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Contents

Case 32. Cognitive-Linguistic Deficits in Pediatric Acquired Brain Injury.......................... 117

Shayne Kimble

Case 33. A Holistic Approach to Treating a Preschool-Aged Child Who Stutters ................. 120

Brooke Leiman

Case 34. Language and Cognitive Deficits Associated with Landau–Kleﬀner Syndrome......... 125

Barbara Culatta and Carol Westby

Case 35. Feeding and Language Therapy in a Child with Congenital Cytomegalovirus

and Traumatic Brain Injury

Debra L. Kerner

.................................................................. 129

Case 36. Psycholinguistic Approach to Assessment and Treatment of Complex

Speech-Language Impairment in a School-Age Child

Toby Macrae, Emily Berteau, and Kaitlin Lansford

..................................... 133

Case 37. Treatment of Communication and Feeding Disorders in a Complex Pediatric

Patient with a Neurogenic Disorder

Alicia Morrison-Fagbemi

........................................................ 139

Case 38. Language Assessment in a Child with Minimal Verbal Skills ............................. 142

Kristen E. Muller and Nancy C. Brady

Case 39. A Profound Phonological Disorder in a Preschooler ...................................... 145

Jennifer St. Clair

Case 40. Childhood Motor Speech Disorders in a Child with 7q11.23 Duplication Syndrome . . . 148

Shelley L. Velleman, Myra J. Huﬀman, and Carolyn B. Mervis

Case 41. Prioritizing Clinical Decisions in a Complex Medical Case ................................ 152

Erin Embry

Case 42. Transfeminine Voice Training ............................................................... 158

Christie Block

Case 43. Cognitive Rehabilitation following Severe Traumatic Brain Injury....................... 161

Joanna Close

Case 44. Multiple Unmanaged Concussions in a Collegiate Rugby Athlete........................ 164

Michael R. Fraas

Case 45. Management of Swallow Function in a Patient with an Orocutaneous Fistula ......... 169

Amy Fullerton

Case 46. Evidence-Based Intervention for Dysarthria in a Patient with Amyotrophic

Lateral Sclerosis

Amy Lustig

.............................................................................. 173

Case 47. Rehabilitation of Right Hemisphere Disorder in the Chronic Phase of Recovery ....... 177

Jamila Minga

Case 48. Reading as Intervention for a Skilled Nursing Facility Resident with Dementia ........ 180

Susan Ostrowski

Contents

Case 49. Speech-Language and Dysphagia Assessment in a Bilingual Female

Post Cerebrovascular Accident

Luis F. Riquelme

.............................................................. 187

Case 50. Accent Modification in a 30-Year-Old L1 Ukrainian Speaker.............................. 190

Darlene M. Monda

Case 51. Influence of Cognitive Status on AAC Intervention in a Case of Amyotrophic

Lateral Sclerosis

Michelle Gutmann

.............................................................................. 194

Case 52. Dysarthria Associated with Parkinson’s Disease .......................................... 199

Jessica E. Huber

Case 53. Stroke-Induced, Moderate, Acquired Apraxia of Speech and Nonfluent Aphasia....... 202

Lisa D. Bunker and Julie L. Wambaugh

Case 54. Compensatory and Restorative Application of AAC in Chronic, Severe Aphasia ........ 207

Kimberly A. Eichhorn

Case 55. Functional Language Rehabilitation in Nonfluent Aphasia ............................... 212

Lisa McQueen

Case 56. Diﬀerential Diagnostics in Spasmodic Dysphonia versus Muscle-Tension

Dysphonia

Shirley Gherson

.................................................................................... 217

Case 57. Aphasia and Dysphagia in a Resident of a Skilled Nursing Facility ....................... 221

Kelly A. Bridges

Case 58. Multiple Cranial Neuropathies and Posterior–Inferior Cerebellar Artery

Aneurysm following a Traumatic Brain Injury

Gemma Bailey

............................................. 226

Case 59. Script Training in Nonfluent/Agrammatic-Primary Progressive Aphasia ................ 229

Michael de Riesthal and Sarah Diehl

Case 60. Hyperkinetic Dysarthria: Dystonic Features in a Patient with a History

of Brainstem Encephalitis

Heather M. Clark

................................................................... 233

Case 61. Exploring Clinician Readiness for Interstate Telepractice................................. 238

Ellen R. Cohn and Jana Cason

Case 62. Paradoxical Vocal Fold Motion in a High-Level Athlete ................................... 242

Karen Drake

Case 63. Accent Modification in a Thai-Speaking Graduate Student............................... 246

Dana Rissler Fritz

Case 64. Conversation Training Therapy for a Professional Voice User ............................ 250

Amanda I. Gillespie and Jackie Gartner-Schmidt

Case 65. Psychogenic Stuttering in an Adult ......................................................... 254

Suzanne Hungerford

Contents

Case 66. Aural Rehabilitation of a Sequential Bilateral Cochlear Implant User.................... 257

Sara J. Toline

Case 67. Benign VF Lesions: The Role of Stimulability Testing and Voice Therapy................ 261

James Curtis

Case 68. Dystussia and Dysphagia in Parkinson’s Disease .......................................... 265

Michelle S. Troche, Jordanna M. Sevitz, and Alease M. Holden

Case 69. Injury Prevention for a Touring Professional Singer with Phonotrauma ................ 269

Aaron Ziegler

Case 70. Dysphagia in Generalized Dystonia following Deep Brain Stimulation.................. 277

Erin Yeates

Case 71. Speech Therapy Telepractice Program for a Client with Aphasia ........................ 280

Judy P. Walker

Case 72. Linguistic and Cognitive Deficits in Autoimmune Encephalopathy ...................... 285

Alejandro E. Brice and Jamie Swartz

Case 73. Stroke-Induced Aphasia and Dysphagia: Acute and Long-Term Implications ........... 288

Kerry Lenius

Case 74. Cognitive Rehabilitation for a Combat-Injured Veteran with Mild TBI and

Comorbid Conditions

Donald L. MacLennan and Leslie Nitta

........................................................................ 292

Case 75. Interdisciplinary Collaboration for Alzheimer’s Disease .................................. 296

Robert Maxwell

Case 76. Eﬃcacy of Transcranial Direct Current Stimulation in

Posttraumatic Stress Disorder

Jyutika Mehta

.............................................................. 300

Case 77. Management of Patients at End of Life..................................................... 303

Joseph Murray

Case 78. Augmentative and Alternative Communication for Broca’s Aphasia .................... 307

Amber Thiessen

Case 79. Utilization of Self-Help Activities for an Adult Who Stutters ............................. 310

Mitchell Trichon, Annie Bradberry, and Shane Wilmoth

Case 80. Targeting Social Communication Skills for an Adult with Autism Spectrum

Disorder

Jarrod B. Zinser

....................................................................................... 313

Index .......................................................................................... 316

Foreword

A speaker at a recent convocation ceremony spoke eloquently about the impor tance of individual stories to get to know people, and for understanding the richness that diverse groups of people bring to our society. But he went further and argued that unless we hear and truly listen to these individual stories, we risk failing to appreciate that, regardlessof the group these individualpersons ‘represent’, they each have their own story and history and deserve to be treated as individuals, and not only as a member of the group. According to the speaker, paying attention to these individual stories will allow us to look beyond a label or stereotype and better understand the speciﬁc pathway that allowed this person to become who they are today.

The message in this convocation address made me think about the importance of individual stories for our understanding of individuals who experience communication disorders. Reﬂecting back on my own student days, I recollect how the content of a textbook or lecture really came alive when we were able to read or hear the personal story of someone who stuttered, had apraxia or aphasia, a hearing disorder, or experienced any other condition that affected communication or swallowing. All of a sudden, it became clear that most individuals showed some, but not necessarily all, characteristics of a condition, and that clinicians need to be very skilled at developing a treatment approach that is geared toward each individual client.

The two editors of this unique book are each immensely qualiﬁed researchers and clinicians. Dr. Branski is an Associate Professor at New York University and a speech-language pathologist with extensive clinical as wellas research expertise who has published extensively especially in the area of voice disorders. Dr. Molfenter conducts research aimed at increasing the understanding of the physiology of both normal and disordered swallowing to inform and inﬂuence frontlineclinical practice. Incompiling the80 case studies in this exceptional resource, the editors have gone beyond the disorder and brought individual stories to life. They did this by inviting expert clinicians to share case studies of clients they have worked with. Each story describes an individual client’s history, how this story guided the clinician in their development of client-speciﬁc assessment and intervention approaches, and the outcome of this process. In doing so, the authors have not shied away from describing not only the successes, but also the challenges that they and their clients encountered. Readers are

actively engaged through a series of questions and are provided with suggestions for further reading. Among the many case studies in this book, you will read the story of an adult who stuttered since he was 5 and how his willingness to give therapy yet another chance allowed him to become less stigmatized and more actively involved in self-help organizations. You will appreciate the complex story of a college student with Autism Spectrum Disorder who had difﬁculties with developing and maintaining friendships and how he was an active decision maker in treatment even if that involved a decision to terminate treatment. There is the story of a 90-year old man at the end of his life and his struggles with swallowing and quality of life. You will read about an 8-year old girl with dysphonia who was able to regain better voice quality through working creatively with her clinicians on improved voice skills. These and the many other case studies, or stories, will assist students as well as clinicians in recognizing the person behind the communication or swallowing disorder. Each case study, even in its brief format, will allow new as well as experienced clinicians to appreciate the importance of listening to each client’s story, and how incorporating this story can help develop client-speciﬁc interventions and improve treatment outcomes. Indeed, reading these 80 stories will provide readers a rich glimpse of the fact that intervention for communication and swallowing disorders truly is ‘a clinical art based on science.’

This book is one of a kind in compiling such a large collection of case studies, demonstrating how different communication and swallowing disorders manifest themselves in very individual ways in children and adults. It also demonstrates how clinicians can work with their clients in developing individualized assessment and treatment plans and how such a partnership will greatly enrich treatment. As such, inst ructors as well as clinicians will ﬁnd this book to be a tremendously valuable teaching and clinical resource.

Luc De Nil, PhD

University of Toronto

Professor, Speech-Language Pathology

Acting Dean, School of Graduate Studies

Acting Vice-Provost, Graduate Research and Education

ASHA Fellow

xii

Preface

Abraham Maslow stated, “I suppose it is tempting, if the only tool you have is a hammer, to treat everything as if it were a nail.” Along this line of thought, every patient with a communication disorder requires unique problem solving and insight. And although didactic instruction is inherently valuable, true clinical skill involves implementation of theory tothe human condition. This volumewas constructed to encourage students and clinicians to seek out and employ their entire tool kit, not just a hammer, when managing complexcommunication disorders.More simply,we sought to provide clinical context to encourage the development of independent clinical decision-making skills.

The construction of avolume of caseshas the potential to expose controversy. Surely, consensus regarding both the diagnoses and treatment employed is unlikely. Regardless, the intent is toencourage clinicians to be open to unfamiliar concepts and appreciate the diversity of approaches to challenging, and more routine, clinical conundrums. With that said, this volume, admittedly, suffers from an impressive lack of completeness reﬂective of the expansive breadth within the profession of speech language pathology. A wholly comprehensive casebook is an impossibility. Regardless, we hope you enjoy and learn from this compilation.

xiii

Contributors

Gemma Bailey, MHSc, S-LP, Reg. CASLPO

Speech-Language Pathologist Hamilton Health Sciences Regional Rehabilitation Centre Hamilton, Ontario, Canada

Dana Battaglia, PhD, CCC-SLP

Assistant Professor and Department Chair Department of Communication Sciences and Disorders Adelphi University Garden City, New York

Jenna Battipaglia, MS, CCC-SLP, TSSLD

Clinical Assistant Professor Department of Communicative Sciences and Disorders

Steinhardt School of Culture, Education, and Human Development

New York University

Risa Battino, MS, CCC-SLP

Speech-Language Pathologist Monteﬁore Medical Center Bronx, New York

Lisa M. Bedore, PhD

Professor and Chair Department of Communication Sciences and Disorders, and Director Human Abilities in Bilingual Language Acquisition

Laboratory (HABLA Lab) Temple University Philadelphia, Pennsylvania

Emily Berteau, BS (Hons)

Master’s Student School of Communication Science and Disorders Florida State University Tallahassee, Florida

Christie Block, MA, MS, CCC-SLP

Speech-Language Pathologist New York Speech and Voice Lab New York, New York

Annie Bradberry

Chair International Stuttering Association

Nancy C. Brady

Associate Professor Department of Speech Language Hearing Sciences and Disorders University of Kansas Lawrence, Kansas

Susan Baker Brehm, PhD, CCC-SLP

Professor and Chair Department of Speech Pathology and Audiology College of Arts and Science Miami University Oxford, Ohio, and Cincinnati Children’s Hospital Medical Center Cincinnati, Ohio

Alejandro E, Brice, PhD, CCC-SLP, ASHA Fellow

Professor University of South Florida St. Petersburg, Florida

Kelly A. Bridges, PhD, CCC-SLP

Clinical Assistant Professor Director of Distance Education Assistant Director of the M.S. Program Department of Communicative Sciences and Disorders Steinhardt School of Culture, Education, and Human Development New York University New York, New York

Lisa D. Bunker, MS, CCC-SLP

Department of Communication Sciences and Disorders University of Utah, and Aphasia and Apraxia Research Program VA Salt Lake Cit y Health Care System Salt Lake City, Utah

Paul W. Cascella

Associate Dean San Jose State University San Jose, CA

Jana Cason, DHS, OTR/L, FAOTA

Assistant Professor Auerbach School of Occupational Therapy Spaulding University Louisville, Kentucky

xiv

Contributors

Heather M. Clark, PhD

Associate Professor Chair Division of Speech Pathology Department of Neurology Mayo Clinic Mayo Clinic College of Medicine Rochester, Minnesota

Joanna Close, MS, CCC-SLP

Adjunct Clinical Supervisor Paciﬁc University Forest Grove, Oregon

Ellen R. Cohn, CCC-SLP, ASHA Fellow

Professor Department of Communication Science and Disorders School of Health and Rehabilitation Sciences University of Pittsburgh Pittsburgh, Pennsylvania

Solaman J. Cooperson, PhD

University of Redlands Redlands, California

Catherine J. Crowley, J.D., PhD

Professor of Practice Teachers College Columbia University New York, New York

Barbara Culatta, PhD

Professor Brigham Young University Provo, Utah

James Curtis, MS, CCC-SLP, BCS-S

Laboratory for the Study of Upper Airway Dysfunction Department of Biobehavioral Sciences Teachers College Columbia University New York, New York

Sarah Diehl, MS, CF-SLP

Doctoral Student Department of Hearing and Speech Sciences Vanderbilt University Medical Center Nashville, Tennessee

Amy L. Donaldson, PhD, CCC-SLP

Associate Professor Department of Speech & Hearing Sciences Portland State University Portland, Oregon

Karen L. Drake, MA, CCC-SLP

Oregon Health Sciences University Portland, Oregon

Megan Dunn Davison, PhD, CCC-SLP

Assistant Professor Queens College Flushing, New York

Kimberly A. Eichhorn, MS, CCC-SLP, ATP

Speech-Language Pathologist Assistive Technology Professional VA Pittsburgh Healthcare System Pittsburgh, Pennsylvania

Erin Embry, MPA, MS/CCC-SLP

Associate Dean for Academic Operations Clinical Assistant Professor Department of Communicative Sciences and Disorders Steinhardt School of Culture, Education, and Human

Development New York University New York, New York

Kelly Farquharson, PhD, CCC-SLP

Associate Professor Florida State University Tallahassee, Florida

Christine Fiestas, PhD, CCC-SLP

Assistant Professor Texas A&M University-Kingsville Kingsville, Texas

Michael R Fraas, PhD, CCC-SLP

Associate Professor Department of Communication Sciences and Disorders Western Washington University Bellingham, Washington

Jennifer C. Friberg, EdD, CCC-SLP, ASHA Fellow

Cross Endowed Chair in the Scholarship of Teaching and

Learning Associate Professor Communication Sciences & Disorders Illinois State University Normal, Illinois

Contributors

Dana Rissler Fritz, PhD, CCC-SLP

University of Missouri Columbia, Missouri

Amy Fullerton, MA, CCC-SLP

Speech-Language Pathologist Board Certiﬁed Specialist in Swallowing and

Swallowing Disorders UF Health Cancer Center University of Florida Gainseville, Florida

Jackie Gartner-Schmidt, PhD, CCC-SLP, ASHA Fellow

Professor Department of Otolaryngology University of Pittsburgh, and Director Speech-Language Pathology-Voice Division Co-Director University of Pittsburgh Voice Center University of Pittsburgh Medical Center Pittsburgh, Pennsylvania

Shirley Gherson, MA, CCC-SLP

Clinical Voice Specialist Department of Otolaryngology-Head and Neck Surgery New York University Voice Center New York, New York

Amanda I. Gillespie, PhD

Assistant Professor Emory University School of Medicine Director Speech Pathology Co-Director Emory Voice Center Atlanta, Georgia

Jessie L. Ginsburg, MS, CCC-SLP

Director of Clinical Services Pediatric Therapy Playhouse Los Angeles, California

Lynn Marty Grames, MA, CCC-SLP

Speech-Language Pathologist Cleft Palate and Craniofacial Institute St. Louis Children’s Hospital St. Louis, Missouri and Adjunct Instructor Department of Communication Sciences and Disorders,

and Center for Advanced Dental Education Saint Louis University St. Louis, Missouri

Michelle Gutmann, PhD, CCC-SLP

Clinical Associate Professor Speech, Language, and Hearing Sciences Purdue University West Lafayette, Indiana

Christine Hagie

Associate Professor San Jose State University San Jose, California

Anna Eva Hallin, PhD

Postdoctoral Researcher Speech-Language Pathologist Karolinska Institute Department of Clinical Sciences Intervention and Technology Division of Speech Language Pathology Stockholm, Sweden

Alease M. Holden MS, CF-SLP

Speech-Language Pathologist Spencertown, New York

Emily M. Homer, MA, CCC-SLP

Speech-Language Pathologist Students Eat Safely, LLC www.emilymhomer.com

Jessica E. Huber, PhD

Professor Speech, Language, and Hearing Sciences College of Health and Human Sciences Interim Associate Vice Provost for Faculty Affairs Co-Director Center for Research on Brain, Behavior, and

Neuro-Rehabilitation (CEREBBRAL) Purdue University West Lafayette, Indiana

Myra J. Huffman, MS

Speech-Language Pathologist Department of Psychological and Brain Sciences University of Louisville Louisville, Kentucky

Suzanne Hungerford, PhD, CCC-SLP

Professor Graduate Coordinator Communication Sciences and Disorders SUNY Plattsburgh Plattsburgh, New York

xvi

Contributors

Lisa N. Kelchner, PhD, CCC-SLP, BCS-S, ASHA Fellow

Professor and Interim Chair Department of Communication Sciences and Disorders University of Cincinnati, and Cincinnati Children’s Hospital Medical Center Cincinnati, Ohio

Debra L. Kerner, MS, CCC-SLP

Speech-Language Pathologist McKinney, Texas

Shayne Kimble, MCD, CCC-SLP

Speech-Language Pathologist Shriners Hospitals for Children Houston, Texas

Kaitlin Lansford, PhD

Assistant Professor School of Communication Science and Disorders Florida State University Tallahassee, Florida

Brooke Leiman MA, CCC-SLP, BCS-F

Board Certiﬁed Specialist in Fluency Disorders Director of the Stuttering Clinic at National Therapy Center Bethesda, Maryland

Kerry Lenius, PhD, CCC-SLP

Clinical Chief of Speech-Language Pathology Clinical Assistant Professor Department of Speech, Language and Hearing Sciences College of Public Health and Health Professions University of Florida Gainesville, Florida

Nancy Lewis, MS, CCC-SLP; MPA

Speech-Language Pathologist Centers for Disease Control and Prevention’s Act

Early Ambassador to New Mexico University of New Mexico Albuquerque, New Mexico

Savannah P. Little, MS

Illinois State University Normal, Illinois

Kenneth J. Logan, PhD, CCC-SLP

Associate Professor Director of Graduate Programs Department of Speech, Language, and Hearing Sciences University of Florida Gainesville, Florida

Amy P. Lustig, PhD, MPH, CCC-SLP

Adjunct Professor University of Pittsburgh Pittsburgh, Pennsylvania, and Clinical Educator, Speech-Language Pathology Salus University Elkins Park, Pennsylvania

Donald MacLennan, MA, CCC-SLP

Minneapolis VA Health Care System Minneapolis, Minnesota

Toby Macrae, PhD, CCC-SLP

Associate Professor School of Communication Science and Disorders Florida State University Tallahassee, Florida

Robert Maxwell, MA, CCC-SLP

Regional Clinical Director Genesis Rehab Services Eastern Territory/ Region 1 (Virginia) Fredericksburg, Virginia

Lisa McQueen, MHSc, SLP (C) Reg. CASLPO

Speech-Language Pathologist Status Only Lec turer University of Toronto Toronto, Ontario, Canada

Jyutika Mehta, PhD, CCC-SLP, FHEA

Associate Professor Director Neurophysiology Lab Department of Communication Sciences and Disorders Texas Woman’s University Denton, Texas

Carolyn B. Mervis, PhD

Distinguished University Scholar and Professor Department of Psychological and Brain Sciences University of Louisville Louisville, Kentucky

Katie Micco, MS, CCC-SLP

Clinical Instructor Department of Speech-Language Pathology Duquesne University Pittsburgh, PA

Jamila Minga, PhD, CCC-SLP

Assistant Professor North Carolina Central University Durham, North Carolina

xvii

Contributors

Darlene Mariel Monda, MS, CCC-SLP

Clinical Assistant Professor Department of Communicative Sciences and Disorders New York University New York, New York

Katie C. Miranda, MCD, CCC-SLP

St. Tammany Parish Schools Covington, Louisiana

Alicia Morrison-Fagbemi, MA, CCC-SLP

Assistant Clinical Professor Department of Communicative Sciences and Disorders New York University New York, New York

Kristen E. Muller, MA, CCC-SLP

Doctoral Candidate Department of Speech Language Hearing Sciences

and Disorders University of Kansas Lawrence, Kansas

Joseph Murray, PhD, CCC-SLP, BCS-S

Chief Audiology/Speech Pathology Service VA Ann Arbor Healthcare System Ann Arbor, Michigan

Leslie Nitta, MS, CCC-SLP

Speech-Language Pathologist Los Angeles, California

Billy T. Ogletree, PhD

Professor and Head Department of Communication Sciences and Disorders Western Carolina University Cullowhee, North Carolina

Megan S. Overby, PhD, CCC-SLP

Associate Professor Department of Speech-Language Pathology Duquesne University Pittsburgh, PA

Elizabeth D. Peña, PhD, CCC-SLP

Professor University of California, Irvine Irvine, California

Maria Reséndiz, PhD, CCC-SLP

Assistant Professor Texas State University San Marcos, Texas

Michael de Riesthal, PhD, CCC-SLP

Associate Professor Department of Hearing and Speech Sciences Vanderbilt University Medical Center Nashville, Tennessee

Luis F. Riquelme, PhD, CCC-SLP, BCS-S

Board Certiﬁed Specialist in Swallowing and

Swallowing Disorders Fellow, American Speech-Language-Hearing Association Associate Professor, Speech-Language Pathology Program Director, Certiﬁ cate in Pediatric Dysphagia New York Medical College Valhalla, New York, and Director, Center for Swallowing and Speech-Language

Pathology New York-Presbyterian Brooklyn Methodist Hospital Brooklyn, New York

Abigail L. Rosenberg, MA, CCC-SLP

Speech-Language Pathologist Children’s Hospital of Philadelphia Philadelphia, Pennsylvania

José A. Ortiz, MA, CCC-SLP

Clinical Assistant Professor LEAP Preschool Director Department of Hearing and Speech Sciences University of Maryland College Park, Maryland

Mohamed (Mo) Oshalla, MHSc, SLP (C)

London-Elgin Speech & Language Services St. Thomas, Ontario, Canada

Susan Ostrowski, MA, MS

Speech-Language Pathologist Co-Founder, Reading2Connect www.reading2connect.com

xviii

Ian Roth, MHSc, S-LP(C) Reg. CASLPO

Speech-Language Pathologist University Health Network Toronto, Ontario, Canada

Jennifer St. Clair, MS, CCC-SLP

Director of Clinical Education Department of Communication Sciences and Disorders Loma Linda University Loma Linda, California

Jill E. Senner, PhD, CCC-SLP

Owner/Director Technology and Language Center, Inc. Oak Park, Illinois

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