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Helping Individuals with Communication Disorders Through Behavioral Research Treatment and Interventions for Children Autism Spectrum Disorders (ASD) in Children Disorder/Condition: ASD are disorders characterized by delays in several areas of development that include socialization and communication. Public Health Impact: Approximately 1 in 150 children in the United States are affected by ASD. NIDCD-supported scientists are exploring the speech and language features in autism, evaluating current treatment practices, and designing new treatments. Examples of NIDCD research projects: Social Communication Phenotype of Autism Spectrum Disorder in the Second Year, Amy M. Wetherby, Florida State University, Tallahassee, FL Early Language Development within the Autism Spectrum, Susan Ellis-Weismer, University of Wisconsin, Madison, WI Treatment and Interventions for Adults Smell and Taste Loss in Older Adults Disorder/Condition: The olfactory system declines with age and may affect food choices, leading to changes in food intake, diet, overall nutrition and the health status of the elderly. Understanding the causes of specific deficits in smell and taste perception can help in making better food choices, and help avoid risk factors for obesity and diabetes. Public Health Impact: Each year, more than 200,000 people visit a physician for chemosensory problems such as smell and taste. Such problems often go unreported but affect quality of life (e.g., appreciation of food and the surroundings). A recent discovery has been the olfactory system’s reaction to different medications. Like our sense of taste, our sense of smell can be damaged by certain medicines while other medications have been associated with an improvement of the sense of smell. NIDCD-supported scientists are working to find out why this is so and develop drugs that can be used specifically to help restore the sense of smell to individuals who’ve lost it. Aphasia Disorder/Condition: Aphasia is a disorder that results from damage to portions of the brain that are responsible for language and usually occurs after a stroke or other brain injury. Public Health Impact: Approximately 80,000 individuals acquire aphasia each year. About 1 million people in the United States currently have aphasia. NIDCD-supported scientists have made substantial progress in the development of augmentative and alternative communication (AAC) devices to facilitate the expressive communication of persons with severe communication disabilities. Examples of NIDCD research projects: Communication Outcomes for Naming Treatments in Aphasia, Anastasia Raymer, Old Dominion University, Norfolk, VA Neural Correlates of Aphasia Treatment and Recovery, Cynthia Thompson, Northwestern University, Evanston, IL Example of NIDCD research projects: How Children with Hearing Loss Develop Language, Cognitive and Behavioral Skills Early Intervention: The most important time for a child to be exposed to and learn language is in the first 3 years of life. Children begin learning speech and language in the first 6 months of life. Research suggests that children who receive language intervention before 6 months of age develop significantly better language skills than those for whom help is delayed. Public Health Impact: Approximately 2 to 3 out of every 1,000 children in the United States are born deaf or hard-of-hearing. Nine out of every 10 children who are born deaf are born to parents who can hear. NIDCD-supported scientists are now studying a group of factors that support the early development of speech, language, cognitive and psychosocial skills in children with mild-to-severe hearing loss in order to improve intervention strategies for these children. Examples of NIDCD research projects: Moderators and Outcomes in Children with Mild to Severe Hearing Impairment, James Bruce Tomblin & Mary Pat Moeller, University of Iowa, Iowa City, IA Development and Adaptive Behavior of Young Children with Hearing Loss, Laurie Eisenberg & Strikka Carren, House Ear Institute, Los Angeles, CA Cochlear Implants in Children Technology: A cochlear implant is a small, complex electronic device that can help to provide a sense of sound to a person who is profoundly deaf or severely hard-of-hearing. Public Health Impact: In the United States, roughly 15,500 children and 23,000 adults have received cochlear implants. NIDCD-supported scientists are examining many variables that influence language learning after implantation, including environmental, social, interventional, and biological influences. Example of NIDCD research projects: Childhood Development after Cochlear Implantation, John Niparko, Johns Hopkins University, Baltimore, MD Familial and Birth Cohort Effects on the Aging Senses, Karen Cruickshanks, University of Wisconsin, Madison, WI Dysarthria Disease/Condition: Dysarthria is a group of speech disorders caused by disturbances in the strength or coordination of the muscles of the speech mechanism as a result of damage to the brain or nerves. Falls and Older Adults Health Problem: Each year, more than 1.6 million older Americans go to emergency departments for fall-related injuries. Among older adults, falls are the number one cause of fractures, hospital admissions for trauma, loss of independence, and injury deaths. Public Health Impact: More than 1 in 3 people age 65 years or older falls each year. The risk of falling—and fall-related problems—rises with age. NIDCD-supported scientists recently developed an audio-biofeedback device that gives people audio cues to let them know the direction and amount their body is swaying so that they can compensate for it and maintain their balance. Use of such auditory feedback may provide useful behavioral strategies to help prevent falling and consequent injury during aging or rehabilitation. Example of NIDCD research projects: Adaptation of Spatial Orientation in Locomotion and Posture, Fay B. Horak, Oregon Health & Sciences University, Portland, OR Public Health Impact: It is estimated that 89% of individuals with Parkinson's disease have a speech or voice disorder. NIDCD-supported scientists are studying treatment effectiveness for dysarthric speakers secondary to Parkinson's disease. Using the Lee Silverman Voice Treatment (LSVT) program, speech-language pathologists guide and direct patients to produce louder and clearer speech by using increased effort. Examples of NIDCD research project: Efficacy of Voice Treatment for Parkinson’s Disease, Lorraine Ramig, University of Colorado at Boulder, Boulder, CO