Chapter 6 Flashcards
(30 cards)
Articulatory problems results from:
- Organic
- Functional
A known physical cause (e.g., hearing loss, cleft lip or palate, cerebral palsy, ankyglossia (tongue tie), acquired apraxia or dysarthria
Organic
No known physical cause
Functional
To quickly identify those individuals who communicate within normal limits and those who may have a communicative disorder
Screening
An assessment of speech and sound disorders enables the clinician to:
- Describe a patients current abilities
2.compare the clients speech abilities to normal expectations - Determine cause, if possible, if a speech disorder is present
- Recommend an appropriate plan for remediation, if needed
- Create a baseline of performance- measure changes over time
Speech assessment protocol
- Collect the case history
- Complete the orofacial evaluation
- Formal testing
Speech sample
During this process we note any red flags
Collecting case history
During this process we note any contributing factors such as medical or neurological factors, hearing dental problems, motor development, intelligence or cognition, age and gender, family history of speech disorder or delay, primary language, dialect, and culture, motivation and level of concern
Collecting case history
Which process follows Universial precautions
Completing the orofacial evaluation
Which process notes the primary oral structures
Completing the orofacial evaluation
This process provides information about:
Motor and speech planning abilities
Sequencing of speech syllables
Accuracy of productions
Coordination of respiration, phonation, articulation
Diadochokinetic rate
How do we get the diadochokinetic rate?
Syllables divided by predetermined number of seconds
# of seconds to produce predetermined # of syllables
The limitations of formal testing include:
Single phoneme in preselected word
No conversational speech
Norms
Type of formal testing include:
Phoneme assessment & phonology
How does one collect a representative speech sample:
Need 50-100 utterances
Establish a positive relationship before collecting sample
Minimize interruptions
Don’t fill the silence
Preselect materials that the patient will like
Vary subject matter
How does one collect a representative speech sample:
Multiple environments/partners
After the context (pictures, conversation, narrative/books)
Do not ask close-ended questions
Consider the Abe and cultural background
How does one collect a representative speech sample with varying materials:
Toys, puppets, animals, dolls
Pictures
Reading passages for older clients
Phrase construction
Imitation
The purpose of a speech sample is to
Identify sounds in errors in connected speech
Refers to a clients ability to produce a correct (or improved) production of an errored phoneme
Stimulability
____ provides prognostic information, starting point for therapy, & get a clearer picture of specific error types that may be more amenable to earlier treatment (e.g., bilabials may be more ___ than velars)
Stimulability
Describes what children do in the normal process of speech development to simplify adult speech
Phonological processes
When a child uses processes that are not normally present during speech acquisition, ____ may be impaired
Intelligibility
If the clinician can identify the error pattern and target error pattern, then the clinician can remediate more than one sound at a time. True or false
True
/k^/ for cup
/k^/ for cut
/da/ for doll
/pu/ for pool
These are examples of which phonological processes
Final constant deletion
