Jean Neils-Strunjas

Jean Neils-Strunjas
University of South Carolina | USC

PhD

About

43
Publications
6,160
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772
Citations
Introduction
Jean Neils-Strunjas is Professor and Chair of the Department of Communication Sciences and Disorders, University of South Carolina. Jean does research in Geriatrics, Neurology and Speech and Language Pathology. She also is interested in geriatrics education.

Publications

Publications (43)
Article
Chronic aphasia, a devastating impairment of language, affects up to a third of stroke survivors. Speech and language therapy has consistently been shown to improve language function in prior clinical trials, but few clinicially applicable predictors of individual therapy response have been identified to date. Consequently, clinicians struggle subs...
Article
Purpose The purpose of this article was to describe the validity and reliability of the Fun and Social Engagement Evaluation (FUSE) developed to evaluate and measure social engagement displayed by nursing home residents during Bingocize. The FUSE combines health care worker observation and a resident self-report measure to produce a score that repr...
Article
Full-text available
Gender and quality of nursing home affected attendance in an exercise and social engagement program. Cognition did not impact attendance.
Article
Women and residents in Certified Nursing Homes (CNHs) with higher star ratings had better attendance in exercise and social engagement programming (ie, Bingocize) than men and residents in CNHs with lower ratings. Objective The purpose of the current study was to determine whether resident factors and nursing home star ratings influenced attendanc...
Article
Full-text available
Resilience, depression, posttraumatic stress disorder (PTSD), and traumatic brain injury (TBI) are important factors to consider as student military Veterans work to reintegrate into society. The impact of these factors on academic success is not fully understood, but is important for rehabilitation professionals, student advisors, and counselors....
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The aim of this study was to assess undergraduate students’ perceptions of older adults over the semester in an interprofessional service-learning course that implemented a health promotion program called Bingocize® at community facilities for older adults. Students were surveyed at the beginning of the semester, at midterm, and at the conclusion o...
Article
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Purpose: The purpose of this study was to determine how speech-language pathologists (SLPs) in the United States are implementing recommendations regarding the assessment of quality of life (QoL) in persons with aphasia (PWA). Methods: A brief, anonymous survey was made available online using a web-based survey platform. Questions addressed demogr...
Article
Purpose: The goals of this review paper are to present an overview of the literature on resilience in adults with ABI, to describe approaches to measuring resilience in clinical practice and to discuss practical suggestions for promoting resilience in rehabilitation of adults with ABI. Method: We employed systematic review of journal articles, b...
Article
This study is a posthumous longitudinal study of consecutive letters written by an elderly woman from age 89 to 93. Findings reveal a consistent linguistic performance during the first 3 years, supporting “normal” status for late elderly writing. She produced clearly written cursive form, intact semantic content, and minimal spelling and stroke err...
Article
Full-text available
Purpose Language develops at variable rates in young children, yet markers for different developmental trajectories, have not been identified. Production of fricatives in words may be one marker because they are later developing sounds and contribute to syntactic production. We examined whether children who produced fricatives in words by 18 months...
Article
Traditional methods for treating speech distortion errors in older school-age children have tended to yield mixed success. The current study was a preliminary evaluation of an alternative approach called the Systematic Articulation Training Program Accessing Computers (SATPAC), which was tested for the remediation of /s/ and /z/. Procedures involve...
Article
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Background We report findings from an intervention study using telehealth modalities to determine whether provision of telehealth services can improve access to care and increase adherence to cognitive therapy in veterans with mild traumatic brain injury (TBI) while matching traditional care in terms of outcomes. Material/Methods Veterans who were...
Article
Full-text available
Objective. During ambulatory 24-hour dual pH probe monitoring for suspected extraesophageal reflux (EER), patients are responsible for indicating relevant study events. Study interpretation relies on patient accuracy and compliance to test instructions. This study sought to explore patient compliance during pH probe monitoring and evaluated the uti...
Article
Language impairment is a common symptom of Alzheimer disease (AD), and is thought to be related to semantic processing. This study examines the contribution of another process, namely visual perception, on measures of confrontation naming and semantic association abilities in persons with probable AD. Twenty individuals with probable mild-moderate...
Article
Unlabelled: There are many distinct forms of dementia whose pharmacological and behavioral management differ. Differential diagnosis among the dementia variants currently relies upon a weighted combination of genetic and protein biomarkers, neuroanatomical integrity, and behavior. Diagnostic specificity is complicated by a high degree of overlap i...
Article
To evaluate the level of agreement between reflux area index scores, the reflux symptom index (RSI), and the reflux finding score (RFS). Inter- and intrarater reliability of the RFS was assessed. A criterion of pH 5 was used to evaluate its effects on agreement. Adult participants were enrolled in this prospective study. Eighty-two participants (72...
Article
Lombard speech refers to the well-known effect by which speakers talk differently in a noisy environment than they would in a quiet environment. This difference involves both increased loudness and acoustic phonetic characteristics that enhance intelligibility. Parkinson's disease (PD) patients who show reduced intelligibility of speech have also b...
Article
The role of intensity of aphasia therapy was investigated using functional magnetic resonance imaging (fMRI) to document changes in neural activation patterns associated with massed versus distributed therapy in an individual with chronic conduction aphasia. Language therapy targeted word-finding deficits and phonological processing. fMRI scans wer...
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Full-text available
Constraint-induced aphasia therapy (CIAT) offers potential benefits to individuals with history of aphasia-producing ischemic stroke. The goals of this pilot study were to implement the original German CIAT protocol, refine the treatment program, and confirm its efficacy in patients with chronic aphasia. We translated and modified the original CIAT...
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Full-text available
Decline in semantic memory is a key feature of Alzheimer's disease, and reading and writing performance reflects this loss. The article presents an overview of theoretical reading and spelling models, including definitions of key terminology and controversies surrounding the interaction of semantics and the orthographic lexicon. We review literatur...
Article
Because speech-language pathologists (SLPs) and audiologists (AUDs) are among the first referrals for parents of children exhibiting feeding, speech, language, hearing, and balance difficulties, it is important for SLP and AUD professionals to recognize genetic causes of and contributions to complex and Mendelian communication disorders. We review...
Article
This article presents a critical review of literature on dysgraphia associated with Alzheimer's disease (AD). Research presented includes discussions of central and peripheral spelling impairments as well as the impact of general, nonlinguistic cognitive functions on dysgraphia associated with AD. The studies critically reviewed were from a variety...
Article
Pediatric feeding/swallowing specialists commonly observe infants and toddlers who present with gagging or significant behavior state changes as a result of touch to oral and body regions. To date, this behavior has not been fully characterized or documented experimentally. This paper describes an exploratory study aimed at filling in these lacunae...
Article
Unlabelled: Few studies have examined characteristics of both verbal and written language of individuals with Alzheimer's disease (AD). This study used parallel measures (picture description, word fluency, spelling to dictation, and confrontational naming) to compare verbal and written language of individuals with mild AD, moderate AD, and normal...
Article
As the field of genetics continues to grow at a rapid rate, so does the application to patient care delivered by allied health professionals. At the same time, it has been shown that allied health professionals often lack confidence in their knowledge of genetics as a result of limited education about genetics. The current study was an interdiscipl...
Article
Dietitians commonly use 24-hour recall to obtain estimates of the typical food intakes for a population. This study was designed to determine whether using an encoding strategy or support at the time of retrieval improves older adults' 24-hour recall of food items and amounts consumed. The study included 17 older adults ranging from 74 to 91 years...
Article
The objectives of this study were (a) to examine the prevalence and onset of dysgraphia (i.e. writing impairment) in comparison with other neuropsychological deficits commonly associated with mild Alzheimer's disease (AD); and (b) to determine the patterns of neuropsychological deficits, if any, that are associated with dysgraphia in the early stag...
Article
This study examined the effects of age on the types of errors produced when recalling names of faces. The types of errors included confusions (errors within the target set), intrusions (errors outside the target set), errors phonologically similar to the target, errors not phonologically similar to the target, and errors containing the same number...
Article
The present study examined whether, for older adults, a verbal or imagery cognitive style is associated with recall of names and faces learned in an experimental condition. Cognitive abilities that are represented in current models of face recognition and name recall were also examined. Those abilities included picture naming, verbal fluency (i.e.,...
Chapter
Assessment of language may be conducted to further knowledge about a language disorder and underlying processes, but more commonly, testing is conducted for the patient’s benefit. In a patient-centered approach, the goals for testing include determining the normalcy of the patient’s language, and, if a language impairment exists, determining the ca...
Article
This study reports the writing performance of a dysgraphic patient with Alzheimer's disease and moderate dementia who frequently perseverated on strokes and letters. Letter formation errors were also frequently produced. Oral spelling was superior to written spelling. The habitual style of writing (cursive writing) was significantly more prone to p...
Article
Eight community-dwelling elderly subjects with self-reported memory loss volunteered to participate in a training study to improve memory for name-face associa-tions. Two training conditions were compared in a multiple N intervention design. Two sets of four target faces were rotated across conditions. In the mnemonic imagery training condition, th...
Article
Evidence for picture superiority in verbal learning following moderate to severe closed head injury (CHI) was found in a study involving 31 participants with CHI and 31 noninjured participants. A multitrial free-recall paradigm was implemented incorporating three modalities: Auditory, visual, and simultaneous auditory plus visual. Participants with...
Article
The 60-item Boston Naming Test (BNT; Kaplan, Goodglass, & Weintraub, 1983) was administered to 323 normal elderly subjects between the ages of 65 and 97. The combined effects of age, education, and living environment (institutionalized/independent living) on total test score was determined. These three variables accounted for 32% of the variance in...
Article
Full-text available
Objective: To determine the effects of stimulus modality on the verbal learning of patients with closed head injury (CHI) and to compare the performance of the patients with CHI to matched normal subjects. Patients: Twenty-four randomly selected subjects with moderate to severe CHI were matched in age, sex, education, and handedness to 16 normal vo...
Article
The present study was conducted to investigate the spelling ability of persons affected by mild Alzheimer's disease (AD). AD subjects produced more phonemically implausible (PI) spelling errors (e.g. enough-->enougigh) than normal subjects; in addition, AD subjects produced a higher percentage of PI spelling errors than normal AD subjects. We found...
Article
The homophone spellings of 20 subjects with Alzheimer's disease (AD) and mild dementia were compared to those of matched normal controls. Both groups were tested once (Time 1) and then again 9 months to 1 year later (Time 2). At Time 1, AD subjects misspelled more homophones than the control group and the discrepancy between the two groups' perform...
Article
The abstract for this document is available on CSA Illumina.To view the Abstract, click the Abstract button above the document title.
Article
The descriptive writing abilities of 15 subjects with Alzheimer's disease (AD) of mild to moderate severity were compared with 15 age- and sex-matched normal controls. Sixteen features of written linguistic ability were analyzed. AD subjects wrote shorter descriptive paragraphs than normal elderly subjects. Features related to letter or spelling er...
Article
Variables influencing responsiveness to phonemic cueing, although studied extensively in the aphasia population, have not been identified in the Alzheimer's disease population. In this study, four variables were analyzed in relation to successfulness of phonemic cueing: severity of dementia, confrontational naming ability, auditory comprehension, a...

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Projects (6)