principles of managing msds

Question 1

T/F: We know more about treating msds than decribing and identifying them

Answer 1

F: we have more knowledge of their descriptions than treatment!

Question 2

T/F: It is best to focus solely on speech with msds

Answer 2

False: We do best when we incorporate an appropriate total communication – gestures/etc

Question 3

What are appropriate goals for managing MSDS?

Answer 3

There are 3!!!!

1. Restore lost function
2. Promote residual function
3. reduce the need for lost functions

Question 4

Is it always possible to compeletely restore lost function?

Answer 4

No, especially with degenerative dzs

Question 5

What are some effective ways to promote residual functions?

Answer 5

Prosethic devices, AAC, modifying environment

Question 6

What factors influence management?

Answer 6

6;
Medical dx/prognosis
Disability and societal limitations (no limitations- no need for therapy)
Environment and communication disorders (will people support therapy?)
Motivation and needs - try counseling in this case
Associated problems - cognitive problems
Health coverage $$ and how much?

Question 7

What are approaches to management?

Answer 7

1. medical (pharmacological/surgical)
2. Prosthetic management (lift- etc)
3. Behavioral

Question 8

What are some examples of prosthetic management?

Answer 8

Lift
pacing board
DAF
voice amplifyer
light pointers

Question 9

who uses DAF or pacing board more often?

Answer 9

hypokinetics

Question 10

What are the overall goals for behavioral management

Answer 10

Maximize comunication and produce the most rapid, effective and natural results

Question 11

What approaches for behavior management are used?

Answer 11

• speaker oriented approaches

- communication oriented approaches

Question 12

give some examples of speaker oriented approaches

Answer 12

• *****IMPROVE the SPEAKER!!!! physiologically
• compensatory strategies (slow rate/overartic)
• increase ROM/strenght

Question 13

GIve some strategies for communication oriented approaches

Answer 13

• reduce sound to sig. ratio
• give listener the topic of conversation - if there is a breakdown, say one word at a time and point to first letter on the letter board.

Question 14

Guidlines for behavioral management~

Answer 14

Start Early!! ASAP!
baseline data will determine where to start therapy.
-if degerative, adjustments made
-if transient, improved more challenging heiarchy
Start with psysiological support of subsystems
sometimes compensatory strates are used

Question 15

What does it mean to work from the bottorm up?

Answer 15

Start with respiration, phonation, then articulation

Question 16

What are the principles for motor learning?

Answer 16

7
Practice
Drill
They need instruction
they need feedback
they need to discover what works (ownership)
needs to be relavent to speech
begin with most advanced skill that is perserved