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Inhalt: 1. Einleitung 2. Fragestellungen 3. Methoden 3.1 Methodisches Vorgehen: Interdisziplinäre Trachealkanülenentwöhnung und Dekanülierungsentscheidung im Basler Ansatz 3.2 Methodisches Vorgehen: Probanden und Messverfahren 4. Ergebnisse 4.1 Effektivität und Effizienz des multidisziplinären Ansatzes: Dekanülierungs- und Komplikationsraten und Therapiedauer bis zur Dekanülierung 4.2 Einfluss der Dekanülierung auf den Rehabilitationsverlauf funktioneller Fähigkeiten: Vergleich der funktionellen Selbständigkeit vor vs. nach der Dekanülierung 4.3 Entwicklung der Schluckfunktion und oralen Nahrungsaufnahme nach der Dekanülierung 5. Diskussion 6. Fazit 7. Literatur 8. Danksagung

Das 3. Herbsttreffen Patholinguistik fand am 21. November 2009 an der Universität Potsdam statt. Der vorliegende Tagungsband enthält die drei Hauptvorträge zum Schwerpunktthema „Von der Programmierung zu Artikulation: Sprechapraxie bei Kindern und Erwachsenen“. Darüber hinaus enthält der Band die Beiträge aus dem Spektrum Patholinguistik, sowie die Abstracts der Posterpräsentationen. / The 3rd Herbsttreffen Patholinguistik was held on November 21st, 2009 at the University of Potsdam. These proceedings contain the three main lectures of the central topic „From programming to articulation: Apraxia of speech of children and adults “. Additionally this volume contains the contributions of Spektrum Patholinguistik, as well as the abstracts of the poster presentations.

"Spektrum Patholinguistik" (Band 2) ist der Tagungsband zum 2. Herbsttreffen Patholinguistik, das der Verband für Patholinguistik (vpl) e.V. am 22.11.2008 an der Universität Potsdam veranstaltet hat. Zum Schwerpunktthema "Ein Kopf - Zwei Sprachen: Mehrsprachigkeit in Forschung und Therapie" sind die drei Hauptvorträge und vier Abstracts von Posterpräsentationen veröffentlicht. Desweiteren enthält der Tagungsband freie Beiträge, u.a. zu Satzverarbeitung und Agrammatismus, Lesestrategien und LRS, Prosodie-Entwicklung, kindlichen Aphasien, Dysphagie-Therapie sowie zu kognitiven Defiziten bei älteren Menschen. / "Spektrum Patholinguistik" (vol. 2) contains the proceedings of the "2nd Herbsttreffen Patholinguistik" which was held at the University of Potsdam on November 22, 2008. Many talks and posters focused on bilingual language processing in normal and impaired speakers. The other contributions covered various topics, e.g. sentence processing and agrammatism, reading strategies and developmental dyslexia, language development, childhood aphasia, dysphagia therapy and cognitive skills in aging.

Att arbeta med kommunikativ förmåga är en av grundstenarna i logopedens yrkesutövning. Syftet med denna studie var att utveckla ett självskattningsinstrument som kan mäta kommunikativ förmåga, med möjlighet att fånga upp både positiva och negativa aspekter av förmågan. Instrumentet utvecklades i enlighet med klassisk mätteori. En första utvärdering av instrumentet gjordes i ett pilottest med 13 respondenter. Resultatet ledde till att antal items, det vill säga frågor, minskades från 133 till 78 och individuella items förändrades vid behov. 254 respondenter fyllde sedan i det reviderade formuläret på internet. Fyra faktorer kunde uttydas ur materialet. Dessa var: beteende i sociala situationer, funktionell kommunikation, lingvistisk kunskap och receptiv förmåga samt röst. De fyra faktorerna förklarade 30,4% av variansen i materialet. Cronbachs alfa för alla 78 item var α = 0,76. Resultatet av denna studie är ett instrument i behov av ytterligare revidering och utveckling, främst med avseende på validering. / Working with communication is a key element in professional speech and language therapy. The aim of this study was to develop a self-report instrument that measures communicative ability, with a possibility to capture both positive and negative aspects of communication. The instrument was developed in accordance with classical measurement theory. A first evaluation of the instrument with 13 respondents was conducted. As a result the number of items, ie questions, was reduced from 133 to 78 and individual items were altered when needed. 254 respondents then answered the revised form on the internet. Four factors could be extracted from the material. These were: behavior in social situations, functional communication, linguistic skills and receptive skills plus voice. The four factors explained 30,4% of the variance within the material. Cronbach's alpha for all 78 items was α = 0,76. The result of this study is an instrument in need of further revision and development, primarily with respect to validation.

Inhalt: - 1. Mythos Mehrsprachigkeit - 2. „Ein Kopf – ein Chor“: Sprachmischung bei bilingualen Sprechern - 3. Doppelter Erstspracherwerb (2L1) - 4. Früher L2-Erwerb - 5. Quellen im Text - 6. Literaturempfehlungen von Prof. Dr. Rosemarie Tracy

Esta pesquisa tem como objetivo principal investigar os efeitos de parte da metodologia verbotonal no desenvolvimento sintático em um paciente com atraso simples de linguagem. A criança, com 5 anos de idade, foi previamente selecionada por apresentar diagnóstico de atraso simples de linguagem, na Clínica Escola de Fonoaudiologia da Universidade de João Pessoa (UNIPÊ), João Pessoa - PB, no setor de Fonoaudiologia. O trabalho foi desenvolvido em quatro etapas: a primeira, realizada através de uma entrevista semi-estruturada com a mãe da criança, teve como objetivo colher dados mais detalhados sobre o desenvolvimento neuropsicomotor da criança. Na segunda etapa, foi realizada, com a criança, uma avaliação fonoaudiológica de linguagem. Como resultado, observou-se uma fala telegráfica, não compatível com a sua idade cronológica. Para a realização da terceira etapa, foram agendados dias e horários para a realização do processo terapêutico com a criança, à luz da metodologia verbotonal, durante o período de seis meses. Ao término deste período, foi realizada a quarta etapa com a aplicação de uma avaliação fonoaudiológica de linguagem com o intuito de verificar e identificar as evoluções na linguagem oral da criança em seu nível sintático, utilizando, para a análise, o modelo proposto por Vilela e Koch (2001). Como a metodologia verbotonal tem apresentado respostas positivas em relação à linguagem oral em deficientes auditivos e surdos, a proposta de aplicação dessa metodologia em paciente com atraso simples de linguagem foi de grande auxílio no ratamento fonoterápico, favorecendo tanto ao terapeuta quanto à criança. Por ser um tema bastante atual na área de linguagem, e, principalmente, para a Fonoaudiologia, esta pesquisa abre novo campo de estudo e amplia a visão do fonoaudiólogo em relação ao tratamento em crianças com atraso simples de linguagem / The aim of this work is to investigate the effects of Verbotonal Methodology on syntactic development of one language simple delayed child. The 5 year old child had been previously chosen for being diagnosticated as showing a language simple delay at the Clínica Escola de Fonoaudiologia da Universidade, João Pessoa - PB, by the Language Pathology Clinic. The work was structured in four steps: first, a semi-structured interview was carried out with the child mother in order to get information about the child neuro-psycho-motor development. Then, the child was submitted to a language pathology test which showed some evidences of telegraphic speech not fitting with her age. After that, the child was submitted to a six month language therapy using the Verbotoal Methodology. By the end of the therapy sessions a language test was again carried out to check the child language syntactic development by using Vilela and Koch (2001) language description model. Aware of the positive results presented by hearing and nonhearing children with the help of Verbotonal Methodology, its use in the case of this child proved to be successful in phonotherapy, with positive results both to the child language improvement and to the work of the language therapist. This paper hopes to give a contribution for the studies on Language therapy as well as to those working with simple delayed language

A Fonoaudiologia teve sua origem no meio educacional quando os fonoaudiólogos ainda eram chamados de reabilitadores e buscavam solucionar os problemas de linguagem dos educandos dentro da própria escola. Na atualidade, detectamos alguns problemas de interlocução que levam a uma dificuldade no exercício dessa atividade. Considerando-se esse contexto, o objetivo do trabalho foi estudar as representações que se encontram na base dos discursos produzidos por fonoaudiólogos e por professores sobre a atuação fonoaudiológica na escola, a fim de alcançar uma melhor compreensão a respeito do que circula entre esses profissionais, contribuindo, assim, para a consolidação da sua identidade profissional. Através dos dados obtidos com a realização de uma entrevista semi-estruturada, com oito participantes, buscamos analisar os resultados encontrados a partir de duas perspectivas: uma dialógica, sugerida por Bakhtin, que considera a interação como uma realidade fundamental para a linguagem; e outra, correspondente às idéias de Moscovici sobre as representações sociais geradas pelas influências comunicativas em ação na sociedade e que podem ser expressas por meio do senso comum. Os nossos achados sugerem que a Fonoaudiologia, tal como a conhecemos em Recife, não apresenta clareza em relação à sua proposta de atuação no meio escolar. Os fonoaudiólogos entrevistados possuem a representação de uma atuação ligada ao início da história da profissão, direcionada à percepção de dificuldades nos alunos, não compreendendo a promoção de saúde como uma forma mais eficaz de ação, demonstrando dessa maneira, uma visão reducionista de sua atuação, que se reflete na sua formação. A visão do professor sobre o mesmo tema, apesar de vinculada à detecção e ao tratamento de patologias, revela a necessidade do trabalho do fonoaudiólogo, especialmente se considerarmos a perspectiva inclusivista, bem como na prevenção fonoaudiológica para alunos e professores. Ao final da pesquisa, observamos que, se o investimento em estudos nessa área permanecer incipiente e, principalmente, se os poucos profissionais que atuam em instituições educacionais continuarem com uma visão limitada do seu papel, perderemos um campo de atuação da Fonoaudiologia, do mesmo modo que a Educação perderá um profissional que pode ajudar a gerar grandes mudanças no ensino / The Speech and Language Therapy had your origin in the educational environment, when the speech and language therapists were called rehabilitators and they looked for solutions to solve the language problems of the educationalists inside the school. Nowadays, it was detected some problems in this interlocution witch carry to a difficult in this activity. In this context, the aim of this research was to study representations which are in the base of the teacher and therapists discussions about the actuation of this last one, in the school, in order to reach a better comprehension between these professionals and contribute to the consolidation this professional identity. Through what was obtained by a middle structures interview, with eight participants, we looked for analyze the results founded into two views: a dialogic one, suggest by Bakhtin, which considers the interaction fundamental to the language, and the other, which also brings the Moscovici ideas, about the social representations conformed by the communicative action influences in the society and which can be expressed through the common sense. What we found in this research make us think the Speech and Language Therapy, as we know in Recife, it is not clear about the aims of the actuation inside the school. The Therapists interviewed still have an actuation representation bonded to the beginning of the history of this job, toward to the students difficulties, a reductionism view which could be emerged in these therapists formations who dont understand the healthy promotion as a most effective way to actuate in this reality. In the teachers view, about this theme, in spite of realize the bond to detection and treatment of pathologies, could emphasize this professional actuating in an inclusive view and to a student and teachers Speech and Language Therapy prevention. In the end of this research we observed that, if the study investments in this area, continue not enough, if changes doesnt happen in the university conceptions in relation to the action of this job in the school and, specially, if the few who actuate in educational institutions continue with this reductionism view about what to do, we will lose one more field actuation inside of the Speech and language Therapy, in the same way that the education will lose professionals who can help to generate big changes in the teach

Yes / Randomised controlled trials of non-pharmacological interventions in children's therapy are rare. This is, in part, due to the challenges of the acceptability of common trial designs to therapists and service users. This study investigated the acceptability of participation in cluster randomised controlled trials to therapists and service users. A national electronic survey of UK occupational therapists, physiotherapists, speech and language therapists, service managers, and parents of children who use their services. Participants were recruited by NHS Trusts sharing a link to an online questionnaire with children's therapists in their Trust and with parents via Trust social media channels. National professional and parent networks also recruited to the survey. We aimed for a sample size of 325 therapists, 30 service managers, and 60 parents. Trial participation was operationalised as three behaviours undertaken by both therapists and parents: agreeing to take part in a trial, discussing a trial, and sharing information with a research team. Acceptability of the behaviours was measured using an online questionnaire based on the Theoretical Framework of Acceptability constructs: affective attitude, self-efficacy, and burden. The general acceptability of trials was measured using the acceptability constructs of intervention coherence and perceived effectiveness. Data were collected from June to September 2020. Numerical data were analysed using descriptive statistics and textual data by descriptive summary. A total of 345 survey responses were recorded. Following exclusions, 249 therapists and 40 parents provided data which was 69.6% (289/415) of the target sample size. It was not possible to track the number of people invited to take the survey nor those who viewed, but did not complete, the online questionnaire for calculation of response rates. A completion rate (participants who completed the last page of the survey divided by the participants who completed the first, mandatory, page of the survey) of 42.9% was achieved. Of the three specified trial behaviours, 140/249 (56.2%) therapists were least confident about agreeing to take part in a trial. Therapists (135/249, 52.6%) reported some confidence they could discuss a trial with a parent and child at an appointment. One hundred twenty of 249 (48.2%) therapists reported confidence in sharing information with a research team through questionnaires and interviews or sharing routine health data. Therapists (140/249, 56.2%) felt that taking part in the trial would take a lot of effort and resources. Support and resources, confidence with intervention allocation, and sense of control and professional autonomy over clinical practice were factors that positively affected the acceptability of trials. Of the 40 parents, twelve provided complete data. Most parents (18/40, 45%) agreed that it was clear how trials improve children's therapies and outcomes and that a cluster randomised trial made sense to them in their therapy situation (12/29, 30%). Using trials to evaluate therapy interventions is, in principle, acceptable to therapists, but their willingness to participate in trials is variable. The willingness to participate may be particularly influenced by their views related to the burden associated with trials, intervention allocation, and professional autonomy. / The study was funded and supported by the UK Occupational Therapy Research Foundation, a division of the Royal College of Occupational Therapists, as part of the 2018–2021 Research Priority Grant.

This study looks at what happens in informal conversations between three people with learning difficulties (intellectual impairment) and a range of non-disabled partners. It takes a participatory approach using data collected by the participants with learning difficulties who chose their communication partners; these partners included family and staff who were paid to support them. The study uses descriptive statistics to highlight areas where there was apparent asymmetry in the conversations. Conversation Analysis combined with features taken from Systemic Functional Linguistics is then used to look in detail at some of these aspects. Important features identified include turn design, repair, and the use of evaluative language and the contribution of non-verbal aspects in particular eye gaze, gesture and the use of artefacts. The study highlights possible strategies for assessing and supporting more effective and equitable interaction for those with learning difficulties and communication impairment and identifies features that should be considered when training professionals working in the field of learning difficulties.