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Your search keyword '"Gramigna, Gary D."' showing total 12 results
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12 results on '"Gramigna, Gary D."'

3. A randomized study of three interventions for aspiration of thin liquids in patients with dementia or Parkinson's disease

Author

Logemann, Jeri A., Gensler, Gary, Robbins, JoAnne, Lindblad, Anne S., Brandt, Diane, Hind, Jacqueline A., Kosek, Steven, Dikeman, Karen, Kazandjian, Marta, Gramigna, Gary D., Lundy, Donna, McGarvey-Toler, Susan, and Gardner, Patricia J. Miller

Subjects
Dementia -- Care and treatment, Posture -- Influence, Posture -- Psychological aspects
Abstract

Purpose: This study was designed to identify which of 3 treatments for aspiration on thin liquids--chin-down posture, nectar-thickened liquids, or honey-thickened liquids--results in the most successful immediate elimination of aspiration [...]

Published
2008

4. Comparing Treatment Intensities of Tactile-Thermal Application

Author

Rosenbek, John C., Robbins, JoAnne, Willford, William O., Kirk, Gail, Schiltz, Amy, Sowell, Thomas W., Deutsch, Steven E., Milanti, Franklin J., Ashford, John, Gramigna, Gary D., Fogarty, Ann, Dong, Katherine, Rau, Marie T., Prescott, Thomas E., Lloyd, Anna M., Sterkel, Marie T., and Hansen, Julie E.

Published
1998
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6. The Impact of Time After Radiation Treatment on Dysphagia in Head and Neck Cancer Patients Enrolled in a Swallowing Therapy Program

Author

Van Daele, Douglas J., Langmore, Susan E., Krisciunas, Gintas P., Lazarus, Cathy L., Pauloski, Barbara R., McCulloch, Timothy M., Gramigna, Gary D., Messing, Barbara P., Wagner, Cynthia W., and Bell, Sarah L

Subjects
Male, Time Factors, Treatment Outcome, Head and Neck Neoplasms, digestive, oral, and skin physiology, Quality of Life, Humans, Electric Stimulation Therapy, Female, Deglutition Disorders, Article, Deglutition, Exercise Therapy
Abstract

BACKGROUND: Swallowing dysfunction after radiation treatment for head and neck cancer can be devastating. A randomized control trial compared swallow exercises versus exercise plus neuromuscular electrical stimulation therapy and found no overall difference in outcomes. METHODS: Quality of life, diet, and swallowing variables collected at discrete intervals on 117 patients were re-analyzed to test the hypothesis that shorter time between completion of radiation therapy and beginning the swallowing therapy program yielded improved outcomes. RESULTS: At baseline, subjects less than 1 year post radiation had significantly better function than subjects more than 2 years post RT in several measures. Over the therapy program, the early group showed significant improvement in diet and QOL. Swallowing physiology variables showed no difference between groups. CONCLUSIONS: Beginning a swallowing therapy program within one year of completion of radiation therapy demonstrates more consistent improvement in quality of life and diet performance compared to later time periods.

Published
2019

7. Discourse topic management in senile dementia of the Alzheimer's type

Author

Mentis, Michelle, Briggs-Whittaker, Jan, and Gramigna, Gary D.

Subjects
Alzheimer's disease -- Research, Senile dementia -- Research, Communicative disorders -- Research, Health, Languages and linguistics
Abstract

The purpose of the study was to provide a detailed evaluation of the topic management abilities of a group of subjects with senile dementia of the Alzheimer's type (SDAT) and to compare their patterns of topic management to that of a normal elderly (NE) subject group. Twenty-four subjects participated in the study: 12 SDAT subjects and 12 NE subjects matched along the variables of age, sex, and education. The evaluation of topic management was based on a 20-minute casual conversational interaction between the subject and a speech-language pathologist that was videotaped and later transcribed orthographically. Topic management was analyzed in terms of a modified version of the multidimensional topic coherence analysis developed by Mentis and Prutting (1991). The results indicated significant differences between the SDAT and NE subjects along a number of parameters of topic introduction and maintenance. The topic management profiles of the SDAT subjects were characterized by a reduced ability to change topics while preserving the discourse flow, difficulty in actively contributing to the propositional development of the topic, and a failure to consistently maintain topic in a clear and coherent manner. These problems appeared to be related to underlying problems across the discourse-pragmatic, linguistic, and cognitive domains; they highlight the need to more fully explore the interactions among deficits in SDAT and their effects on conversational discourse. KEY WORDS: Alzheimer's disease, discourse, topic management, dementia, language

Published
1995

8. The impact of time after radiation treatment on dysphagia in patients with head and neck cancer enrolled in a swallowing therapy program

Author

Van Daele, Douglas J., primary, Langmore, Susan E., additional, Krisciunas, Gintas P., additional, Lazarus, Cathy L., additional, Pauloski, Barbara R., additional, McCulloch, Timothy M., additional, Gramigna, Gary D., additional, Messing, Barbara P., additional, Wagner, Cynthia W., additional, and Mott, Sarah L, additional

Published
2019
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9. Comparison of Trained Clinician Ratings with Expert Ratings of Aspiration on Videofluoroscopic Images from a Randomized Clinical Trial

Author

Hind, Jacqueline A., primary, Gensler, Gary, additional, Brandt, Diane K., additional, Miller Gardner, Patricia J., additional, Blumenthal, Loreen, additional, Gramigna, Gary D., additional, Kosek, Steven, additional, Lundy, Donna, additional, McGarvey-Toler, Susan, additional, Rockafellow, Susan, additional, Sullivan, Paula A., additional, Villa, Marybell, additional, Gill, Gary D., additional, Lindblad, Anne S., additional, Logemann, Jeri A., additional, and Robbins, JoAnne, additional

Published
2008
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