Continuing Medical Education (CME)
Disclaimer
Planning Committee members have no
financial relationships to disclose
Presenter(s) has/have no financial
relationships to disclose.
The Role of
Speech Language Pathology
in Neurodegenerative Diseases
Presented by:
Amy Taylor, MS, CCC-SLP/L
March 12, 2016
Speech Language Pathology
Amy Taylor, M.S., CCC-SLP
Outpatient Speech Language Pathologist
St. Luke’s North
Objectives
1. Understand the reasons to refer to an SLP
2. Identify the SLP assessment methods for
dysphagia and communication
impairments
3. Identify types of AAC candidates and
devices
Speech Language Pathology
Refer to an SLP for the following concerns:
- Swallowing or eating difficulties
- Difficulty communicating
-
Difficulty being understood
Word finding problems
Memory and cognition deficits
Voice Changes
Speech Language Pathology
Evaluation and diagnosis
– Dysphagia
– Communication Impairments
Following the evaluation, recommendations
and an individual treatment plan is
developed
Dysphagia in
Neurodegenerative
Disease
•As many as 57% of patients with NDD will be impacted by
Dysphagia.
•Variable presentations by diagnosis
•Early detection helps prevent dehydration, malnutrition, weight loss,
and aspiration pneumonia
•(Walshe, et al., 2014).
Dysphagia
What can an SLP do for dysphagia?
• Assess the patient’s risk for aspiration and possible dysphagia
• Clinical Evaluation of Swallowing
• Modified Barium Swallow Studies
• FEES
• Recommend strategies of diet modification or meal time strategies
for safe swallowing
• Implement therapy
• Compensatory or rehabilitative
• Exercise
• Specialized therapy techniques
• Neuromuscular Electrical Stimulation (NMES)
Communication deficits
in Neurodegenerative Disease
May present as:
– Motor Speech Disorders
• Apraxia
• Dysarthria
– Aphasia
– Cognitive-linguistic deficits
– Voice Disorders
– Any combination of the above
Assessment of
Communication
– General assessment categories
– Apraxia
• VisiPitch Motor Speech Profile
• Informal speech tasks
• Informal and audiotory - perceptual judgement
– Dysarthria
•
•
•
•
Assessment of Intelligibility of Dysarthric Speech
Frenchay
VisiPitch Motor Speech Profiles
Informal and audiotory - perceptual judgement
– Aphasia
•
•
•
•
Boston Diagnostic Aphasia Examination
Boston Assessment of Severe Aphasia
Western Aphasia Battery
Boston Naming Test
– Cognitive-linguistic deficits
• Assessment Battery of Communication for Dementia
• Cognitive Linguistic Quick Test
• Ross Information Processing Test
– Voice Disorders
• VisiPitch
• Sound Level Meter
Speech Therapy
for Communication
•
•
•
•
•
Develop an individual treatment plan
Rehabilitation
Strategies
Alternatives
Education
Augmentative Alternative
Communication (AAC)
• What is AAC and who are candidates?
– Basic
– Low tech
– High tech
• How do we assess?
– Language assessment results
– Screening for candidate
– Consider all factors
• What happens next?
– Recommend device for alternative communication
device
– Intervention
References
•
•
•
•
•
•
Journal of Gastroenterology and Hepatology Research. Oropharyngeal Dysphagia in
Neurodegenerative Disease. Margaret Walshe, Accepted: July 12, 2014 Image retrieved from
111.ghret.org/index.php/joghr/article/view/883/1012 on January 19, 2016
The ASHA Leader, November 2008, Vol. 13, 10-13. Motor Speech Disorders and the
Diagnosis of Neurologic Disease: Still a Well-kept Secret? Joseph R. Duffy, PhD, CCC-SLP
Medscape Reference. Aphasia Clinical Presentation Howard S Kirshner, MD; Chief Editor:
Michael Hoffmann, MBBCh, MD more...Image retrieved from
emedicine.medscape.com/article/1135944-clinical#b5 on January 21/2016
Julie Barkmeier-Kraemer, MA, PhD, CCC-SLP asha.org,
http://www.asha.org/Events/Neurodegenerative-Disorders/Session-Descriptions/ 2016
Bayles,Kathryn and Tomoeda, Cheryl Cognitive-Communication Disorders of Dementia. 2013
Plural Publishing
NeuroRehabilitation (2015). Supporting communication for patients with neurodegenerative
disease. Image retreived from www.ncbi.nlm.nih.gov/pubmed/26409694
Questions?
Where can you find us?
St Luke’s North
153 Brodhead Road
Bethlehem PA 18017
610-954-3200