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Speech-Language Pathology Service Presents Aphasia and the Brain: Current Understanding and Treatment Peter Turkeltaub, MD, PhD Stacie Raymer, PhD Invited Guest Speakers 29th Annual SLP Continuing Education Workshop April 8, 2016 Registration All participants must register online at SiTELMS.org. 1. Do a keyword or catalog search for aphasia. 2.Select the course and check ENROLL. You will need to create an account if you are a new user or log in if you have already set up an account in SiTEL. When registering, be sure the price listed corresponds with your registration code. Once registration is approved, we cannot go back and change your registration price. If you are registering as a group of three or more from the same facility, please contact Earthaleen Woods at 202-877-1510 prior to registration to obtain your group code for discounted pricing. Time and Place This program will be held on Friday, April 8, 2016, from 8 a.m. to 3:45 p.m. in MedStar National Rehabilitation Hospital’s auditorium, located on the ground floor. Who Should Attend Speech-language pathologists, especially those in clinical practice within the acute rehab, acute hospital, outpatient, and skilled nursing settings, should attend. Registration Fees Early Regular Single registration $245 $275 Three or more from the same institution $215 $245 MedStar Health associates $210 $240 Students (STUD for online registration) $150 $180 Registration and payment must be received by March 25, 2016, for early registration rates. Registration fees include the cost of attendance, continental breakfast and afternoon refreshments. Lunch can be purchased in the on-site dining room. Cancellation Policy All cancellations must be received in writing no later than March 25, 2016. Refunds are not available after this date. There is a $50 administrative fee for all refunds. MedStar National Rehabilitation Hospital (NRH) reserves the right to cancel or change a program for due cause. MedStar NRH cancellation will result in a full refund of tuition. For more information, go to MedStarNRH.org or contact Eartha Woods at 202-877-1510. MedStar NRH is a 137-bed, private, not-for-profit facility located in northwest Washington, D.C. MedStar NRH’s services are designed specifically for the rehabilitation of individuals with disabling injuries and illnesses, such as stroke, brain injury, spinal cord injury and disease, arthritis, amputations, post-polio syndrome, chronic pain, back and neck pain, occupational injuries, cancer, and cardiac disease that require medical rehabilitation, and other neurological and orthopaedic conditions. We treat patients from the age of six and up and our Pediatric Unit—the National Center for Children’s Rehabilitation— is a joint service of MedStar NRH and Children’s National Medical Center. Continuing Education Credits This course is offered for 0.6 ASHA CEUs (Professional area, Advanced level). MedStar National Rehabilitation Network is approved by the Continuing Education Board of the American Speech-LanguageHearing Association (ASHA) to provide continuing education activities in speech-language pathology and audiology. See course information for number of ASHA CEUs, instructional level and content area. ASHA CE Provider approval does not imply endorsement of course content, specific products or clinical procedures. Application has been made to the Maryland Board of Examiners for speech-language pathologists for 6.0 continuing education units. Course Abstract In Dr. Turkeltaub’s morning session, we will review medical treatment options that have potential to improve recoveries in people with stroke-related aphasia. There are now tools to noninvasively modulate brain activity using electrical or magnetic stimulation. These tools have shown some potential to improve recovery from aphasia, but require more research to determine how effective they are, the best ways in which they are delivered and the population most likely to benefit from treatment. Developing optimized brain stimulation treatments requires a better understanding of the brain basis of aphasia recovery. This seminar will summarize our current understanding of the brain basis of language and aphasia recovery. Additionally, Dr. Turkeltaub will discuss the current state of research on brain stimulation treatments for aphasia and outline ways to engage people with aphasia in research. In Dr. Raymer’s afternoon session, we will review several behavioral approaches to address word retrieval impairments in individuals with stroke-induced aphasia. These will include restorative treatment approaches that engage semantic and phonologic processing in a manner compatible with the normal processes engaged in word retrieval. These approaches will be contrasted with reorganization approaches to word retrieval treatment that attempt to facilitate word retrieval through a fundamentally different cognitive process, such as gesture. Other factors influencing success of word retrieval treatment and generalization of treatment effects beyond specific training items also will be considered. For example, errorless naming training and training across semantic categories will be reviewed. The seminar will take an evidence-based approach, reviewing the most recent empirical evidence supporting the effects of the variety of treatments available for individuals with word retrieval impairments associated with aphasia. Agenda Course Objectives 7:30 to 8 a.m. Registration and continental breakfast 8 to 8:15 a.m. Opening remarks 8:15 to 9 a.m. Updates on the brain basis of language 9 to 9:45 a.m. The brain basis of aphasia recovery 9:45 to 10 a.m. Break 10 to 11 a.m. Brain stimulation techniques under investigation for aphasia 11 to 11:30 a.m. Engaging people with aphasia in research 11:30 a.m. to 12:30 p.m. Lunch/break 12:30 to 1:15 p.m. 1:15 to 2 p.m. Perspectives influencing evidence-based practice and word retrieval training Restorative treatment approaches for word retrieval impairments in aphasia 2 to 2:15 p.m. Break 2:15 to 3:45 p.m. Reorganization approaches to word retrieval training: Gestures and limb apraxia Participants will be able to: • Describe how the brain performs language functions. • Summarize the brain basis of aphasia recovery. • Describe the current research regarding types of noninvasive brain stimulation for use in people with aphasia. • Summarize the current state of research on the safety and efficacy of brain stimulation treatments for aphasia. • List current opportunities for people with aphasia to participate in research. • Describe three key components of the cognitive neuropsychological model of word retrieval. • Define the evidence-based practice triad. • Describe two restorative treatment approaches for addressing noun and verb retrieval impairments in aphasia. • Recognize attributes of limb apraxia. • Describe two reorganization approaches to word retrieval treatment implementing limb movements. • Consider factors to facilitate generalization of treatment outcomes to untrained stimuli and connected speech tasks. About the Speakers Peter Turkeltaub, MD, PhD Dr. Turkeltaub is an assistant professor of neurology and director of the Cognitive Recovery Lab at Georgetown University and the Aphasia Clinic at MedStar National Rehabilitation Hospital. He received his MD and PhD in neuroscience from Georgetown University, and completed his residency in neurology and fellowship in cognitive neurology at the University of Pennsylvania. He has received national and international awards for his research and has published numerous papers on the neuroanatomy of language and on aphasia. His research has been supported by grants from the National Institutes of Health, the Doris Duke Charitable Foundation, the American Brain Foundation, and the International Dyslexia Association. Financial Disclosure: Honorarium and reimbursement of expenses Nonfinancial Disclosure: Collaborator, Soterix Medical Inc. Stacie Raymer, PhD Dr. Raymer is a professor in the Department of Communication Disorders & Special Education at Old Dominion University. She received her BSEd in communicative disorders from the University of Wisconsin-Madison and her MA and PhD in speech pathology from the University of Florida. For more than 30 years, her research has examined methods to optimize behavioral treatment effects for individuals with communication impairments following stroke or brain injury, as well as neural and theoretical bases of language disorders in these individuals. She has published more than 50 papers and chapters, and has presented her work nationally and internationally. Her research has been supported by grants from the National Institutes of Health and Department of Defense. She is a fellow of the American Speech-LanguageHearing Association, past coordinator of Special Interest Group 2 of ASHA and president of the Academy of Neurologic Communication Disorders and Sciences. Financial Disclosure: Honorarium and reimbursement of expenses Nonfinancial Disclosure: Past president and Board member, Academy of Neurologic Communication Disorders & Sciences 16-MNRH-4649.022016