Speech therapy in adolescents with Down syndrome: In pursuit of communication as a fundamental human right.

Purpose: The achievement of speech intelligibility by persons with Down syndrome facilitates their participation in society. Denial of speech therapy services by virtue of low cognitive skills is a violation of their fundamental human rights as proclaimed in the Universal Declaration of Human Rights...

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Publicado en:International Journal of Speech-Language Pathology Vol. 20; no. 1; pp. 75 - 84
Autores principales: Rvachew, Susan, Folden, Marla
Formato: case study research tables/charts randomized controlled trial Journal Article
Publicado: Taylor & Francis Ltd Feb2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2018
      vid: 20
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/17549507.2018.1392605
        128182140
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        atl: Speech therapy in adolescents with Down syndrome: In pursuit of communication as a fundamental human right.
      aug:
        au:
          Rvachew, Susan
          Folden, Marla
        affil: School of Communication Sciences and Disorders, McGill University, Montreal, Canada
      sug:
        subj:
          Down Syndrome In Adolescence
          Speech Intelligibility In Adolescence
          Speech Therapy Methods
          Human
          Funding Source
          Adolescence
          Randomized Controlled Trials
          Random Assignment
          Intervention Trials
          Crossover Design
          Treatment Outcomes
          Male
          Clinical Assessment Tools
          Intelligence Tests
          Neuropsychological Tests
          Parents
          Interviews
          Phonetics Evaluation
          Single-Blind Studies
          Interrater Reliability
          Descriptive Statistics
          Adolescent: 13-18 years
          Male
      ab: Purpose: The achievement of speech intelligibility by persons with Down syndrome facilitates their participation in society. Denial of speech therapy services by virtue of low cognitive skills is a violation of their fundamental human rights as proclaimed in the Universal Declaration of Human Rights in general and in Article 19 in particular. Here, we describe the differential response of an adolescent with Down syndrome to three speech therapy interventions and demonstrate the use of a single subject randomisation design to identify effective treatments for children with complex communication disorders. Method: Over six weeks, 18 speech therapy sessions were provided with treatment conditions randomly assigned to targets and sessions within weeks, specifically comparing auditory-motor integration prepractice and phonological planning prepractice to a control condition that included no prepractice. All treatments involved high intensity practice of nonsense word targets paired with tangible referents. Result: A measure of generalisation from taught words to untaught real words in phrases revealed superior learning in the auditory-motor integration condition. Conclusion: The intervention outcomes may serve to justify the provision of appropriate supports to persons with Down syndrome so that they may achieve their full potential to receive information and express themselves.
      pubtype: Academic Journal
      doctype:
        case study
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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