Does cognitive function influence alaryngeal speech rehabilitation?
BACKGROUND.: We sought to define the cognitive domains that influence valved speech rehabilitation. METHODS.: Sixteen laryngectomees with primary tracheoesophageal punctures were randomly recruited from one head and neck unit. They were assessed by a consultant neuropsychologist and a speech therapist. Speech therapy time was determined from speech therapy notes. RESULTS.: The Digit Symbol Substitution Test, assessing learning speed and processing speed, correlated significantly with speech therapy time in the first (p = .002) and third (p = .014) postoperative years, respectively. Categorical fluency assessment correlated positively with speech therapy time in the first year (p = .009). Learning speed (p = .007) and categorical fluency (p = .041) correlated positively with the fall in speech therapy input between the first and third year after laryngectomy. CONCLUSIONS.: Learning speed, processing speed, and categorical fluency strongly influence alaryngeal speech rehabilitation. This study highlights the potential for pre-laryngectomy cognitive assessment to help plan alaryngeal speech rehabilitation. This has significant resource implications. (c) 2005 Wiley Periodicals, Inc. Head Neck 27: 413-419, 2006.[1]References
- Does cognitive function influence alaryngeal speech rehabilitation? Ho, T.P., Gray, J., Ratcliffe, A.A., Rees, S., Rockey, J., Wight, R.G. Head & neck. (2006) [Pubmed]
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