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Flashcards in Cluttering Deck (20):
1

disorder of fluency

cluttering

2

Cluttering may also be a disorder of?

language
but what came first the language disorder or the cluttering?

3

Cluttering contains what type of errors?

syntax
speech
excluding/disorganized sounds
phonology errors
attention deficits

4

What is also involved in cluttering?

excessive breaks stemming from disorganized speech planning/thinking

5

Someone who clutters is very....

unintelligible

6

According to Dr. B
What will the parents of someone who clutters say? A

parents will say their child was never fluent. There was no typical development. It is like the babbling never stopped.

7

What might the parents call the cluttering?

stuttering

8

Apraxia vs Cluttering

Cluttering:
rushes of speech rates
syllables change
Apraxia:
syllables are fine, its the speech sounds that are messed up

9

Approximately what percent of the people who clutter only clutter?

5%

10

Approximately what percent of people who clutter also stutter?

95%

11

Cluttering VS Stuttering

-not cyclical
-not variable to situations
-stays at given level of severity
-other language deficits co-occur (speaking, reading, and writing)
-developmental milestones are usually not met
-not sure of what they want to say
-its a language and fluency disorder
-little or no struggle
-no concomitant features
-you can have them slow down and think about what they want to say

12

How can you identify someone who clutters?

-listen to conversation speech sample
-content is not right
-confusing, disorganized language and word finding difficulties
-excessive revisions
-interjections

13

What are the hallmarks of cluttering?

-bursts of speech and pauses that are too long
-not aware of the problem
-vowels and consonants are messed up
-slurring speech sounds
-poor intelligibility

14

What is the characteristic of the prosodic pattern?

Not monotone but extremely predictable

15

Deleting what syllable is common?

non-stressed

16

What learning disabilities co-occur

reading
writing
sloppy handwriting

17

Overarching all of these problems is??

disorganized life
poor life scheduling

18

How do you evaluate cluttering?

-rate of speech (pauses and rush of speech)
-articulation (what syllables are being left out/slurred)
-Auditory processing and comprehensive abilities
-basic motor eval for neuro soft signs (floppy/moppy kids)
-Awareness of the cluttering (you will find they are not aware)

19

Treatment

-increase awareness
-slow rate of speech (use pacing bad or some type of manipulative)
-pace and enunciate
-production in conversation
-for language work on memory and sequencing
-work on attention (gaze)

20

Prognosis

-not good
-motivation is lacking (unawareness of the problem)
-progress (if any) will be slow... why? because training attention and sequencing is really hard.