Evaluation and treatment of speech disorders: What speech-language-hearing therapists can and should accomplish Isami Kumakura 1 1Senri Rehabilitation Hospital Keyword: 発話障害 , 言語聴覚士 , 自己評価7項目 , 動的評価・訓練法 , speech disorders , speech-language-hearing therapists , Seven-item Self-evaluation Instrument , dynamic evaluation and training method pp.3-10
Published Date 2018/3/15
DOI https://doi.org/10.11477/mf.6001200157
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 The advancement of evaluation and treatment methods for speech disorders in Japan has been traditionally based on the concepts proposed by Darley, Yorkston, and others in the United States. Speech-language-hearing therapists (SLHT) have been conducting detailed speech analysis, but little attention has been paid to the patients' self-evaluation and the background of communication between patients and their listeners. Therefore, employing the Voice Handicap Index (VHI) as a reference, a new Seven-item Self-evaluation Instrument for speech was designed and used on a trial basis. Furthermore, a dynamic evaluation and training method was developed which applies varying performance loads to subjects by asking them to read the same passage several times at different speeds. This paper introduces seven case studies using this new tool and training method. The results indicate important goals that speech-language-hearing therapists should have when working with patients who have speech disorders, particularly the importance of increasing proactive collaboration with other specialties, such as physicians and dentists.

Copyright © 2018, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.


電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会