Acute-Onset Acquired Stuttering Secondary to Concussion: A Case Report.
Purpose: Acquired stuttering in young adults can present diagnostic and treatment challenges. This single case report documents the diagnosis of acquired, postconcussive, acute-onset stuttering in an 18-year-old man, describes key elements of a person-centered treatment program conducted via a teler...
| Published in: | Perspectives of the ASHA Special Interest Groups Vol. 9; no. 3; pp. 533 - 542 |
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| Main Authors: | , |
| Format: | case study research tables/charts Journal Article |
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American Speech-Language-Hearing Association
Jun2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=177681599&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177681599 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2381473X KTSD jtl: Perspectives of the ASHA Special Interest Groups issn: 2381473X maglogo: N pubinfo: dt: Jun2024 vid: 9 iid: 3 pid: 42 pub: American Speech-Language-Hearing Association place: Rockville, Maryland artinfo: ui: 177681599 177681599 177681599 10.1044/2024_PERSP-23-00173 177681599 ppf: 533 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Acute-Onset Acquired Stuttering Secondary to Concussion: A Case Report. aug: au: Wagner, Kelsey Jo Hux, Karen affil: Kintinū Telerehabilitation, Quality Living, Inc., Omaha, NE sug: subj: Acute Disease Fluency Disorders Diagnosis Brain Concussion Complications Fluency Disorders Human Adolescence Male Patient Centered Care After Care Descriptive Statistics Clinical Assessment Tools Telerehabilitation Speech and Language Assessment Adolescent: 13-18 years Male ab: Purpose: Acquired stuttering in young adults can present diagnostic and treatment challenges. This single case report documents the diagnosis of acquired, postconcussive, acute-onset stuttering in an 18-year-old man, describes key elements of a person-centered treatment program conducted via a telerehabilitation platform, and reports documented changes in speech production following intervention. Method: Person-centered care principles, disfluency education, strategies for managing stuttering episodes, and a home program were treatment components. Using the Overall Assessment of the Speaker's Experience of Stuttering (OASES) and speech sample analyses, documentation of initial status and changes over time came from initial, 3-month, 6-month, and follow-up evaluations. Results: Initial OASES scores were consistent with moderate--severe impact for General Information, moderate impact to Daily Communication, and mild-- moderate impact with respect to Speaker's Reactions, Quality of Life, and Overall Assessment. The initial speech sample analysis revealed severely disrupted speech production with disfluencies occurring on 60.47% of syllables. In contrast, the 6-month assessment revealed mild or mild--moderate OASES impact scores and disfluencies on 1.78% of syllables. Performance during a follow-up evaluation held 3 months following treatment termination confirmed maintenance of fluent speech production both when reading and engaging in conversation. Conclusion: Clear differentiation between neurogenic and functional contributions to acute-onset, acquired stuttering is not always possible. In some cases, a combination of precipitating factors may be evident. Regardless, presenting traditional fluency management strategies within a framework of personcentered care can be an effective treatment approach. pubtype: Academic Journal doctype: case study research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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