Publication date: Available online 1 October 2016
Source:Hearing Research
Author(s): M.R. Kapolowicz, L.T. Thompson
Tinnitus is a devastating auditory disorder impacting a growing number of people each year. The aims of the current experiment were to assess neuronal mechanisms involved in the initial plasticity after traumatic noise exposure that could contribute to the emergence of tinnitus and to test a potential pharmacological treatment to alter this early neural plasticity. Specifically, this study addressed rapid effects of acute noise trauma on amygdalo-hippocampal circuitry, characterizing biomarkers of both excitation and inhibition in these limbic regions, and compared them to expression of these same markers in primary auditory cortex shortly after acute noise trauma. To assess excitatory plasticity, activity-regulated cytoskeleton-associated (Arc) protein expression was evaluated in male rats 45 min after bilateral exposure to acute high-intensity noise (16 kHz, 115 dB SPL, for 1 hr), sufficient to cause acute cochlear trauma, a common cause of tinnitus in humans and previously shown sufficient to induce tinnitus in rat models of this auditory neuropathology. Western blot analyses confirmed that up-regulation of amygdalo-hippocampal Arc expression occurred rapidly post-noise trauma, corroborating several lines of evidence from our own and other laboratories indicating that limbic brain structures, i.e. outside of the classical auditory pathways, exhibit plasticity early in the initiation of tinnitus. Western blot analyses revealed no noise-induced changes in amygdalo-hippocampal expression of glutamate decarboxylase (GAD), the biosynthetic enzyme required for GABAergic inhibition. No changes in either Arc or GAD protein expression were observed in primary auditory cortex in this immediate post-noise exposure period, confirming other reports that auditory cortical plasticity may not occur until later in the development of tinnitus. As a further control, our experiments compared Arc protein expression between groups exposed to the quiet background of a sound-proof chamber to those exposed not only to the traumatic noise described above, but also to an intermediate, non-traumatic noise level (70 dB SPL) for the same duration in each of these three brain regions. We found that non-traumatic noise did not up-regulate Arc protein expression in these brain regions. To see if changes in Arc expression due to acute traumatic noise exposure were stress-related, we compared circulating serum corticosterone in controls and rats exposed to traumatic noise at the time when changes in Arc were observed, and found no significant differences in this stress hormone in our experimental conditions. Finally, the ability of D-cycloserine (DCS; an NMDA-receptor NR1 partial agonist) to reduce or prevent the noise trauma-related plastic changes in the biomarker, Arc, was tested. D-cycloserine prevented traumatic noise-induced up-regulation of Arc protein expression in amygdala but not in hippocampus, suggesting that DCS alone is not fully effective in eliminating regionally-specific early plastic changes after traumatic noise exposure.
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OtoRhinoLaryngology by Sfakianakis G.Alexandros Sfakianakis G.Alexandros,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,tel : 00302841026182,00306932607174
Σάββατο 1 Οκτωβρίου 2016
Acute high-intensity noise induces rapid Arc protein expression but fails to rapidly change GAD expression in amygdala and hippocampus of rats: Effects of treatment with D-cycloserine
Speech onset enhancement improves intelligibility in adverse listening conditions for cochlear implant users
Publication date: Available online 30 September 2016
Source:Hearing Research
Author(s): Raphael Koning, Jan Wouters
Speech perception by cochlear implant (CI) users can be very good in quiet but their speech intelligibility (SI) performance decreases in noisy environments. Because recent studies have shown that transient parts of the speech envelope are most important for SI in normal-hearing (NH) listeners, the enhanced envelope (EE) strategy was developed to emphasize onset cues of the speech envelope in the CI signal processing chain. The influence of enhancement of the onsets of the speech envelope on SI was investigated with CI users for speech in stationary speech-shaped noise (SSN) and with an interfering talker. All CI users showed an immediate benefit when a priori knowledge was used for the onset enhancement. A SI improvement was obtained at signal-to-noise ratios (SNRs) below 6 dB, corresponding to a speech reception threshold (SRT) improvement of 2.1 dB. Furthermore, stop consonant reception was improved with the EE strategy in quiet and in SSN at 6 dB SNR. For speech in speech, the SRT improvements were 2.1 dB and 1 dB when the onsets of the target speaker with a priori knowledge of the signal components or of the mixture of the target and the interfering speaker were enhanced, respectively. The latter demonstrates that a small benefit can be obtained without a priori knowledge.
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Source:Hearing Research
Author(s): Raphael Koning, Jan Wouters
Speech perception by cochlear implant (CI) users can be very good in quiet but their speech intelligibility (SI) performance decreases in noisy environments. Because recent studies have shown that transient parts of the speech envelope are most important for SI in normal-hearing (NH) listeners, the enhanced envelope (EE) strategy was developed to emphasize onset cues of the speech envelope in the CI signal processing chain. The influence of enhancement of the onsets of the speech envelope on SI was investigated with CI users for speech in stationary speech-shaped noise (SSN) and with an interfering talker. All CI users showed an immediate benefit when a priori knowledge was used for the onset enhancement. A SI improvement was obtained at signal-to-noise ratios (SNRs) below 6 dB, corresponding to a speech reception threshold (SRT) improvement of 2.1 dB. Furthermore, stop consonant reception was improved with the EE strategy in quiet and in SSN at 6 dB SNR. For speech in speech, the SRT improvements were 2.1 dB and 1 dB when the onsets of the target speaker with a priori knowledge of the signal components or of the mixture of the target and the interfering speaker were enhanced, respectively. The latter demonstrates that a small benefit can be obtained without a priori knowledge.
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Acute high-intensity noise induces rapid Arc protein expression but fails to rapidly change GAD expression in amygdala and hippocampus of rats: Effects of treatment with D-cycloserine
Publication date: Available online 1 October 2016
Source:Hearing Research
Author(s): M.R. Kapolowicz, L.T. Thompson
Tinnitus is a devastating auditory disorder impacting a growing number of people each year. The aims of the current experiment were to assess neuronal mechanisms involved in the initial plasticity after traumatic noise exposure that could contribute to the emergence of tinnitus and to test a potential pharmacological treatment to alter this early neural plasticity. Specifically, this study addressed rapid effects of acute noise trauma on amygdalo-hippocampal circuitry, characterizing biomarkers of both excitation and inhibition in these limbic regions, and compared them to expression of these same markers in primary auditory cortex shortly after acute noise trauma. To assess excitatory plasticity, activity-regulated cytoskeleton-associated (Arc) protein expression was evaluated in male rats 45 min after bilateral exposure to acute high-intensity noise (16 kHz, 115 dB SPL, for 1 hr), sufficient to cause acute cochlear trauma, a common cause of tinnitus in humans and previously shown sufficient to induce tinnitus in rat models of this auditory neuropathology. Western blot analyses confirmed that up-regulation of amygdalo-hippocampal Arc expression occurred rapidly post-noise trauma, corroborating several lines of evidence from our own and other laboratories indicating that limbic brain structures, i.e. outside of the classical auditory pathways, exhibit plasticity early in the initiation of tinnitus. Western blot analyses revealed no noise-induced changes in amygdalo-hippocampal expression of glutamate decarboxylase (GAD), the biosynthetic enzyme required for GABAergic inhibition. No changes in either Arc or GAD protein expression were observed in primary auditory cortex in this immediate post-noise exposure period, confirming other reports that auditory cortical plasticity may not occur until later in the development of tinnitus. As a further control, our experiments compared Arc protein expression between groups exposed to the quiet background of a sound-proof chamber to those exposed not only to the traumatic noise described above, but also to an intermediate, non-traumatic noise level (70 dB SPL) for the same duration in each of these three brain regions. We found that non-traumatic noise did not up-regulate Arc protein expression in these brain regions. To see if changes in Arc expression due to acute traumatic noise exposure were stress-related, we compared circulating serum corticosterone in controls and rats exposed to traumatic noise at the time when changes in Arc were observed, and found no significant differences in this stress hormone in our experimental conditions. Finally, the ability of D-cycloserine (DCS; an NMDA-receptor NR1 partial agonist) to reduce or prevent the noise trauma-related plastic changes in the biomarker, Arc, was tested. D-cycloserine prevented traumatic noise-induced up-regulation of Arc protein expression in amygdala but not in hippocampus, suggesting that DCS alone is not fully effective in eliminating regionally-specific early plastic changes after traumatic noise exposure.
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Source:Hearing Research
Author(s): M.R. Kapolowicz, L.T. Thompson
Tinnitus is a devastating auditory disorder impacting a growing number of people each year. The aims of the current experiment were to assess neuronal mechanisms involved in the initial plasticity after traumatic noise exposure that could contribute to the emergence of tinnitus and to test a potential pharmacological treatment to alter this early neural plasticity. Specifically, this study addressed rapid effects of acute noise trauma on amygdalo-hippocampal circuitry, characterizing biomarkers of both excitation and inhibition in these limbic regions, and compared them to expression of these same markers in primary auditory cortex shortly after acute noise trauma. To assess excitatory plasticity, activity-regulated cytoskeleton-associated (Arc) protein expression was evaluated in male rats 45 min after bilateral exposure to acute high-intensity noise (16 kHz, 115 dB SPL, for 1 hr), sufficient to cause acute cochlear trauma, a common cause of tinnitus in humans and previously shown sufficient to induce tinnitus in rat models of this auditory neuropathology. Western blot analyses confirmed that up-regulation of amygdalo-hippocampal Arc expression occurred rapidly post-noise trauma, corroborating several lines of evidence from our own and other laboratories indicating that limbic brain structures, i.e. outside of the classical auditory pathways, exhibit plasticity early in the initiation of tinnitus. Western blot analyses revealed no noise-induced changes in amygdalo-hippocampal expression of glutamate decarboxylase (GAD), the biosynthetic enzyme required for GABAergic inhibition. No changes in either Arc or GAD protein expression were observed in primary auditory cortex in this immediate post-noise exposure period, confirming other reports that auditory cortical plasticity may not occur until later in the development of tinnitus. As a further control, our experiments compared Arc protein expression between groups exposed to the quiet background of a sound-proof chamber to those exposed not only to the traumatic noise described above, but also to an intermediate, non-traumatic noise level (70 dB SPL) for the same duration in each of these three brain regions. We found that non-traumatic noise did not up-regulate Arc protein expression in these brain regions. To see if changes in Arc expression due to acute traumatic noise exposure were stress-related, we compared circulating serum corticosterone in controls and rats exposed to traumatic noise at the time when changes in Arc were observed, and found no significant differences in this stress hormone in our experimental conditions. Finally, the ability of D-cycloserine (DCS; an NMDA-receptor NR1 partial agonist) to reduce or prevent the noise trauma-related plastic changes in the biomarker, Arc, was tested. D-cycloserine prevented traumatic noise-induced up-regulation of Arc protein expression in amygdala but not in hippocampus, suggesting that DCS alone is not fully effective in eliminating regionally-specific early plastic changes after traumatic noise exposure.
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Speech onset enhancement improves intelligibility in adverse listening conditions for cochlear implant users
Publication date: Available online 30 September 2016
Source:Hearing Research
Author(s): Raphael Koning, Jan Wouters
Speech perception by cochlear implant (CI) users can be very good in quiet but their speech intelligibility (SI) performance decreases in noisy environments. Because recent studies have shown that transient parts of the speech envelope are most important for SI in normal-hearing (NH) listeners, the enhanced envelope (EE) strategy was developed to emphasize onset cues of the speech envelope in the CI signal processing chain. The influence of enhancement of the onsets of the speech envelope on SI was investigated with CI users for speech in stationary speech-shaped noise (SSN) and with an interfering talker. All CI users showed an immediate benefit when a priori knowledge was used for the onset enhancement. A SI improvement was obtained at signal-to-noise ratios (SNRs) below 6 dB, corresponding to a speech reception threshold (SRT) improvement of 2.1 dB. Furthermore, stop consonant reception was improved with the EE strategy in quiet and in SSN at 6 dB SNR. For speech in speech, the SRT improvements were 2.1 dB and 1 dB when the onsets of the target speaker with a priori knowledge of the signal components or of the mixture of the target and the interfering speaker were enhanced, respectively. The latter demonstrates that a small benefit can be obtained without a priori knowledge.
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Source:Hearing Research
Author(s): Raphael Koning, Jan Wouters
Speech perception by cochlear implant (CI) users can be very good in quiet but their speech intelligibility (SI) performance decreases in noisy environments. Because recent studies have shown that transient parts of the speech envelope are most important for SI in normal-hearing (NH) listeners, the enhanced envelope (EE) strategy was developed to emphasize onset cues of the speech envelope in the CI signal processing chain. The influence of enhancement of the onsets of the speech envelope on SI was investigated with CI users for speech in stationary speech-shaped noise (SSN) and with an interfering talker. All CI users showed an immediate benefit when a priori knowledge was used for the onset enhancement. A SI improvement was obtained at signal-to-noise ratios (SNRs) below 6 dB, corresponding to a speech reception threshold (SRT) improvement of 2.1 dB. Furthermore, stop consonant reception was improved with the EE strategy in quiet and in SSN at 6 dB SNR. For speech in speech, the SRT improvements were 2.1 dB and 1 dB when the onsets of the target speaker with a priori knowledge of the signal components or of the mixture of the target and the interfering speaker were enhanced, respectively. The latter demonstrates that a small benefit can be obtained without a priori knowledge.
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Acute high-intensity noise induces rapid Arc protein expression but fails to rapidly change GAD expression in amygdala and hippocampus of rats: Effects of treatment with D-cycloserine
Publication date: Available online 1 October 2016
Source:Hearing Research
Author(s): M.R. Kapolowicz, L.T. Thompson
Tinnitus is a devastating auditory disorder impacting a growing number of people each year. The aims of the current experiment were to assess neuronal mechanisms involved in the initial plasticity after traumatic noise exposure that could contribute to the emergence of tinnitus and to test a potential pharmacological treatment to alter this early neural plasticity. Specifically, this study addressed rapid effects of acute noise trauma on amygdalo-hippocampal circuitry, characterizing biomarkers of both excitation and inhibition in these limbic regions, and compared them to expression of these same markers in primary auditory cortex shortly after acute noise trauma. To assess excitatory plasticity, activity-regulated cytoskeleton-associated (Arc) protein expression was evaluated in male rats 45 min after bilateral exposure to acute high-intensity noise (16 kHz, 115 dB SPL, for 1 hr), sufficient to cause acute cochlear trauma, a common cause of tinnitus in humans and previously shown sufficient to induce tinnitus in rat models of this auditory neuropathology. Western blot analyses confirmed that up-regulation of amygdalo-hippocampal Arc expression occurred rapidly post-noise trauma, corroborating several lines of evidence from our own and other laboratories indicating that limbic brain structures, i.e. outside of the classical auditory pathways, exhibit plasticity early in the initiation of tinnitus. Western blot analyses revealed no noise-induced changes in amygdalo-hippocampal expression of glutamate decarboxylase (GAD), the biosynthetic enzyme required for GABAergic inhibition. No changes in either Arc or GAD protein expression were observed in primary auditory cortex in this immediate post-noise exposure period, confirming other reports that auditory cortical plasticity may not occur until later in the development of tinnitus. As a further control, our experiments compared Arc protein expression between groups exposed to the quiet background of a sound-proof chamber to those exposed not only to the traumatic noise described above, but also to an intermediate, non-traumatic noise level (70 dB SPL) for the same duration in each of these three brain regions. We found that non-traumatic noise did not up-regulate Arc protein expression in these brain regions. To see if changes in Arc expression due to acute traumatic noise exposure were stress-related, we compared circulating serum corticosterone in controls and rats exposed to traumatic noise at the time when changes in Arc were observed, and found no significant differences in this stress hormone in our experimental conditions. Finally, the ability of D-cycloserine (DCS; an NMDA-receptor NR1 partial agonist) to reduce or prevent the noise trauma-related plastic changes in the biomarker, Arc, was tested. D-cycloserine prevented traumatic noise-induced up-regulation of Arc protein expression in amygdala but not in hippocampus, suggesting that DCS alone is not fully effective in eliminating regionally-specific early plastic changes after traumatic noise exposure.
from #Audiology via xlomafota13 on Inoreader http://ift.tt/2cJpNXu
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Source:Hearing Research
Author(s): M.R. Kapolowicz, L.T. Thompson
Tinnitus is a devastating auditory disorder impacting a growing number of people each year. The aims of the current experiment were to assess neuronal mechanisms involved in the initial plasticity after traumatic noise exposure that could contribute to the emergence of tinnitus and to test a potential pharmacological treatment to alter this early neural plasticity. Specifically, this study addressed rapid effects of acute noise trauma on amygdalo-hippocampal circuitry, characterizing biomarkers of both excitation and inhibition in these limbic regions, and compared them to expression of these same markers in primary auditory cortex shortly after acute noise trauma. To assess excitatory plasticity, activity-regulated cytoskeleton-associated (Arc) protein expression was evaluated in male rats 45 min after bilateral exposure to acute high-intensity noise (16 kHz, 115 dB SPL, for 1 hr), sufficient to cause acute cochlear trauma, a common cause of tinnitus in humans and previously shown sufficient to induce tinnitus in rat models of this auditory neuropathology. Western blot analyses confirmed that up-regulation of amygdalo-hippocampal Arc expression occurred rapidly post-noise trauma, corroborating several lines of evidence from our own and other laboratories indicating that limbic brain structures, i.e. outside of the classical auditory pathways, exhibit plasticity early in the initiation of tinnitus. Western blot analyses revealed no noise-induced changes in amygdalo-hippocampal expression of glutamate decarboxylase (GAD), the biosynthetic enzyme required for GABAergic inhibition. No changes in either Arc or GAD protein expression were observed in primary auditory cortex in this immediate post-noise exposure period, confirming other reports that auditory cortical plasticity may not occur until later in the development of tinnitus. As a further control, our experiments compared Arc protein expression between groups exposed to the quiet background of a sound-proof chamber to those exposed not only to the traumatic noise described above, but also to an intermediate, non-traumatic noise level (70 dB SPL) for the same duration in each of these three brain regions. We found that non-traumatic noise did not up-regulate Arc protein expression in these brain regions. To see if changes in Arc expression due to acute traumatic noise exposure were stress-related, we compared circulating serum corticosterone in controls and rats exposed to traumatic noise at the time when changes in Arc were observed, and found no significant differences in this stress hormone in our experimental conditions. Finally, the ability of D-cycloserine (DCS; an NMDA-receptor NR1 partial agonist) to reduce or prevent the noise trauma-related plastic changes in the biomarker, Arc, was tested. D-cycloserine prevented traumatic noise-induced up-regulation of Arc protein expression in amygdala but not in hippocampus, suggesting that DCS alone is not fully effective in eliminating regionally-specific early plastic changes after traumatic noise exposure.
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Speech onset enhancement improves intelligibility in adverse listening conditions for cochlear implant users
Publication date: Available online 30 September 2016
Source:Hearing Research
Author(s): Raphael Koning, Jan Wouters
Speech perception by cochlear implant (CI) users can be very good in quiet but their speech intelligibility (SI) performance decreases in noisy environments. Because recent studies have shown that transient parts of the speech envelope are most important for SI in normal-hearing (NH) listeners, the enhanced envelope (EE) strategy was developed to emphasize onset cues of the speech envelope in the CI signal processing chain. The influence of enhancement of the onsets of the speech envelope on SI was investigated with CI users for speech in stationary speech-shaped noise (SSN) and with an interfering talker. All CI users showed an immediate benefit when a priori knowledge was used for the onset enhancement. A SI improvement was obtained at signal-to-noise ratios (SNRs) below 6 dB, corresponding to a speech reception threshold (SRT) improvement of 2.1 dB. Furthermore, stop consonant reception was improved with the EE strategy in quiet and in SSN at 6 dB SNR. For speech in speech, the SRT improvements were 2.1 dB and 1 dB when the onsets of the target speaker with a priori knowledge of the signal components or of the mixture of the target and the interfering speaker were enhanced, respectively. The latter demonstrates that a small benefit can be obtained without a priori knowledge.
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Source:Hearing Research
Author(s): Raphael Koning, Jan Wouters
Speech perception by cochlear implant (CI) users can be very good in quiet but their speech intelligibility (SI) performance decreases in noisy environments. Because recent studies have shown that transient parts of the speech envelope are most important for SI in normal-hearing (NH) listeners, the enhanced envelope (EE) strategy was developed to emphasize onset cues of the speech envelope in the CI signal processing chain. The influence of enhancement of the onsets of the speech envelope on SI was investigated with CI users for speech in stationary speech-shaped noise (SSN) and with an interfering talker. All CI users showed an immediate benefit when a priori knowledge was used for the onset enhancement. A SI improvement was obtained at signal-to-noise ratios (SNRs) below 6 dB, corresponding to a speech reception threshold (SRT) improvement of 2.1 dB. Furthermore, stop consonant reception was improved with the EE strategy in quiet and in SSN at 6 dB SNR. For speech in speech, the SRT improvements were 2.1 dB and 1 dB when the onsets of the target speaker with a priori knowledge of the signal components or of the mixture of the target and the interfering speaker were enhanced, respectively. The latter demonstrates that a small benefit can be obtained without a priori knowledge.
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The Routines-Based Model for supporting speech and language
Publication date: Available online 30 September 2016
Source:Revista de Logopedia, Foniatría y Audiología
Author(s): R.A. McWilliam
The more we understand the importance of children's learning during their everyday routines, the more we realize methods of delivering speech and language services must change. The Routines-Based Model has emerged as a viable structure for the delivery of family-centered, functional early intervention. It is described briefly, followed by specific speech and language needs of young children with disabilities as addressed through this model. The model includes methods for getting to know the child and family, including their needs, planning interventions and service delivery. Practices involved in the Routines-Based Model include developing ecomaps, conducting Routines-Based Interviews, writing participation-based goals and providing collaborative consultation to families and teachers. Two primary tenets of the model are that all the intervention occurs between visits and children learn through distributed trials. The primary language needs addressed are language delays and errors in language, and the primary speech needs addressed are articulation and apraxia and sequelae to structural problems. New roles for speech-language pathologists are described in an era of functional, family-centered early intervention. These roles require therapists to serve as consultants and to accept new roles, if they are to serve as comprehensive service providers.
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Source:Revista de Logopedia, Foniatría y Audiología
Author(s): R.A. McWilliam
The more we understand the importance of children's learning during their everyday routines, the more we realize methods of delivering speech and language services must change. The Routines-Based Model has emerged as a viable structure for the delivery of family-centered, functional early intervention. It is described briefly, followed by specific speech and language needs of young children with disabilities as addressed through this model. The model includes methods for getting to know the child and family, including their needs, planning interventions and service delivery. Practices involved in the Routines-Based Model include developing ecomaps, conducting Routines-Based Interviews, writing participation-based goals and providing collaborative consultation to families and teachers. Two primary tenets of the model are that all the intervention occurs between visits and children learn through distributed trials. The primary language needs addressed are language delays and errors in language, and the primary speech needs addressed are articulation and apraxia and sequelae to structural problems. New roles for speech-language pathologists are described in an era of functional, family-centered early intervention. These roles require therapists to serve as consultants and to accept new roles, if they are to serve as comprehensive service providers.
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The Routines-Based Model for supporting speech and language
Publication date: Available online 30 September 2016
Source:Revista de Logopedia, Foniatría y Audiología
Author(s): R.A. McWilliam
The more we understand the importance of children's learning during their everyday routines, the more we realize methods of delivering speech and language services must change. The Routines-Based Model has emerged as a viable structure for the delivery of family-centered, functional early intervention. It is described briefly, followed by specific speech and language needs of young children with disabilities as addressed through this model. The model includes methods for getting to know the child and family, including their needs, planning interventions and service delivery. Practices involved in the Routines-Based Model include developing ecomaps, conducting Routines-Based Interviews, writing participation-based goals and providing collaborative consultation to families and teachers. Two primary tenets of the model are that all the intervention occurs between visits and children learn through distributed trials. The primary language needs addressed are language delays and errors in language, and the primary speech needs addressed are articulation and apraxia and sequelae to structural problems. New roles for speech-language pathologists are described in an era of functional, family-centered early intervention. These roles require therapists to serve as consultants and to accept new roles, if they are to serve as comprehensive service providers.
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Source:Revista de Logopedia, Foniatría y Audiología
Author(s): R.A. McWilliam
The more we understand the importance of children's learning during their everyday routines, the more we realize methods of delivering speech and language services must change. The Routines-Based Model has emerged as a viable structure for the delivery of family-centered, functional early intervention. It is described briefly, followed by specific speech and language needs of young children with disabilities as addressed through this model. The model includes methods for getting to know the child and family, including their needs, planning interventions and service delivery. Practices involved in the Routines-Based Model include developing ecomaps, conducting Routines-Based Interviews, writing participation-based goals and providing collaborative consultation to families and teachers. Two primary tenets of the model are that all the intervention occurs between visits and children learn through distributed trials. The primary language needs addressed are language delays and errors in language, and the primary speech needs addressed are articulation and apraxia and sequelae to structural problems. New roles for speech-language pathologists are described in an era of functional, family-centered early intervention. These roles require therapists to serve as consultants and to accept new roles, if they are to serve as comprehensive service providers.
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The Routines-Based Model for supporting speech and language
Publication date: Available online 30 September 2016
Source:Revista de Logopedia, Foniatría y Audiología
Author(s): R.A. McWilliam
The more we understand the importance of children's learning during their everyday routines, the more we realize methods of delivering speech and language services must change. The Routines-Based Model has emerged as a viable structure for the delivery of family-centered, functional early intervention. It is described briefly, followed by specific speech and language needs of young children with disabilities as addressed through this model. The model includes methods for getting to know the child and family, including their needs, planning interventions and service delivery. Practices involved in the Routines-Based Model include developing ecomaps, conducting Routines-Based Interviews, writing participation-based goals and providing collaborative consultation to families and teachers. Two primary tenets of the model are that all the intervention occurs between visits and children learn through distributed trials. The primary language needs addressed are language delays and errors in language, and the primary speech needs addressed are articulation and apraxia and sequelae to structural problems. New roles for speech-language pathologists are described in an era of functional, family-centered early intervention. These roles require therapists to serve as consultants and to accept new roles, if they are to serve as comprehensive service providers.
from #Audiology via ola Kala on Inoreader http://ift.tt/2dkCr1Z
via IFTTT
Source:Revista de Logopedia, Foniatría y Audiología
Author(s): R.A. McWilliam
The more we understand the importance of children's learning during their everyday routines, the more we realize methods of delivering speech and language services must change. The Routines-Based Model has emerged as a viable structure for the delivery of family-centered, functional early intervention. It is described briefly, followed by specific speech and language needs of young children with disabilities as addressed through this model. The model includes methods for getting to know the child and family, including their needs, planning interventions and service delivery. Practices involved in the Routines-Based Model include developing ecomaps, conducting Routines-Based Interviews, writing participation-based goals and providing collaborative consultation to families and teachers. Two primary tenets of the model are that all the intervention occurs between visits and children learn through distributed trials. The primary language needs addressed are language delays and errors in language, and the primary speech needs addressed are articulation and apraxia and sequelae to structural problems. New roles for speech-language pathologists are described in an era of functional, family-centered early intervention. These roles require therapists to serve as consultants and to accept new roles, if they are to serve as comprehensive service providers.
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