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exam 3 sphp 126 > asses. of organic and neuro speech Dis. > Flashcards

asses. of organic and neuro speech Dis. Flashcards

1
Q

Cerebral palsy

A
  • pre, peri, post natal.

- not progressive

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2
Q

Spastic Cerebral Palsy

A
  • 50% of kids have this

- slow jerking movements with increased muscle tone

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3
Q

athetoid cerebral palsy

A
  • 10% of kids

- slow writhing and involuntary movements

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4
Q

Ataxic cerebral palsy

A
  • 5-10% of kids
  • balance problems and normal reflex
  • normal muscle tone
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5
Q

Rigid cerebral palsy

A
  • 1% of kids

- simultaneous contraction of all muscle groups

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6
Q

mixed cerebral palsy

A
  • 30% of kids

- might have several of these

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7
Q

Speech problems and their assessment

A
  • Oral motor: we have to asses both speech and non speech
  • feeding
  • slow DDK rates, discoordination of tongue, slow w/ that
  • resonance
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8
Q

prosody

A

(intonation) monotone mostly

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9
Q

respiration

A
  • sometimes very breathy

- rapid breathing and wasted air and trailing off the end of sentences

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10
Q

phonation

A

-a weak and strained voice because of hyperadducted vocal cords (theyre stuck together)

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11
Q

articulation

A
  • producing a speech sound

- weak pressure consonance and imprecise

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12
Q

Dysarthria

A
  • neuromotor disorder affecting all systems (respiration, phonation, articulation, resonance, prosody)
  • due to: CP, degenerative diseases., stroke
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13
Q

characteristics to look for in asssessment

A
  • breathy respiration
  • difficulty with appropriate syllable stress
  • artic: imprecise, distorted consonants; weak pressure consonant (use MOOSE)
  • resonance hypernasality
  • phonation: monotone, monoloudness, often soft voice
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14
Q

festination

A

means small shuffling steps

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15
Q

Childhood apraxia of speech

A
  • inconsistent errors
  • flat prosody
  • difficulty sequencing sounds and syllables
  • moderately to severely unintelligible
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16
Q

owens, farinella and metz

A
  • CAS is not the result of weakness
  • ch. w/ CAS have impaired motor planning and programming capabilities
  • unable to automatically learn motor plans necessary for rapid, accurate speech production
  • better at word level (single words) than connected speech
17
Q

Associated problems w childhood apraxia

A
  • family history in some ch.
  • possible learning disability
  • BETTER RECEPTIVE lang increase, lower expressive lang]
  • slow therapy progress
  • oral apraxis/difficulty with volitional non speech tasks
  • slow DDKs
  • ‘soft’ neurological signs – gross and fine motor incoordination (clumsy)
18
Q

Assessment– evaluate

CAS 1

A
  1. Pitch, loudness, prosody
  2. overall intelligibility
  3. resonance – e.g., hypernasal
  4. DDKs – alternating /p^p^p^/
    and sequential /p^t^k^/
19
Q

CAS assessment 2

A
  1. sample production of same phoneme in multiple trials
  2. ask them to produce words in both imitative and spontaneous modes
  3. developmental history – feeding, sucking problems? slow lang devt?
20
Q

CAS assessment 3

A
  1. volitional nonspeech movements of oral muscles in isolation and in sequence
  2. receptive and expressive lang skills
  3. articulation – give test , admin items repeatedly to assess consistency of production
  4. connected speech sample
21
Q

Roseberry favorite CAS assessment

A
  1. production of POLYSYLLABIC WORDS– have them say the words several times, check for CONSISTENCY
22
Q

cleft palate

A

opening in normally close in a normally closed structure

23
Q

combined cleft palate and lip

A

can be unilateral or bilateral

24
Q

Assessment of cleft palate patients

A
  • difficulty with PRESSURE CONSONANTS (stops, fricatives, affricates)
  • nasal emission, hyponasality
  • compensatory errors like glottal stops -> hoarseness
  • middle ear dysfunction, OME
25
Q

Asses of cleft palate patient 2

A
  • Iowa pressure test
  • watch for expressive-receptive lang gap (receptive always better)
  • listen for vocal pathology like hoarseness, soft voice due to strain on vocal folds or to VPI
26
Q

Assessment strategies

A
  1. work with team professionals
  2. help plan surgical interventions
  3. Assess intelligibility in connect speech
  4. esp. asses production of pressure consonants in words and sentences
  5. determine presence of hypernasality on vowels and nasal emission on consonants
27
Q

hold w mirrors under the childs nose

A
  • have her prolong /I/

- mirror should be clear if there is no hypernasailty

exam 3 sphp 126 (2 decks)

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