapes at each open end is positioned such that one end mates with the throat/voice box area of the neck of the assistor and the other end mates with the throat/voice box area of the assisted. The speaking person (assistor) makes sounds that produce standing wave vibrations at the same frequency in the vocal cords of the assisted person. Driving the assisted person's vocal cords with the assisted person being able to hear the correct tone enables the assisted person to speak by simply amplifying the vibration of membranes in their throat.

  7. Silog: Speech Input Logon

    NASA Astrophysics Data System (ADS)

    Grau, Sergio; Allen, Tony; Sherkat, Nasser

    Silog is a biometrie authentication system that extends the conventional PC logon process using voice verification. Users enter their ID and password using a conventional Windows logon procedure but then the biometrie authentication stage makes a Voice over IP (VoIP) call to a VoiceXML (VXML) server. User interaction with this speech-enabled component then allows the user's voice characteristics to be extracted as part of a simple user/system spoken dialogue. If the captured voice characteristics match those of a previously registered voice profile, then network access is granted. If no match is possible, then a potential unauthorised system access has been detected and the logon process is aborted.

  8. [Failures and tongue rehabilitation].

    PubMed

    Arnaud-Pellet, Noëlle

    2016-03-01

    When confronted with difficult-to-eradicate dysfunctions and parafunctions, speech therapy most often proves a reliable ally to control the functional environment of the dental arches. However, a number of factors ranging from psychological issues to anatomical ENT obstructions, from genetic anomalies to iatrogenic procedures, account for the occasional mixed results achieved using this approach. In addition, our own treatment results can also be jeopardized or even obliterated by a recalcitrant tongue or one which has been inadequately provided for. The author will analyze the different factors involved through a series of clinical cases in order to outline her thinking regarding this organ, which can be either a driving force behind our treatments or a force for destruction. PMID:27083229

  9. Rehabilitation of patients with glioma.

    PubMed

    Vargo, Mary; Henriksson, Roger; Salander, Pär

    2016-01-01

    Disabling sequelae occur in a majority of patients diagnosed with brain tumor, including glioma, such as cognitive deficits, weakness, and visual perceptual changes. Often, multiple impairments are present concurrently. Healthcare staff must be aware of the "biographic disruption" the patient with glioma has experienced. While prognostic considerations factor into rehabilitation goals and expectations, regardless of prognosis the treatment team must offer cohesive support, facilitating hope, function, and quality of life. Awareness of family and caregiver concerns plays an important role in the overall care. Inpatient rehabilitation, especially after surgical resection, has been shown to result in functional improvement and homegoing rates on a par with individuals with other neurologic conditions, such as stroke or traumatic brain injury. Community integration comprises a significant element of life satisfaction, as has been shown in childhood glioma survivors. Employment is often affected by the glioma diagnosis, but may be ameliorated, when appropriate, by addressing modifiable factors such as depression, fatigue, or sleep disturbance, or by workplace accommodations. Further research is needed into many facets of rehabilitation in the setting of glioma, including establishing better care models for consistently identifying and addressing functional limitations in this population, measuring outcomes of various levels of rehabilitation care, identifying optimal physical activity strategies, delineating the long-term effects of rehabilitation interventions, and exploring impact of rehabilitation interventions on caregiver burden. The effective elements of cognitive rehabilitation, including transition of cognitive strategies to everyday living, need to be better defined. PMID:26948361

  10. 38 CFR 21.283 - Rehabilitated.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    .... (Authority: 38 U.S.C. 3100) (c) Rehabilitation to the point of employability has been achieved. The veteran who has been found rehabilitated to the point of employability shall be declared rehabilitated if he... point of employability has not been completed. A veteran under a rehabilitation plan who...

  11. 24 CFR 578.45 - Rehabilitation.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Rehabilitation. 578.45 Section 578... Rehabilitation. (a) Use. Grant funds may be used to pay up to 100 percent of the cost of rehabilitation of... rehabilitation costs include installing cost-effective energy measures, and bringing an existing structure...

  12. 24 CFR 578.45 - Rehabilitation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Rehabilitation. 578.45 Section 578... Rehabilitation. (a) Use. Grant funds may be used to pay up to 100 percent of the cost of rehabilitation of... rehabilitation costs include installing cost-effective energy measures, and bringing an existing structure...

  13. Spirituality and Rehabilitation: A Focus Group Approach.

    ERIC Educational Resources Information Center

    York, Kenneth D.; Miller, Doreen M.; Duncan, Cecil

    The purpose of this study was to assess the rehabilitation counselor issues regarding the integration of spirituality into rehabilitation counseling. Rehabilitation counseling, from its inception, has espoused the concept of holism. The holistic approach to rehabilitation counseling recognizes the importance of working with the whole person, to…

  14. Client Motivation and Rehabilitation Counseling Outcome.

    ERIC Educational Resources Information Center

    Salomone, Paul R.

    This study investigates the relationship between client motivation or lack of motivation for vocational rehabilitation services, and rehabilitation outcome. Clients who had received services at a rehabilitation center during a two year period were rated on their level of motivation for rehabilitation services using the contents of diagnostic…

  15. Speech processing: An evolving technology

    SciTech Connect

    Crochiere, R.E.; Flanagan, J.L.

    1986-09-01

    As we enter the information age, speech processing is emerging as an important technology for making machines easier and more convenient for humans to use. It is both an old and a new technology - dating back to the invention of the telephone and forward, at least in aspirations, to the capabilities of HAL in 2001. Explosive advances in microelectronics now make it possible to implement economical real-time hardware for sophisticated speech processing - processing that formerly could be demonstrated only in simulations on main-frame computers. As a result, fundamentally new product concepts - as well as new features and functions in existing products - are becoming possible and are being explored in the marketplace. As the introductory piece to this issue, the authors draw a brief perspective on the evolving field of speech processing and assess the technology in the the three constituent sectors: speech coding, synthesis, and recognition.

  16. Speech in the Marxist State.

    ERIC Educational Resources Information Center

    McGuire, Michael; Berger, Lothar

    1979-01-01

    Describes the field of speech communication in East Germany with emphasis on the influence of the ideology of Marxism upon its nature and status in academic settings. Contrasts the East German system with the American. (JMF)

  17. Women's compliance with cardiac rehabilitation programs.

    PubMed

    Ginzel, A R

    1996-01-01

    As the incidence of cardiovascular disease in women increases, the process of cardiac rehabilitation in women is becoming increasingly important to nurses. Specifically, the issue of women's compliance with cardiac rehabilitation needs to be addressed by nurses. Most past and current research on cardiac rehabilitation and compliance with rehabilitation programs has been conducted on male subjects and cannot be accurately generalized to the female population. This article reviews current literature which addresses the issues of heart disease in women, cardiac rehabilitation and compliance in the general population, gender differences in cardiac rehabilitation, and compliance of women in cardiac rehabilitation. PMID:8657707

  18. Psychosomatic rehabilitation of elderly persons.

    PubMed

    Hutterer, I; Dénes, Z

    1975-03-01

    The psychosomatic rehabilitation of the elderly is an important task from both social and economic viewpoints. For psychic rehabilitation, moderate activity and the playing of games (such as chess, dominoes or cards) are recommended. Based on experiences with a group of 50 persons of the 70-90 age group., bridge playing is an especially desirable form of recreation. For somatic rehabilitation, physical exercise is a valuable aid, based on experiences with 338 partially disabled patients of the 51-81plus age group PMID:1112964

  19. Handbook: Sewer system infrastructure analysis and rehabilitation

    SciTech Connect

    Not Available

    1991-10-01

    The Handbook provides guidance on the evaluation and rehabilitation of existing sewers. It presents information on typical problems, procedures and methods for rehabilitation, case study information, budgetary costs, advantages and disadvantages of rehabilitation techniques, and application of these techniques and materials/equipment used in rehabilitation. It also guides the reader in understanding the importance of, and ways for, conducting the sewer system evaluation and identifying the rehabilitation procedure that best suits a particular problem.

  20. Effects of site-specific level adjustments on speech recognition with cochlear implants

    PubMed Central

    Zhou, Ning; Pfingst, Bryan E.

    2013-01-01

    Objectives Modulation detection thresholds (MDTs) vary across stimulation sites in a cochlear implant electrode array in a manner that is subject and ear specific. Previous studies have demonstrated that speech recognition with a cochlear implant can be improved by site-selection strategies, where selected stimulation sites with poor modulation sensitivity are removed from a subject’s processor MAP1. Limitations of site-selection strategies are that they can compromise spectral resolution and distort frequency-place mapping since the frequencies assigned to the removed sites are usually reallocated to other sites and site bandwidths are broadened. The objective of the current study was to test an alternative approach for rehabilitation that aimed at improving the across-site mean (ASM) MDTs by adjusting stimulation parameters at the poorly-performing sites. Based on previous findings that modulation detection contributes to speech recognition and improves significantly with stimulus level, we hypothesized that modulation sensitivity at the poor sites can be improved by artificially increasing stimulation levels at those sites in the speech processor, which then leads to improved speech recognition. Design Nine postlingually deafened ears implanted with Nucleus cochlear implants were evaluated for MDTs, absolute-detection threshold levels (T levels) and the maximum loudness levels (C levels) on each of the available stimulation sites. For each ear, the minimum stimulation level settings in the speech processor MAP were raised by 5%, and alternatively by 10%, of the dynamic range (DR) from true thresholds on 5 stimulation sites with the poorest MDTs. For comparison, a 5% level raise was globally applied to all stimulation sites. The C levels were fixed during these level manipulations. MDTs at the 5 poorest stimulation sites were compared at 20% DR before and after the level adjustments. Speech reception thresholds (SRTs), i.e., signal to noise ratios (SNRs

  1. Baha-mediated rehabilitation of patients with unilateral deafness: selection criteria.

    PubMed

    Saroul, N; Akkari, M; Pavier, Y; Gilain, L; Mom, T

    2014-01-01

    The aim of our study was to identify clinical criteria for optimizing rehabilitation of patients with unilateral deafness using the Baha device. We made a retrospective study of 102 patients with unilateral deafness requesting auditory rehabilitation over a period of 5 years. All subjects underwent a series of stereo audiometric tests, with and without Baha worn on a headband, and were then referred to a hearing care specialist for a real life trial of 15 days. The Glasgow Health Status Inventory (GHSI) questionnaire was administered. Patients refusing the implantation were retrospectively submitted to a questionnaire specifically designed to ask the reasons for refusal. We measured stereo audiometric test results, age, aetiology of deafness, duration of auditory deprivation on the rehabilitated ear, and GHSI score. At the conclusion of testing, the implantation rate was 29%. During preoperative testing, the improvement in understanding of speech-in-noise was 22 ± 11% for patients agreeing to the implantation versus 13 ± 11% for patients refusing the implantation. Age, aetiology of deafness and duration of auditory deprivation had no influence on the implantation decision. Speech-in-noise testing and aided stereo audiometric gain were the only two measures showing statistically significant differences between the groups agreeing to and refusing the implantation. There were multiple reasons for refusal of the implantation. Among these, the four principal reasons were: absence of perceived benefit during stereo audiometric testing (59%), requirement for surgery (35%), cost of the solution (44%), and aesthetics (41%). Hence, no other criteria except the preoperative improvement in understanding of speech-in-noise and the aided gain from Baha worn on a headband were found to be predictive of the patient's acceptance of surgical implantation of a bone-anchored implant/abutment for Baha. Speech-in-noise testing with and without Baha worn on a headband has a role to

  2. Spectrogram Analysis of Complete Dentures with Different Thickness and Palatal Rugae Materials on Speech Production

    PubMed Central

    Zaki Mahross, Hamada; Baroudi, Kusai

    2015-01-01

    Objective. To investigate the influence of reproduction of different thickness and palatal rugae materials on complete dentures speech using Computerized Speech Lab (CSL) (spectrogram). Materials and Methods. Three completely edentulous male patients (aged 50–60 years) were selected for reading a paragraph. Twelve upper dentures were constructed, four for each patient. The patients' speech groups were divided into five groups, Group I: patients without dentures; Group II: patients rehabilitated with conventional acrylic dentures; Group III: patients with conventional acrylic dentures with rugae reproduction; Group IV: patients with dentures with metallic framework of minimal thickness and direct ragged metallic palatal surface at rugae area; Group V: patients with dentures with palatal rugae constructed from resilient acrylic resin material with thickness less than conventional denture. Speech samples were recorded after insertion of each denture for groups using Computerized Speech Lab (CSL) (spectrogram). The sounds selected were lingopalatal /s/z/sh/t/d/ and /l/. Results. Group III produced high mean significant difference with /sh/t/ sound. For Group IV, the difference was noticed with /s/z/sh/t/ and /d/ sounds, while for Group V the difference was shown with /z/l/ sound (P < 0.05). Conclusion. It is recommended to reproduce the rugae area in complete denture because the phonetic quality of complete denture with rugae is superior to the conventional denture. PMID:25883655

  3. Cardiac Rehabilitation: Then and Now.

    ERIC Educational Resources Information Center

    Wilson, Philip K.

    1988-01-01

    As more and more patients survive a coronary event, the need for cardiac rehabilitation will increase. The author reviews the history and current status of this field and predicts what lies ahead. (JD)

  4. MedlinePlus: Pulmonary Rehabilitation

    MedlinePlus

    ... available Research Clinical Trials Journal Articles Resources Reference Desk Find an Expert For You Patient Handouts Summary Pulmonary rehabilitation (rehab) is a medically supervised program to help people who have chronic breathing problems, including COPD ( ...

  5. MedlinePlus: Cardiac Rehabilitation

    MedlinePlus

    ... available Research Clinical Trials Journal Articles Resources Reference Desk Find an Expert For You Patient Handouts Summary Cardiac rehabilitation (rehab) is a medically supervised program to help people who have A heart attack Angioplasty or ...

  6. Rehabilitation and the Veterans' Administration

    NASA Technical Reports Server (NTRS)

    Meister, F.

    1974-01-01

    The Veteran's Administration health care system provides prosthetic and sensory aids for the rehabilitation of neurologically handicapped veterans. Research and development centers include prosthetic clinic teams, orthopedic shops, restoration clinics, bioengineering services, orthotics, etc.

  7. The Certification of Rehabilitation Counselors

    ERIC Educational Resources Information Center

    Carnes, G. D.

    1971-01-01

    Report from the joint ARCA/NRCA Certification Committee on work for self certification of rehabilitation counselors followed by reactions by Richard Thoreson, Leonard Miller, and C. H. Patterson. (Author/CJ)

  8. [The rehabilitation of elderly amputees].

    PubMed

    Welraeds, D

    1998-06-01

    Rehabilitation of elderly amputees raises several issues. Taking into account that amputations are frequently performed in elderly patients, with vascular diseases, it seems relevant to ask whether it is preferable to perform an amputation and quickly rehabilitate the patient or to attempt revascularisation and save the patient's limb. The knowledge of the outcome of amputation is crucial for the choice of treatment. Therefore, we discuss limb amputation in old patients in terms of epidemiology, aetiology, functional characteristics, specific problems and results with regards to expectations. Types and characteristics of prostheses, as well as rehabilitation and cost-effectiveness are briefly discussed. It is concluded that amputation is a mutilating procedure which carries for the elderly a poor outcome in terms of rehabilitation. Consequently any surgical procedure that may spare the limb should be preferred. PMID:9697394

  9. Rehabilitation Counselor Certification: Moving Forward

    ERIC Educational Resources Information Center

    Saunders, Jodi L.; Barros-Bailey, Mary; Chapman, Cindy; Nunez, Patricia

    2009-01-01

    This article provides a brief history of the Commission on Rehabilitation Counselor Certification and presents recent changes and strategic goals for moving forward. Challenges and opportunities for the profession in relation to certification are also discussed. (Contains 3 tables.)

  10. Rehabilitation services for the Pacific.

    PubMed Central

    Fitzgerald, M H; Barker, J C

    1993-01-01

    The Pacific Basin Rehabilitation Research and Training Center was created to help meet the challenges of rehabilitating people in rural remote communities in the United States-associated Pacific. We describe the center, the special region it serves, some of its many programs, and some of the ways it is helping communities in this region provide services that are appropriate and sensitive to the culture, the environment, and the disability. PMID:8351905

  11. Rehabilitation using single stage implants

    PubMed Central

    Mohamed, Jumshad B.; Sudarsan, Sabitha; Arun, K. V.; Shivakumar, B.

    2009-01-01

    Implant related prosthesis has become an integral part of rehabilitation of edentulous areas. Single stage implant placement has become popular because of its ease of use and fairly predictable results. In this paper, we present a series of cases of single stage implants being used to rehabilitate different clinical situations. All the implants placed have been successfully restored and followed up for up to one year. PMID:20376239

  12. Neural pathways for visual speech perception

    PubMed Central

    Bernstein, Lynne E.; Liebenthal, Einat

    2014-01-01

    This paper examines the questions, what levels of speech can be perceived visually, and how is visual speech represented by the brain? Review of the literature leads to the conclusions that every level of psycholinguistic speech structure (i.e., phonetic features, phonemes, syllables, words, and prosody) can be perceived visually, although individuals differ in their abilities to do so; and that there are visual modality-specific representations of speech qua speech in higher-level vision brain areas. That is, the visual system represents the modal patterns of visual speech. The suggestion that the auditory speech pathway receives and represents visual speech is examined in light of neuroimaging evidence on the auditory speech pathways. We outline the generally agreed-upon organization of the visual ventral and dorsal pathways and examine several types of visual processing that might be related to speech through those pathways, specifically, face and body, orthography, and sign language processing. In this context, we examine the visual speech processing literature, which reveals widespread diverse patterns of activity in posterior temporal cortices in response to visual speech stimuli. We outline a model of the visual and auditory speech pathways and make several suggestions: (1) The visual perception of speech relies on visual pathway representations of speech qua speech. (2) A proposed site of these representations, the temporal visual speech area (TVSA) has been demonstrated in posterior temporal cortex, ventral and posterior to multisensory posterior superior temporal sulcus (pSTS). (3) Given that visual speech has dynamic and configural features, its representations in feedforward visual pathways are expected to integrate these features, possibly in TVSA. PMID:25520611

  13. Experimental comparison between speech transmission index, rapid speech transmission index, and speech intelligibility index.

    PubMed

    Larm, Petra; Hongisto, Valtteri

    2006-02-01

    During the acoustical design of, e.g., auditoria or open-plan offices, it is important to know how speech can be perceived in various parts of the room. Different objective methods have been developed to measure and predict speech intelligibility, and these have been extensively used in various spaces. In this study, two such methods were compared, the speech transmission index (STI) and the speech intelligibility index (SII). Also the simplification of the STI, the room acoustics speech transmission index (RASTI), was considered. These quantities are all based on determining an apparent speech-to-noise ratio on selected frequency bands and summing them using a specific weighting. For comparison, some data were needed on the possible differences of these methods resulting from the calculation scheme and also measuring equipment. Their prediction accuracy was also of interest. Measurements were made in a laboratory having adjustable noise level and absorption, and in a real auditorium. It was found that the measurement equipment, especially the selection of the loudspeaker, can greatly affect the accuracy of the results. The prediction accuracy of the RASTI was found acceptable, if the input values for the prediction are accurately known, even though the studied space was not ideally diffuse. PMID:16521772

  14. Global availability of cardiac rehabilitation.

    PubMed

    Turk-Adawi, Karam; Sarrafzadegan, Nizal; Grace, Sherry L

    2014-10-01

    Cardiovascular disease (CVD) is the most-prevalent noncommunicable disease and leading cause of death globally. Over 80% of deaths from CVD occur in low-income and middle-income countries (LMICs). To limit the socioeconomic impact of CVD, a comprehensive approach to health care is needed. Cardiac rehabilitation delivers a cost-effective and structured exercise, education, and risk reduction programme, which can reduce mortality by up to 25% in addition to improving a patient's functional capacity and lowering rehospitalization rates. Despite these benefits and recommendations in clinical practice guidelines, cardiac rehabilitation programmes are grossly under-used compared with revascularization or medical therapy for patients with CVD. Worldwide, only 38.8% of countries have cardiac rehabilitation programmes. Specifically, 68.0% of high-income and 23% of LMICs (8.3% for low-income and 28.2% for middle-income countries) offer cardiac rehabilitation programmes to patients with CVD. Cardiac rehabilitation density estimates range from one programme per 0.1 to 6.4 million inhabitants. Multilevel strategies to augment cardiac rehabilitation capacity and availability at national and international levels, such as supportive public health policies, systematic referral strategies, and alternative models of delivery are needed. PMID:25027487

  15. Neural Coding for Effective Rehabilitation

    PubMed Central

    2014-01-01

    Successful neurological rehabilitation depends on accurate diagnosis, effective treatment, and quantitative evaluation. Neural coding, a technology for interpretation of functional and structural information of the nervous system, has contributed to the advancements in neuroimaging, brain-machine interface (BMI), and design of training devices for rehabilitation purposes. In this review, we summarized the latest breakthroughs in neuroimaging from microscale to macroscale levels with potential diagnostic applications for rehabilitation. We also reviewed the achievements in electrocorticography (ECoG) coding with both animal models and human beings for BMI design, electromyography (EMG) interpretation for interaction with external robotic systems, and robot-assisted quantitative evaluation on the progress of rehabilitation programs. Future rehabilitation would be more home-based, automatic, and self-served by patients. Further investigations and breakthroughs are mainly needed in aspects of improving the computational efficiency in neuroimaging and multichannel ECoG by selection of localized neuroinformatics, validation of the effectiveness in BMI guided rehabilitation programs, and simplification of the system operation in training devices. PMID:25258708

  16. Sparse representation in speech signal processing

    NASA Astrophysics Data System (ADS)

    Lee, Te-Won; Jang, Gil-Jin; Kwon, Oh-Wook

    2003-11-01

    We review the sparse representation principle for processing speech signals. A transformation for encoding the speech signals is learned such that the resulting coefficients are as independent as possible. We use independent component analysis with an exponential prior to learn a statistical representation for speech signals. This representation leads to extremely sparse priors that can be used for encoding speech signals for a variety of purposes. We review applications of this method for speech feature extraction, automatic speech recognition and speaker identification. Furthermore, this method is also suited for tackling the difficult problem of separating two sounds given only a single microphone.

  17. Childhood and [re]habilitation: pragmatic political realities in the Colombian context.

    PubMed

    Pava-Ripoll, Nora Aneth; Granada-Echeverry, Patricia

    2016-01-01

    In this article, we outline some intersections between the concepts of childhood and [re] habilitation, which have undergone parallel development, especially since the 20th century. This complex interaction is mediated and constructed from scientific discourses that have consolidated around childhood. We emphasize this analysis from two perspectives: 1) academic positions that, from professions such as physical therapy, speech therapy, and occupational therapy, touch upon [re]habilitation in childhood and 2) public policy perspectives, which tend towards the creation of places to professionally practice [re]habilitation. A literature review driven by the question "What does it mean to [re]habilitate children in Colombia?" is cited in each section of this text, divided historically into 1) the rise of these [re]habilitative professions in Colombia, 2) the decade of the 1990s, marked by great changes through Colombian political reforms, and 3) the technological developments of the 21st century. We conclude that medical hegemony continues to guide the processes of [re]habilitation within a context that has changed and which imposes new challenges and requires new understanding and great conceptual and practical mobilization. PMID:26816171

  18. Rehabilitation of aphasia: application of melodic-rhythmic therapy to Italian language.

    PubMed

    Cortese, Maria Daniela; Riganello, Francesco; Arcuri, Francesco; Pignataro, Luigina Maria; Buglione, Iolanda

    2015-01-01

    Aphasia is a complex disorder, frequent after stroke (with an incidence of 38%), with a detailed pathophysiological characterization. Effective approaches are crucial for devising an efficient rehabilitative strategy, in order to address the everyday life and professional disability. Several rehabilitative procedures are based on psycholinguistic, cognitive, psychosocial or pragmatic approaches, including amongst those with a neurobehavioral approach the Melodic Intonation Therapy (MIT). Van Eeckhout's adaptation of MIT to French language (Melodic-Rhythmic Therapy: MRT) has implemented the training strategy by adding a rhythmic structure reproducing French prosody. The purpose of this study was to adapt MRT rehabilitation procedures to Italian language and to verify its efficacy in a group of six chronic patients (five males) with severe non-fluent aphasia and without specific aphasic treatments during the previous 9 months. The patients were treated 4 days a week for 16 weeks, with sessions of 30-40 min. They were assessed 6 months after the end of the treatment (follow-up). The patients showed a significant improvement at the Aachener Aphasie Test (AAT) in different fields of spontaneous speech, with superimposable results at the follow-up. Albeit preliminary, these findings support the use of MRT in the rehabilitation after stroke. Specifically, MRT seems to benefit from its stronger structure than the available stimulation-facilitation procedures and allows a better quantification of the rehabilitation efficacy. PMID:26441615

  19. Rehabilitation of aphasia: application of melodic-rhythmic therapy to Italian language

    PubMed Central

    Cortese, Maria Daniela; Riganello, Francesco; Arcuri, Francesco; Pignataro, Luigina Maria; Buglione, Iolanda

    2015-01-01

    Aphasia is a complex disorder, frequent after stroke (with an incidence of 38%), with a detailed pathophysiological characterization. Effective approaches are crucial for devising an efficient rehabilitative strategy, in order to address the everyday life and professional disability. Several rehabilitative procedures are based on psycholinguistic, cognitive, psychosocial or pragmatic approaches, including amongst those with a neurobehavioral approach the Melodic Intonation Therapy (MIT). Van Eeckhout’s adaptation of MIT to French language (Melodic-Rhythmic Therapy: MRT) has implemented the training strategy by adding a rhythmic structure reproducing French prosody. The purpose of this study was to adapt MRT rehabilitation procedures to Italian language and to verify its efficacy in a group of six chronic patients (five males) with severe non-fluent aphasia and without specific aphasic treatments during the previous 9 months. The patients were treated 4 days a week for 16 weeks, with sessions of 30–40 min. They were assessed 6 months after the end of the treatment (follow-up). The patients showed a significant improvement at the Aachener Aphasie Test (AAT) in different fields of spontaneous speech, with superimposable results at the follow-up. Albeit preliminary, these findings support the use of MRT in the rehabilitation after stroke. Specifically, MRT seems to benefit from its stronger structure than the available stimulation-facilitation procedures and allows a better quantification of the rehabilitation efficacy. PMID:26441615

  20. Speech prosody in cerebellar ataxia

    NASA Astrophysics Data System (ADS)

    Casper, Maureen

    The present study sought an acoustic signature for the speech disturbance recognized in cerebellar degeneration. Magnetic resonance imaging was used for a radiological rating of cerebellar involvement in six cerebellar ataxic dysarthric speakers. Acoustic measures of the [pap] syllables in contrastive prosodic conditions and of normal vs. brain-damaged patients were used to further our understanding both of the speech degeneration that accompanies cerebellar pathology and of speech motor control and movement in general. Pair-wise comparisons of the prosodic conditions within the normal group showed statistically significant differences for four prosodic contrasts. For three of the four contrasts analyzed, the normal speakers showed both longer durations and higher formant and fundamental frequency values in the more prominent first condition of the contrast. The acoustic measures of the normal prosodic contrast values were then used as a model to measure the degree of speech deterioration for individual cerebellar subjects. This estimate of speech deterioration as determined by individual differences between cerebellar and normal subjects' acoustic values of the four prosodic contrasts was used in correlation analyses with MRI ratings. Moderate correlations between speech deterioration and cerebellar atrophy were found in the measures of syllable duration and f0. A strong negative correlation was found for F1. Moreover, the normal model presented by these acoustic data allows for a description of the flexibility of task- oriented behavior in normal speech motor control. These data challenge spatio-temporal theory which explains movement as an artifact of time wherein longer durations predict more extreme movements and give further evidence for gestural internal dynamics of movement in which time emerges from articulatory events rather than dictating those events. This model provides a sensitive index of cerebellar pathology with quantitative acoustic

  1. Auditory rehabilitation of patients with neurofibromatosis Type 2 by using cochlear implants

    PubMed Central

    Roehm, Pamela C.; St. Clair, Jon Mallen; Jethanamest, Daniel; Golfinos, John G.; Shapiro, William; Waltzman, Susan; Roland, J. Thomas

    2013-01-01

    Object The aim of this study was to determine whether patients with neurofibromatosis Type 2 (NF2) who have intact ipsilateral cochlear nerves can have open-set speech discrimination following cochlear implantation. Methods Records of 7 patients with documented NF2 were reviewed to determine speech discrimination outcomes following cochlear implantation. Outcomes were measured using consonant-nucleus-consonant words and phonemes; Hearing in Noise Test sentences in quiet; and City University of New York sentences in quiet and in noise. Results Preoperatively, none of the patients had open-set speech discrimination. Five of the 7 patients had previously undergone excision of ipsilateral vestibular schwannoma (VS). One of the patients who received a cochlear implant had received radiation therapy for ipsilateral VS, and another was undergoing observation for a small ipsilateral VS. Following cochlear implantation, 4 of 7 patients with NF2 had open-set speech discrimination following cochlear implantation during extended follow-up (15–120 months). Two of the 3 patients without open-set speech understanding had a prolonged period between ipsilateral VS resection and cochlear implantation (120 and 132 months), and had cochlear ossification at the time of implantation. The other patient without open-set speech understanding had good contralateral hearing at the time of cochlear implantation. Despite these findings, 6 of the 7 patients were daily users of their cochlear implants, and the seventh is an occasional user, indicating that all of the patients subjectively gained some benefit from their implants. Conclusions Cochlear implantation can provide long-term auditory rehabilitation, with open-set speech discrimination for patients with NF2 who have intact ipsilateral cochlear nerves. Factors that can affect implant performance include the following: 1) a prolonged time between VS resection and implantation; and 2) cochlear ossification. PMID:21761973

  2. System and method for characterizing voiced excitations of speech and acoustic signals, removing acoustic noise from speech, and synthesizing speech

    DOEpatents

    Burnett, Greg C.; Holzrichter, John F.; Ng, Lawrence C.

    2004-03-23

    The present invention is a system and method for characterizing human (or animate) speech voiced excitation functions and acoustic signals, for removing unwanted acoustic noise which often occurs when a speaker uses a microphone in common environments, and for synthesizing personalized or modified human (or other animate) speech upon command from a controller. A low power EM sensor is used to detect the motions of windpipe tissues in the glottal region of the human speech system before, during, and after voiced speech is produced by a user. From these tissue motion measurements, a voiced excitation function can be derived. Further, the excitation function provides speech production information to enhance noise removal from human speech and it enables accurate transfer functions of speech to be obtained. Previously stored excitation and transfer functions can be used for synthesizing personalized or modified human speech. Configurations of EM sensor and acoustic microphone systems are described to enhance noise cancellation and to enable multiple articulator measurements.

  3. System and method for characterizing voiced excitations of speech and acoustic signals, removing acoustic noise from speech, and synthesizing speech

    DOEpatents

    Burnett, Greg C.; Holzrichter, John F.; Ng, Lawrence C.

    2006-02-14

    The present invention is a system and method for characterizing human (or animate) speech voiced excitation functions and acoustic signals, for removing unwanted acoustic noise which often occurs when a speaker uses a microphone in common environments, and for synthesizing personalized or modified human (or other animate) speech upon command from a controller. A low power EM sensor is used to detect the motions of windpipe tissues in the glottal region of the human speech system before, during, and after voiced speech is produced by a user. From these tissue motion measurements, a voiced excitation function can be derived. Further, the excitation function provides speech production information to enhance noise removal from human speech and it enables accurate transfer functions of speech to be obtained. Previously stored excitation and transfer functions can be used for synthesizing personalized or modified human speech. Configurations of EM sensor and acoustic microphone systems are described to enhance noise cancellation and to enable multiple articulator measurements.

  4. System and method for characterizing voiced excitations of speech and acoustic signals, removing acoustic noise from speech, and synthesizing speech

    DOEpatents

    Burnett, Greg C.; Holzrichter, John F.; Ng, Lawrence C.

    2006-08-08

    The present invention is a system and method for characterizing human (or animate) speech voiced excitation functions and acoustic signals, for removing unwanted acoustic noise which often occurs when a speaker uses a microphone in common environments, and for synthesizing personalized or modified human (or other animate) speech upon command from a controller. A low power EM sensor is used to detect the motions of windpipe tissues in the glottal region of the human speech system before, during, and after voiced speech is produced by a user. From these tissue motion measurements, a voiced excitation function can be derived. Further, the excitation function provides speech production information to enhance noise removal from human speech and it enables accurate transfer functions of speech to be obtained. Previously stored excitation and transfer functions can be used for synthesizing personalized or modified human speech. Configurations of EM sensor and acoustic microphone systems are described to enhance noise cancellation and to enable multiple articulator measurements.

  5. A new challenge for hydropower in Europe: Rehabilitation what to rehabilitate and when to rehabilitate

    SciTech Connect

    Denis, B.; Piron, V.

    1998-07-01

    Most of the hydropower plants today in operation in Europe were built between the beginning of the century and the sixties. Many of them need to be rehabilitated with the aim of extending their working life, increasing global efficiency and reducing operating and maintenance costs. The required rehabilitation could cover a large diversity of activities ranging from simple rewinding of a stator to the complete refurbishment of a scheme including replacement of all the electromechanical equipment in the plant or even refurbishment or raising of the dam. The main objectives of rehabilitation are generally relative to: Safety--particularly important for dams and appurtenant structures; Availability--limitation of chronic loss of potential output; Extending life-time--restore the equipment to a second life, practically equivalent to the initial life-time; Improvement of operating and maintenance conditions; Improvement of plant performance--increase efficiency or upgrading. The key issues for the owner of the plant are therefore what to rehabilitate and when to rehabilitate. To answer this question, a detailed feasibility study is necessary including expert evaluation with inspections and specific measurements, analysis of rehabilitation options, and economic study with a comparison of the benefits and costs of the various alternatives. The benefits are generally calculated from long term marginal costs (LRMC) for the power system in the country in question, simulating power station operation and optimizing generation to maximize benefits for each option. The costs shall take into account investment cost for each piece of rehabilitation equipment or structure and modification of operating costs due to the new operating and maintenance conditions. After the feasibility study, the owner should be in a position to choose the most appropriate rehabilitation project for his needs and requirements.

  6. Development and validation of Australian aphasia rehabilitation best practice statements using the RAND/UCLA appropriateness method

    PubMed Central

    Power, Emma; Thomas, Emma; Worrall, Linda; Rose, Miranda; Togher, Leanne; Nickels, Lyndsey; Hersh, Deborah; Godecke, Erin; O'Halloran, Robyn; Lamont, Sue; O'Connor, Claire; Clarke, Kim

    2015-01-01

    Objectives To develop and validate a national set of best practice statements for use in post-stroke aphasia rehabilitation. Design Literature review and statement validation using the RAND/UCLA Appropriateness Method (RAM). Participants A national Community of Practice of over 250 speech pathologists, researchers, consumers and policymakers developed a framework consisting of eight areas of care in aphasia rehabilitation. This framework provided the structure for the development of a care pathway containing aphasia rehabilitation best practice statements. Nine speech pathologists with expertise in aphasia rehabilitation participated in two rounds of RAND/UCLA appropriateness ratings of the statements. Panellists consisted of researchers, service managers, clinicians and policymakers. Main outcome measures Statements that achieved a high level of agreement and an overall median score of 7–9 on a nine-point scale were rated as ‘appropriate’. Results 74 best practice statements were extracted from the literature and rated across eight areas of care (eg, receiving the right referrals, providing intervention). At the end of Round 1, 71 of the 74 statements were rated as appropriate, no statements were rated as inappropriate, and three statements were rated as uncertain. All 74 statements were then rated again in the face-to-face second round. 16 statements were added through splitting existing items or adding new statements. Seven statements were deleted leaving 83 statements. Agreement was reached for 82 of the final 83 statements. Conclusions This national set of 82 best practice statements across eight care areas for the rehabilitation of people with aphasia is the first to be validated by an expert panel. These statements form a crucial component of the Australian Aphasia Rehabilitation Pathway (AARP) (http://www.aphasiapathway.com.au) and provide the basis for more consistent implementation of evidence-based practice in stroke rehabilitation. PMID:26137883

  7. Facial Reconstruction and Rehabilitation.

    PubMed

    Guntinas-Lichius, Orlando; Genther, Dane J; Byrne, Patrick J

    2016-01-01

    Extracranial infiltration of the facial nerve by salivary gland tumors is the most frequent cause of facial palsy secondary to malignancy. Nevertheless, facial palsy related to salivary gland cancer is uncommon. Therefore, reconstructive facial reanimation surgery is not a routine undertaking for most head and neck surgeons. The primary aims of facial reanimation are to restore tone, symmetry, and movement to the paralyzed face. Such restoration should improve the patient's objective motor function and subjective quality of life. The surgical procedures for facial reanimation rely heavily on long-established techniques, but many advances and improvements have been made in recent years. In the past, published experiences on strategies for optimizing functional outcomes in facial paralysis patients were primarily based on small case series and described a wide variety of surgical techniques. However, in the recent years, larger series have been published from high-volume centers with significant and specialized experience in surgical and nonsurgical reanimation of the paralyzed face that have informed modern treatment. This chapter reviews the most important diagnostic methods used for the evaluation of facial paralysis to optimize the planning of each individual's treatment and discusses surgical and nonsurgical techniques for facial rehabilitation based on the contemporary literature. PMID:27093062

  8. Pavement evaluation and rehabilitation

    SciTech Connect

    Ali, N.A.; Khosla, N.P.; Johnson, E.G.; Hicks, R.G.; Uzan, J.

    1987-01-01

    The 20 papers in this report deal with the following areas: determination of layer moduli using a falling weight deflectometer; evaluation of effect of uncrushed base layers on pavement performance; the effect of contact area shape and pressure distribution on multilayer systems response; sensitivity analysis of selected backcalculation procedures; performance of a full-scale pavement design experiment in Jamaica; subsealing and load-transfer restoration; development of a demonstration prototype expert system for concrete pavement evaluation; numerical assessment of pavement test sections; development of a distress index and rehabilitation criteria for continuously reinforced concrete pavements using discriminant analysis; a mechanistic model for thermally induced reflection cracking of portland cement concrete pavement with reinforced asphalt concrete overlay; New Mexico study of interlayers used in reflective crack control; status of the South Dakota profilometer; incorporating the effects of tread pattern in a dynamic tire excitation mechanism; external methods for evaluating shock absorbers for road-roughness measurements; factor analysis of pavement distresses for surface condition predictions; development of a utility evaluation for nondestructive-testing equipment used on asphalt-concrete pavements; estimating the life of asphalt overlays using long-term pavement performance data; present serviceability-roughness correlations using rating panel data; video image distress analysis technique for Idaho transportation department pavement-management system; acceptability of shock absorbers for road roughness-measuring trailers.

  9. TARGETED NEUROPLASTICITY FOR REHABILITATION

    PubMed Central

    Thompson, Aiko K.; Wolpaw, Jonathan R.

    2016-01-01

    An operant conditioning protocol that bases reward on the electromyographic (EMG) response produced by a specific CNS pathway can change that pathway. For example, in both animals and people, an operant conditioning protocol can increase or decrease the spinal stretch reflex or its electrical analog, the H-reflex. Reflex change is associated with plasticity in the pathway of the reflex as well as elsewhere in the spinal cord and brain. Because these pathways serve many different behaviors, the plasticity produced by this conditioning can change other behaviors. Thus, in animals or people with partial spinal cord injuries, appropriate reflex conditioning can improve locomotion. Furthermore, in people with spinal cord injuries, appropriate reflex conditioning can trigger widespread beneficial plasticity. This wider plasticity appears to reflect an iterative process through which the multiple behaviors in the individual’s repertoire negotiate the properties of the spinal neurons and synapses that they all use. Operant conditioning protocols are a promising new therapeutic method that could complement other rehabilitation methods and enhance functional recovery. Their successful use requires strict adherence to appropriately designed procedures, as well as close attention to accommodating and engaging the individual subject in the conditioning process. PMID:25890136

  10. Achilles tendon rupture rehabilitation

    PubMed Central

    Kearney, R. S.; Parsons, N.; Underwood, M.; Costa, M. L.

    2015-01-01

    Objectives The evidence base to inform the management of Achilles tendon rupture is sparse. The objectives of this research were to establish what current practice is in the United Kingdom and explore clinicians’ views on proposed further research in this area. This study was registered with the ISRCTN (ISRCTN68273773) as part of a larger programme of research. Methods We report an online survey of current practice in the United Kingdom, approved by the British Orthopaedic Foot and Ankle Society and completed by 181 of its members. A total of ten of these respondents were invited for a subsequent one-to-one interview to explore clinician views on proposed further research in this area. Results The survey showed wide variations in practice, with patients being managed in plaster cast alone (13%), plaster cast followed by orthoses management (68%), and orthoses alone (19%). Within these categories, further variation existed regarding the individual rehabilitation facets, such as the length of time worn, the foot position within them and weight-bearing status. The subsequent interviews reflected this clinical uncertainty and the pressing need for definitive research. Conclusions The gap in evidence in this area has resulted in practice in the United Kingdom becoming varied and based on individual opinion. Future high-quality randomised trials on this subject are supported by the clinical community. Cite this article: Bone Joint Res 2015;4:65–9 PMID:25868938

  11. Production and perception of clear speech

    NASA Astrophysics Data System (ADS)

    Bradlow, Ann R.

    2003-04-01

    When a talker believes that the listener is likely to have speech perception difficulties due to a hearing loss, background noise, or a different native language, she or he will typically adopt a clear speaking style. Previous research has established that, with a simple set of instructions to the talker, ``clear speech'' can be produced by most talkers under laboratory recording conditions. Furthermore, there is reliable evidence that adult listeners with either impaired or normal hearing typically find clear speech more intelligible than conversational speech. Since clear speech production involves listener-oriented articulatory adjustments, a careful examination of the acoustic-phonetic and perceptual consequences of the conversational-to-clear speech transformation can serve as an effective window into talker- and listener-related forces in speech communication. Furthermore, clear speech research has considerable potential for the development of speech enhancement techniques. After reviewing previous and current work on the acoustic properties of clear versus conversational speech, this talk will present recent data from a cross-linguistic study of vowel production in clear speech and a cross-population study of clear speech perception. Findings from these studies contribute to an evolving view of clear speech production and perception as reflecting both universal, auditory and language-specific, phonological contrast enhancement features.

  12. Contextual variability during speech-in-speech recognition

    PubMed Central

    Brouwer, Susanne; Bradlow, Ann R.

    2014-01-01

    This study examined the influence of background language variation on speech recognition. English listeners performed an English sentence recognition task in either “pure” background conditions in which all trials had either English or Dutch background babble or in mixed background conditions in which the background language varied across trials (i.e., a mix of English and Dutch or one of these background languages mixed with quiet trials). This design allowed the authors to compare performance on identical trials across pure and mixed conditions. The data reveal that speech-in-speech recognition is sensitive to contextual variation in terms of the target-background language (mis)match depending on the relative ease/difficulty of the test trials in relation to the surrounding trials. PMID:24993234

  13. Nonsensory factors in speech perception

    NASA Astrophysics Data System (ADS)

    Holt, Rachael F.; Carney, Arlene E.

    2001-05-01

    The nature of developmental differences was examined in a speech discrimination task, the change/no-change procedure, in which a varying number of speech stimuli are presented during a trial. Standard stimuli are followed by comparison stimuli that are identical to or acoustically different from the standard. Fourteen adults and 30 4- and 5-year-old children were tested with three speech contrast pairs at a variety of signal-to-noise ratios using various numbers of standard and comparison stimulus presentations. Adult speech discrimination performance followed the predictions of the multiple looks hypothesis [N. F. Viemeister and G. H. Wakefield, J. Acoust. Soc. Am. 90, 858-865 (1991)] there was an increase in d by a factor of 1.4 for a doubling in the number of standard and comparison stimulus presentations near d values of 1.0. For children, increasing the number of standard stimuli improved discrimination performance, whereas increasing the number of comparisons did not. The multiple looks hypothesis did not explain the children's data. They are explained more parsimoniously by the developmental weighting shift [Nittrouer et al., J. Acoust. Soc. Am. 101, 2253-2266 (1993)], which proposes that children attend to different aspects of speech stimuli from adults. [Work supported by NIDCD and ASHF.

  14. Rehabilitation Utilization following a Work-Related Traumatic Brain Injury: A Sex-Based Examination of Workers’ Compensation Claims in Victoria, Australia

    PubMed Central

    Guerriero, E. Niki; Smith, Peter M.; Stergiou-Kita, Mary; Colantonio, Angela

    2016-01-01

    Objectives To report on and examine differences in the use of four types of rehabilitation services (occupational therapy, physiotherapy, psychology, and speech therapy) by men and women following a work-related traumatic brain injury in Victoria, Australia; and to examine the importance of demographic, need, work-related and geographic factors in explaining these differences. Methods A retrospective cohort design was used to analyze 1786 work-related traumatic brain injury workers’ compensation claims lodged between 2004 and 2012 in Victoria, Australia. ZINB regressions were conducted for each type of rehabilitation service to examine the relationship between sex and rehabilitation use. Covariates included demographic, need-related, work-related, and geographic factors. Results Out of all claims (63% male, 37% female), 13% used occupational therapy, 23% used physiotherapy, 9% used psychology, and 2% used speech therapy at least once during the first year of service utilization. After controlling for demographic, need-related, work-related, and geographic factors, women were more likely to use physiotherapy compared to men. Men and women were equally likely to use occupational therapy and psychology services. The number of visits in the first year for each type of service did not differ between male and female users. Conclusions Our findings support a sex-based approach to studying rehabilitation utilization in work-related populations. Future research is needed to examine other factors associated with rehabilitation utilization and to determine the implications of different rehabilitation utilization patterns on health and return-to-work outcomes. PMID:26982491

  15. MENDING THE CHILD'S SPEECH. THE INSTRUCTOR HANDBOOK SERIES, NUMBER 325.

    ERIC Educational Resources Information Center

    GOLDBERG, EDITH B.

    THIS GUIDE FOR THE ELEMENTARY SCHOOL CLASSROOM TEACHER DISCUSSES HER ROLE IN A PROGRAM OF SPEECH THERAPY OR SPEECH IMPROVEMENT, WHETHER IN COOPERATION WITH A SPEECH THERAPIST OR ALONE. GOOD SPEECH AND DEFECTIVE SPEECH ARE DEFINED, AND ACTIVITIES TO ENCOURAGE SPEECH IN THE CLASSROOM ARE LISTED. SPECIFIC DIAGNOSTIC TECHNIQUES AND THERAPEUTIC…

  16. The Effect of Speech Rate on Stuttering Frequency, Phonated Intervals, Speech Effort, and Speech Naturalness during Chorus Reading

    ERIC Educational Resources Information Center

    Davidow, Jason H.; Ingham, Roger J.

    2013-01-01

    Purpose: This study examined the effect of speech rate on phonated intervals (PIs), in order to test whether a reduction in the frequency of short PIs is an important part of the fluency-inducing mechanism of chorus reading. The influence of speech rate on stuttering frequency, speaker-judged speech effort, and listener-judged naturalness was also…

  17. A causal test of the motor theory of speech perception: A case of impaired speech production and spared speech perception

    PubMed Central

    Stasenko, Alena; Bonn, Cory; Teghipco, Alex; Garcea, Frank E.; Sweet, Catherine; Dombovy, Mary; McDonough, Joyce; Mahon, Bradford Z.

    2015-01-01

    In the last decade, the debate about the causal role of the motor system in speech perception has been reignited by demonstrations that motor processes are engaged during the processing of speech sounds. However, the exact role of the motor system in auditory speech processing remains elusive. Here we evaluate which aspects of auditory speech processing are affected, and which are not, in a stroke patient with dysfunction of the speech motor system. The patient’s spontaneous speech was marked by frequent phonological/articulatory errors, and those errors were caused, at least in part, by motor-level impairments with speech production. We found that the patient showed a normal phonemic categorical boundary when discriminating two nonwords that differ by a minimal pair (e.g., ADA-AGA). However, using the same stimuli, the patient was unable to identify or label the nonword stimuli (using a button-press response). A control task showed that he could identify speech sounds by speaker gender, ruling out a general labeling impairment. These data suggest that the identification (i.e. labeling) of nonword speech sounds may involve the speech motor system, but that the perception of speech sounds (i.e., discrimination) does not require the motor system. This means that motor processes are not causally involved in perception of the speech signal, and suggest that the motor system may be used when other cues (e.g., meaning, context) are not available. PMID:25951749

  18. Determining the threshold for usable speech within co-channel speech with the SPHINX automated speech recognition system

    NASA Astrophysics Data System (ADS)

    Hicks, William T.; Yantorno, Robert E.

    2004-10-01

    Much research has been and is continuing to be done in the area of separating the original utterances of two speakers from co-channel speech. This is very important in the area of automated speech recognition (ASR), where the current state of technology is not nearly as accurate as human listeners when the speech is co-channel. It is desired to determine what types of speech (voiced, unvoiced, and silence) and at what target to interference ratio (TIR) two speakers can speak at the same time and not reduce speech intelligibility of the target speaker (referred to as usable speech). Knowing which segments of co-channel speech are usable in ASR can be used to improve the reconstruction of single speaker speech. Tests were performed using the SPHINX ASR software and the TIDIGITS database. It was found that interfering voiced speech with a TIR of 6 dB or greater (on a per frame basis) did not significantly reduce the intelligibility of the target speaker in co-channel speech. It was further found that interfering unvoiced speech with a TIR of 18 dB or greater (on a per frame basis) did not significantly reduce the intelligibility of the target speaker in co-channel speech.

  19. Perceived Liveliness and Speech Comprehensibility in Aphasia: The Effects of Direct Speech in Auditory Narratives

    ERIC Educational Resources Information Center

    Groenewold, Rimke; Bastiaanse, Roelien; Nickels, Lyndsey; Huiskes, Mike

    2014-01-01

    Background: Previous studies have shown that in semi-spontaneous speech, individuals with Broca's and anomic aphasia produce relatively many direct speech constructions. It has been claimed that in "healthy" communication direct speech constructions contribute to the liveliness, and indirectly to the comprehensibility, of speech.…

  20. Predicting Speech Intelligibility with a Multiple Speech Subsystems Approach in Children with Cerebral Palsy

    ERIC Educational Resources Information Center

    Lee, Jimin; Hustad, Katherine C.; Weismer, Gary

    2014-01-01

    Purpose: Speech acoustic characteristics of children with cerebral palsy (CP) were examined with a multiple speech subsystems approach; speech intelligibility was evaluated using a prediction model in which acoustic measures were selected to represent three speech subsystems. Method: Nine acoustic variables reflecting different subsystems, and…

  1. Speech Perception and Short-Term Memory Deficits in Persistent Developmental Speech Disorder

    ERIC Educational Resources Information Center

    Kenney, Mary Kay; Barac-Cikoja, Dragana; Finnegan, Kimberly; Jeffries, Neal; Ludlow, Christy L.

    2006-01-01

    Children with developmental speech disorders may have additional deficits in speech perception and/or short-term memory. To determine whether these are only transient developmental delays that can accompany the disorder in childhood or persist as part of the speech disorder, adults with a persistent familial speech disorder were tested on speech…

  2. The Role of Visual Speech Information in Supporting Perceptual Learning of Degraded Speech

    ERIC Educational Resources Information Center

    Wayne, Rachel V.; Johnsrude, Ingrid S.

    2012-01-01

    Following cochlear implantation, hearing-impaired listeners must adapt to speech as heard through their prosthesis. Visual speech information (VSI; the lip and facial movements of speech) is typically available in everyday conversation. Here, we investigate whether learning to understand a popular auditory simulation of speech as transduced by a…

  3. Speech Rate Acceptance Ranges as a Function of Evaluative Domain, Listener Speech Rate, and Communication Context.

    ERIC Educational Resources Information Center

    Street, Richard L., Jr.; Brady, Robert M.

    1982-01-01

    Speech rate appears to be an important communicative dimension upon which people evaluate the speech of others. Findings of this study indicate that speech rates at moderate through fast levels generated more favorable impressions of competence and social attractiveness than did slow speech. (PD)

  4. SPEECH THERAPY INTERVENTION IN MORBIDLY OBESE UNDERGOING FOBI-CAPELL GASTROPLASTY METHOD

    PubMed Central

    GONÇALVES, Rosa de Fátima Marques; ZIMBERG, Ethel

    2016-01-01

    Background : The rehabilitation of complications related to oral feeding, resulting from gastroplasty is the competence of the speech therapist, to intervene in mastication and swallowing functions, aiming at quality of life. Aim : Check in the postoperative period the efficiency of stimulation, independent judges in readiness for re-introduction of solid food in morbidly obese undergoing gastroplasty. Method : Cross-sectional study of descriptive and quantitative evaluated mastication and quality of life of 70 morbidly obese patients undergoing gastroplasty, and a group of 35 obese suffered speech therapy. Results : In the evaluation of mastication for group 1 (pre and post speech therapy), the results show that, except for the lack of chewing, the other variables, such as food court, type of mastication, mastication rhythm, jaw movements, bolus size, excessive mastication and fluid intake, demonstrate statistical insignificance. In evaluating the quality of life when compared groups 1 and 2, the results from the questionnaire on quality of life in dysphagia (SWAL-QoL - Quality of Life in Swallowing) total and 11 domains assessed in the questionnaire, were statistically significant. With these results, the group 2 presented unfavorable conditions for quality of life . Conclusion : The stimulation protocol, independent judges in readiness for re-introduction of solid food of these patients in the postoperative period, applied in these conditions of the study, was not the distinguishing factor of the rehabilitation process for the observed period. PMID:27120739

  5. Strength Is in Numbers: Can Concordant Artificial Listeners Improve Prediction of Emotion from Speech?

    PubMed

    Martinelli, Eugenio; Mencattini, Arianna; Daprati, Elena; Di Natale, Corrado

    2016-01-01

    Humans can communicate their emotions by modulating facial expressions or the tone of their voice. Albeit numerous applications exist that enable machines to read facial emotions and recognize the content of verbal messages, methods for speech emotion recognition are still in their infancy. Yet, fast and reliable applications for emotion recognition are the obvious advancement of present 'intelligent personal assistants', and may have countless applications in diagnostics, rehabilitation and research. Taking inspiration from the dynamics of human group decision-making, we devised a novel speech emotion recognition system that applies, for the first time, a semi-supervised prediction model based on consensus. Three tests were carried out to compare this algorithm with traditional approaches. Labeling performances relative to a public database of spontaneous speeches are reported. The novel system appears to be fast, robust and less computationally demanding than traditional methods, allowing for easier implementation in portable voice-analyzers (as used in rehabilitation, research, industry, etc.) and for applications in the research domain (such as real-time pairing of stimuli to participants' emotional state, selective/differential data collection based on emotional content, etc.). PMID:27563724

  6. Strength Is in Numbers: Can Concordant Artificial Listeners Improve Prediction of Emotion from Speech?

    PubMed Central

    Martinelli, Eugenio; Mencattini, Arianna; Di Natale, Corrado

    2016-01-01

    Humans can communicate their emotions by modulating facial expressions or the tone of their voice. Albeit numerous applications exist that enable machines to read facial emotions and recognize the content of verbal messages, methods for speech emotion recognition are still in their infancy. Yet, fast and reliable applications for emotion recognition are the obvious advancement of present ‘intelligent personal assistants’, and may have countless applications in diagnostics, rehabilitation and research. Taking inspiration from the dynamics of human group decision-making, we devised a novel speech emotion recognition system that applies, for the first time, a semi-supervised prediction model based on consensus. Three tests were carried out to compare this algorithm with traditional approaches. Labeling performances relative to a public database of spontaneous speeches are reported. The novel system appears to be fast, robust and less computationally demanding than traditional methods, allowing for easier implementation in portable voice-analyzers (as used in rehabilitation, research, industry, etc.) and for applications in the research domain (such as real-time pairing of stimuli to participants’ emotional state, selective/differential data collection based on emotional content, etc.). PMID:27563724

  7. President Kennedy's Speech at Rice University

    NASA Technical Reports Server (NTRS)

    1988-01-01

    This video tape presents unedited film footage of President John F. Kennedy's speech at Rice University, Houston, Texas, September 12, 1962. The speech expresses the commitment of the United States to landing an astronaut on the Moon.

  8. Speech perception and production in severe environments

    NASA Astrophysics Data System (ADS)

    Pisoni, David B.

    1990-09-01

    The goal was to acquire new knowledge about speech perception and production in severe environments such as high masking noise, increased cognitive load or sustained attentional demands. Changes were examined in speech production under these adverse conditions through acoustic analysis techniques. One set of studies focused on the effects of noise on speech production. The experiments in this group were designed to generate a database of speech obtained in noise and in quiet. A second set of experiments was designed to examine the effects of cognitive load on the acoustic-phonetic properties of speech. Talkers were required to carry out a demanding perceptual motor task while they read lists of test words. A final set of experiments explored the effects of vocal fatigue on the acoustic-phonetic properties of speech. Both cognitive load and vocal fatigue are present in many applications where speech recognition technology is used, yet their influence on speech production is poorly understood.

  9. On-Line Measurement of Aphasic Speech.

    ERIC Educational Resources Information Center

    Packman, Ann; Ingham, Roger J.

    1978-01-01

    The spontaneous speech of five aphasic Ss (47-70 years old) was rated on-line by four clinicians to test the reliability of seven response categories (devised for the concurrent evaluation of aphasic speech). (Author/PHR)

  10. Speech Recognition: Its Place in Business Education.

    ERIC Educational Resources Information Center

    Szul, Linda F.; Bouder, Michele

    2003-01-01

    Suggests uses of speech recognition devices in the classroom for students with disabilities. Compares speech recognition software packages and provides guidelines for selection and teaching. (Contains 14 references.) (SK)

  11. Speech and Language Problems in Children

    MedlinePlus

    Children vary in their development of speech and language skills. Health professionals have milestones for what's normal. ... it may be due to a speech or language disorder. Language disorders can mean that the child ...

  12. International Women's Day speech.

    PubMed

    Kazibwe, S W

    1993-01-01

    The objectives of the International Women's Day are: 1) to celebrate the struggle for women's rights in the economic, social, political, and cultural domain; 2) to reaffirm women's solidarity in the struggle for peace; 3) and to show what women have achieved. In 1988, Uganda's government of the National Resistance Movement created the Ministry of Women in Development. The period 1988-1990 was one of consultations, needs assessment, planning, and recruiting staff for the Ministry. From 1990 to 1993, measurable results have been achieved. The Ministry's gender concerns pertained to the sector policies of the Ministries of Agriculture, Animal Industry and Fisheries, Education, Health, Water, Energy, Minerals, and Environment Protection. Under the Umbrella Project for Women in Development, gender sensitization has been achieved with policy makers in ministries, at district level, and in the media. Gender issues have also been incorporated in the National Political School Curriculum. The Ministry has also trained a corps of 73 women trainers from 38 districts. The Ministry, with funding from DANIDA, collected women's views on the constitution through meetings and seminars in all the districts in the country. Recommendations were submitted in a consolidated report to the Constitution Commission. A pilot para-legal scheme is successfully being implemented in Kamuli district. A community-based pool of legal advisors has been developed. Legal matters that affect both women and men are undertaken at the community level. The economic emancipation of women is a crucial part of the Ministry's mandate. In conjunction with NGOs, pilot credit programs are being run in Mukono, Jinja, Mbale, and Kapchorwa districts. Cross-sectoral programs are in close collaboration with the rural water and sanitation program, the Northern Uganda rehabilitation program, and the integrated Basic Education Pilot Project to be implemented in 8 districts. PMID:12345405

  13. Hearing rehabilitation in Treacher Collins Syndrome with bone anchored hearing aid

    PubMed Central

    Polanski, José Fernando; Plawiak, Anna Clara; Ribas, Angela

    2015-01-01

    Objective: To describe a case of hearing rehabilitation with bone anchored hearing aid in a patient with Treacher Collins syndrome. Case description: 3 years old patient, male, with Treacher Collins syndrome and severe complications due to the syndrome, mostly related to the upper airway and hearing. He had bilateral atresia of external auditory canals, and malformation of the pinna. The initial hearing rehabilitation was with bone vibration arch, but there was poor acceptance due the discomfort caused by skull compression. It was prescribed a model of bone-anchored hearing aid, in soft band format. The results were evaluated through behavioral hearing tests and questionnaires Meaningful Use of Speech Scale (MUSS) and Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS). Comments: The patient had a higher acceptance of the bone-anchored hearing aid compared to the traditional bone vibration arch. Audiological tests and the speech and auditory skills assessments also showed better communication and hearing outcomes. The bone-anchored hearing aid is a good option in hearing rehabilitation in this syndrome. PMID:26298651

  14. Speech coding, reconstruction and recognition using acoustics and electromagnetic waves

    DOEpatents

    Holzrichter, J.F.; Ng, L.C.

    1998-03-17

    The use of EM radiation in conjunction with simultaneously recorded acoustic speech information enables a complete mathematical coding of acoustic speech. The methods include the forming of a feature vector for each pitch period of voiced speech and the forming of feature vectors for each time frame of unvoiced, as well as for combined voiced and unvoiced speech. The methods include how to deconvolve the speech excitation function from the acoustic speech output to describe the transfer function each time frame. The formation of feature vectors defining all acoustic speech units over well defined time frames can be used for purposes of speech coding, speech compression, speaker identification, language-of-speech identification, speech recognition, speech synthesis, speech translation, speech telephony, and speech teaching. 35 figs.

  15. Speech coding, reconstruction and recognition using acoustics and electromagnetic waves

    DOEpatents

    Holzrichter, John F.; Ng, Lawrence C.

    1998-01-01

    The use of EM radiation in conjunction with simultaneously recorded acoustic speech information enables a complete mathematical coding of acoustic speech. The methods include the forming of a feature vector for each pitch period of voiced speech and the forming of feature vectors for each time frame of unvoiced, as well as for combined voiced and unvoiced speech. The methods include how to deconvolve the speech excitation function from the acoustic speech output to describe the transfer function each time frame. The formation of feature vectors defining all acoustic speech units over well defined time frames can be used for purposes of speech coding, speech compression, speaker identification, language-of-speech identification, speech recognition, speech synthesis, speech translation, speech telephony, and speech teaching.

  16. Study of accent-based music speech protocol development for improving voice problems in stroke patients with mixed dysarthria.

    PubMed

    Kim, Soo Ji; Jo, Uiri

    2013-01-01

    Based on the anatomical and functional commonality between singing and speech, various types of musical elements have been employed in music therapy research for speech rehabilitation. This study was to develop an accent-based music speech protocol to address voice problems of stroke patients with mixed dysarthria. Subjects were 6 stroke patients with mixed dysarthria and they received individual music therapy sessions. Each session was conducted for 30 minutes and 12 sessions including pre- and post-test were administered for each patient. For examining the protocol efficacy, the measures of maximum phonation time (MPT), fundamental frequency (F0), average intensity (dB), jitter, shimmer, noise to harmonics ratio (NHR), and diadochokinesis (DDK) were compared between pre and post-test and analyzed with a paired sample t-test. The results showed that the measures of MPT, F0, dB, and sequential motion rates (SMR) were significantly increased after administering the protocol. Also, there were statistically significant differences in the measures of shimmer, and alternating motion rates (AMR) of the syllable /K$\\inve$/ between pre- and post-test. The results indicated that the accent-based music speech protocol may improve speech motor coordination including respiration, phonation, articulation, resonance, and prosody of patients with dysarthria. This suggests the possibility of utilizing the music speech protocol to maximize immediate treatment effects in the course of a long-term treatment for patients with dysarthria. PMID:23422471

  17. Auditory-visual speech perception and synchrony detection for speech and nonspeech signals

    PubMed Central

    Conrey, Brianna; Pisoni, David B.

    2012-01-01

    Previous research has identified a “synchrony window” of several hundred milliseconds over which auditory-visual (AV) asynchronies are not reliably perceived. Individual variability in the size of this AV synchrony window has been linked with variability in AV speech perception measures, but it was not clear whether AV speech perception measures are related to synchrony detection for speech only or for both speech and nonspeech signals. An experiment was conducted to investigate the relationship between measures of AV speech perception and AV synchrony detection for speech and nonspeech signals. Variability in AV synchrony detection for both speech and nonspeech signals was found to be related to variability in measures of auditory-only (A-only) and AV speech perception, suggesting that temporal processing for both speech and nonspeech signals must be taken into account in explaining variability in A-only and multisensory speech perception. PMID:16838548

  18. Creating engaging experiences for rehabilitation.

    PubMed

    McClusky, John F

    2008-01-01

    The traditional model of rehabilitation center design based on usability and function falls short of addressing the aspirations of those who use them. To better serve the motivational needs of both patients and therapists, we need to reconsider the gymnasium-inspired designs of current rehabilitation centers. Designers Patricia Moore and David Guynes have drawn inspiration from the everyday to create more engaging rehabilitation experiences with their Easy Street, Independence Square, Rehab 1-2-3, Our Town, and WorkSyms rehabilitation environments. Their designs simulate real-life situations to motivate patients by helping them connect their therapy to the life in which they aspire to return. Utilizing an empathic research process, Moore and Guynes build a deeper understanding of both patients' and therapists' values and apply that understanding to designs that are more directly connected to patients' aspirational goals while still meeting their functional rehabilitation needs. This same research-based design approach is utilized in all of their design work that has included, most recently, the design of the Phoenix Valley Transit Authority's Metro Light Rail Train. The train and stations have won awards for accessibility and will begin public operation in late 2008. PMID:18430671

  19. Making pulmonary rehabilitation a success in COPD.

    PubMed

    Bourbeau, J

    2010-01-01

    A truly successful pulmonary rehabilitation entails implementing physical activity maintenance. This article reviews the current knowledge on pulmonary rehabilitation and the expected benefits, the setting, the relationship between self-management and pulmonary rehabilitation, in order to develop and implement clinically-effective physical activity maintenance interventions. The effectiveness of pulmonary rehabilitation is well-established. However, access to pulmonary rehabilitation is limited. Home-based pulmonary rehabilitation has been shown to be an effective, equivalent alternative to outpatient pulmonary rehabilitation in COPD patients. The opportunity to offer different pulmonary rehabilitation settings tailored to individual needs should improve accessibility to this intervention. Sustained long-term physical activity remains the most important challenge for COPD patients. We need a dependable system of coordinated health care interventions and communication, and components that include self-management support. Self-management should be an integrated part of pulmonary rehabilitation and remain long after the pulmonary rehabilitation is completed. By early identification of patients who may have difficulty maintaining exercise and implementing appropriate self-management interventions during and after the rehabilitation program, it may be possible to promote better long-term involvement in physical activity. Pulmonary rehabilitation should not stand alone; the best program is that which can be maintained to translate into a continuous increase in the activities of daily living. Future research should evaluate the effect of self-management interventions combined with pulmonary rehabilitation to improve long-term activity and exercise maintenance. PMID:20809435

  20. Translational Vision Rehabilitation: From Eccentric Fixation to Reading Rehabilitation.

    PubMed

    Mishra, Anuradha; Jackson, Mary Lou

    2016-01-01

    Eccentric fixation is a commonly used adaptive strategy in patients with central vision loss. A common complaint in patients with central vision loss is reading difficulty. The mechanisms as to how and why eccentric fixation develops comprise an exciting area of research. As we better understand this phenomenon, we may apply these findings to the clinical setting and in particular to reading rehabilitation. Biofeedback is a new technique that can be applied to eccentric fixation and may have a role in reading rehabilitation. PMID:26959144

  1. The Mutual Intelligibility of L2 Speech

    ERIC Educational Resources Information Center

    Munro, Murray J.; Derwing, Tracey M.; Morton, Susan L.

    2006-01-01

    When understanding or evaluating foreign-accented speech, listeners are affected not only by properties of the speech itself but by their own linguistic backgrounds and their experience with different speech varieties. Given the latter influence, it is not known to what degree a diverse group of listeners might share a response to second language…

  2. Acoustics of Clear Speech: Effect of Instruction

    ERIC Educational Resources Information Center

    Lam, Jennifer; Tjaden, Kris; Wilding, Greg

    2012-01-01

    Purpose: This study investigated how different instructions for eliciting clear speech affected selected acoustic measures of speech. Method: Twelve speakers were audio-recorded reading 18 different sentences from the Assessment of Intelligibility of Dysarthric Speech (Yorkston & Beukelman, 1984). Sentences were produced in habitual, clear,…

  3. Audiovisual Asynchrony Detection in Human Speech

    ERIC Educational Resources Information Center

    Maier, Joost X.; Di Luca, Massimiliano; Noppeney, Uta

    2011-01-01

    Combining information from the visual and auditory senses can greatly enhance intelligibility of natural speech. Integration of audiovisual speech signals is robust even when temporal offsets are present between the component signals. In the present study, we characterized the temporal integration window for speech and nonspeech stimuli with…

  4. Characteristics of Speech Motor Development in Children.

    ERIC Educational Resources Information Center

    Ostry, David J.; And Others

    1984-01-01

    Pulsed ultrasound was used to study tongue movements in the speech of children from 3 to 11 years of age. Speech data attained were characteristic of systems that can be described by second-order differential equations. Relationships observed in these systems may indicate that speech control involves tonic and phasic muscle inputs. (Author/RH)

  5. Normal Aspects of Speech, Hearing, and Language.

    ERIC Educational Resources Information Center

    Minifie, Fred. D., Ed.; And Others

    This book is written as a guide to the understanding of the processes involved in human speech communication. Ten authorities contributed material to provide an introduction to the physiological aspects of speech production and reception, the acoustical aspects of speech production and transmission, the psychophysics of sound reception, the nature…

  6. Speech sounds alter facial skin sensation

    PubMed Central

    Ito, Takayuki

    2012-01-01

    Interactions between auditory and somatosensory information are relevant to the neural processing of speech since speech processes and certainly speech production involves both auditory information and inputs that arise from the muscles and tissues of the vocal tract. We previously demonstrated that somatosensory inputs associated with facial skin deformation alter the perceptual processing of speech sounds. We show here that the reverse is also true, that speech sounds alter the perception of facial somatosensory inputs. As a somatosensory task, we used a robotic device to create patterns of facial skin deformation that would normally accompany speech production. We found that the perception of the facial skin deformation was altered by speech sounds in a manner that reflects the way in which auditory and somatosensory effects are linked in speech production. The modulation of orofacial somatosensory processing by auditory inputs was specific to speech and likewise to facial skin deformation. Somatosensory judgments were not affected when the skin deformation was delivered to the forearm or palm or when the facial skin deformation accompanied nonspeech sounds. The perceptual modulation that we observed in conjunction with speech sounds shows that speech sounds specifically affect neural processing in the facial somatosensory system and suggest the involvement of the somatosensory system in both the production and perceptual processing of speech. PMID:22013241

  7. Freedom of Speech as an Academic Discipline.

    ERIC Educational Resources Information Center

    Haiman, Franklyn S.

    Since its formation, the Speech Communication Association's Committee on Freedom of Speech has played a critical leadership role in course offerings, research efforts, and regional activities in freedom of speech. Areas in which research has been done and in which further research should be carried out include: historical-critical research, in…

  8. Cognitive Functions in Childhood Apraxia of Speech

    ERIC Educational Resources Information Center

    Nijland, Lian; Terband, Hayo; Maassen, Ben

    2015-01-01

    Purpose: Childhood apraxia of speech (CAS) is diagnosed on the basis of specific speech characteristics, in the absence of problems in hearing, intelligence, and language comprehension. This does not preclude the possibility that children with this speech disorder might demonstrate additional problems. Method: Cognitive functions were investigated…

  9. The Dynamic Nature of Speech Perception

    ERIC Educational Resources Information Center

    McQueen, James M.; Norris, Dennis; Cutler, Anne

    2006-01-01

    The speech perception system must be flexible in responding to the variability in speech sounds caused by differences among speakers and by language change over the lifespan of the listener. Indeed, listeners use lexical knowledge to retune perception of novel speech (Norris, McQueen, & Cutler, 2003). In that study, Dutch listeners made lexical…

  10. Speech Synthesis Applied to Language Teaching.

    ERIC Educational Resources Information Center

    Sherwood, Bruce

    1981-01-01

    The experimental addition of speech output to computer-based Esperanto lessons using speech synthesized from text is described. Because of Esperanto's phonetic spelling and simple rhythm, it is particularly easy to describe the mechanisms of Esperanto synthesis. Attention is directed to how the text-to-speech conversion is performed and the ways…

  11. Communicating by Language: The Speech Process.

    ERIC Educational Resources Information Center

    House, Arthur S., Ed.

    This document reports on a conference focused on speech problems. The main objective of these discussions was to facilitate a deeper understanding of human communication through interaction of conference participants with colleagues in other disciplines. Topics discussed included speech production, feedback, speech perception, and development of…

  12. SPEECH DURATIONS OF ASTRONAUT AND GROUND COMMUNICATOR.

    PubMed

    MATARAZZO, J D; WIENS, A N; SASLOW, G; DUNHAM, R M; VOAS, R B

    1964-01-10

    Laboratory studies suggest that an interviewer can influence the speech duration of an interviewee by modifications in his own speech duration. What appears to be a related association between the speech duration of communicators on the ground and an astronaut in orbital flight was found. PMID:14075727

  13. Campus Speech Codes Said to Violate Rights

    ERIC Educational Resources Information Center

    Lipka, Sara

    2007-01-01

    Most college and university speech codes would not survive a legal challenge, according to a report released in December by the Foundation for Individual Rights in Education, a watchdog group for free speech on campuses. The report labeled many speech codes as overly broad or vague, and cited examples such as Furman University's prohibition of…

  14. Hate Speech on Campus: A Practical Approach.

    ERIC Educational Resources Information Center

    Hogan, Patrick

    1997-01-01

    Looks at arguments concerning hate speech and speech codes on college campuses, arguing that speech codes are likely to be of limited value in achieving civil rights objectives, and that there are alternatives less harmful to civil liberties and more successful in promoting civil rights. Identifies specific goals, and considers how restriction of…

  15. Liberalism, Speech Codes, and Related Problems.

    ERIC Educational Resources Information Center

    Sunstein, Cass R.

    1993-01-01

    It is argued that universities are pervasively and necessarily engaged in regulation of speech, which complicates many existing claims about hate speech codes on campus. The ultimate test is whether the restriction on speech is a legitimate part of the institution's mission, commitment to liberal education. (MSE)

  16. DEVELOPMENT AND DISORDERS OF SPEECH IN CHILDHOOD.

    ERIC Educational Resources Information Center

    KARLIN, ISAAC W.; AND OTHERS

    THE GROWTH, DEVELOPMENT, AND ABNORMALITIES OF SPEECH IN CHILDHOOD ARE DESCRIBED IN THIS TEXT DESIGNED FOR PEDIATRICIANS, PSYCHOLOGISTS, EDUCATORS, MEDICAL STUDENTS, THERAPISTS, PATHOLOGISTS, AND PARENTS. THE NORMAL DEVELOPMENT OF SPEECH AND LANGUAGE IS DISCUSSED, INCLUDING THEORIES ON THE ORIGIN OF SPEECH IN MAN AND FACTORS INFLUENCING THE NORMAL…

  17. Syllable Structure in Dysfunctional Portuguese Children's Speech

    ERIC Educational Resources Information Center

    Candeias, Sara; Perdigao, Fernando

    2010-01-01

    The goal of this work is to investigate whether children with speech dysfunctions (SD) show a deficit in planning some Portuguese syllable structures (PSS) in continuous speech production. Knowledge of which aspects of speech production are affected by SD is necessary for efficient improvement in the therapy techniques. The case-study is focused…

  18. Vygotskian Inner Speech and the Reading Process

    ERIC Educational Resources Information Center

    Ehrich, J. F.

    2006-01-01

    There is a paucity of Vygotskian influenced inner speech research in relation to the reading process. Those few studies which have examined Vygotskian inner speech from a reading perspective tend to support the notion that inner speech is an important covert function that is crucial to the reading process and to reading acquisition in general.…

  19. Interventions for Speech Sound Disorders in Children

    ERIC Educational Resources Information Center

    Williams, A. Lynn, Ed.; McLeod, Sharynne, Ed.; McCauley, Rebecca J., Ed.

    2010-01-01

    With detailed discussion and invaluable video footage of 23 treatment interventions for speech sound disorders (SSDs) in children, this textbook and DVD set should be part of every speech-language pathologist's professional preparation. Focusing on children with functional or motor-based speech disorders from early childhood through the early…

  20. The Varieties of Speech to Young Children

    ERIC Educational Resources Information Center

    Huttenlocher, Janellen; Vasilyeva, Marina; Waterfall, Heidi R.; Vevea, Jack L.; Hedges, Larry V.

    2007-01-01

    This article examines caregiver speech to young children. The authors obtained several measures of the speech used to children during early language development (14-30 months). For all measures, they found substantial variation across individuals and subgroups. Speech patterns vary with caregiver education, and the differences are maintained over…

  1. Speech Perception in Individuals with Auditory Neuropathy

    ERIC Educational Resources Information Center

    Zeng, Fan-Gang; Liu, Sheng

    2006-01-01

    Purpose: Speech perception in participants with auditory neuropathy (AN) was systematically studied to answer the following 2 questions: Does noise present a particular problem for people with AN: Can clear speech and cochlear implants alleviate this problem? Method: The researchers evaluated the advantage in intelligibility of clear speech over…

  2. Speech and Hearing Science, Anatomy and Physiology.

    ERIC Educational Resources Information Center

    Zemlin, Willard R.

    Written for those interested in speech pathology and audiology, the text presents the anatomical, physiological, and neurological bases for speech and hearing. Anatomical nomenclature used in the speech and hearing sciences is introduced and the breathing mechanism is defined and discussed in terms of the respiratory passage, the framework and…

  3. Hate Speech and the First Amendment.

    ERIC Educational Resources Information Center

    Rainey, Susan J.; Kinsler, Waren S.; Kannarr, Tina L.; Reaves, Asa E.

    This document is comprised of California state statutes, federal legislation, and court litigation pertaining to hate speech and the First Amendment. The document provides an overview of California education code sections relating to the regulation of speech; basic principles of the First Amendment; government efforts to regulate hate speech,…

  4. Auditory models for speech analysis

    NASA Astrophysics Data System (ADS)

    Maybury, Mark T.

    This paper reviews the psychophysical basis for auditory models and discusses their application to automatic speech recognition. First an overview of the human auditory system is presented, followed by a review of current knowledge gleaned from neurological and psychoacoustic experimentation. Next, a general framework describes established peripheral auditory models which are based on well-understood properties of the peripheral auditory system. This is followed by a discussion of current enhancements to that models to include nonlinearities and synchrony information as well as other higher auditory functions. Finally, the initial performance of auditory models in the task of speech recognition is examined and additional applications are mentioned.

  5. Research in continuous speech recognition

    NASA Astrophysics Data System (ADS)

    Schwartz, R. M.; Chow, Y. L.; Makhoul, J.

    1983-12-01

    This annual report describes the work performed during the past year in an ongoing effort to design and implement a system that performs phonetic recognition of continuous speech. The general approach used it to develop a Hidden Markov Model (HMM) of speech parameter movements, which can be used to distinguish among the different phonemes. The resulting phoneme models incorporate the contextural effects of neighboring phonemes. One main aspect of this research is to incorporate both spectral parameters and acoustic-phonetic features into the HMM formalism.

  6. Speech entrainment enables patients with Broca's aphasia to produce fluent speech.

    PubMed

    Fridriksson, Julius; Hubbard, H Isabel; Hudspeth, Sarah Grace; Holland, Audrey L; Bonilha, Leonardo; Fromm, Davida; Rorden, Chris

    2012-12-01

    A distinguishing feature of Broca's aphasia is non-fluent halting speech typically involving one to three words per utterance. Yet, despite such profound impairments, some patients can mimic audio-visual speech stimuli enabling them to produce fluent speech in real time. We call this effect 'speech entrainment' and reveal its neural mechanism as well as explore its usefulness as a treatment for speech production in Broca's aphasia. In Experiment 1, 13 patients with Broca's aphasia were tested in three conditions: (i) speech entrainment with audio-visual feedback where they attempted to mimic a speaker whose mouth was seen on an iPod screen; (ii) speech entrainment with audio-only feedback where patients mimicked heard speech; and (iii) spontaneous speech where patients spoke freely about assigned topics. The patients produced a greater variety of words using audio-visual feedback compared with audio-only feedback and spontaneous speech. No difference was found between audio-only feedback and spontaneous speech. In Experiment 2, 10 of the 13 patients included in Experiment 1 and 20 control subjects underwent functional magnetic resonance imaging to determine the neural mechanism that supports speech entrainment. Group results with patients and controls revealed greater bilateral cortical activation for speech produced during speech entrainment compared with spontaneous speech at the junction of the anterior insula and Brodmann area 47, in Brodmann area 37, and unilaterally in the left middle temporal gyrus and the dorsal portion of Broca's area. Probabilistic white matter tracts constructed for these regions in the normal subjects revealed a structural network connected via the corpus callosum and ventral fibres through the extreme capsule. Unilateral areas were connected via the arcuate fasciculus. In Experiment 3, all patients included in Experiment 1 participated in a 6-week treatment phase using speech entrainment to improve speech production. Behavioural and

  7. Relationship between Speech Intelligibility and Speech Comprehension in Babble Noise

    ERIC Educational Resources Information Center

    Fontan, Lionel; Tardieu, Julien; Gaillard, Pascal; Woisard, Virginie; Ruiz, Robert

    2015-01-01

    Purpose: The authors investigated the relationship between the intelligibility and comprehension of speech presented in babble noise. Method: Forty participants listened to French imperative sentences (commands for moving objects) in a multitalker babble background for which intensity was experimentally controlled. Participants were instructed to…

  8. Perception of Speech Reflects Optimal Use of Probabilistic Speech Cues

    ERIC Educational Resources Information Center

    Clayards, Meghan; Tanenhaus, Michael K.; Aslin, Richard N.; Jacobs, Robert A.

    2008-01-01

    Listeners are exquisitely sensitive to fine-grained acoustic detail within phonetic categories for sounds and words. Here we show that this sensitivity is optimal given the probabilistic nature of speech cues. We manipulated the probability distribution of one probabilistic cue, voice onset time (VOT), which differentiates word initial labial…

  9. Speech Perception in Children with Speech Output Disorders

    ERIC Educational Resources Information Center

    Nijland, Lian

    2009-01-01

    Research in the field of speech production pathology is dominated by describing deficits in output. However, perceptual problems might underlie, precede, or interact with production disorders. The present study hypothesizes that the level of the production disorders is linked to level of perception disorders, thus lower-order production problems…

  10. Speech Priming: Evidence for Rate Persistence in Unscripted Speech

    ERIC Educational Resources Information Center

    Jungers, Melissa K.; Hupp, Julie M.

    2009-01-01

    Previous research has shown evidence for priming of rate in scripted speech. Two experiments examined the persistence of rate in production of unscripted picture descriptions. In Experiment 1, speakers heard and repeated priming sentences presented at a fast or slow rate and in a passive or active form. Speakers then described a new picture. The…

  11. Functional outcomes and reevaluation of esophageal speech after free jejunal transfer in two hundred thirty-six cases.

    PubMed

    Yasumura, Tsuneo; Sakuraba, Minoru; Kimata, Yoshihiro; Nakatsuka, Takashi; Hayashi, Ryuichi; Ebihara, Satoshi; Hata, Yuiro

    2009-01-01

    Swallowing and communication are occasionally impaired after free jejunal transfer. Here, the relationship between surgical procedure and functional outcome was analyzed in 236 patients undergoing free jejunal transfer after total laryngopharyngectomy from 1992 through 2003. Swallowing and communication functions were also investigated with a questionnaire in 40 long-surviving patients. Although oral feeding could be resumed after surgery in most patients, anastomotic stricture and nasal regurgitation occurred in 12.7% and 29.7% of patients, respectively. Use of our standardized procedure, the tensed jejunal method, significantly reduced the incidence of stricture (P < 0.01) but increased the rate of nasal regurgitation; however, in most cases regurgitation gradually resolved. Of the 40 long-surviving patients, 17 attended a speech rehabilitation program at which 12 learned to perform esophageal speech without voice restoration procedures (11 of the 12 had received a tensed jejunal graft). Our standardized procedure helps prevent strictures and encourages esophageal speech. PMID:19131720

  12. Rehabilitation Counseling in Transition Planning and Preparation.

    ERIC Educational Resources Information Center

    Szymanski, Edna Mora; King, John

    1989-01-01

    The article addresses the role of rehabilitation counselors in special education transition programs for students with disabilities. It contends that the special training of rehabilitation counselors prepares them to coordinate existing school and community resources into effective transition programs. (DB)

  13. Skilled nursing and rehabilitation facilities - choosing

    MedlinePlus

    ... page: //medlineplus.gov/ency/patientinstructions/000436.htm Skilled nursing and rehabilitation facilities - choosing To use the sharing ... you may need to go to a skilled nursing or rehabilitation facility . Skilled nursing facilities provide care ...

  14. In-Service Training for Rehabilitation Secretaries

    ERIC Educational Resources Information Center

    Emener, William G., Jr.; Pankowski, Joseph M.

    1978-01-01

    Describes a training program which operationalized the assertion that when identifiable, necessary, and specific training is not available for rehabilitation personnel, their employers have an obligation to provide it for them. This training was provided specifically for rehabilitation secretaries. (Author)

  15. What Are Some Types of Rehabilitative Technologies

    MedlinePlus

    ... and Publications What are some types of rehabilitative technologies? Skip sharing on social media links Share this: Page Content Rehabilitative technologies are any technologies that help people recover function ...

  16. Prerequisites for Computer-Aided Cognitive Rehabilitation.

    ERIC Educational Resources Information Center

    Legrand, Colette

    1989-01-01

    This paper describes computer-aided cognitive rehabilitation for mentally deficient persons. It lists motor, cognitive, emotional, and educational prerequisites to such rehabilitation and states advantages and disadvantages in using the prerequisites. (JDD)

  17. Stroke Rehabilitation: What Research is Being Done?

    MedlinePlus

    ... this page please turn Javascript on. Feature: Stroke Rehabilitation What Research is Being Done? Past Issues / Spring ... of Contents To Find Out More MedlinePlus: Stroke Rehabilitation medlineplus.gov/strokerehabilitation.html National Institute of Neurological ...

  18. Vocational Rehabilitation: Outlook for Persons with Cancer

    ERIC Educational Resources Information Center

    Goldberg, Richard T.

    1977-01-01

    Incidence, treatment methods, psychological rehabilitation, and vocational rehabilitation considerations are reviewed for cancer of the head and neck, cancer of the digestive organs, breast cancer, lymphomas, and cancer of the genital organs. (CL)

  19. Rehabilitation Counseling with the Visually Impaired.

    ERIC Educational Resources Information Center

    Vander Kolk, Charles J.

    1983-01-01

    Guidelines for rehabilitation counselors working with legally blind individuals focus on approaches to overcome mobility and communication barriers, socialization training, understanding social and self perceptions, rehabilitation assessment and planning, and techniques useful to field and facility counselors. (CL)

  20. Stroke rehabilitation and discharge planning.

    PubMed

    Kerr, Peter

    Nurses play a pivotal role in the rehabilitation and discharge planning process of patients who have had a stroke. The nurse's role in the wider stroke multidisciplinary team is complex and diverse and, as such, stroke nurses may find it hard to describe their role and how it fits into the rehabilitation and discharge planning process. A definition of the stroke nurse role in prominent publications such as those of the Scottish Intercollegiate Guidelines Network and the Royal College of Physicians is lacking. This article emphasises the role of the stroke nurse in the rehabilitation and discharge planning process in the stroke unit, while highlighting the complexity, diversity and importance of this role in providing holistic care and support for patients who have survived a stroke. The author draws on his clinical experience of stroke nursing practice in primary, secondary and tertiary care in west central Scotland. PMID:23082362

  1. Geotechnical practice in dam rehabilitation

    SciTech Connect

    Anderson, L.R.

    1993-01-01

    This proceedings, Geotechnical Practice in Dam Rehabilitation, consists of papers presented at the Specialty Conference sponsored by the Geotechnical Engineering Division of the American Society of Civil Engineers held in Raleigh, North Carolina, April 25-28, 1993. The conference provided a forum for the discussion of the rehabilitation of dams, including case histories and current geotechnical practice. The topics covered by this proceeding include: (1) inspection and monitoring of dams; (2) investigation and evaluation of dams and foundations; (3) risk and reliability assessment; (4) increasing reservoir capacity, spillway modifications and overtopping; (5) seepage control; (6) improving stability of dams, foundations and reservoir slopes; (7) rehabilitation for seismic stability; and (8) geosynthetics and ground improvement techniques.

  2. Rehabilitation of mentally ill women

    PubMed Central

    Chatterjee, Rajni; Hashim, Uzma

    2015-01-01

    Women, the fair sex, are principal providers of care and support to families. But, they are considered to be the weaker sex and one of the most powerless and marginalized sections of our society. The provision of Rehabilitation for mentally ill women has been, and still is, one of the major challenges for mental health systems reform in the last decades, for various reasons. The present paper discusses the global and Indian scenario of rehabilitation of mentally ill women and goes on to detail the contribution of the state and voluntary agencies in this regard. It explores the need of recovery, multilayered strategy of Rehabilitation services and the availability of present services. The stigma attached and legal defects which interfere in good quality of life for the mentally ill women are reviewed. Strategies for changes in future are recommended. PMID:26330653

  3. [Drug rehabilitation in stroke patients].

    PubMed

    Skoromets, A A; Koval'chuk, V V

    2007-01-01

    An influence of different drugs on functional rehabilitation in post-stroke patients has been studied. We tested for efficacy medications with nootropic, metabolic and antioxidative activity as well as pathogenetic and symptomatic remedies for differential therapy of ischemic and haemorrhagic stroke (IS, HS). We analyzed 1920 stroke patients, including 1520 with IS and 400 with HS. The functional rehabilitation depending on different drugs was followed up 1 year after stroke using Barthel, Lindmark and Scandinavian scales for stroke. Moreover, we suggested a coefficient for calculating of drug efficacy. The results of the study revealed that the use of some traditional drugs was not well founded. The most efficient medications in the treatment of IS proved to be actovegin, instenon, berlition, rheopolyglucin and gliatilin. The beneficial effect on rehabilitation of patients with HS was found only for actovegin. PMID:18379517

  4. Rehabilitation of the arthrofibrotic knee.

    PubMed

    Millett, Peter J; Johnson, Burt; Carlson, Jeff; Krishnan, Sumant; Steadman, J Richard

    2003-11-01

    This paper describes the postoperative rehabilitation of the arthrofibrotic knee, with specific emphasis on modern rehabilitation techniques. The significance of prevention and early recognition is discussed. The importance of early motion and patellar mobility is emphasized and specific exercises to prevent and treat stiffness are described. Continuous passive motion, bracing, and exercise--on the stationary bicycle, on the treadmill, and in water--are adjuncts in the program. Strengthening is added when motion is re-established and there is no swelling or pain. Sport-specific activities are added if progress is satisfactory and motion is maintained. If pain, swelling, or stiffness develops, exercises should be discontinued. Modalities such as cryotherapy, ultrasound, electrical stimulation, rest, and manipulation can be used judiciously. Anti-inflammatory and analgesic medications should be used to prevent inflammation, to control pain, and to allow more aggressive rehabilitative exercises. PMID:14653482

  5. 24 CFR 572.100 - Acquisition and rehabilitation of eligible properties; rehabilitation standards.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false Acquisition and rehabilitation of eligible properties; rehabilitation standards. 572.100 Section 572.100 Housing and Urban Development... § 572.100 Acquisition and rehabilitation of eligible properties; rehabilitation standards. (a)...

  6. 24 CFR 572.100 - Acquisition and rehabilitation of eligible properties; rehabilitation standards.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Acquisition and rehabilitation of eligible properties; rehabilitation standards. 572.100 Section 572.100 Housing and Urban Development... § 572.100 Acquisition and rehabilitation of eligible properties; rehabilitation standards. (a)...

  7. 24 CFR 572.100 - Acquisition and rehabilitation of eligible properties; rehabilitation standards.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Acquisition and rehabilitation of eligible properties; rehabilitation standards. 572.100 Section 572.100 Housing and Urban Development... § 572.100 Acquisition and rehabilitation of eligible properties; rehabilitation standards. (a)...

  8. A Tough-Love Pedagogy in Rehabilitation: Integration of Rehabilitation Ideology with Local Cultures

    ERIC Educational Resources Information Center

    Chang, Ling-Hui; Wang, Jye

    2009-01-01

    This study problematizes a unique therapeutic relationship in rehabilitation and how the interaction reflects the integration of rehabilitation ideology with local cultures. The data drew from a larger ethnographic study of a rehabilitation unit in Taiwan. Participants included 21 patient-caregiver pairs and their rehabilitation professionals.…

  9. Prosthodontic Management in Conjunction with Speech Therapy in Cleft Lip and Palate: A Review and Case Report

    PubMed Central

    Dhakshaini, M R; Pushpavathi, M; Garhnayak, Mirna; Dhal, Angurbala

    2015-01-01

    Cleft lip and palate (CLP), a congenital disturbance needs a lot of attention with respect to its rehabilitation as a person suffering from this defect can lead a normal life given with the right type of treatment at the right time. However, if a patient cannot get surgical treatment at the appropriate time either due to availability or economic constraints, it is still possible to improve their social and psychological well-being with prosthodontic rehabilitation. The literature search was carried out through PubMed and Google scholar and manual search. The articles related to prosthodontic treatment in congestion with speech therapy and some articles on psychological assessment were considered The available prosthodontic treatment options for improvement of speech is discussed and highlighted the importance of prosthetic management of such patients along with a speech therapist. Also, a review of the available prosthetic treatment options is discussed in detail. Finally, a case report of a CLP patient treated prosthodontically with the assistance of speech pathologist is presented. PMID:26668496

  10. Effects of Instantaneous Multiband Dynamic Compression on Speech Intelligibility

    NASA Astrophysics Data System (ADS)

    Herzke, Tobias; Hohmann, Volker

    2005-12-01

    The recruitment phenomenon, that is, the reduced dynamic range between threshold and uncomfortable level, is attributed to the loss of instantaneous dynamic compression on the basilar membrane. Despite this, hearing aids commonly use slow-acting dynamic compression for its compensation, because this was found to be the most successful strategy in terms of speech quality and intelligibility rehabilitation. Former attempts to use fast-acting compression gave ambiguous results, raising the question as to whether auditory-based recruitment compensation by instantaneous compression is in principle applicable in hearing aids. This study thus investigates instantaneous multiband dynamic compression based on an auditory filterbank. Instantaneous envelope compression is performed in each frequency band of a gammatone filterbank, which provides a combination of time and frequency resolution comparable to the normal healthy cochlea. The gain characteristics used for dynamic compression are deduced from categorical loudness scaling. In speech intelligibility tests, the instantaneous dynamic compression scheme was compared against a linear amplification scheme, which used the same filterbank for frequency analysis, but employed constant gain factors that restored the sound level for medium perceived loudness in each frequency band. In subjective comparisons, five of nine subjects preferred the linear amplification scheme and would not accept the instantaneous dynamic compression in hearing aids. Four of nine subjects did not perceive any quality differences. A sentence intelligibility test in noise (Oldenburg sentence test) showed little to no negative effects of the instantaneous dynamic compression, compared to linear amplification. A word intelligibility test in quiet (one-syllable rhyme test) showed that the subjects benefit from the larger amplification at low levels provided by instantaneous dynamic compression. Further analysis showed that the increase in intelligibility

  11. Prosthetic rehabilitation of a patient after a partial mandibulectomy

    PubMed Central

    Goiato, Marcelo Coelho; de Medeiros, Rodrigo Antonio; Vechiato Filho, Aljomar José; da Silva, Emily Vivianne Freitas; Sônego, Mariana Vilela; de Carvalho, Karina Helga Turcio; Guiotti, Aimée Maria; de Carvalho Dekon, Stefan Fiuza; Pesqueira, Aldiéris Alves; dos Santos, Daniela Micheline

    2015-01-01

    Introduction The treatment of orofacial tumors may cause facial deformities by losses of structures that affect basic functions, i.e. feeding, speech, and the reduction of patient self-steam. Presentation of case A white male patient was diagnosed with epidermoid cancer on the mandibular alveolar ridge with infiltration staging IV A. The patient was submitted to a mandibulectomy associated with a complete extraction of mandibular teeth. For rehabilitation, a conventional denture for the mandibular arch and a removable partial denture for the maxillary arch were fabricated. A correct occlusal adjustment and a satisfactory amount of alveolar bone was favorable for conventional dentures of the prostheses bases improve their retention and stability. After one year of follow-up, the patient was adapted to the prostheses, satisfied with their retention, and reported an improvement on his feeding. Discussion The prosthetic rehabilitation of patients after a partial mandibulectomy is essential for their self-steam. Conventional dentures may have their retention and stability improved if they are well fabricated, recorded and have a balanced occlusion. Conclusion A correct occlusal adjustment and an adequate retention of the prostheses bases may improve their retention and stability. Patients without xerostomy and with a satisfactory amount of alveolar bone may have a favorable prognosis for conventional dentures. PMID:26052437

  12. Palliative care and pulmonary rehabilitation.

    PubMed

    Janssen, Daisy J A; McCormick, James R

    2014-06-01

    Numerous barriers exist to the timely introduction of palliative care in patients with advanced chronic obstructive pulmonary disease (COPD). The complex needs of patients with advanced COPD require the integration of curative-restorative care and palliative care. Palliative care and pulmonary rehabilitation are both important components of integrated care for patients with chronic respiratory diseases. Pulmonary rehabilitation provides the opportunity to introduce palliative care by implementing education about advance care planning. Education about advance care planning addresses the information needs of patients and can be an effective strategy to promote patient-physician discussion about these issues. PMID:24874135

  13. Audiovisual Speech Synchrony Measure: Application to Biometrics

    NASA Astrophysics Data System (ADS)

    Bredin, Hervé; Chollet, Gérard

    2007-12-01

    Speech is a means of communication which is intrinsically bimodal: the audio signal originates from the dynamics of the articulators. This paper reviews recent works in the field of audiovisual speech, and more specifically techniques developed to measure the level of correspondence between audio and visual speech. It overviews the most common audio and visual speech front-end processing, transformations performed on audio, visual, or joint audiovisual feature spaces, and the actual measure of correspondence between audio and visual speech. Finally, the use of synchrony measure for biometric identity verification based on talking faces is experimented on the BANCA database.

  14. Pulse Vector-Excitation Speech Encoder

    NASA Technical Reports Server (NTRS)

    Davidson, Grant; Gersho, Allen

    1989-01-01

    Proposed pulse vector-excitation speech encoder (PVXC) encodes analog speech signals into digital representation for transmission or storage at rates below 5 kilobits per second. Produces high quality of reconstructed speech, but with less computation than required by comparable speech-encoding systems. Has some characteristics of multipulse linear predictive coding (MPLPC) and of code-excited linear prediction (CELP). System uses mathematical model of vocal tract in conjunction with set of excitation vectors and perceptually-based error criterion to synthesize natural-sounding speech.

  15. Feasibility of Technology Enabled Speech Disorder Screening.

    PubMed

    Duenser, Andreas; Ward, Lauren; Stefani, Alessandro; Smith, Daniel; Freyne, Jill; Morgan, Angela; Dodd, Barbara

    2016-01-01

    One in twenty Australian children suffers from a speech disorder. Early detection of such problems can significantly improve literacy and academic outcomes for these children, reduce health and educational burden and ongoing social costs. Here we present the development of a prototype and feasibility tests of a screening and decision support tool to assess speech disorders in young children. The prototype incorporates speech signal processing, machine learning and expert knowledge to automatically classify phonemes of normal and disordered speech. We discuss these results and our future work towards the development of a mobile tool to facilitate broad, early speech disorder screening by non-experts. PMID:27440284

  16. Cardiac Rehabilitation. A Handbook for Vocational Rehabilitation Counselors.

    ERIC Educational Resources Information Center

    Brammell, H. L.; And Others

    Basic information about heart disease and functional capacity assessment and its application to activity/job counseling are presented in this handbook for vocational rehabilitation counselors. Sections include the following: impact of heart disease; basic anatomy and physiology (e.g., the heart, pulmonary circulation, causes of cardiac pain, and…

  17. 34 CFR 674.39 - Loan rehabilitation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 3 2010-07-01 2010-07-01 false Loan rehabilitation. 674.39 Section 674.39 Education..., DEPARTMENT OF EDUCATION FEDERAL PERKINS LOAN PROGRAM Terms of Loans § 674.39 Loan rehabilitation. (a) Each institution must establish a loan rehabilitation program for all borrowers for the purpose of...

  18. 44 CFR 208.43 - Rehabilitation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Rehabilitation. 208.43... Agreements § 208.43 Rehabilitation. DHS will reimburse costs incurred to return System equipment and... Activation. (3) Personnel costs associated with equipment cache rehabilitation. DHS will reimburse...

  19. 24 CFR 886.332 - Rehabilitation period.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Rehabilitation period. 886.332... Assistance Program for the Disposition of HUD-Owned Projects § 886.332 Rehabilitation period. (a) Immediate start of rehabilitation after sales closing. After the execution of the Agreement and the sales...

  20. 24 CFR 401.472 - Rehabilitation funding.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 2 2014-04-01 2014-04-01 false Rehabilitation funding. 401.472... (MARK-TO-MARKET) Restructuring Plan § 401.472 Rehabilitation funding. (a) Sources of funds—(1) Project accounts. The Restructuring Plan for funding rehabilitation must include funds from the project's...

  1. 24 CFR 401.472 - Rehabilitation funding.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 2 2012-04-01 2012-04-01 false Rehabilitation funding. 401.472... (MARK-TO-MARKET) Restructuring Plan § 401.472 Rehabilitation funding. (a) Sources of funds—(1) Project accounts. The Restructuring Plan for funding rehabilitation must include funds from the project's...

  2. 24 CFR 401.472 - Rehabilitation funding.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 2 2013-04-01 2013-04-01 false Rehabilitation funding. 401.472... (MARK-TO-MARKET) Restructuring Plan § 401.472 Rehabilitation funding. (a) Sources of funds—(1) Project accounts. The Restructuring Plan for funding rehabilitation must include funds from the project's...

  3. 24 CFR 401.472 - Rehabilitation funding.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 2 2011-04-01 2011-04-01 false Rehabilitation funding. 401.472... (MARK-TO-MARKET) Restructuring Plan § 401.472 Rehabilitation funding. (a) Sources of funds—(1) Project accounts. The Restructuring Plan for funding rehabilitation must include funds from the project's...

  4. 24 CFR 401.472 - Rehabilitation funding.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Rehabilitation funding. 401.472... (MARK-TO-MARKET) Restructuring Plan § 401.472 Rehabilitation funding. (a) Sources of funds—(1) Project accounts. The Restructuring Plan for funding rehabilitation must include funds from the project's...

  5. 24 CFR 886.332 - Rehabilitation period.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 4 2013-04-01 2013-04-01 false Rehabilitation period. 886.332... Assistance Program for the Disposition of HUD-Owned Projects § 886.332 Rehabilitation period. (a) Immediate start of rehabilitation after sales closing. After the execution of the Agreement and the sales...

  6. 24 CFR 886.332 - Rehabilitation period.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 4 2014-04-01 2014-04-01 false Rehabilitation period. 886.332... Assistance Program for the Disposition of HUD-Owned Projects § 886.332 Rehabilitation period. (a) Immediate start of rehabilitation after sales closing. After the execution of the Agreement and the sales...

  7. 34 CFR 674.39 - Loan rehabilitation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 3 2013-07-01 2013-07-01 false Loan rehabilitation. 674.39 Section 674.39 Education..., DEPARTMENT OF EDUCATION FEDERAL PERKINS LOAN PROGRAM Terms of Loans § 674.39 Loan rehabilitation. (a) Each institution must establish a loan rehabilitation program for all borrowers for the purpose of...

  8. 34 CFR 674.39 - Loan rehabilitation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 3 2012-07-01 2012-07-01 false Loan rehabilitation. 674.39 Section 674.39 Education..., DEPARTMENT OF EDUCATION FEDERAL PERKINS LOAN PROGRAM Terms of Loans § 674.39 Loan rehabilitation. (a) Each institution must establish a loan rehabilitation program for all borrowers for the purpose of...

  9. 24 CFR 886.332 - Rehabilitation period.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 4 2012-04-01 2012-04-01 false Rehabilitation period. 886.332... Assistance Program for the Disposition of HUD-Owned Projects § 886.332 Rehabilitation period. (a) Immediate start of rehabilitation after sales closing. After the execution of the Agreement and the sales...

  10. 44 CFR 208.43 - Rehabilitation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Rehabilitation. 208.43... Agreements § 208.43 Rehabilitation. DHS will reimburse costs incurred to return System equipment and... Activation. (3) Personnel costs associated with equipment cache rehabilitation. DHS will reimburse...

  11. 44 CFR 208.43 - Rehabilitation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Rehabilitation. 208.43 Section... Agreements § 208.43 Rehabilitation. DHS will reimburse costs incurred to return System equipment and... Activation. (3) Personnel costs associated with equipment cache rehabilitation. DHS will reimburse...

  12. 34 CFR 674.39 - Loan rehabilitation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 3 2011-07-01 2011-07-01 false Loan rehabilitation. 674.39 Section 674.39 Education..., DEPARTMENT OF EDUCATION FEDERAL PERKINS LOAN PROGRAM Terms of Loans § 674.39 Loan rehabilitation. (a) Each institution must establish a loan rehabilitation program for all borrowers for the purpose of...

  13. 24 CFR 886.332 - Rehabilitation period.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 4 2011-04-01 2011-04-01 false Rehabilitation period. 886.332... Assistance Program for the Disposition of HUD-Owned Projects § 886.332 Rehabilitation period. (a) Immediate start of rehabilitation after sales closing. After the execution of the Agreement and the sales...

  14. 34 CFR 674.39 - Loan rehabilitation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 3 2014-07-01 2014-07-01 false Loan rehabilitation. 674.39 Section 674.39 Education..., DEPARTMENT OF EDUCATION FEDERAL PERKINS LOAN PROGRAM Terms of Loans § 674.39 Loan rehabilitation. (a) Each institution must establish a loan rehabilitation program for all borrowers for the purpose of...

  15. 44 CFR 208.43 - Rehabilitation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Rehabilitation. 208.43... Agreements § 208.43 Rehabilitation. DHS will reimburse costs incurred to return System equipment and... Activation. (3) Personnel costs associated with equipment cache rehabilitation. DHS will reimburse...

  16. Innovations in Vocational Rehabilitation and Mental Retardation.

    ERIC Educational Resources Information Center

    Ayers, George E., Ed.

    Conference proceedings of the Vocational Rehabilitation Subdivision Meetings held at the American Association on Mental Deficiency contain discussions of innovative aspects of vocational rehabilitation and mental retardation. In the area of training rehabilitation counselors, George Baroff describes the Mental Retardation Training Institute in…

  17. A personalised approach to cardiac rehabilitation.

    PubMed

    Normington, K; Goodwin, S

    2000-04-01

    Patients' beliefs about their myocardial infarction will affect their physical and emotional recovery. An individualised, behavioural approach to rehabilitation aims to treat the patient as an adult learner who participates fully in negotiating priorities for rehabilitation. Initiating rehabilitation advice in the very early stages post-AMI requires the use of specific nursing interventions. PMID:11129924

  18. Putting a Vocational Focus Back into Rehabilitation

    ERIC Educational Resources Information Center

    Murphy, Gregory C.

    2009-01-01

    Traditionally, rehabilitation has been closely associated with vocational potential and return to work post-injury, or the maintenance of work attendance following the onset of chronic disease. Indeed, so close was the association that the terms "rehabilitation" and "vocational rehabilitation" were virtually synonymous. Over the recent past there…

  19. 38 CFR 21.283 - Rehabilitated.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... professional knowledge and skills obtained under the rehabilitation plan; or (3) Pursues additional education... training and rehabilitation services if: (i) The additional education or training is not approvable as part... additional education or training. (Authority: 38 U.S.C. 3101(1), 3107 and 3117) (d) Rehabilitation to...

  20. Rehabilitation Counseling Student Perceptions of Obese Clients.

    ERIC Educational Resources Information Center

    Kaplan, Steven P.; Thomas, Kenneth R.

    1981-01-01

    Investigated whether stigmatization of obese persons has affected rehabilitation counseling students' perceptions of such clients. Results suggest that rehabilitation students perceive obese clients more negatively. If a counselor's first impression of an obese client is that he is less competent and less attractive, rehabilitation outcome could…