Welcome to CASLPA Conference 1994

Bienvenue au congres annuel de I'ACOA de 1994

A Message From The Co-Chairs Message des co-presidentes

On behalf of the 1994 CASLPA Conference Committee. we invite you to the Prairies to enjoy a "Taste of Manitoba." The Conference Committee has been working very hard to present you with an exciting selection of educational acti­vities. Extend your stay to attend one of the pre-conference sessions.

Indulge the tourist in you by sampling the food, culture, art and entertainment that Manitoba has to offer.

Take this opportunity to lend your support to the Association by sharing your thoughts with the CASLPA Executive. Spend some time getting to know other professionals and relating your experiences.

We hope to have some Prairie sunshine for you at the Conference. See you in Winnipeg in May!

April Gregora and Carla Shannan

Pre-Conference Luncheon Wednesday, May 4

12:00 p.m. - 1 :00 p.m.

JSLPA Vo\. 18, No. 1, March 19941 ROA Vol. 18, N° I, mars 1994

Au nom du comite organisateur du congres de 1994 de l' ACOA, nous aimerions vous souhaiter la bienvenue dans les Prairies et vous proposer un «avant-gout du Manitoba». Les membres du comite ont travaille d'arrache-pied pour vous proposer un choix passionnant d'activites educatives. N'hesitez donc pas a prolonger votre sejour et a assister a une des seances qui precederont le congres.

Pourquoi ne pas satisfaire le touriste qui sommeille en vous en vous laissant tenter par les aventures culinaires, les activites culturelles et artistiques et les divertissements que le Manitoba vous offre?

Saisissez l'occasion d'aider votre association en donnant votre point de vue aux membres du Bureau de I' ACOA. Prenez le temps de faire connaissance avec vos coIIegues et de partager vos experiences avec eux.

En esperant que le soleil des Prairies soH au rendez-vous, nous attendons avec impatience de vous rencontrer it Winnipeg au mois de mai!

April Gregora et Carla Sharman

Oejeuner pre-conference Mercredi 4 mai

12h - 13h

29

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Canadian Association of Speech-Language Pathologists and Audiologists Association canadienne des orthophonistes et audiologistes

19th Annual Conference 1ge congres annuel

The Westin Hotel Two Lombard Place Winnipeg, Manitoba

May 4 • 7 1994/ 4 • 7 mai 1994

Time I Heure Presenter I Session I Presentation

9:00 a.m. - 12:00 p.m. and

conferencier(ej

1;00 p.m. - 4:00 p.m. Bayles (concurrent / simultanees)

8:00 p.m. - 10:00 p.m.

9:00 a.m. - 12:00 p.m. and

Weinstein

1 :00 p.m. - 4:00 p.m. Bless (concurrent / simultanees)

8:00 a.m - 12:00 p.m. Robinette and 1:00 p.m. - 2:30 p.m. (concurrent; simultanees)

9:00 a.m. - 12:00 p.m. Frattali (concurrent / simultanees)

Gallagher

Chasin

Wednesday, May 41 Mereredi 4 Mai

Pre-Conference Workshops / Ateliers pre-congres

Memory and Aging: Dementia, Aphasia, and Head Trauma; La memoire et le vieillissement: La demence, l'aphasie et les traumatismes cniniens

Rehabilitation Strategies for the Hearing-Impaired Older Adult; Strategies de readaptation pour les personnes iigees atteintes de presbyacousie

OPENING RECEPTION; RECEPTION D'ACCUEIL

Thursday, May 5 1 Jeudi 5 Mai

INVITED SPEAKERS / CONFERENCIER(E)S INVITE(E)S

Clinical Videostroboscopic Assessment of Vocal Function / Evaluation videostroboscopique de la fonction vocale en clinique

Clinical Experience with Otoacoustic Emissions: "In One Ear and Out the Same" / Experience clinique des emissions otoacoustiques: HEntrer par une oreille et sortir par la meme"

Modem Principles and Methods for Improving Quality; Principes et methodes modernes d'amelioration de la qualite

Social Skills Development and Language Disorders in Children / Socialisation et troubles du langage chez les enfants

Implantable Bone Conduction Hearing Aids; Protheses auditives implantables utilisant la conduction osseuse

JSLPA VoL 18. No. 1, March 1994 f ROA Vo!. 18. N° 1, mars 1994 31

Program Summary I Aperfu du programme

Time' Heure

9:00 a.m. - 12:00 p.m.

1:00 p.m. 4:00 p.m. (concurrent! simultanees)

1 :00 p.m. 2:30 p.m

1 :00 p.m. - 2:00 p.m.

1 :00 p.m. 4:00 p.m

2:00 p.m. - 3:30 p.m. (concurrent / simultanees)

7 :00 p.m. - 11 :00 p.m.

9:00 a.m. - 12:00 p.m. (concurrent / simultanees)

32

Presenter' conferencier(e)

Sutherland, Tennant

Bless

Robinette

Frattali

Bauch

Carmichael, Findlay, Morse, Nerbas, Rasmussen, Terwin

Cronk, Bergeron

Bester, Barton, Czajka

Myers

Catts

Arvedson

Thursday. May 5

Session' Presentation

Seminar: Speech-Language Pathology I Seminaire: Orthophonie

Outcome Standards for Speech-Language Pathology Standards / Nonnes de rendement en orthophonie

INVITED SPEAKERS I CONFERENCIER(E)S INVlTE(E)S

(continued / suite)

Functional Assessment: Its Uses from Clinical and Policy-making Points of View / L'evaluationfonctionnelle: Utilite clinique et utilite pour l'elaboration des politiques

(continued / suite)

ABR in the Clinical Setting: Sensitivity, Specificity and Cost Effectiveness / L'ABR en clinique: SensibiUte, specificite et rentabilite

Deer Lodge Centre ALS Team / L'equipe ALS du Centre Deer Lodge

Miniseminars: Speech-Language Pathology I Mini-seminaires: Orthophonie

Cognitive Strategy Building as a Way Out of Severe Phonological Difficulty / Resolution des problemes phonologiques graves par I'elaboration d'une strategie intellectuelle

The Chedoke-McMaster Communication and Swallowing Scales / L'echelle de communication et de deglutition Chedoke-McMaster

TASTE OF MANITOBA / UN AVANT-GOUT DU MANITOBA

Friday, May 61 Vendredi 6 Mai

INVITED SPEAKERS I CONFERENCIER(E)S INVITE(E)S

Narrative Level Communication Disorders Associated with Right Hemisphere Damage I Troubles de communication de type narratif associes a une Lesion a l'hemisphere droit

Early Identification and Remediation of Language-Based Reading Disabilities / Identification et traitement precoces des difficultes de lecture attribuables au langage

Pediatric Swallowing and Feeding Disorders / Problemes de deglutition et d'alimentation chez ['enfant

JSLPA Vol. 18. No. I, March 19941 ROA Vol. 18. N° I. mars 1994

Friday, May 6

Time I Heure

9:00 a.m. 10:30 a.m.

12:15 p.m. - 2:15 p.m.

2:30 p.m. 4:00 p.m. (concurrent I simultanees)

2:30 p.m. - 4:00 p.m (concurrent I simultanees)

Presenter I conferencier(e)

Chasin

Ireland

Latulippe, Alma, Gautheron, Siegel

Halldorson

Cameron

B uckley -Dirks, Blinov

Russell, Montemurro

Cook. Dahl. Elliott

Cote, Cronk

Program Summary I Aperfu du programme

Session I Presentation

Stick It In Your Ear- Deep Canal Fittings I Dans l'oreille: Ajustement intra­auriculaire profond

Dizziness and Balance Disorders in the Nineties I Le vertige et les troubles de l'equilibre dans les annees quatre-vingt-dix

Miniseminars: Speech-Language Pathology I Mini-seminaires: Orthophonie

Adaptationfranraise de la section III du TACL-R et elaboration de normes regionales I French Adapation of Section III of the TACL-R and Development of Regional Norms

AWARDS LUNCHEON I DEJEUNER ET REMISE DES PRiX

Miniseminars: Speech-Language Pathology I Mini-seminaires: Orthophonie

A Reading/Language Program for School-Aged Children I Programme de lecture et d'apprentissage du langage pour les enfants d'age scolaire

Promoting Communication with Tracheostomized and Ventilator Dependent Patients I Comment encourager les malades a communiquer apres la tracheotomie et malgre l'utilisation d 'un ventilateur

CONTRIBUTED PAPERS, VIDEO TAPE PRESENTATIONS, POSTERS AND SCIENTIFIC EXHIBITS I DOCUMENTS, BANDES VIDEO, AFFlCHES ET EXPOSITIONS SCIENTIFIQUES

Paper Presentations: Speech-Language Pathology: Programming with Parents I Presentations de documents: Orthophonie: Travailler de concert avec les parents

Parent-Child Phonology Programs - The Fun is Contagious! I Programmes de phonologie parent-enfant - Plus on est de fous, plus on ritf

Facilitating Articulation Development: A Parent-Child Program I Mieux articuler: Un programme parent-enfant

A Parent Training Program for Students with Mild Articulation Difficulties I Programme de formation des parents des etudiants atteints de lege res diffieulres d' elocution

Communication-Development Training for Parents of Six-Month-Old "Premies" I Nature et effets d'un programme de formation au soutien du developpement eommunicatif offert aux parents de bebes prematures ages de six mots

JSLPA Vol. 18, No. I, March 19941 ROA Vol. 18, N° 1, mars 1994 33

Program Summary I Aper~u du programme

Time! Heure

2:30 p.m. - 4:00 p.m. (concurrent I simultanees)

2:30 p.m. - 4:00 p.m. (concurrent / simultanees)

2:30 p.m. - 4:00 p.m (concurrent I simultanees)

34

Presenter! conferencier(e)

Penko, Jocelyn, Rode

Coppens, Hungerford

Muir

Latulippe, Alma, Gautheron, Siegel

Thompson, Dupuis

Thompson, Field

Nunes, Sokoloff

Ritterman, Li, Williams

Myers, Carluck

Friday, May 6

Session! Presentation

Paper Presentations: Speech-Language Pathology: Children I Presentations de documents: Orthophonie: Enfants

Communicative, Cognitive, and Audiologic Status of Preschool Children with Cleft Lip and Palate / Developpement communicatif, intellectuel et audiologique des enfants d'lige prescolaire atteints d'une fissure labia le et d'unefente palatine

Language Development in Landau-Kleffner Syndrome: Two New Case Studies I Developpment du langage chez les personnes atteintes du syndrome de Landau-Kleffner: Deux nouvelles etudes de cas

Language Sampling and Computerized Profiling: Effective Tools in a Naturalistic Intervention Program I Echantillonnage du langage et creation d'un profil informatise: Des instruments efficaces dans le contexte d'un plan d'intervention naturaliste

French Adaptation of Section III of the TACL-R and Development of Regional Norms I Adaptationfram;;aise de la section III du TACL-R et elaboration de normes regionales

Paper Presentations: Speech-Language Pathology: Adolescents-Adults I Presentations de documents: Orthophonie,' Adolescents-adultes

Non-Speaking Adolescents in the Classroom: Inclusion, Interaction, Incredible! I Les adolescents muets en classe: Inclusion, interaction, incroyable!

The Transition from Pediatric to Adult Services: A Case Study / Transition entre les services pediatriques et les services aux adultes: Etude de cas

Measuring Functional Communication Skills Within a Conversational Context / Comment mesurer les aptitudes de communicationfonctionnelles en mode conversationnel

Topic and Listener Familiarity as Factors Affecting Aphasic Discourse I La place de la familiarite avec le sujet et de la connaissance de I' auditeur dans le discours des aphasiques

Videotape Presentation: Speech-Language Pathology I Presentations sur bande video: Orthophonie

Use of Videotape as a Source of Information for Laryngectomees I Utilisation de bandes video pour renseigner les personnes ayant subi une laryngectomie

JSLPA Vo!. 18, No. I, March 19941 ROA Vol. 18. N° 1. mars 1994

Friday, May 6

Time! Heure

2:30 p.m. - 4:00 p.m. (concurrent I simultanees)

4:00 p.m. 4:30 p.m.

4:30 p.m. - 6:00 p.m.

Presenter! conferencier(ej

Templeton, Gronhovd

Graves

Huckell

Bemhardt, Bohlen

Cool, Cronk

Tuckwell, Duivestein

McGillivray

Ritter-Brinton

Harrison, Schultz, Chan

Wastie, MacKenzie

Keith, Thomas

Program Summary I Aperyu du programme

Session! Presentation

Poster Sessions I Presentations d'affiches

The Relationship Between Beliefs and Anxiety in Individuals Who Stutter / Relation entre les convictions et l'an:tiete chez les begues

Head of Bed Patient Care Advisories / Conseillers de chevet pours les malades alites

Efficacy of, and SLP Services to Stroke Victims in Saskatchewan I Services d'orthophonie pour les victimes d'un accident cerebro-vasculaire en Saskatchewan et efficacite de ces services

Nonlinear Phonological Intervention: Group and Individual Case Study Results /Intervention phonologique non lineaire: Resultats des etudes de cas collectives et individuelles

A Profile of Language Difficulty at Age Five in "Premies" / Nature et prevalence des troubles de langage des enfants de cinq ans nes prematurement

Pediatric Feeding/Swallowing Assessment: A Multidisciplinary Model That Really Works I Evaluation des problemes d'alimentation et de deglutition chez les enfants: Un modete multi-disciplinaire efficace

Semantic Development in School-Aged Children: A Quantitative Measure I Developpement de la semantique chez les enfants d'age scolaire: Evaluation quantitative

Practical Program Evaluation: Just Do It! I Evaluation pratique des programmes: Pourquoi pas?

Aerodynamic Measurement Norms and Analysis of Task Presentation Variables I Normes applicables ii: [,evaluation aerodynamique et analyse des variables concernant la presentation des taches

Bridging the Cultures: Intervention in Any Language I Rapprocher les cultures: Intervenir dans n 'importe queUe langue

SCIENTIFIC EXHIBIT / EXPOSITION SCIENTlFlQUE

Historical Display of Artificial Larynges: Early 1900s to Present / Petite histoire du Larynx artificiel:Du debut du XXe siecie a nos jours

MEMBERS FORUM / TRIBUNE DES MEMBRES

ANNUAL GENERAL MEETING I REUNION ANNUELLE DES MEMBRES

JSLPA Vol. 18, No. I, March 1994/ ROA Vol. 18. N° 1. mars 1994 35

Program Summary I Apert;u du programme

Time I Heure

9:00 a.m. - 12:00 p.m. (concurrent / simultanees)

Presenter I conferencler(e)

Mueller

Rossetti

Long

Collier

9:00 a.m. - 12:00 p.m. (consecutive I consecutives)

1:00 p.m. - 2:30 p.m.

1:00 p.m. 4:00 p.m. (concurrent I simultanees)

5:00 p.m. 8:00 p.m.

36

Heaton, Hagler, Forward

Heaton, Hagler, Forward

Evans, Zimmer

Mueller

Rossetti

Long

Collier

Saturday, May 7

Session I Presentation

Saturday, May 7 I Samed; 7 Ma;

INVITED SPEAKERS I CONFERENCIER(E)S INVITE(E)S

Hearing Aid Selection and Fitting: As Easy as A.c.T. / Choix et ajustement d'une prothese auditive: Aussi simple qu 'A.C. T.

Neuro-Developmental Assessment of Infants and Toddlers I Evaluation du developpement neurologique des nourrissons et des bambins

Computerized Language Analysis: Lasting Misconceptions, Current Capabilities, and Future Prospects I Analyse du langage assistee par ordinateur: Prejuges tenaces, capacites actuelles et perspectives d'avenir

A Clinical Framework for the Application of Augmentative and Alternative Communication with Adults I Application des methodes de suppleance a la communication orale aux adultes en clinique

Miniseminars: Speech-Language Pathology I Mini-seminaires: Orlhophonie

Current Use of Support Personnel, their Training and Supervision I Usage actuel du personnel de soutien, formation et supervision

Future Use of Support Personnel, their Training and Supervision I Usage futur du personnel de soutien, formation et supervision

Successful Communication with Deaf and Hearing Children / Communication efficace avec les enfants sourds et entendants

INVITED SPEAKERS I CONFERENCIER(E)S INVITE( E)S

ASP and Programmable Hearing Aids: How to Select the Type of Processing that is Best I ASP et protheses auditives programmables: Choisir la methode de traitement idea le

Intervention Strategies for Infants and Toddlers I Methodes d'intervention pour les nourrissons et les bambins

(continued I suite)

(continued I suite)

WINNIPEG WANDERINGS I ERRANCES A WINNIPEG

JSLPA Vo!. 18, No. I. March 1994 f ROA Vol. 18, N° 1, mars 1994

Abstracts

CONFERENCE PROGRAM

WEDNESDAY, MAY 4, 1994 PRE-CONFERENCE WORKSHOPS

9:00 a.m.- 12:00 p.m. and 1:00 p.m. - 4:00 p.m. (concurrent)

Memory and Aging: Dementia, Aphasia, and Head Trauma Kathryn A. Bayles, Ph.D, Professor, Department of Speech and Hearing Sciences, University of Arizona, TUcson, Arizona

Speech-language pathologists need to be well informed about human memory because: the linguistic communication deficits of dementia patients reflect disease effects on memory systems; the most common enduring problem of head injury victims is memory deficit; and the areas of the brain injured in stroke and aphasia are also areas important to normal memory function. Therefore the purposes of this workshop are: (1) to define the basic types of human memory and their neuroanatomical substrates (2) to review the effects of normal aging, dementing diseases, stroke and aphasia, and head injury on memory systems (3) to describe procedures for differentiating the memory deficits associated with dementia, aphasia and head trauma from those of normal aging. and (4) to recommend therapeutic methods for com­pensating for deficits in the different memory systems.

Rehabilitation Strategies for the Hearing-impaired Older Adult Barbara E. Weinstein. Ph.D., Associate Professor, Department of Speech and Theatre. Lehman College, The City University of New York, Bronx, New York

Older hearing-impaired adults pose a particular challenge to the clinical audiologist. Hearing loss is a prevalent chronic condition, which has significant psychosocial manifesta­tions, for which a plethora of rehabilitative techniques are available. However, older adults tend to delay seeking an audiologic assessment and postpone the purchase of a hearing aid or assistive listening device. The purpose of this session will be to provide clinicians with the tools necessary to meet the needs of older hearing-impaired adults. Speci­fically, the session will seek to: (l) provide the clinician with a description of reliable and valid instruments which can be used to identify older adults requiring audiologic rehabili-

JSLPA Vol. 18, No. I, March 19941 ROA Vol. ]8, N° 1. mars 1994

tation including hearing aids (2) provide the clinician with an overview of self-assessment instruments which can be used to reliably quantify the psychosocial consequences of hearing loss (3) discuss the audiometric and non-audiometric correlates of hearing aid use in older adults (4) provide an extensive review of the literature describing the benefits of hearing aid use in older adults (5) discuss rehabilitative stra­tegies effective with older adults and (6) offer suggestions for motivating older adults to seek audiologic intervention using the theory of motivational dynamics.

THURSDAY, MAY 5,1994 INVITED SPEAKERS

9:00 a.m.- 12:00 p.m. and 1 :00 p.m.- 4:00 p.m. (concurrent)

Clinical Videostroboscopic Assessment of Vocal Function Diane Bless, Ph.D., Professor, Otolaryngology - Head & Neck Surgery, University of Wisconsin, Madison, Wisconsin

The videostroboscopic assessment of vocal fold vibratory patterns has recently become a standard component of the clinical voice evaluation. This presentation will introduce people to the clinical assessment of video-laryngo-strobo­scopy. Specific factors to be discussed will include: patient population, equipment influencing acquisition of strobo­scopic images and vibratory patterns, the endoscope, the stroboscopic light source, the camera and lens system, the recording devices, and the monitors. Some time will be devoted for training of perceptual judgements and discussion of problem patients.

Opening Reception Wednesday, May 4

8:00 p.m. - 10:00 p.m.

37

Conference Program

8:00 a.m.- 12:00 p.m. and 1 :00 p.m. - 2:30 p.m. (concurrent)

Clinical Experience with Otoacoustic Emissions: 'In One Ear and Out the Same' Martin S. Robinette, Ph.D., Section Head! Audiology, Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota

The initial presentation is on the anatomical and physio­logical correlates of the production and measurement of otoacoustic emissions (OAEs). Following the definitions of types of OAEs and measurement techniques, clinical data will be presented. In addition to data on the normal hearing population (age: 0 to 80) the following clinical populations will be reviewed both by group data and case examples: high frequency and low frequency sensorineural hearing losses, pseudohypocusis, sudden and fluctuating hearing losses, Meniere's disease, retrocochlear loss related to vestibular schwannomas and neurofibromas, and central auditory disorders. An emphasis is placed on cases in which OAEs measures resulted in a change in patient management (in other words OAEs made a clinical difference). Additional discussion and presentations deal with the use of OAEs for screening/evaluating infants and children, and the effects on OAEs test results of middle ear disorders including the use of ventilation tubes. The final topic is the use of OAEs and contralateral stimulation to evaluate the afferent neural path­way (medial olivocochlear system).

9:00 a.m. -12:00 p.m. (concurrent)

Modern Principles and Methods for Improving Quality Carol Frattali, Ph.D., Director of the Health Services Division, American Speech-Language-Hearing Association, Rockville, Maryland

Total quality management or continuous quality improve­ment are terms used often in the human services. Are these just new principles and methods that have replaced those associated with yet other terms, such as quality assurance? Will they, too, be short-lived? The evolution of quality improvement approaches is moving at a rapid pace. Modern principles and methods that originated in the manufacturing industry, however, hold great promise for effectively improving the quality of care. They provide a systematic and data-driven process for improving systems to better meet consumer needs and expectations. This interactive workshop will introduce modern principles and methods associated with total quality management. Outcome measures, such as functional assessment and consumer satisfaction surveys, will be addressed. Case examples will be provided in an

38

Thursday, May 5, 1994

effort to assist participants in applying the methods to their individual work situations.

Social Skills Development and Language Disorders in Children Tanya M. Gallagher, Ph.D., Professor & Director, School of Communication Sciences and Disorders, Associate Dean, Allied Health Sciences, McGill University, Montreal, Quebec

Communication skills found to relate to measures of peer acceptance and sociometric status in young children will be reviewed as well as those central to the establishment and maintenance of friendships across the developmental age range, preschool through adolescence. Conversational and pragmatic language assessment procedures will be discussed in the context of this information on the social-behavioral, social-emotional aspects of child development and a social interaction working model will be presented. Social skill intervention programs and language intervention procedures involving peers will be reviewed.

Implantable Bone Conduction Hearing Aids Marshall Chasin, M.Sc., Director of Research, Canadian Hearing Society, Toronto, Ontario

For those patients with congenital atresia and untreatable chronic otitis media, an implantable bone conduction hearing aid may be an option. There are two coupling approaches which will be compared and contrasted: a transcutaneous route through an implanted magnet (Xomed) and a percutaneous route through an external embuttment (Nobel Pharma). Clinical and theoretical reasons will be discussed for preferring the percutaneous route. Selection criteria, pre-and post-assessments and clinical results on over 60 patients will be discussed.

Seminar: Speech-Language Pathology

9:00 a.m. - 12:00 p.m.

Outcome Standards for Speech-Language Pathology Standards Marjory F. Sutherland, Alberta Health, Edmonton, Alberta Wanda 1... Tennant, Alberta Health, Edmonton, Alberta

In time of fiscal restraint, it is critical for a speech-language pathology program to document the results it has achieved with its clientele. This presentation describes outcome standards which Alberta Health Unit Speech-Language Pathology Programs developed to improve efficacy and effi­ciency. A computerized information tracking system to determine a program's progress in achieving these outcomes is being tested. The standards, data collected, reports pro­duced and consumer satisfaction surveys will be discussed.

JSLPA Vol. 18, No. 1. March 19941 ROA Vol. 18. N° 1, mars 1994

Thursday, May 5, 1994

INVITED SPEAKERS

1 :00 p.m.- 2:00 p.m. (concurrent)

Functional Assessment: Its Uses from Clinical and Policymaking Points of View Carol Frattali, Ph.D., Director of the Health Services Division, American Speech-Language-Hearing Association, Rockville. Maryland

Functional assessment encompasses an aspect of clinical evaluation that addresses a person's ability to perform daily life activities. Considered a supplement to the traditional diagnostic battery, functional assessment adds a dimension to the client's profile of communication abilities. Thus, func­tional assessment can aid in clinical care planning as well as client outcomes documentation in a language understandable to the lay person. The uses of functional assessment for policy making are broad and far reaching. Functional assess­ment is being used as a means to determine payment rates, to set criteria for treatment eligibility, to make discharge determinations, and to judge the quality of care. This session will introduce functional assessment within a measurement context of disability. A review of existing instruments will be provided. Finally, a grant project of the American Speech­Language-Hearing Association to develop a functional communication measure will be discussed.

1 :00 p.m. - 4:00 p.m.

ABR In the Clinical Setting: Sensitivity, Specificity and Cost Effectiveness Christopher D. Bauch, Ph.D., Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota

This presentation will focus primarily on contemporary ABR assessment in a clinical setting. Among the areas to be discussed are the sensitivity and specificity of various otoneurologic ABR indices that are traditionally used to evaluate the integrity of the eighth nerve and auditory brain­stem pathways. The indices include absolute latencies, inter­peak intervals and inter-aural latency differences for wave V and for the IN interpeak interval. Efficiency and predictive

Taste of Manitoba Thursday, May 5

7:00 p.m. - 11 :00 p.m.

JSLPA Vol. 18, No. 1, March 1994 / ROA Vol. 18, N° 1, mars 1994

Abstracts

values of these ABR recordings via ear canal electrodes and tubephones will also be addressed. In addition, four-channel ABR recordings will be discussed in terms of wave identification and inter- and intra-judge agreement for the various waves. Cost effectiveness of diagnostic ABR testing in the assessment of patients suspected for retrocochlear involvement will be included in the overall discussion. Other topics will include pre- and post-operative audiologic results (including ABR) for patients having hearing preserved following eighth nerve tumor surgery, and the use of frequency-specific stimuli for otoneurologic evaluation and for auditory threshold assessment.

1 :00 p.m. - 4:00 p.m.

Deer Lodge Centre ALS Team Loraine Carmichael, RN., Home Care Patricia Findlay, OTM (C) Occupational Therapy Elizabeth Morse, SLP (C) CCC Communication Disorders Jean Nerbas, RD Dietary Diana Rasmussen, R.N. Education Services Donna Terwin, PT Physiotherapy Deer Lodge Centre, Winnipeg, Manitoba

As a result of highly publicized human rights decisions, motor neuron disease has developed a much higher public profile over the last few years. At the same time, Deer Lodge Centre's ALS Team has been developing a client centred approach that emphasizes the client's right to determine hislher own quality of life, right to make informed decisions, and right to services despite the diagnosis of ALS. As part of this development, each team member has had to evaluate hislher own philosophies, ethics, and emotions in response to the disease process and inevitable outcome.

The Deer Lodge Centre ALS team will discuss the roles within the team and the way in which these roles have evolved and merged. They will also discuss the way in which the team process, itself, has evolved and developed over the last few years in response to client needs, com­munity expectations, and changes in health care.

Miniseminars: Speech-Language Pathology

2:00 p.m. - 3:30 p.m. (concurrent)

Cognitive Strategy Building as a Way Out of Severe Phonological Difficulty Carolyn Cronk, Ecole d'orthophonie et d'audiologie, Universite de Montreal, Montreal, Quebec Micheie Bergeron. Ecole d'orthophonie et d'audiologie. Universite de Montreal, Montreal, Quebec

39

Conference Program

This miniseminar invites participants to rethink the emphases underlying intervention for severe phonological problems. Evidence will be reviewed suggesting that in many cases of severe unintelligibility, hypothesis-building concerning the rules behind language structure is a major problem. An overview of relevant cognitive theory will be provided. Examples of therapy activities using a cognitive-based ap­proach will be presented and participants will have an oppor­tunity to try their hand at generating some of their own.

The Chedoke-McMaster Communication and Swallowing Scales Stella Bester, Chedoke-McMaster Hospitals, Hamilton, Ontario Debbie Barton, Chedoke-McMaster Hospitals, Hamilton, Ontario Teri Czajka, Chedoke-McMaster Hospitals, Hamilton, Ontario

The CM-CASS is a scale which condenses the results from standardized and non-standardized assessments into a numerical score which reflects the degree of disability on the client's functional communication. There are 13 components which are largely based on ASHA guidelines. Each com­ponent is rated on a scale of 1-7, (7 independent, 1 = maxi­mum assistance). Preliminary data from reliability studies will be available and the CM-CASS' value as an outcome measure will be discussed.

FRIDAY, MAY 6, 1994 INVITED SPEAKERS

9:00 a.m. - 12:00 p.m. (concurrent)

Narrative Level Communication Disorders Associated with Right Hemisphere Damage Penelope S. Myers, Ph.D., Department of Neurology, Section of Speech, Mayo Clinic, Rochester, Minnesota

Despite sometimes normal language performance, patients with right cerebral hemisphere damage (RHD) may have a variety of cognitive and communicative disorders. Deficits in narrative level comprehension and expression associated with right hemisphere damage will be discussed in light of the speaker's theory about their possible cause. The potential effects of left-sided neglect and attentional deficits on communicative performance in RHD patients will be re­viewed, and some suggestions for management of narrative level deficits will be presented. Participants should gain a better understanding of the nature of narrative level impair­ments in RHD patients and some sense of how these deficits

40

Friday, May 6, 1994

are tied to other RH disorders. Both types of knowledge should help participants generate their own ideas for man­agement in addition to the specific treatment suggestions presented by the speaker.

Early Identification and Remedlation of Language­Based Reading Disabilities Hugh W. Catls, Ph.D., Associate Professor, Department of Speech-Language-Hearing Sciences and Disorders, University of Kansas, Lawrence, Kansas

Current research and clinical practice suggests that language deficits underlie many cases of reading disabilities. This workshop will examine the implications these findings/ observations have for professionals in the areas of language and language-learning disabilities. In the first part of the workshop, emergent literacy and reading acquisition/ instruc­tion will be discussed. Attention will then be focused on the language basis of reading disabilities. Included will be a discussion of a longitudinal investigation of reading problems associated with developmental speech-language impairments. Recommendations will be offered throughout for how to identify, assess, and remediate language-based reading disabilities.

Pedlatric Swallowing and Feeding Disorders Joan C. Arvedson, Ph.D., Director, Speech-Language and Hearing Department, Children's Hospital of Buffalo, Buffalo, New York

Speech-language pathologists (SLPs) are integral members of interdisciplinary teams involved in the assessment and treatment of children with swallowing/feeding disorders. Many infants and children with swallowing problems have a neurologic impairment underlying the swallow/feeding disorders. Extensive knowledge is needed in areas of neuro­developmental, respiratory, gastrointestinal, and nutrition factors that may affect swallowing and feeding. This knowl­edge provides a basis for appropriate assessment of oral­motor/feeding function in children. SLPs can then make significant contributions to their medical colleagues through observations during assessment and intervention procedures. It is critical that these children are evaluated and monitored through an interdisciplinary approach. No one professional can work in isolation with this group of children who usually present with complex needs.

This clinically oriented session will provide information related to physiology of swallowing, etiologies of swallow­ing deficits, assessment (bedside/clinical and instrumental), and treatment. A thorough clinical assessment leads to

JSLPA Vo!. 18, No. 1. March 1994/ ROA Vol. 18, N° 1, mnrs 1994

Friday, May 6, 1994

decisions regarding the need for additional tests in some instances (e.g., pulse oximetry, fluoroscopic swallow studies, scintiscan). A total oral-motor, sensory and behavioral management program is advocated whether children's nutri­tional needs are met via nonoral methods or oral feedings. Case studies with videotapes will illustrate pertinent points for SLPs in medical and school settings.

Stick It in Your Ear - Deep Canal Fittings Marshall Chasin. M.Sc., Director of Research, Canadian Hearing Society, Toronto, Ontario

Since the advent of deep canal hearing aid fittings in the late 1980's there have been over 1500 fittings in Europe, the United States and Canada. A deep canal fitting is one whose medial end is within 5 mm of the eardrum and the lateral end is 1-2 mm inside or adjacent to the meatal opening.

The acoustics of such a fitting will be described pro­viding transfer functions which indicate a 10-15 dB increase over conventional fittings as well as a virtual lack of the occlusion effect. In addition, there is a 3500-4000 Hz concha related Helmholtz resonance and a large pinna effect which further enhances the higher frequencies. In addition to the acoustic advantages, there are apparent cosmetic advantages.

Case examples will be discussed for both successes and failures. Because of the favourable acoustics, it would be fair to say that in the not too distant future, the majority of hearing aid fittings on adults will be deep canal fittings.

9:00 a.m. -12:00 p.m. (concurrent)

Dizziness and Balance Disorders In the Nineties Desmond J. Ireland, ENT, Head, Department of Otolaryngology, University of Manitoba, Winnipeg, Manitoba

While ENG including oculomotor, caloric and rotatory tests still remain the backbone of investigation of patients with dizziness and balance problems, several recent advances in the management of the dizzy patient have extended and expanded our horizons.

Dynamic platform posturography reached the level of clinical practice in 1986 and has become a useful adjunct in the assessment of functional difficulties in the dizzy patient. It is a valuable tool in assessing the efficacy of rehabilitation in the management of patient problems. The current tech­nique used in my laboratory will be described and illustrated, and results from several years of testing will be presented.

Recently, in Australia, a relatively new technique of vestibular evoked potentials has surfaced. We have recently started using this technique and will describe both the technique and, in addition, outline our results thus far.

JSLPA Vol. 18, No. 1, March 19941 ROA Vol. 18. N° 1, mars 1994

Abstracts

The most significant advance in the management of the dizzy patient in the last 10 years has been the introduction of the so-called single treatment maneuvers for benign paroxysmal positional vertigo. Much more has been gleaned from the study of the literature on the mechanism of produc­tion of this disorder. We recently completed a 350 patient study using one of the treatment maneuvers. The results of this treatment compare very favorably with more conven­tional approaches. Our experience will be discussed. In addition, we also hope to provide you with some preliminary data on the use of other such treatments and compare it with our rather large series here.

Finally, head shaking nystagmus has been introduced in several centres as a test of both peripheral and central vestibular function. The clinical role of head shaking nystagmus, however, is far from established, and we will relay to you our experience with this test over a multi-year period used in approximately 2,000 patients.

Minlsemlnars: Speech-Language Pathology

9:00 a.m. - 10:30 a.m.

Adaptation franQaise de la section III du TACL-R et elaboration de normes reglonales Lynne Latulippe, Conseil des ecoles separees catholiques romaines de Dufferin et Peel, Mississauga, Ontario Nicole Alma, Conseil des ecoles catholiques de Halton, Burlington, Ontario Sylvie Gautheron, Conseil des ecoles franc;aises de la communaute urbaine de Toronto, Don Mills, Ontario Linda Siege/, Ontario Institute for Studies in Education, Dept. of Instruction and Special Education, Toronto, Ontario

The project's objective was the development of an assess­ment tool in French for the evaluation of receptive language abilities of SK to Grade 6 students in French language schools in minority language settings. Section III of the TACL-R was translated and adapted. 977 students were tested individually. Analyses indicate that the test is reliable and valid and provides information on the acquisition of syntactical comprehension in students who are educated in a language other than their first language. (This presentation will be in French.)

Awards Luncheon Friday, May 6

12:15 p.m. - 2:15 p.m.

41

Conference Program

2:30 p.m. - 4:00 p.m. (concurrent)

A Reading/Language Program for School-Aged Children Sharon G. HaUdorson, Child Guidance Clinic, Winnipeg, Manitoba

Language-learning disabled elementary school children were involved in a summer Reading/Language program. The pro­gram, delivered by a Speech-Language Pathologist and a Reading Clinician, focussed on specific language and liter­acy activities designed to expand oral language skills and to provide strategies for developing reading and writing abili­ties. The program was successful in providing the children with an opportunity to work intensively in a language-based learning environment with a multidisciplinary focus.

Promoting Communication with Tracheostomized and Ventilator Dependent Patients Tanis S. Cameron, Winnipeg Speech and Swallowing Clinic; Consultant, Passy-Muir Inc., Winnipeg, Manitoba

Traditionally, tracheostomized and ventilator dependent patients have been aphonic during a tremendously traumatic event. This mini seminar will provide training on commu­nication options which allow previously aphonic patients to vocalize. Types of tracheostomy tubes will be demonstrated. Assessment and treatment procedures for use of the Passy­Muir Speaking Valve will be supported by video tapes of infants, children and adults speaking and swallowing with the valve on.

CONTRIBUTED PAPERS, VIDEOTAPE PRESENTATIONS, POSTERS AND

SCIENTIFIC EXHIBITS

2:30 p.m.- 4:00 p.m.(concurrent)

Topics in Speech-Language Pathology: Programming with Parents

Parent-Child Phonology Programs - The Fun is ContagiOUS! jan Buckley-Dirks and Carol Blinov, Fort McMurray and District Health Unit, Fort McMurray, Alberta

Based on our conviction that the parent is the best educator for the child and our desire to make efficient use of speech­language resources, a group approach to phonological therapy was developed. The parent, trained by the speech­language pathologist, assumes responsibility for providing the production practice during the sessions and at home. Our intention is to present our approach and data supporting the benefits of a parent-child phonology group.

42

Friday, May 6, 1994

Facilitating Articulation Development: A Parent­Child Program Varina A. Russell and Susan Montemurro, Calgary Health Services, Calgary, Alberta

Can a parent training program for articulation intervention with school-aged children be effective and efficient? The implementation of a pilot program: "Facilitating Articulation Development (FAD): A Parent-Child Program" includes both the development and use of measures to assess program and treatment outcomes. Positive results support inclusion of centralized parent training programs as a viable service delivery option for school-aged children.

A Parent Training Program for Students with Mild Articulation Difficulties Lyn S. Cook, Beverly Dah~ and Barbara Elliott, Saskatoon Board of Education, Saskatoon, Saskatchewan

An innovative parent training program was established in a large urban school system in response to a change in service delivery philosophy and needs. A description of the program will be provided along with the types of steps and video print materials utilized within training sessions. Parental feedback about the program will also be reviewed.

Communication-Development Training for Parents of Six-Month-Old "Premies" Stiphanie Cote and Carolyn Cronk, Ecole D'Orthophonie et 0' Audiologie, Universite de Montreal, Montreal, Quebec

In light of the detrimental effect on parent-child interaction of various elements associated with a premature birth, language-support training was offered to parents of six­month-old premature infants. Based on an adaptation of the Hanen program, content was conveyed both formally and using on-the-spot coaching. Parents felt they learned impor­tant things and there was significant improvement in their interactional behaviors with their infants.

Members Forum Friday, May 6

4:00 p.m. - 4:30 p.m.

JSLPA Vol. 18, No. 1, March 1994 I ROA VO!. 18. N° 1, mars 1994

Friday. May 6, 1994

2:30 p.m. - 4:00 p.m. (concurrent)

Topics in Speech-Language Pathology: Children

Communicative, Cognitive, and Audiologic Status of Preschool Children with Cleft Lip and Palate Maureen A. Penko and Leslie J. Jocelyn, Health Sciences Centre, Winnipeg, Manitoba Helga L Rode, Richmond Speech and Hearing Clinic, Bumaby, British Columbia

Language, cognitive, and audiological status was examined in children with cleft lip and palate prior to age two years and compared to their peers. Significant delays were present as early as 12 months of age and persisted onto 24 months. Despite the higher prevalence of middle ear pathology, the incidence of hearing loss was not significantly different. These results indicate the importance of early identification, education, and rehabilitation of children with cleft lip and palate and their families.

Language Development in Landau-Kleffner Syndrome: Two New Case Studies Patrick Coppens and Suzanne M. Hungerford, Moorhead State University, Moorhead, Minnesota

Landau-Kleffner syndrome is an acquired speech and language dysfunction of unknown etiology associated with EEG dysfunctions and seizures. Only about 200 cases have been described since 1957. The symptomatology, differential diagnosis, prognosis, and recovery patterns will be des­cribed. The language characteristics will be emphasized. In addition, two new cases of Landau-Kleffner syndrome will be presented. The case histories will be discussed and the language characteristics will be described.

Language Sampling and Computerized Profiling: Effective Tools in a Naturalistic Intervention Program Nicole Y. Muir, Child Guidance Clinic, Winnipeg, Manitoba

Formal language tests are poor indicators of progress over time, especially for severely language delayed/disordered populations, where children often fail to meet baseline criteria. Computerized Profiling (1993), including LARPS and DSS, was used as the basis for the analysis of language samples obtained during free play in a naturalistic language intervention program. The usefulness of this tool as an indicator of progress, and a basis for clinical decisions will be examined in the context of severely language disordered/ delayed kindergarten aged children.

JSLPA VoL 18. No. I. March 19941 ROA Vat. lB. N° 1, mars 1994

Abstracts

French Adaptation of Section III of the TACL-R and Development of Regional Norms Lynne Latulippe, Conseil des ecoles separees catholiques romaines de Dufferin et Peel, Mississauga, Ontario Nicole Alma, Conseil des ecoles catholiques de Halton, Burlington, Ontario Sylvie Gautheron, Conseil des ecoles fran~aises de la communaute urbaine de Toronto, Don Mills, Ontario Linda Siegel, Ontario Institute for Studies in Education, Toronto, Ontario

The project's objective was the development of an assess­ment tool in French for the evaluation of receptive language abilities of senior kindergarten to Grade 6 students in French language schools in minority language settings. Section III of the TACL-R was translated and adapted. Nine hundred and seventy-seven students were tested individually. An­alyses indicate that the test is reliable and valid and provides information on the acquisition of syntactical comprehension in students who are educated in a language other than their first language. (This presentation will he in English.)

2:30 p.m. - 4:00 p.m. (concurrent)

Topics in Speech-Language Pathology: Adolescents/Adults

Non-speaking Adolescents in the Classroom: Inclusion, Interaction, Incrediblel Beth Thompson and Jacqueline Dupuis, Sunny Hill Health Centre for Children, Vancouver, British Columbia

In the last five to eight years, primary schools have taken a leading role in developing program and curriculum struc­tures to include nonspeaking children into regular stream education. Many of the nonspeaking students, who attended primary school with successful communication systems, are now entering intermediate and high school programs. Expec­tations for students in these more advanced programs change. Difficulties arise when nonspeaking students cannot transfer their communication systems to this new environment. This paper will highlight considerations for designing and imple­menting communication systems for nonspeaking students within intermediate and high school settings.

Annual General Meeting Friday, May 6

4:30 p.m. - 6:00 p.m.

43

Conference Program

The Transition From Pediatric to Adult Services: A Case Study Beth Thompson and Debbie Field, Sunny Hill Health Centre for Children, Vancouver, British Columbia

Adolescents with special needs now have access to technol­ogy and equipment options to increase their independence in the school and community. Moving into the workplace or post secondary education is a realistic dream for many adoles­cents with special needs. The transition planning between pediatric services and adult services becomes more critical as the expectation to support complicated programs and systems increases. This paper will follow a year in transition planning for a young person with severe disabilities and will review issues including setting priorities for communication needs, funding, and taking a role in the community.

Measuring Functional Communication Skills Within a Conversational Context Ligia Nunes and Lisa Sokolo/f, Sunnybrook Health Science Centre, North York, Ontario

A conversation-based functional communication assessment tool is discussed. It measures two key elements of conversa­tional interaction between aphasic residents and a trained communicator - elements widely recognized as valid indica­tors of effective and functional communication. The topic of interaction is determined by random selection of videotaped skits about daily occurrences which residents are likely to experience. This method of assessment offers clinicians the opportunity to measure functional communication skills within a conversational context.

Topic and Listener Familiarity as Factors Affecting Aphasic Discourse Stewart 1. Ritterman, School of Medical Rehabilitation, University of Manitoba, Winnipeg, Manitoba Edith U, Department of Speech Communication, California State University, Fullerton, California Sarah E. Williams, Audiology and Speech Pathology Section, Bay Pines Veteran Administration Medical Centre, St. Petersburg, Florida

The effect of listener and topic familiarity on the verbal out­put of Broca's, anomic and conductive aphasics was investi­gated. Subjects performed story retell and procedural dis­course tasks containing familiar and unfamiliar topics before familiar and unfamiliar listeners. Results indicated that listener familiarity was not a significant variable. Topic familiarity, however, was found to be a task specific significant factor in apha<;ic discourse.

44

Friday, May 6, 1994

2:30 p.m. - 4:00 p.m. (concurrent)

Use of Videotape as a Source of Information for Laryngectomees Candace L Myers, St. Boniface General Hospital, Winnipeg, Manitoba Andrea J. Carluck, Winnipeg, Manitoba

A laryngectomy, or removal of the larynx usually subsequent to cancer, while becoming more common, is nonetheless an overwhelming procedure. The use of a videotape for new patients and their families can provide more comprehensive and salient information at this crucial time. It can also be a useful teaching tool for medical personnel and speech pathologists less familiar with laryngectomy, as well as first responders, employers or co-workers, and the general public.

2:30 p.m. - 4:00 p.m. (concurrent)

Poster Sessions

The Relationship Between Beliefs and Anxiety in Individuals who Stutter Martin W. Templeton, North Country Nursing and Rehabilitation Center, Bemidji, Minnesota K. Dale Gronhovd, Department of Speech/Language/ Hearing Sciences, Moorhead State University, Moorhead, Minnesota

This study investigated the relationship between stutterers' anxiety levels and their beliefs about stuttering, normal speech, and normal speakers. Belief and anxiety checklists were administered to 37 high anxiety stutterers and 35 low anxiety stutterers. A discriminate analysis revealed that multiple item belief subscales and individual belief items were significantly related to stutterers' anxiety levels. Inter­pretations and clinical implications will be presented.

Head of Bed Patient Care Advisories Donald K. Graves, St. Mary's of the Lake Hospital, Kingston, Ontario

A combination of commercially available graphics software applications have been used on the Stroke Rehabilitation Unit to produce a series of Head of Bed Advisories. Their purpose is to communicate, on an "at a glance" basis, critical management information concerning disorders of communi­cation (speech/language/hearing) and swallowing. These advisories have been well received by hospital staff and family members, who find the graphics/text format eye catching and time efficient to process.

JSLPA Vo!. 18, No. I, March 1994/ ROA Vol. 18, N° J, mars 1994

Friday, May 6,1994

Efficacy of, and SLP Services to Stroke Victims in Saskatchewan Gaye H. HuckeU, ARTM Shared Services, Melita, Manitoba

Persons surviving stroke require a variety of rehabilitation services including speech-language pathology services for resulting communication disorders. This author's thesis looked at incidence of stroke in the general population which was then applied to Saskatchewan. Efficacy of speech­language therapy was discussed and data collected on the number of speech-language pathologists who had worked with stroke patients, where services were offered and whether or not stroke patients in Saskatchewan were getting adequate services.

Nonlinear Phonological Intervention: Group and Individual Case Study Results Barbara M. Bemhardt, School of Audiology and Speech Sciences, University of British Columbia, Vancouver, British Columbia Coleen Bohlen, Ministry of Health, Mission, British Columbia

The principal investigator and a participating clinician will present overall results and a case study example from a phonological intervention study with 20 clinicians and 20 children with severe phonological disorders. The interven­tion period was subdivided into blocks with different types of syllable/word structure targets and feature/phoneme targets, and different intervention methodologies. Nonlinear phono­logical frameworks were utilized in deriving analysis and treatment methodologies.

A Profile of Language Difficulty at Age Five in "Premies" Patricia Cool and Carolyn Cronk, Ecole D'Orthophonie et Audiologie, Universite de Montreal, Montreal, Quebec

Circumstances associated with a premature birth have the potential to disrupt language development. Evidence seems contradictory regarding the probability of language difficulty and the age by which any delay is resolved. Twenty-nine French-speaking five-year-olds born at 28 weeks or less were tested using the Dudley/Delage language battery. Results help clarify the question of language performance in prematurely­born children about to enter kindergarten.

JSLPA Vol. 18, No. 1, March 19941 ROA Vo/. IB, N° 1, mars 1994

Abstracts

Pediatric Feeding/Swallowing Assessment: A Multidisciplinary Model that Really Works Carolyn E. Tuckwell and lanice Duivestein, Sunny Hill Health Centre for Children, Vancouver, British Columbia

Feeding and swallowing assessment in the pediatric popula­tion requires a multidisciplinary approach to provide a com­prehensive and functional result. This poster will describe a successfully operating feeding and swallowing assessment unit as a model for other programs. Included will be infor­mation regarding issues and considerations in the develop­ment of a team, target populations, team components, family involvement, and elements of a full assessment. Also in­cluded will be successful reporting formats and approaches to data gathering.

Semantic Development In School-Aged Children: A Quantitative Measure LaRae McGillivray, Moorhead State University, Moorhead, Minnesota

Twelve-minute narrative language samples were elicited from 347 children aged 5:0 to 11: 11 years. Fifty subjects were randomly selected and assigned to each 6 month age group. A semantic measure, mean number of different words (NDW) per communication unit (CU) for the first fifty CU's was reliably scored. NDW showed significant growth with advancing age when age was segmented in yearly intervals. Means and standard deviations from seven age groups are reported for the NDW measure.

Practical Program Evaluation: Just Do It! Kathryn Ritter-Brinton, Glenrose Rehabilitation Hospital, Edmonton, Alberta

The poster outlines the process of identifying evaluation questions in rehabilitation settings and provides strategies for accessing internal and external support in the develop­ment and implementation of evaluation studies. The pre­sentation emphasizes the need to define questions that are within the practical capability of the program to investigate, but that have the potential to capture a broad range of pro­gram impact, including client outcomes, parent outcomes, family outcomes and community outcomes. A handout and an annotated reference list accompanies the poster.

45

Conference Program

Aerodynamic Measurement Norms and Analysis of Task Presentation Variables Jill Harmon, Judith Robillard-Schultz, Nancy Turner Chan, The Montreal General Hospital, Montreal, Quebec

Aerodynamic measurements of vital capacity, maximum phonation time, and s/z ratio were taken and mean flow rate calculated during the initial evaluation of over 200 dys­phonic patients. Means and standard deviations of scores were obtained for various voice disorders. Relationships between measures and disorders were examined. Statistical analyses determined whether the measurements were cor­related, whether more than one trial was necessary, and whether order of task presentation was important.

Bridging the Cultures: Intervention in Any Language Susan E. Wastie and Myrna L MacKenzie, Vancouver Health Department, Vancouver, British Columbia

The multicultural population in Vancouver has increased the demand for services to families who speak languages other than English or French. A few researchers have documented ideas for assessment. Intervention strategies that are cultur­ally sensitive and which value the home language must be created by the speech-language pathologist. In this presenta­tion the Vancouver Health Department staff share ideas from their multicultural intervention "tool chest". These include print materials, interpreter use, and language modelling techniques.

Scientific Exhibit

Historical Display of Artificial Larynges: Early 1900s to Present Robert L. Keith and Jack E. Thomas, Mayo Clinic, Rochester, Minnesota

In 1873, Billroth performed the first successful laryngec­tomy. The patient used an artificial larynx devised by an instrument maker named losef Leiter. Over the past 120 years, many artificial larynges have been developed, yet the basic designs and principles of the earliest instruments are still used in some modern artificial larynges. How much have artificial larynges changed over the years? This exhibit presents a collection of artificial larynges dating from the 1920s to the present, featuring over 35 different pneumatic and artificial larynges.

46

Saturday, May 7,1994

SATURDAY, MAY 7 INVITED SPEAKERS

9:00 a.m.- 12:00 p.m. (concurrent)

Hearing Aid Selection and Fitting: As Easy as A.C.T. H. Gustav Mueller, Ph.D., Department of Communication Disorders, University of Northern Colorado, Greeley, Colorado

This short course will focus on the three primary goals of hearing aid selection and fitting. HA" is for Audibility: We need to make soft speech audible throughout the frequency range. HC" is for Comfort: We need to place average speech at the users' MCL. "T" is for Tolerance: We need to make loud speech and environmental sound tolerable, and not too distorting. We will discuss how prescriptive fitting methods, probe-microphone measurements and LDL testing interface to assist us in getting our A.C.T. together.

Neuro-Developmental Assessment of Infants and Toddlers Louis Rossetti, Ph.D., Coordinator of the Communicative Disorders Program, University of Wisconsin, Oshkosh, Wisconsin

The overall purpose of this session is to discuss relevant issues related to neuro-developmental assessment of at-risk and handicapped infants and toddlers. Topics to be discussed include the status of infant and toddler assessment; recipients of assessment activity; general and specific assessment con­siderations; choosing assessment instruments; developmental domains to be assessed; and the correct interpretation and reporting of assessment results. The session is highly clinical in nature. Common problems faced by the assessor will be discussed with participant involvement encouraged.

Winnipeg Wanderings Saturday, May 7

5:00 p.m. - 8:00 p.m.

JSLPA Vo!. 18, No. 1, March 19941 ROA Vo!. 18, N° I, mars 1994

Saturday, May 7,1994

Computerized Language Analysis: Lasting Misconceptions, Current Capabilities, and Future Prospects Steven H. Long, Ph.D., Research Associate, Department of Speech & Hearing Sciences, University of Washington, Seattle, Washington

Over the last decade innovations in computer software have revolutionized the technique of language analysis. Using currently available programs, lexical, grammatical, phono­logical, and other analyses can be conducted with far greater speed, accuracy and depth than is possible by hand. Accord­ingly, speech-language pathologists must now prepare themselves to be consumers of this new, specialized class of software. This one day presentation considers a range of issues in selecting appropriate language analysis tools. What kinds of analyses can we expect software to perform? What are unrealistic expectations? In judging the suitability of a particular program, what hardware requirements must be weighed? What does a computer program expect from the user in terms of typing speed, computer savvy, or back­ground knowledge about linguistic categories and methods? All language analysis software requires as input an ortho­graphic or phonetic transcript in a form the computer can interpret. How do these forms vary and how difficult are they to learn? In addressing these and related questions the evolution of language analysis software is briefly traced. Examples of operation and output are given from a variety of different software packages. The presentation concludes with some crystal ball gazing about technological developments that will have a significant impact on future computerized language analysis.

A Clinical Framework for the Application of Augmentative and Alternative Communication with Adults Barbara Collier, LCST, Director, The Mobile Adult Augmentative Communication Service, The Hugh MacMillan Rehabilitation Centre, Toronto, Ontario

This one day workshop will provide participants with an assessment/ intervention framework for the application of augmentative and alternative (AAC) communication systems with adults. Beginning with an overview of the current status of AAC services for adults in Ontario, the morning session will include the assessment components, procedures, evalua­tion tools and techniques used by this community outreach programme. The afternoon will be spent exploring inter­vention issues relating to training for the client, partners and service providers. Case studies will be used to illustrate aspects of the framework.

JSLPA Vo!. 18, No. 1. March 1994/ ROA Vol. 18. N° 1, rrl£lrS 1994

Abstracts

Although the clinical framework will relate primarily to adults with cerebral palsy and traumatic brain injury, it is anticipated that it will have a broad application across other disability groups needing AAC. Some of the unique AAC considerations for these groups will be highlighted.

Challenges pertaining to the provision of AAC services for adults will be discussed throughout the day, i.e. support networks and service delivery issues for different residential environments and diagnostic groups. In addition, the impact of vocational opportunities and community access for this population will be explored.

This workshop will be of interest to clinicians who have a working knowledge of AAC, who require a systematic clinical approach to AAC and have an interest in exploring the service needs of this popUlation.

Miniseminars: Speech-Language Pathology

9:00 a.m. - 12:00 p.m. (consecutive)

Current Use of Support Personnel, their Training and Supervision Eloine Heaton, Glenrose Rehabilitation Hospital, Edmonton, Alberta Paul Hagler, University of Alberta, Edmonton, Alberta Jacquie Forward, Edmonton Board of Health, Edmonton, Alberta

This study, part of a larger national investigation of four rehabilitation disciplines, described the training, use, and supervision of support personnel in Canada. Subjects in the communication disorders areas were 2200 CEOs, 83 audio­logy triads, and 124 speech-language pathology triads. A triad was composed of a unit head, a professional, and a support worker with shared job responsibilities. Findings will be discussed in terms of how they relate to current pro­fessional practice.

Future Use of Support Personnel, their Training and Supervision Eloine Heaton, Glenrose Rehabilitation Hospital, Edmonton, Alberta Paul Hag/er, University of Alberta, Edmonton, Alberta Jacquie Forward, Edmonton Board of Health, Edmonton, Alberta

This study, part of a larger national investigation of four rehabilitation disciplines, described the preferred training, use, and supervision of future support personnel in Canada. Subjects, who were interviewed as triads, included 12 audi-

47

Conference Program

ologists and 57 speech-language pathologists. A triad was composed of a unit head, a professional, and a support worker with shared job responsibilities. Findings will be discussed in terms of how they may potentially relate to future professional practice.

1 :00 p.m.- 2:30 p.m.

Successful Communication with Deaf and Hearing Children Charlotte J. Evans, Sign Talk Children's Centre, Winnipeg, Manitoba Kyra R. Zimmer, Sign Talk Children's Centre, Winnipeg, Manitoba

The research of the Sign Talk Development Project, funded by Health and Welfare Canada, has identified a variety of teaching techniques and strategies which work most effec­tively to facilitate the learning and communication skills of deaf and hearing preschool children. The presenters will discuss and demonstrate the use of these strategies and tech­niques in a variety of cross-cultural teaching situations.

INVITED SPEAKERS

1 :00 p.m.- 4:00 p.m. (concurrent)

ASP and Programmable Hearing Aids: How to Select the Type of Processing that Is Best H. Gustav Mueller, Ph.D., Department of Communication Disorders, University of Northern Colorado, Greeley, Colorado

This session will first review the different types of ASP available including: compression limiting, AGC-I, full range dynamic compression, BILL and TILL processing strategies. We then will review how these processing strategies are utilized in different programmable instruments, including when multichannel and multimemory systems are necessary. The final portion of this short course will consist of ten case studies of real people fitted with different types of ASP: You will have the opportunity to point out the mistakes the instructor made when he fitted the hearing aids.

Saturday, May 7, 1994

Intervention Strategies for Infants and Toddlers Louis Rossetti, Ph.D., Coordinator of the Communicative Disorders Program at the University of Wisconsin, Oshkosh, Wisconsin

This session will alert clinicians to a variety of issues related to intervention for handicapped or at-risk infants and toddlers. Issues to be discussed include models of service delivery; models of team functioning; intervention with parents and care givers; intervention in the home, center, or intensive care nursery; specific intervention suggestions; and measuring program efficacy. Common problems faced by the early interventionist will be discussed with participant involvement encouraged.

Computerized Language Analysis: Lasting Misconceptions, Current Capabilities, and Future Prospects Steven H. Long, Ph.D., Research Associate, Depanment of Speech & Hearing Sciences, University of Washington, Seattle, Washington

(Continued ... )

A Clinical Framework for the Application of Augmentative and Alternative Communication with Adults Barbara Collier, LCST, Director, The Mobile Adult Augmentative Communication Service, The Hugh MacMillan Rehabilitation Centre, Toronto, Ontario

(Continued ... )

Bring this issue of JSLPA with you to Conference '94

48 JSLPA Vo!. 18, No. 1. March 19941 ROA Vol. 18. N° 1. mars 1994

Les resumes

PROGRAMME DU CONGRES

MERCREDI, LE 4 MAl 1994 ATELIERS PRE-CONGRES

9h -12h et 13h -16h (seances simultanees)

La memoire et le vieillissement : La demence, I'aphasie et les traumatismes craniens Kathryn A. Bayles, Ph.D., Professor Department of Speech and Hearing Sciences, University of Arizona, Tucson, Arizona

Les orthophonistes doivent tres bien connaitre le fonction­nement de la memoire humaine pour les raisons suivantes: les difficultes de communication linguistique attribuables a la demence refletent l' action de la maladie sur les systemes mnemoniques; le probleme le plus courant qui persiste chez les personnes souffrant d'un traumatisme cranien est le deficit de la memoire; et les parties du cerveau affectees par un accident cerebrovasculaire et l' aphasie jouent un role important dans le fonctionnement normal de la memoire. Les buts de l'atelier seront les suivants: 1) definir les types fon­damentaux de memoire chez l'etre humain et leur substrat neuro-anatomique; 2) examiner les consequences du vieillis­sement normal, des maladies qui conduisent a la demence, des accidents cerebrovasculaires et de l' aphasie, et des trau­matismes craniens sur les systemes memoriels; 3) decrire comment on peut distinguer les deficits attribuables a la demence, a l' aphasie et aux traumatismes craniens de ceux qui resultent du vieillissement normal et 4) recommander des methodes mnemotechniques en vue de compenser un deficit au niveau d'un systeme memoriel quelconque.

Strategies de readaptation pour les personnes agees atteintes de presbyacousie Barbara E. Weinstein, Ph.D., Associate Professor, Department of Speech and Theatre, Lehman College, The City University of New York, Bronx, New York

Les personnes agees qui souffrent d'hypoacousie posent un probleme particulier aI' audiologiste clinicienlne. La surdite

est un probleme chronique frequent qui entraine d'impor­tantes manifestations psychosociales pour lesquelles existe une foule de techniques de readaptation. Malheureusement, les personnes agees ont ten dance a reporter l' evaluation audiologique et a remettre a plus tard l' achat d'une prothese auditive ou d' aides de suppleance qui pourraient les aider. L' atelier procurera aux cliniciens/nes les outils qui leur permettront de repondre aux besoins des personnes agees atteintes de presbyacousie. Plus precisement, on s'efforcera: 1) de donner aula la clinicienlne une description des instru­ments utiles et fiables dont on peut se servir pour identifier les personnes agees qui devraient participer a un programme de readaptation audiologique, y compris utiliser une prothese auditive; 2) d'offrir aula la clinicienlne un aperSiu des outils d' auto-evaluation dont on peut se servir en toute confiance pour mesurer les repercussions psychosociales de la perte de l' oui'e; 3) d' analyser les correlats audiometriques et non audiometriques de l'usage d'une prothese auditive chez les personnes agees; 4) d'effectuer une revue exhaustive de la documentation illustrant les avantages d'une prothese audi­tive pour les personnes agees; 5) d'examiner les programmes de readaptation qui donnent de bons resultats avec les per­sonnes agees; et 6) de formuler des suggestions sur la ma­niere d'inciter les personnes agees a reclamer l'intervention d'unle audiologiste en appliquant la theorie de la dynamique de motivation.

JEUDI, LE 5 MAl 1994 CONFERENCIER(E)S INVITE(E)S

9h - 12h et 13h - 16h (seances simultanees)

Evaluation videostroboscopique de la fonction vocale en clinique Diane Bless, Ph.D., Professor, Otolaryngology-Head & Neck Surgery, University of Wisconsin, Madison, Wisconsin

L' evaluation videostroboscopique du profil vibratoire des cordes vocales s'est recemment ajoutee aux methodes habi­tuelles utilisees pour etudier la voix en clinique. Cet expose

Reception d'accueil Mercredi 4 mai / 20h - 22h

JSLPA Vol. 18, No. 1, March 1994/ ROA Vo/. 18, N° 1, mars 1994 49

Programme du congres

presentera a l' auditoire une evaluation clinique de la laryn­gostroboscopie sur bande video. On examinera plus particu­lierement la population de malades, le materiel susceptible d'influer sur la saisie des images stroboscopiques et du profil vibratoire, ]' endoscope, la source lumineuse du stroboscope, la camera et les objectifs, les appareils d'enregistrement et les moniteurs. On laissera aux participants un peu de temps pour developper leur jugement perceptuel et discuter de cas problemes.

8h - 12h et 13h - 14h30 (seances simultanees)

Experience cllnlque des emissions otoacousti­ques : «Entrer par une oreille et sortir par la meme» Martin S. Robinette, Ph.D., Section Head/Audiology, Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota

L' expose debutera par la presentation des correlats anatomiques et physiologiques de la production et de la mesure des emissions otoacoustiques (EOA). Apres avoir defini les differentes sortes d'EOA et les techniques permettant de les mesurer, le conferencier passera aux donnees cliniques. Outre la population caracterisee par une audition normale (sujets de 0 a 80 ans), on etudiera les populations cliniques suivantes en fonction des donnees particulieres au groupe et de cas precis: surdite de perception des basses et des hautes frequences, pseudohypoacousie, surdite subite et fluctuante, syndrome de Meniere, perte retrocochleaire attribuable a un neurinome ou a un neurofibrome dans le vestibule, et troubles centraux de I' audition. On insistera sur les cas ou la quantification des EOA ont debouche sur une modification du traitement (en d'autres termes ou les EOA ont eu une incidence sur le plan clinique). On parlera egalement de l'utilisation des EOA pour deceler et evaluer les difficultes chez les nouveau-nes et les enfants, et des effets des troubles de l' oreille moyenne sur les resultats des essais concernant les EOA, notamment l'utilisation de tubes d'aeration. Enfin, on examinera comment se servir des EOA et la stimulation contralaterale pour evaluer la voie nerveuse afferente (sys­teme olivocochleaire moyen).

50

Un avant-goOt du Manitoba Jeudi 5 mai

19h - 23h

Jeudl, le 5 mal 1994

9h -12h (seances simultanees)

Principes et methodes modernes d'amelloratlon de la quallte Carol Frattali, Ph.D., Director of the Health Services Division, American Speech-Language-Hearing Association, Rockville, Maryland

La gestion de la qualite totale ou I' amelioration continue de la qualite sont des expressions qui reviennent frequemment dans les services humains. S' agit-il de nouveaux principes et methodes qui en ont remplace d'autres, connus sous un autre nom, comme I' assurance de la qualite? Ces principes et methodes auront-ils eux aussi une vie ephemere? Les ap­proches a l' amelioration de la qualite evoluent rapidement. Les principes et methodes modernes qui proviennent du secteur de la fabrication promettent neanmoins beaucoup quant a l'amelioration de la qualite des soins. En effet, ils introduisent un mecanisme d' amelioration methodique, articule sur des donnees concretes, permettant de mieux repondre aux besoins et aux attentes de la clientele. Cet atelier interactif servira d'introduction aux principes et aux methodes de gestion de la qualite totale. On en profitera pour examiner la quantification des resultats, notamment revalua­tion fonctionnelle et Ies sondages sur la satisfaction de la clientele. On presentera egalement plusieurs cas en guise d'exemple afin d'aider le participant a appliquer les methodes examinees aux conditions propres a son milieu de travail.

Sociallsatlon et troubles du langage chez les enfants Tanya M. Gallagher, Ph.D., Professor & Director, School of Communication Sciences and Disorders, Associate Dean, Allied Health Sciences, McGill University, Montreal, Quebec

La conferenciere parlera des aptitudes de communication qui ont une correlation avec la maniere dont Ies jeunes enfants sont acceptes par leurs camarades et Ieur statut sociome­trique. Elle abordera aussi les aptitudes de communication qui jouent un role central dans l'etablissement et le maintien de liens amicaux pendant le developpement, de la maternelle a l'adolescence. Elle examinera les methodes d'evaluation pragmatiques du Iangage et celles faisant appeI a un echange verbal dans le contexte du developpement social-comporte­mental et sociaI-aflectif de I'enfant. et etudiera les methodes d'intervention d'un modele pratique d'interaction sociale avec des pairs.

ISLPA Vo!. 18. No. I, March 19941 ROA Vo/. 18, N° 1. mars 1994

Jeudi, le 5 mai 1994

Protheses auditives implantables utilisant la conduction osseuse MarshaU Chasin, M.sc., Director of Research, Canadian Hearing Society, Toronto, Ontario

On pourrait envisager l'implantation d'une prothese auditive utilisant la conduction osseuse pour les personnes qui souffrent d'atresie congenitale et d'une otite moyenne chro­nique impossible a traiter. On comparera deux methodes de couplage en soulignant leurs differences : la voie transcu­tanee par implantation d'un aimant (Xomed) et la voie per­cutanee avec aboutissement externe (Nobel Pharma). Durant l' expose, le conferencier examinera les raisons cliniques et th60riques qui l' amenent a preconiser la voie percutanee. 11 passera en revue les criteres de selection, l' evaluation ante­rieure et posteneure a l'intervention et les resultats cliniques obtenus sur plus de 60 patients.

Seminaire : Orthophonie

9h -12h

Normes de rendement en orthophonie Marjory F. Sutherland, Alberta Health, Edmonton, Alberta Wanda L. Tennant, Alberta Health, Edmonton, Alberta

A une epoque Oll l' argent se fait rare, il est capital que le service d'orthophonie presente les resultats qu'il a obtenus a sa clientele. Durant l' expose, on decrira les normes de rendement elaborees par l' Alberta Health Unit pour les services d'orthophonie en vue d'en ameliorer I'efficacite. Est actuellement a l' essai un systeme informatise de recupe­ration de l'information qui devrait determiner les progres realises par les services d'orthophonie a regard des normes de rendement. Durant I'expose, on examinera les normes en question, les donnees recueillies, les rapports produits et les resultats des sondages visant a determiner le degre de satis­faction de la clientele.

CONFERENCIER(E)S INVITE(E)S

13h - 14h (seances simultanees)

L'evaluation fonctionnelle : Utilite clinique et utilite pour I'elaboration des politiques Carol Frattali, Ph.D., Director of the Health Services Division, American Speech-Language-Hearing Association, Rockville, Maryland

L' evaluation fonctionnelle touche un aspect de l' evaluation clinique relatif a l' aptitude d'une personne a poursuivre une

JSLPA Vol. 18, No. 1, March 19941 ROA Vol. 18. N° I. mars 1994

Les resumes

vie quotidienne normale. Per'tue comme une epreuve qui s'ajoute a la batterie de tests habituelle servant au diagnostic, I' evaluation fonctionnelle ajoute une dimension au profil du sujet, soit son aptitude a communiquer. Elle pe ut done faciliter la planification du traitement clinique et la constitu­tion d'une documentation sur l'issue du cas dans un langage accessible au profane. L' evaluation fonctionnelle presente une grande utilite et d' enormes possibilites pour l' elabo­ration de politiques. On peut s'en servir pour etablir les paie­ments, fixer des criteres d'admission au traitement, deter­miner le moment du congediement de I'hOpital et contrOler la qualite des soins. Durant l'expose, l'evaluation fonction­nelle sera presentee dans le contexte des methodes utilisees pour mesurer le handicap. On en profitera pour examiner les instruments existants. Enfin, on parlera d'un pro jet subven­tionne par l' American Speech-Language-Hearing Association en vue de mettre au point une mesure des aptitUdes fonc­tionnelles a communiquer.

13h -16h

L' ABR en clinique : Sensibilite, specificite et rentabilite Christopher D. Bauch, Ph.D., Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota

Cet expose portera principalement sur l'evaluation ABR contemporaine en clinique. Parmi les points examines se trouvent la sensibilite et la specificire des differents indices ABR otoneurologiques dont on se sert habituellement pour evaluer l'integnte de la voie du huitieme nerf et du tronc cerebral auditif. Ces indices comprennent la latence absolue, l'intervalle entre les pies et la variation de la latence inter­aurale pour l'onde V, et l'intervalle entre les pies pour les ondes I et V. On pariera de l'effieacite et de la valeur de prediction des releves ABR obtenus au moyen d'electrodes situees dans le conduit auditif et d'un tubephone. De plus, on examinera les enregistrements ABR a quatre canaux en vue d'identifier les ondes et de voir si les constatations de plusieurs juges ou du meme juge concordent, a J'egard des diverses ondes. Durant le debat, on parlera de la rentabilite des epreuves de diagnostic ABR pour l'evaluation des cas Oll on soup'tonne un probleme retrocochleaire. Parmi les autres sujets abordes, mentionnons les resultats aUdiologiques avant et apres I'intervention (y compris les releves ABR), pour les personnes dont l' audition a pu etre preservee apres ablation d'une tumeur sur le huitieme nerf, et l'utilisation de stimulus specifiques aux frequences pour l' evaluation oto­neurologique et revaluation du seuil d'audition.

51

Programme du congres

13h - 16h

L'equipe ALS du Centre Deer Lodge Loraine Carmichael, RN., Home Care Patricw Findlay, OTM (C) Occupational Therapy Elizabeth Morse, SLP (C) CCC Communication Disorders Jean Nerbas, RD Dietary Dwna Rasmussen, R.N. Education Services Donna Terwin, PT Physiotherapy Deer Lodge Centre, Winnipeg, Manitoba

Consecutivement a des decisions sur les droits de la per­sonne qui ont fait couler beaucoup d'encre, l'affection du neurone moteur a retenu beaucoup plus l'attention de la population au cours des demieres annees. Au cours du meme laps de temps, l' equipe ALS du Centre Deer Lodge a elabore une approche axee sur la clientele qui insiste sur le droit du malade a determiner lui-meme ce que devrait etre sa qualite de vie, it exercer son droit a prendre des decisions eclairees et a recourir au service, meme apres diagnostic de l' ALS. Dans le cadre de ce projet, chaque membre de l' equipe a dO faire le point sur sa philosophie, son code de deontologie et ses sentiments a 1'egard de la maladie et de son issue inevi­table.

Les membres de l'equipe ALS du Centre Deer Lodge evoqueront leur role au sein de l'equipe et la maniere dont celui-ci a evolue et a fusionne avec d'autres. Us examineront aussi comment l'approche d'equipe s'est developpee et a change ces demieres annees, en fonction des besoins de la clientele, des attentes de la communaute et de l' evolution du systeme des soins de sante.

Mlnl-semlnaires : Orthophonie

14h -15h30 (seances simultanees)

Resolution des problemes phonologlques graves par I'elaboration d'une strategie intellectuelle Carolyn Cronk, Ecole d'orthophonie et audiologie, Universite de Montreal, Montreal, Quebec Michele Bergeron, Ecole d'orthophonie et audiologie, Universite de Montreal, Montreal, Quebec

Durant ce mini-seminaire, les participants seront invites a s'interroger sur les raisons it l'origine d'une intervention, consecutivement a un grave probleme phonologique. On presentera des donnees suggerant que, dans de nombreux cas ou le sujet manque d'intelligibilite, les hypotheses concer­nant les regles de structuration du langage soul event un probleme capital. On en profitera pour faire un survol des theories pertinentes sur l' acquisition des connaissances. Enfin, on presentera divers exercices therapeutiques axes sur

52

Vendredi, le 6 mal 1994

le developpement intellectuel et les participants auront eux­meme l'occasion d'elaborer et de mettre it l'essai une ap­proche de ce genre.

L'echelle de communication et de deglutition Chedoke-McMaster Stella Bester, Chedoke-McMaster Hospitals, Hamilton, Ontario Debbie Barton, Chedoke-McMaster Hospitals, Hamilton, Ontario Ten Czajka, Chedoke-McMaster Hospitals, Hamilton, Ontario

La CM-CASS est une echelle qui condense les resultats des evaluations normalisees et non normalisees en une cote numerique refletant l'importance du handicap du sujet en ce qui concerne la capacite it communiquer. La CM-CASS comporte 13 elements qui reposent dans une large mesure sur les lignes directrices de l' ASHA. Chaque element est cote de 1 a 7 (7= independant, 1= aide maximale). On presentera les donnees preliminaires des etudes sur la fia­bilite de l'echelle et parlera de I'utilite de la CM-CASS pour mesurer l'issue d'un traitement.

VENDREDI, LE 6 MAl 1994 CONFERENCIER(E)S INVITE(E)S

9h - 12h (seances simultanees)

Troubles de communication de type narratlf assoch!s it une lesion it I'hemisphere droit Penelope S. Myers, Ph.D., Department of Neurology, Section of Speech, Mayo Clinic, Rochester, Minnesota

Bien qu'ils utilisent parfois normalement le langage, les personnes atteintes d'une lesion a l'hemisphere droit de l'encephale (LHD) peuvent presenter divers problemes intellectuels et de communication. La conferenciere exami­nera les deficits de comprehension et d'expression au niveau narratif associes it une lesion a I' hemisphere droit, en fonction de sa theorie sur leur origine. Elle en profitera pour passer en revue les effets potentiels d'un deficit de l'atten-

Dejeuner et remise des prix Vendredi 6 mai

12h15 - 14h15

JSLPA Vo!. 18, No. I, March 19941 ROA Vol. 18, N° 1, mars 1994

Vendredi, le 6 mai 1994

tion et d'une negligence du cote gauche sur l'aptitude a communiquer des personnes souffrant de LHD et pour formuler des suggestions sur le traitement des deficits de type narratif. Les participants devraient mieux comprendre la nature des handicaps du niveau narratif chez les personnes atteintes de LHD et se faire une certaine idee de la maniere dont un tel deficit s'associe a d'autres troubles qui affectent 1 'hemisphere droit. Ces connaissances devraient aider les participants a elaborer leurs propres idees sur la fa~on de prendre en charge le malade, outre les suggestions de traite­ment formulees par la conferenciere.

Identification et traitement precoces des difficultes de lecture attribuables au langage Hugh W. Catts, Ph.D., Associate Professor, Department of Speech-Language-Hearing Sciences and Disorders, University of Kansas, Lawrence, Kansas

Les recherches et la pratique clinique actuelles suggerent qu'un grand nombre de difficultes de lecture ont pour origine un deficit du langage. Au cours de cet atelier, on s'interes­sera aux consequences de cette constatation ou observation pour les professionnels qui s'occupent des troubles d'elocu­tion et de l' apprentissage du langage. Durant la premiere partie, il sera question de l' emergence du savoir ainsi que de l' acquisition et de l' enseignement de la lecture. On portera ensuite attention aux difficultes de lecture qui ont leur origine dans le langage. Suivra une discussion sur une enquete longitudinale des difficultes de lecture associees a un trouble de la parole ou du langage durant le develop­pement. Pendant l'atelier seront formulees des recomman­dations sur la maniere d'identifier, d'evaluer et de corriger les difficultes de lecture attribuables au langage.

Problemes de deglutition et d'alimentation chez I'enfant loan C. Arvedson, Ph.D., Director, Speech-Language and Hearing Department, Children's Hospital of Buffalo, Buffalo, New York

Les orthophonistes font partie integrante de l'equipe pluri­disciplinaire chargee d'evaluer et de soigner les enfants qui souffrent de problemes de deglutition et d' alimentation. Beaucoup de nourrissons et d'enfants qui eprouvent de la difficulte a deglutir souffrent d'un trouble neurologique. On do it bien connaitre les facteurs neurologiques (develop­pement du systeme nerveux), respiratoires, gastro-intesti­naux et nutritionnels qui agissent sur la deglutition et l'ali­mentation. Pareilles connaissances permettront d' evaluer correctement le retlexe oral-moteur et la fonction de l' ali-

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Les resumes

mentation chez l' enfant. Les orthophonistes apporteront ensuite une aide precise a leurs collegues medecins par leurs observations lors de l'evaluation et des interventions sub se­quentes. 11 est capital d' adopter une approche interdis­ciplinaire a l' evaluation et a la surveillance des enfants. Aucun professionnel ne peut travailler seul avec ce groupe, car les enfants ont habituellement des besoins complexes.

Cette seance, mettant l' accent sur l' aspect clinique, fournira des eclaircissements sur la physiologie de la degluti­tion, l'etiologie des troubles de la deglutition, leur evaluation (a l'hopital ou en clinique et au moyen d'instruments) et leur traitement. Une evaluation clinique meticuleuse conduira dans certains cas a des epreuves supplementaires (p.ex., oxymetrie du pouls, etude de la deglutition par fluoroscopie, scintigraphie). On preconise l'introduction d'un programme de gestion totale des parametres oraux-moteurs, sensoriels et comportementaux, qu'on reponde aux besoins nutritionnels de l' enfant par voie orale ou non. Des etudes de cas sur bande video illustreront les points pertinents, a l'intention des orthophonistes des etablissements medicaux et des etablissements d' enseignement.

Dans I'oreille : Ajustement intra-auriculaire profond Marshall Chasin, M.Sc., Director of Research, Canadian Hearing Society, Toronto, Ontario

Depuis l' apparition des protheses auditives intra-auriculaires vers la fin des annees 1980, on a procede a plus de 1500-interventions du genre en Europe, aux Etats-Unis et au Canada. Par ajustement intra-auriculaire profond, on entend l'insertion d'une prothese auditive dont l'extremite interne se trouve a moins de 5 mm du tympan et l'extremite laterale penetre le meat de 1 ou 2 mm ou est adjacente a celui-ci.

On decrira les proprietes acoustiques d'un tel appareil auditif, qui semble assurer un meilleur transfert (ameliora­tion de 10 a 15 dB) que les appareils auditifs classiques sans creer virtuellement d'occlusion. De plus, on note un effet de resonance Helmholtz de 3500 a 4000 Hz dans le comet et un effet important dans le pavillon de l' oreille, qui augmente encore plus les hautes frequences. Aux avantages acous­tiques de la prothese auditive s'en ajoutent d'autres de nature esthetique.

On presentera des cas ou l'ajustement a debouche sur un succes ou un echec. En raison des bons resultats acoustiques, il serait juste de dire que dans un avenir assez rapproche, la plupart des protheses auditives destinees aux adultes consis­teront en implantations profondes dans le conduit auditif externe.

53

Programme du congres

9h • 12h (seances simultanees)

Le vertige et les troubles de I'equilibre dans les annees quatre-vingt-dix Desmond J. Ireland, ENT, Head, Department of Otolaryngology, University of Manitoba, Winnipeg, Manitoba

Meme si les epreuves ENG restent le principal element de l'examen des personnes qui se plaignent de vertiges et de problemes de l'equilibre, les progres recents realises dans le traitement de ces affections ont elargi nos horizons.

En 1986, la posturographie sur plate-forme dynamique est entree dans la pratique clinique. n s'agit d'un nouvel outil utile pour revaluation des troubles fonctionnels chez la personne atteinte de vertiges. Cet instrument permet d'etablir l'efficacite de la readaptation lors de la prise en charge du malade. Je decrirai et iIlustrerai la technique actuellement utilisee au laboratoire OU je travaille et devoilerai les resul­tats de plusieurs annees d'essai.

Une technique relativement nouvelle articulee sur l'evo­cation vestibulaire du potentiel a fait son apparition derniere­ment en Australie. Nous l'avons testee recemment et la decri­rons en plus de presenter les resultats actueIlement disponibles.

Les progres les plus importants relatifs a la prise en charge de la personne atteinte de vertiges au cours des dix demieres annees reste sans doute I'introduction des manoeu­vres simples pour le traitement de la forme benigne du vertige otolithique paroxysmique, comme on les appelle. Nous venons d'ailleurs de terminer une etude sur l'une de ces ma­noeuvres pour 350 sujets. Les resultats obtenus se comparent tres avantageusement a ceux des approches plus tradition­nelles. Suivra une analyse de notre experience. Nous espe­rons egalement proposer quelques donnees preliminaires sur l'application d'autres traitements analogues et les comparer a la somme importante de resultats dont nous disposons deja.

Enfin, plusieurs centres ont commence a se servir du nystagmus perrotatoire pour verifier la fonction vestibulaire peripherique et centrale. L'utilite clinique du nystagmus est cependant loin d'etre prouvee et nous vous ferons part de notre experience avec cette epreuve, experience qui couvre une periode de plusieurs annees et environ 2000 sujets.

54

Tribune des membres Vendredi 6 mai

16h·16h30

Vendredi, le 6 mai 1994

Mini-seminaires : Orthophonie

9h ·10h30

Adaptation franl,aise de la section III du TACL-R et elaboration de normes regionales Lynne Latulippe, Conseil des ecoles separees catholiques romaines de Dufferin et Peel, Mississauga, Ontario Nicole Alma, Conseil des ecoles catboliques de Halton, Burlington, Ontario Sylvie Gautheron, Conseil des ecoles franc;a:ises de la communaute urbaine de Toronto, Don Mills, Ontario Linda Siegel, Ontario Institute for Studies in Education, Dept. of Instruction and Special Education, Toronto, Ontario

Ce projet visait a developper un instrument d' evaluation de la comprehension syntaxique d'eleves du jardin a la 6e annee des ecoles de langue franc;aise en Ontario, vivant en milieu minoritaire. Le sous-test III du Test for Auditory Comprehen­sion of Language Revised a ete traduit et adapte. Neuf cent soixante-dix-sept eleves ont subi la passation individuelle du test. Les analyses indiquent que le test est fidele et valide. Les normes regionales etablies ne correspondent pas aux normes du test original. (Cetie presentation sera en fran~.)

14h30 -16h (seances simultanees)

Programme de lecture et d'apprentissage du langage pour les enfants d'sge scolaire Sharon G. Halldorson, Child Guidance Clinic, Winnipeg, Manitoba

Des enfants de l'ecole primaire souffrant de difficultes d'ap­prentissage du langage ont participe a un programme de lecture et d'apprentissage du langage durant rete. Ce pro­gramme, dirige par un/e orthophoniste et un/e clinicien/ne specialise/es dans les difficultes de lecture, mettait I' accent sur des activites precises concemant le langage et l' acqui­sition des connaissances. Ces activites etaient conc;ues pour ameliorer les aptitudes relatives a la langue parlee et etablir des strategies susceptibles de favoriser le developpement des aptitudes de lecture et d'ecriture. Le programme s'est avere un succes puisque les enfants ont pu travailler de fac;on intensive dans un milieu axe sur I'apprentissage du langage selon une approche multidisciplinaire.

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Vendredl, le 6 mal 1994

Comment encourager les malades a communiquer apres la tracheotomie et malgre I'utillsatlon d'un ventilateur Tanis S. Cameron, Winnipeg Speech and Swallowing Clinic; Consultant, Passy-Muir Inc., Winnipeg, Manitoba

Les personnes qui ont subi une tracheotomie et doivent utiliser un ventilateur sont restees aphones durant un trau­matisme grave. Ce mini-seminaire montrera aux participants de queUes manieres on peut amener des malades auparavant aphones a communiquer par la voix. On presentera diverses canules it tracheotomie. On illustrera les methodes d'evalua­tion et de traitement relatives a I'usage de la valve Passy­Muir au moyen d'une bande video qui presentera des nour­rissons, des enfants et des adultes parlant et avalant avec la valve.

DOCUMENTS, BAN DES VIDEO, AFFICHES ET EXPOSITIONS SCIENTIFIQUES

14h30 -16h (seances slmultanees)

Presentation de documents: Orthophonie : Travail/er de concert avec les parents

Programmes de phonologie parent-enfant - Plus on est de fous, plus on ritl Jan Buckley-Dirks and Carol Blinov, Fort McMurray and District Health Unit, Fort McMurray, Alberta

Partant du principe que le parent reste le meilleur educateur que puisse esperer l'enfant, et puisqu'on desire exploiter les ressources orthophoniques judicieusement, on a mis au point une approche collective au traitement phonologique. Apres avoir ete forme par I' orthophoniste, le parent assume la res­ponsabilite des travaux pratiques lors des visites et a la mai­son. Notre but est d'expliquer cette approche et de foumir des donnees prouvant les avantages d'un groupe phonolo­gique parent-enfant.

Mieux articuler : Un programme parent-enfant Varina A. Russell and Susan Montemurro, Calgary Health Services, Calgary, Alberta

Un programme ou les parents apprendraient a intervenir aupres des enfants d'age scolaire pour corriger leur elocution peut-il etre efficace? Le programme pilote visant a ameliorer l' elocution des enfants par }'intervention des parents dont it est question ici prevoit l' elaboration et I' application de methodes qui serviront a evaluer le programme et !'issue du traitement. Des resultats positifs appuient l'integration de programmes centralises de formation des parents aux ser­vices destines a aider les enfants d'age scolaire.

JSLPA Vol. 18, No. I, March 1994/ ROA Val. 18, N° I, mars 1994

Les resumes

Programme de formation des parents des etudiants aHelnts de legeres difficultes d'elocution Lyn S. Cook, Beverly Dahl, and Barbara Elliott, Saskatoon Board of Education, Saskatoon, Saskatchewan

Un programme de formation novateur pour les parents est venu s'ajouter au systeme scolaire d'une grande ville, consecutivement a la reorientation des services et des be­soins de la clientele. On decrira le programme et en presen­tera les differentes etapes, ainsi que la documentation ecrite ou visuelle utilisee lors des seances de formation. Enfin, on etudiera les commentaires des parents sur le programme.

Nature et effets d'un programme de formation au soutien du developpement communicatif offert aux parents de bebes prematures ages de six mols Stephanie Cote and Carolyn Cronk, Ecole d'orthophonie et audiologie, Universite de Montreal, Montreal, Quebec

Vu les effets negatifs d'une naissance prematuree sur le genre d'interaction parent-enfant susceptible de favoriser le developpement du langage, un programme de formation inspire de celui du centre Hanen fut offert a des parents de MMs prematures ages de six mois. Le contenu presente formellement et a travers une guidance directe a conduit a une grande satisfaction des parents et a une amelioration de leur interaction avec leurs bebes.

14h30 -16h (seances simultanees)

Presentation de documents: Orthophonle : Enfants

Developpement communicatlf, intellectuel et audiologique des enfants d'age prescolaire aHeints d'une fissure labiale et d'une fente palatine Maureen A. Penko and Leslie J. Jocelyn, Health Sciences Centre, Winnipeg, Manitoba Helga L Rode, Richmond Speech and Hearing Clinic, Burnaby, British Columbia

On a dresse le bilan linguistique, intellectuel et audiologique des enfants de moins de deux ans atteints d'une fissure labiale et d'une fente palatine avant de le comparer a celui de leurs camarades normaux. On note un retard important des l'age de 12 mois, qui persiste jusqu'a 24 mois. Malgre la prevalence superieure des troubles de l' ore ill e moyenne, l'incidence de la surdite ne varie pas de fa~on significative entre les deux groupes. Ces resultats montrent qu'il est important d'identifier rapidement les enfants atteints d'une fissure labiale ou d'une fente palatine, de les eduquer et de les readapter avec le concours des membres de leur famille.

55

Programme du congres

Developpement du langage chez les personnes atteintes du syndrome de Landau-Kleffner : Deux nouvelles etudes de cas Patrick Coppens and Suzanne M. Hungerford, Moorehead State University, Moorhead, Minnesota

Le syndrome de Landau-Kleffner est un dereglement de la parole et de l'elocution acquis, d'etiologie inconnue qu'on associe a un dysfonctionnement ou a une convulsion cerebrale. Depuis 1957, on n'en a rapporte qu'environ 200 cas. Suivra une description de la symptomatologie de la maladie, du diagnostic differentiel, du pronostic et du chemi­nement vers un retablissement. On insistera sur les particu­larites du syndrome qui touchent le langage. Deux nouveaux cas seront presentes. On en examinera l' anamnese et decrira les caracteristiques relatives au langage.

Echantlllonnage du langage et creation d'un profll informatise : Des instruments efflcaces dans le contexte d'un plan d'lntervention naturaliste Nicole Y. Muir, Child Guidance Clinic, Winnipeg, Manitoba

Les epreuves c1assiques sur le langage indiquent mal les progres realises au fil du temps, surtout au sein des groupes atteints d'un retard ou d'une destructuration grave du lan­gage, dont les enfants respectent rarement les cri teres fonda­mentaux. L'etablissement d'un profil au moyen du LARPS et du DSS, avec l'aide d'un ordinateur (1993), a facilite l' analyse des echantillons de conversations recueillis durant une periode de jeux Hbre, dans le cadre d'un programme d'intervention naturaliste. On evaluera I'utilite de cet instru­ment pour suivre les progres realises et prendre certains decisions c1iniques en fonction des difficultes ou retards de langage graves observes chez les enfants de la maternelle.

Adaptation franyaise du TACL-R et elaboration de normes regionales Lynne Latulippe, Conseil des ecoles separees catholiques romaines de Dufferin et Peel, Mississauga, Ontario Nicole Alma, Conseil des ecoles catholiques de Halton, Burlington, Ontario Sylvie Gautheron, Conseil des ecoles franc;aises de la communaute urbaine de Toronto, Don Mills, Ontario Undo Siegel, Ontario Institute for Studies in Education, Toronto, Ontario

Ce projet avait pour but le developpement d'un instrument d'evaluation de la comprehension syntaxique d'eleves du jardin a la 6eannee des ecoles de langue franc;aise en Ontario, vivant en milieu minoritaire. Le sous-test III du Test for Auditory Comprehension of Language - Revised a ete traduit et adapte. Neuf cent soixante-dix-sept eleves ont subi

56

Vendredl, le 6 mal 1994

la passation individuelle du test. Les analyses indiquent que le test est fidele et valide. Les normes regionales etablies ne correspondent pas aux normes du test original. (Cette pre­sentation sera en anglais.)

14h30 -16h (seances simultanees)

Presentations de documents: Orthophonie : Adolescents-adultes

Les adolescents muets en classe : Inclusion, interaction, incroyablel Beth Thompson and Jacqueline Dupuis, Sunny Hill Health Centre for Children, Vancouver, British Columbia

Pendant cinq des huit dernieres annees, les ecoles primaires ont pris les devants et elabore des programmes et des cours en vue d'integrer les enfants muets au systeme d'ensei­gnement courant. Bon nombre de ces enfants, qui ont reussi leur cours primaire grace a un systeme de communication efficace, sont maintenant sur le point d'entreprendre leurs cours secondaire. Or, on n'attend plus la meme chose des etudiants dans les programmes avances. Des difficultes surgissent quand les enfants muets ne parviennent pas a adapter leur systeme de communication a leur nouvel envi­ronnement. L' article mettra en relief les aspects dont il faut tenir compte lors de I' elaboration et de la mise en oeuvre de systemes de communication qui aideront les enfants muets a poursuivre le cours secondaire.

Transition entre les services pediatriques et les services aux adultes : Etude de cas Beth Thompson and Debbie Field, Sunny Hill Health Centre for Children, Vancouver, British Columbia

Les adolescents qui presentent des besoins particuliers ont desormais acces a des techniques et a du materiel qui leur permettent d'accroitre leur inclependance a I'ecole et au sein de la communaute. Trouver un jour du travail ou entre­prendre un cours post-secondaire font desormais partie des reves realisables pour bon nombre d'adolescents en diffi­culte. Une bonne planification de la transition entre les services pediatriques et les services aux adultes revet plus d'importance, car les programmes et les systemes gagnent en complexite et exigent un soutien accru. Le present document suit une jeune personne gravement handicapee au long de l'annee qui I'a preparee a cette transition et examine les problemes relatifs a l'etabIissement de priorites a l'egard des besoins de communication, du financement et de !'installa­tion au sein de la communaute.

JSLPA Vo!. 18. No. I, March 1994/ ROA Vol. 18, N° 1, mars 1994

Vendredl, le 6 mal 1994

Comment mesurer les aptitudes de communication fonctionnelles en mode conversatlonnel Ligia Nunes and Usa SokoloJf, Sunnybrook Health Science Centre, North York, Ontario

Suit une discussion sur un instrument permettant d'evaluer l'aptitude a communiquer lors d'une conversation. L'instru­ment en question permet de mesurer deux aspects capitaux d'un echange libre entre des residents aphasiques et un communicateur professionnel aspects largement reconnus comme des indicateurs valables d'une communication effi­cace et fonctionnelle. Le sujet de l'echange est choisi au hasard, au moyen de sketchs enregistres sur bande video ilIustrant les experiences que peuvent vivre quotidiennement les residents. Cette technique d'evaluation don ne aula la clinicienlne la chance d'evaluer les aptitudes de communi­cation fonctionnelles en mode conversationnel.

La place de la famlllarite avec le sujet et de la connaissance de I'auditeur dans le discours des aphasiques

Stewart 1. Ritterman, School of Medical Rehabilitation, University of Manitoba, Winnipeg, Manitoba Edith Li, Department of Speech Communication, California State University, Fullerton, California Sarah E. Williams, Audiology and Speech Pathology Section, Bay Pines Veteran Administration Medical Centre, St. Petersburg, Florida

On a cherch6 a determiner dans queUe mesure le fait de connrutre l'auditeur et le sujet peut influer sur la facilire de parole des personnes atteintes d'aphasie de Broca, d'aphasie nominale et d'aphasie de conduction. Les sujets ont repere une histoire apres I' avoir entendue et effectue des taches bien etablies, propres au discours, sur des sujets qui leur etaient familiers ou non, aupres d'auditeurs qu'ils connais­saient ou non. Les resultats indiquent que le fait de connaitre l'auditeur n'est pas une variable significative. La familiarite avec le sujet cependant joue un role specifique et deter­minant dans le discours des aphasiques.

Reunion annuelle des membres

Vendredi 6 mai

16h30 - 18hOO

JSLPA Vo!. 18, No.!, March 19941 ROA Vol. 18, N° /, mars 1994

Les resumes

14h30-16h (seances simultanees)

Presentations de documents: Orthophonie : Presentation sur bande video

Utilisation de bandes video pour renseigner les personnes ayant subi une laryngectomie Candace L Myers, St.Boniface General Hospital, Winnipeg, Manitoba Andrea J. Carluck, Winnipeg, Manitoba

Quoiqu'elle devienne plus courante, la laryngectomie, ou ablation du larynx consecutivement au cancer, demeure une experience eprouvante. Une bande video peut dispenser des renseignements generaux et importants aux malades et a leurs parents a cette etape diftlcile. On peut egalement s'en servir comme outil pedagogique pour le personnel medical et les orthophonistes qui connaissent mal la laryngectomie, de me me que pour sensibiliser les interlocuteurs, les em­ployeurs ou les collegues de travail du malade et la popu­lation en general.

14h30 - 16h (seances simultanees)

Presentations d'affiches

Relation entre les convictions et I'anxiete chez les begues Martin W. Templeton, North Country Nursing and Rehabilitation Center, Bemidji, Minnesota K. Dale Gronhovd, Department of SpeechILanguagelHearing Sciences, Moorhead State University, Moorhead, Minnesota

Dans le cadre de cette etude, on a etudie la relation qui existe entre le niveau d'anxiete des begues et leurs convictions concernant ce handicap, une elocution normale et les per­sonnes qui n' eprouvent pas de difficulte du langage. On a demande a 37 personnes atteintes d'un fort begaiement et a 35 autres qui begaient moderement lorsqu'elles sont en proie a l' anxiete de repondre a une liste de questions sur leurs convictions et sur I' anxiete. L' analyse de discrimination revele que les echelles secondaires a elements multiples sur les croyances et differentes convictions personnelles presen­tent une relation significative avec le degre d' anxiete des begues. Suivra I'interpretation des resultats et I'explication de leurs consequences pour le/la clinicienlne.

57

Programme du congres

Conseillers de chevet pour les malades alites Donald K. Graves, St. Mary's of the Lake Hospital, Kingston, Ontario

L'unite de readaptation des cardiaques a utilise plusieurs logiciels d'infographie disponibles dans le commerce pour mettre au point une serie de «conseillers de chevet». Le but de l'exercice etait de communiquer visuellement des rensei­gnements sur les difficultes de communication (parole/ elocution/audition) et de deglutition capitaux a la prise en charge du malade. Le personnel de l'h6pital et les parents du sujet ont bien accueilli cette initiative et trouvent le format graphique/texte captivant et efficace, sans etre laborieux.

Services d'orthophonie pour les victimes d'un accident cerebrovasculaire en Saskatchewan et efficacite de ces services Gaye H. HuckeU, ART M Shared Services, Melita, Manitoba

Les personnes qui survivent a un accident cardiovasculaire ont besoin de divers services de readaptation, notamment en orthophonie, en raison des problemes de communication qui se presentent par la suite. Dans sa these, l'auteur a determine l'incidence des accidents cerebrovasculaires dans la popu­lation en general, puis a applique le resultat a la Saskatche­wan. I1 a ensuite etabli l' efficacite des programmes d' ortho­phonie et recueilli des donnees sur le nombre d'orthopho­nistes qui se sont occupes de victimes d'un accident cerebro­vasculaire la ou de tels services existent. Enfin, il a verifie si les personnes qui relevent d'un accident cerebrovasculaire en Saskatchewan obtiennent les services adequats.

Intervention phonologique non Iineaire : Resultats des etudes de cas collectives et individuelles Barbara M. Bernhardt, School of Audiology and Speech Sciences, University of British Columbia, Vancouver, British Columbia Coleen Bohlen, Ministry of Health, Mission, British Columbia

La chercheure principale et une clinicienne de I' equipe presenteront les resultats generaux et un exemple tire d'une etude sur les interventions phonologiques entre 20 cliniciens et 20 enfants atteims de graves troubles phonologiques. La periode d'intervention a ete divisee en blocs caracterises par des objectifs differents quant a la structure des syUabes et des mots et quant aux particularites et aux phonemes. Chaque bloc comprenait egalement une methode d'intervention differente. On s'est servi de schemas phonologiques non lineaires pour deriver les methodes d'analyse et de traitement.

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Vendredi, le 6 mai 1994

Nature et prevalence des troubles de langage chez des enfants de cinq ans nes prematurement Patricia Cool and Carolyn Cronk, Ecole d'orthophonie et audiologie, Universite de Montreal, Montreal, Quebec

Les circonstances entourant une naissance prematuree peuvent facilement perturber le developpement du langage, mais les donnees quam a la prevalence et la duree de tels probU:mes sont contradictoires. Pour eclaircir la question, 29 enfants de cinq ans, tous nes a 28 semaines de gestation ou moins, furent testes a l'aide des Tests de langage Dudley/ Delage. Les resultats obtenus donnent une idee plus claire de la performance linguistique des enfants nes prematurement qui sont sur le point d' entrer a la maternelle.

Evaluation des problemes d'alimentation et de deglutition chez les enfants: Un modele multidisciplinaire efficace Carolyn E. TuckweU and lanice Duivestein, Synny Hill Health Centre for Children, Vancouver, British Columbia

Pour evaluer les problemes d'alimentation et de deglutition chez les enfants, iI est necessaire de recourir a une approche multidisciplinaire qui debouchera sur un resuItat general utilisable. L'affiche decrira un service efficace d'evaluation des difficultes d'alimentation et de deglutition dont pourront s'inspirer d'autres programmes. On y trouvera des rensei­gnements sur les problemes et les aspects dont il faut tenir compte au moment de former une equipe, sur la popUlation visee, les composantes de I' equipe, la participation de la famille et les elements d'une evaluation complete. L'affiche propose egalement un format pour les rap ports et des approches efficaces a la collecte des donnees.

Developpement de la semantique chez les enfants d'age scolaire : Evaluation quantitative LaRae McGillivray, Moorhead State University, Moorhead, Minnesota

On a obtenu un echantillon de langage narratif de 12 minutes aupres de 347 enfants de 5:0 a 11: 11 ans. Cinquante sujets ont ete selectionnes au hasard et repartis en groupes d'age de six mois. On a ainsi pu etablir une cote fiable pour la seman­tique, soit le nombre moyen de mots differents par unite de communication pour les 50 premieres unites de commu­nication. Le nombre moyen de mots differents augmente de far;on significati ve avec I' age quand l' age est segmente en intervalles annuels. L' auteur donne la moyenne et I' ecart­type du nombre moyen de mots differents pour les se pt groupes d'age.

JSLPA Vol. 18, No, I, March 19941 ROA Vol. 18, N° 1, mars 1994

Vendredl, le 6 mal 1994

Evaluation pratique des programmes : Pourquoi pas? Kathryn Riuer-Brinton, Glenrose Rehabilitation Hospital, Edmonton, Alberta

Cette affiche explique comment trouver des questions d'evaluation dans le milieu propre it la readaptation et pro­pose diverses strategies sur la fa<;on d'obtenir un soutien interne et externe en vue de l'elaboration et de la mise en oeuvre des etudes d'evaluation. La presentation souligne que les questions doivent etre redigees en fonction de la capacite pratique du programme auquel on s'interesse mais doivent aussi degager un grand nombre des incidences du pro­gramme, notamment I'issue du traitement pour le client, les parents proches et eloignes, et la communaute. Un feuillet et une bibliographie annoree accompagnent l'affiche.

Normes applicables it I'evaluatlon aerodynamlque et analyse des variables concernant la presentation des taches Jill Harrison, Judith Robillard Schuitz, and Nancy Turner Chan, The Montreal General Hospital, Montreal, Quebec

On a effectue une mesure aerodynamique de la capacite vitale, de la duree maximale de phonation et du rapport s/z, et calcule le debit moyen de plus de 200 malades atteints de dysphonie lors de leur evaluation initiale. On a ensuite determine la moyenne et l'ecart-type de la cote pour plu­sieurs troubles de la voix. Les auteurs ont examine le lien entre les resultats quantitatifs et les troubles en question. Les analyses statistiques ont etabli s'il y avait correlation entre les mesures, s'il falIait proceder a de nouveaux essais et si I' ordre dans lequel les taches sont presentees avait une importance que1conque.

Rapprocher les cultures: Intervenir dans n'importe quelle langue Susan E. Wastie and Myrna L MacKenzie, Vancouver Health Department, Vancouver, British Columbia

La population multiculturelle de Vancouver etend la demande de services aux familles qui padent d'autres langues que l' anglais ou le fran<;ais. Quelques chercheurs ont presente des idees qu'il vaudrait la peine d'evaluer. L'orthophoniste doh elaborer des strategies d'intervention qui tiennent compte de la culture et accordent une certaine importance ilIa langue maternelle. Dans leur presentation, les membres du Vancouver Health Department partagent leurs idees en puisant dans leur «coffre a outils» pour interventions muIticuIturelles. On retrouve dans celui-ci de la documentation, le recours it un interprete et des techniques de modelisation du langage.

lSLPA Vo!. 18, No. I, March 1994/ ROA Vo!. 18, N° I, mars 1994

Les resumes

Exposition scientiflque

Petite hlstoire du larynx artlflciel : Du debut du XXe siecle it nos jours Robert L. Keith and Jack E. Thomas, Mayo Clinic, Rochester, Minnesota

En 1873, Billroth procedait ala premiere laryngectomie et le patient recevait un larynx artificiel realise par un artisan du nom de loser Leiter. De nombreux larynx artificiels ont vu le jour au cours des 120 dernieres annees, mais la conception et les principes des premiers instruments se retrouvent toujours dans certains larynx artificiels contemporains. De queUe maniere les larynx artificiels ont-ils evolue avec le temps? Cette exposition propose une collection de larynx artificiels allant des annees 1920 a nos jours et presente plus de 35 larynx pneumatiques et artificiels differents.

SAMEDI, LE 7 MAl CONFERENCIER(E)S INVITE(E)S

9h it 12h (seances slmultanees)

Choix et ajustement d'une prothese auditive: Aussl simple qu' ACT H. Gustav Mueller, Ph.D., Department of Communication Disorders University of Northern Colorado, Greeley, Colorado

Ce cours abrege mettra en relief sur les trois principaux objectifs du choix et de l'ajustement d'une protbese auditive. «A" concerne l' audibilite : les paroles emises it voix basse doivent etre audibles pour tout le champ frequentiel. «C» designe le confort : il est essentiel que le langage parIe a volume moyen corresponde au niveau le plus confortable pour l'utiIisateur. Enfin, «T» signifie tolerance: les voix les plus fortes et le bruit ambiant dOlvent etre toIerables et ne pas entrainer une trop gran de distorsion. On examinera de quelle maniere les methodes d'ajustement prescrites, les mesures de la sonde microphonique et la verification du niveau sonore d'inconfort interagissent pour rendre cette operation aussi simple qu' ACT.

Errances a Winnipeg Samedi 7 mai

17h - 20h

59

Programme du congres

Evaluation du developpement neurologique des nourrissons et des bamblns Louis Rossetti, Ph.D., Coordinator of the Communicative Disorders Program, University of Wisconsin, Oshkosh, Wisconsin

Le but general de la seance est d' examiner differents ele­ments qui se rapportent it l' evaluation du developpement neurologique des nourrissons et des bambins handicapes ou qui presentent des risques. A cette occasion, seront abordes les sujets suivants : etat de l'evaluation des bambins et des nourrissons; sujets de l'evaluation; aspects generaux et particuliers de l'evaluation; choix des instruments d'evalua­tion; aspects du developpement it evaluer et interpretation des resultats de l'evaluation de la fasron appropriee. Cette seance est fortement axee sur I' aspect cIinique. On se penchera sur les problemes auxquels se heurte couramment l'evaluateur et encouragera la participation de l'auditoire.

Analyse du langage assistee par ordinateur : Prejuges tenaces, capacites actueUes et perspectives d'avenlr Steven H. Long, Ph.D., Research Associate, Department of Speech & Hearing Sciences, University of Washington, Seattle, Washington

Au cours de la derniere decennie, de nouveaux logiciels ont revolutionne les techniques d'analyse du langage. Grace aux programmes existants, il est desormais possible d'effectuer des analyses lexicales, grammaticales, phonologiques ou autres beaucoup plus rapidement et avec une plus grande exactitude et precision qu' a la main. Par consequent, les orthophonistes doivent se preparer a utiliser ces nouveaux logiciels specialises. L'atelier d'une journee examine divers problemes que peut soul ever le choix des instruments appro­pries pour l'analyse du langage. Quel type d'analyse le logiciel peut-it effectuer? QueUes attentes pourrait-on qualifier d'irrealistes? De queUe configuration do it-on tenir compte au moment de determiner I'utilite d'un programme? Qu'exige le logiciel de l'utilisateur en ce qui concerne la rapidite de dactylographie, les notions d'informatique ou les connaissances fondamentales sur les categories et les methodes linguistiques? Pour saisir les donnees, tous les pro­grammes d'analyse du langage necessitent leur transcription orthographique ou phonetique sous une forme que peut interpreter I'ordinateur. Dans quelle mesure ces formes varient-elles et sont-eUes difficiles it apprendre? Tout en examinant ces differents aspects et des questions connexes, on rappeUera brievement l'evolution des logiciels d'analyse du langage. Le conferencier presentera egalement des exemples pratiques d'utilisation et quelques resultats obtenus avec divers logiciels disponibles sur le marche. L'expose se

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Samedi, le 7 mal

termine par un regard sur I'avenir des techniques qui pour­raient avoir une incidence notable sur l'analyse du langage assistee par ordinateur.

Application des methodes de suppleance a la communication orale aux adultes en cllnique Barbara Collier, LCST, Director, The Mobile Adult Augm­entative Communication Service, The Hugh MacMilIan Rehabilitation Centre, Toronto, Ontario

Cet atelier d'une journee presentera aux participants un cadre d'evaluation et d'intervention adapte a l'application des systemes de suppleance a la communication orale (SCO) aux adultes. Le tout debutera par un survol de la situation des services de SCO pour adultes en Ontario. La seance du matin sera consacree aux elements d'evaluation, aux proce­dures, aux instruments et aux techniques d'evaluation utilises dans le cadre de I' extension de ces services a la commu­naute. L'apres-midi, on traitera des problemes d'intervention relatifs it la formation du client, des partenaires et de ceux qui dispensent les services. Des etudes de cas iIIustreront les differents aspects du cadre clinique.

Bien que le cadre clinique s' adresse davantage aux adultes atteints d'infirmite motrice cerebrale ou souffrant d'un traumatisme au cerveau, l'ateIier devrait avoir d'im­portantes applications pour les autres groupes d'handicapes qui recourent it la SCO. On mettra en relief certaines particu­larites des services de SCO pour chaque groupe.

Durant toute la journee, iI sera question des defis que posent les services de SCO aux aduites, it savoir reseaux d'entraide et problemes de prestation des services dans des milieux residentiels differents et pour divers diagnostics. Parallelement, on determinera queUe incidence les possi­bilites de cancer et I'acces a la cornmunaute peuvent avoir sur cette population.

L' atelier interessera les cliniciens qui ont une connais­sance pratique de la SCO, ceux a la recherche d'une appro­che clinique systemique it la SCO et ceux qui s'interessent aux besoins de la population pour un service de ce genre.

JSLPA Vol. 18, No. I. March 1994/ ROA Vol. 18. N° I. mars 1994

Samedl, le 7 mal

Mini-semlnaires : Orthophonie

9h - 12h (seances consecutlves)

Usage actuel du personnel de soutien, formation et supervision Elaine Heaton, Glenrose Rehabilitation Hospital, Edmonton, Alberta Paul Hagler, University of Alberta, Edmonton, Alberta Jacquie Forward, Edmonton Board of Health, Edmonton, Alberta

Cette etude s'inscrit dans une plus vaste enquete nationale sur quatre branches de la readaptation. Elle decrit la forma­tion, l'utilisation et la surveillance du personnel de soutien au Canada. Les sujets eprouvant des difficultes de commu­nication comprenaient 2200 directeurs generaux, 23 triades en audiologie et 124 triades en orthophonie. Chaque triade se composait du chef de service, d'un professionnel et d'un employe de soutien qui assumait une partie des taches. Les resultats de l'etude seront analyses en fonction de la pratique professionnelle existante.

Usage futur du personnel de soutien, formation et supervision Elaine, Heaton, Glenrose Rehabilitation Hospital, Edmonton, Alberta Paul Hagler, University of Alberta, Edmonton, Alberta Jacquie Forward, Edmonton Board of Health, Edmonton, Alberta

Cette etude s'inscrit dans une plus vaste enquete nationale sur quatre branches de la re adaptation et decrit la formation recommandee, l'utilisation et la surveillance du futur person­nel de soutien canadien. Les sujets, repartis en triades, com­prenaient 12 audiologistes et 57 orthophonistes. Chaque triade se composait d'un chef de service, d'un professionnel et d'un employe de soutien qui assumait certaines taches. On analysera les resultats de l'etude d'apres leurs liens eventuels avec I' exercice de la profession dans l' avenir.

Les resumes

13h - 14h30

Communication efficace avec les enfants sourds et entendants Charlotte J. Evans, Sign Talk Children's Centre, Winnipeg, Manitoba Kyra R. Zimmer, Sign Talk Children's Centre, Winnipeg, Manitoba

Dans le cadre des recherches du projet relatif a l' elaboration d'un langage gestuel finance par Sante et Bien-etre social Canada, on a identifie plusieurs techniques et strategies d' enseignement qui fonctionnent particulierement bien et facilitent I' acquisition des connaissances et la communi­cation chez les enfants d'age prescolaire sourds et enten­dants. Les conferencieres decriront les strategies et les tech­niques en question et en feront la demonstration dans diffe­rentes situations relatives a I' enseignement de plusieurs groupes culturels.

CONFERENCIER(E)S INVITE(E)S

13h - 16h (seances simultanees)

ASP et protheses auditlves programmables : Choislr la methode de traltement Ideale H. Gustav MueUer, Ph.D., Department of Communication Disorders, University of Northern Colorado, Greeley, Colorado

Dans le cadre de cette seance, on commencera par examiner les differents ASP disponibles, notamment restriction de la compression, AGC-I, compression dynamique sur tout le champ spectral, methodes de traitement BILL et TILL. On s'interessera en suite 11 la maniere dont differents appareils programmables exploitent ces methodes, entre autres lors­qu'il faut recourir a des systemes a canaux et a memoires multiples. La derniere partie du cours abrege portera sur dix etudes de cas: personnes qui se servent vraiment d'un ASP. Les participants pourront signaler a l'instructeur les erreurs qu'il a comrmses lors de l'ajustement prothetique.

N'oubliez pas d'amener ce numero de la ROA avec vous au congres '94

JSLPA Vol. 18, No. 1, March 1994/ ROA Vol. 18, N° 1, mars 1994 61

Programme du congres Samedl. le 7 mal

Methodes d'intervention pour les nourrissons et les bambins Louis Rossetti, Ph.D., Coordinator of the Communicative Disorders Program, University of Wisconsin, Oshkosh, Wisconsin

Cette seance signalera aux cliniciens divers problemes relatifs a une intervention aupres des nourrissons et des bam­bins handicapes ou qui presentent des risques. On examinera notamment les modeles de prestation des services; les modeles de fonctionnement en equipe; les interventions necessitant le concours des parents et de ceux qui dispensent les soins; les interventions a domicile. a la clinique ou a la pouponniere de soins intensifs; les suggestions concern ant une intervention particuliere et l' evaluation du rendement du programme. On se penchera sur les problemes auxquels se heurte couramment celuilcelle qui effectue I'intervention, en encourageant la participation de l'auditoire.

Analyse du langage assistee par ordinateur : Prejuges tenaces, capacites actuelles et perspectives d'avenir Steven H. Long, Ph.D., Research Associate, Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington

(suite ... )

Application des methodes de suppleance a la communication orale aux adultes en clinique Barbara Collier. LCST, Director. The Mobile Adult Augmentative Communication Service. The Hugh MacMilland Rehabilitation Centre, Toronto, Ontario

(suite ... )

PR (X;R A JI: CENTltlL AllJ)lTOI\\' PROCESSIN(;,ND DISORDERS 11\ ADl'LTS .iNIl CHILDREN' DE\ELOP~IENT IN ,UIPUfICITION HlR THE HHRIN,; !,..

62

• schooner S\'mbol at right is not onl\' the official emblem of the XXII International Congres, of

Audiology, it is also representati\'e of the citl' \'011 arc about to I'isit. After hundreds of Ycars, the

historic port and citl' of Halit~1'\ knows ho\\' to be an exceptional host. From pirates to tirst sea

lords, princesses to queens, statesmen to presidents." all ha\'e walked our shores and cnjoyed

our hospitality. Plan to attend the XXII Congress in Halita., this Jul\'. The congress

programs and Halit:n acriYities bordering this ad are some of the exciting, relaxing,

festi\'e and protessional expcriences included in your registratioll.

XXII International Congress of Audiology P.o. Box 2627 . Station M . Halif.1X "iora S«)ti,1 ,C.ul.1da 113) 31'7 Phone: (902) +22-0363 or +61-0230 . En: 19021422-6874 or 465-2233

JULY 3-7

I 994,

~ '" ""' '==' . ~ '" ~

JSLPA Vo!. 18, No. 1. March 19941 ROA Vol. 18, N°], mars 1994