Continuing Medical Education (CME) Disclaimer Planning Committee members have no financial relationships to disclose Presenter(s) has/have no financial relationships to disclose.

Speech Language Pathology in Neurodegenerative Diseases SLPT Overview Long 4/24/2018 The Role of Speech Language Pathology in Neurodegenerative Diseases Presented by: Amy Taylor, MS, CCC-SLP/L March 12, 2016 i.e. Imagevolution 2

Speech Language Pathology SLPT Overview Long 4/24/2018 Speech Language Pathology Amy Taylor, M.S., CCC-SLP Outpatient Speech Language Pathologist St. Luke’s North i.e. Imagevolution 3

Objectives Understand the reasons to refer to an SLP SLPT Overview Long 4/24/2018 Objectives Understand the reasons to refer to an SLP Identify the SLP assessment methods for dysphagia and communication impairments Identify types of AAC candidates and devices i.e. Imagevolution 4

Speech Language Pathology SLPT Overview Long 4/24/2018 Speech Language Pathology Refer to an SLP for the following concerns: Swallowing or eating difficulties Difficulty communicating Difficulty being understood Word finding problems Memory and cognition deficits Voice Changes i.e. Imagevolution 5

Speech Language Pathology SLPT Overview Long 4/24/2018 Speech Language Pathology Evaluation and diagnosis Dysphagia Communication Impairments Following the evaluation, recommendations and an individual treatment plan is developed i.e. Imagevolution 6

Dysphagia in Neurodegenerative Disease SLPT Overview Long 4/24/2018 Dysphagia in Neurodegenerative Disease As many as 57% of patients with NDD will be impacted by Dysphagia. Variable presentations by diagnosis Early detection helps prevent dehydration, malnutrition, weight loss, and aspiration pneumonia (Walshe, et al., 2014). i.e. Imagevolution 7

Dysphagia What can an SLP do for dysphagia? SLPT Overview Long 4/24/2018 Dysphagia What can an SLP do for dysphagia? Assess the patient’s risk for aspiration and possible dysphagia Clinical Evaluation of Swallowing Modified Barium Swallow Studies FEES Recommend strategies of diet modification or meal time strategies for safe swallowing Implement therapy Compensatory or rehabilitative Exercise Specialized therapy techniques Neuromuscular Electrical Stimulation (NMES) i.e. Imagevolution 8

Communication deficits in Neurodegenerative Disease SLPT Overview Long 4/24/2018 Communication deficits in Neurodegenerative Disease May present as: Motor Speech Disorders Apraxia Dysarthria Aphasia Cognitive-linguistic deficits Voice Disorders Any combination of the above i.e. Imagevolution 9

Assessment of Communication SLPT Overview Long 4/24/2018 Assessment of Communication General assessment categories Apraxia VisiPitch Motor Speech Profile Informal speech tasks Informal and audiotory - perceptual judgement Dysarthria Assessment of Intelligibility of Dysarthric Speech Frenchay VisiPitch Motor Speech Profiles Aphasia Boston Diagnostic Aphasia Examination Boston Assessment of Severe Aphasia Western Aphasia Battery Boston Naming Test Cognitive-linguistic deficits Assessment Battery of Communication for Dementia Cognitive Linguistic Quick Test Ross Information Processing Test Voice Disorders VisiPitch Sound Level Meter i.e. Imagevolution 10

Speech Therapy for Communication SLPT Overview Long 4/24/2018 Speech Therapy for Communication Develop an individual treatment plan Rehabilitation Strategies Alternatives Education i.e. Imagevolution 11

Augmentative Alternative Communication (AAC) SLPT Overview Long 4/24/2018 Augmentative Alternative Communication (AAC) What is AAC and who are candidates? Basic Low tech High tech How do we assess? Language assessment results Screening for candidate Consider all factors What happens next? Recommend device for alternative communication device Intervention i.e. Imagevolution 12

SLPT Overview Long 4/24/2018 References Journal of Gastroenterology and Hepatology Research. Oropharyngeal Dysphagia in Neurodegenerative Disease. Margaret Walshe, Accepted: July 12, 2014 Image retrieved from 111.ghret.org/index.php/joghr/article/view/883/1012 on January 19, 2016 The ASHA Leader, November 2008, Vol. 13, 10-13. Motor Speech Disorders and the Diagnosis of Neurologic Disease: Still a Well-kept Secret? Joseph R. Duffy, PhD, CCC-SLP Medscape Reference. Aphasia Clinical Presentation Howard S Kirshner, MD; Chief Editor: Michael Hoffmann, MBBCh, MD  more...Image retrieved from emedicine.medscape.com/article/1135944-clinical#b5 on January 21/2016 Julie Barkmeier-Kraemer, MA, PhD, CCC-SLP asha.org, http://www.asha.org/Events/Neurodegenerative-Disorders/Session-Descriptions/ 2016 Bayles,Kathryn and Tomoeda, Cheryl Cognitive-Communication Disorders of Dementia. 2013 Plural Publishing NeuroRehabilitation (2015). Supporting communication for patients with neurodegenerative disease. Image retreived from www.ncbi.nlm.nih.gov/pubmed/26409694 i.e. Imagevolution 13

SLPT Overview Long 4/24/2018 Questions? i.e. Imagevolution 14

Where can you find us? St Luke’s North 153 Brodhead Road SLPT Overview Long 4/24/2018 Where can you find us? St Luke’s North 153 Brodhead Road Bethlehem PA 18017 610-954-3200 i.e. Imagevolution 15