exam 1 Flashcards

1
Q

Personal qualities (attributes)

A

Encouraging
 Emotionally Stable
 Self-Aware
 Patient
 Sensitive to Others
 Empathic

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2
Q

Communication disorder Specialists

A

Audiologist
 Speech-Language-Pathologist
 Speech, Language, & Hearing
Scientists
 Professional Aides

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3
Q

what do audiologists do

A

Measure Hearing Ability
 Identify, assess, manage, and prevent disorders of hearing
and balance
 Evaluate and assist those with auditory processing disorders
(APD)
 Select, fit, and dispense hearing aids and other amplification
devices

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4
Q

where do audiologist work

A

 Educational Settings
 Clinics and Hospitals
 Government Agencies
 Industry
 Private Practice

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5
Q

audiologist credentials

A

 Beginning in 2012: Doctorate
 After formal training: additional clinical training
 Pass National Exam
 ASHA CCC-A
 State Licensed

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6
Q

services provided by an SLP

A

Prevention, assessment, treatment and
counseling for disorders of speech (fluency,
(articulation, voice, resonance) and language.
 Dysphagia
 Aphasia/TBI/Alzheimer’s Disease
 Establishing alternative and augmentative
communication systems
 Aural Rehabilitation
 Referral to other Professionals
 Family Education and Counseling
 Modify a regional or foreign dialect

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7
Q

where the services are provided

A

 Schools
 Hospitals
 Clinics
 Early Intervention
 Rehabilitation Centers
 Governmental agencies
 Nursing Care Facilities
 Research Laboratories
 Private Practice
 Colleges

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8
Q

American Speech Language hearing association (ASHA)

A

Credentialing organization
 Standards for professional practice and ethical conduct
 Publishes professional journals
 Accreditation standards for colleges and universities
 Certification for individuals practicing the professions
 ASHA promotes scientific study, quality of services, high
ethical standards and advocacy for those with communication
disorders.

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9
Q

National Student Speech Language Hearing association (NSSLHA)

A

NSSLHA is the national organization for graduate and
undergraduate students interested in the study of normal &
disordered human communication. NSSLHA operates on the
national and local level.
 Graduate and Undergraduate Students
 Access to Professional Journals

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10
Q

SLP Credentials

A

Bachelor’s Degree- with prerequisite courses in Speech-Language
Pathology; and including one social science, one physical science, one
biological science, and one Math course
 400 Supervised Clinical Experience Hours- received while in graduate
school
 Master’s Degree- In Speech-Language Pathology
 Clinical Fellowship Year (CFY)- paid work as an SLP for 9- 12 mos. after
you are awarded your Master’s degree- supervised under someone with
their ASHA certification

 Passing Score on Praxis in Speech-Language-Pathology

 License in State of Employment (note: NY state’s license requirements
are very similar to ASHA’s requirements. If you graduated from an ASHA
accredited university/ college, you will have met most of the references
ASHA CCC-SLP- when you have completed your CFY, you
apply both for your state licensure, as well as for your ASHA
certification. Once both are approved, you sign your name on
all speech-language reports as: “Signature”, M.A. (or M.S.),
CCC-SLP
◦ My signature reads as: Mary K. Boylan, M.A. CCCSLP

 Continuing Education Units (CEUs)- once you are
licensed/certified by the state and ASHA, you are required to
maintain your license by taking continuing education
workshops. Every 3 years you must have 30 hours of CEUs.
This is an important aspect of our profession as therapy
methods and diagnostic measures are constantly changing.

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11
Q

Working with Children

A

If you are interested in working with children, you may find
yourself working either directly or indirectly through the
Board of Ed. You might either work at a school that receives
its funding through the Dept. of Education, or you might work
for an agency (or privately) and have children whose speechlanguage services are paid for by the Dept. of Education. Most
cases of children age three and older receive their funding
this way.
 If you want to work with children and their funding comes
from the Dept. of Education, you must have an additional
license (teaching license) to work with them.

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12
Q

TSSLD

A

 Completion of a NYS Registered Program - Speech And
Language Disabilities- Master’s Degree
 New York State Teacher Certification Exam - Liberal Arts &
Science Test (LAST)- Old Exam and the current exam is called
 ACADEMIC LITERACY SKILLS TEST
 New York State Teacher Certification Exam - Elementary
Assessment of Teaching Skills (ATS-W)- Old Exam and the
 Current exam is called EDUCATING ALL STUDENTS TEST
 New York State Teacher Certification Exam - Speech-Language
Pathology (PRAXIS II)- taken after completing graduate program
(see link under SLP licensure requirements in previous slide
 Coursework in education

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13
Q

Speech, Language, Hearing scientis

A

Usually have a doctoral degree
 Work in universities, governmental agencies, industry,
research centers, and clinics
 Extend knowledge of human communication processes and
disorders.
 Speech Scientist
 Language Scientist
 Hearing Scientist

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14
Q

Professional Aides

A

Titles Vary
 -Paraprofessionals
 -SLPAs
 Audiology assistants
 SLPAs may perform screenings, do clerical work, assist in
preparation of materials.
 Audiology aides may perform screenings, calibrate
instruments, do clerical work.
 Aides work ONLY with supervision.

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15
Q

Related Professions
Team Approach

A

 Family Members
 Speech-Language-Pathologists
 Regular & Special Educators
 Psychologist
 Social Workers
 Occupational and Physical Therapists
 Doctors and other medical professionals
 Music Therapists
 Physicists
 Engineers
 Audiologists

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16
Q

Services Through Life Span

A

 Infants and Toddlers
 -Screening important: About 2% have some disability
 -Hearing loss most prevalent
 -Developmental Delays, physical problems
 -Feeding Issues
 -Early Intervention (EI) & Individualized Family Service Plan
(IFSP)
 PreSchoolers
 -Communication of services or identification of new children
 -Committee of PreSchool Special Education (CPSE)
School-age
 -Full range of communication/swallowing issues
 -Communication disorders often impact education
 Young adults/other individuals
 -Traumatic brain injury-bike/motorcycle/car/accidents/falls
 -Rehabilitative efforts
Over age 65:
 -Stroke, dementia, neurological disorders
 -Communication and swallowing abilities may be affected.
 -25% may have hearing loss requiring assessment and treatment
 -Strive to improve quality of life.

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17
Q

Evidence-Based Pratice

A

Clinical Decision Making
 -Scientific Evidence
 -Clinical Evidence
 -Client Needs
 Efficacy-ideal conditions
 Effectiveness-average conditions
 Efficiency-quick, effective methods bring about greatest
positive change.

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18
Q

Efficacy

A

Ideal Conditions

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19
Q

 Effectiveness-

A

Average Conditions

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20
Q

Efficiency

A

quick, effective methods bring about greatest
positive change

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21
Q

ASHA Code of Ethics

A

The welfare of persons served by communication disorders
specialist is held paramount
 Each professional must achieve and maintain the highest level
of professional competence
 Professionals must promote understanding and provide
accurate information to the public
 Professionals are responsible for assuring that ethical
standards are maintained

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22
Q

Select legistions

A

 1973: Section 504 of the Vocational Rehabilitation Act (PL93-
112)
 1975: Education of All Handicapped Children Act (PL94-142)
 1990: Individuals with Disabilities Education Act (IDEA)
 1990: Americans with Disabilities Act (ADA)
 2004: Individuals with Disabilities Education Improvement Act
(IDEIA)

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23
Q

How many cranial nerves are involved in speech?

A

5 but 7 if you count swallowing

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24
Q

Early intervention

A

Services are provided from birth to 5 years old and then to 21

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25
speech
Spoken language or verbal communication System in which meanings are communicated through a pattern of movements generated by the speech mechanism and a measureable pattern of acoustic vibrations. Requires very precise neuromuscular coordination.
26
Speech Inclides
Articulation Prosody Pitch Intonation Fluency-rhythm and rate of speech
27
what makes up the speech mechanism
RESPIRATORY SYSTEM LARYNEGEAL SYSTEM ARTICULATORY/RESONATING SYSTEM which includes the SUPRALARYNGEAL (Pharyngeal- oral-nasal cavities).
28
Language
Socially shared code or conventional system for representing concepts through arbitrary symbols and rule-governed combinations of those symbols. Language is arbitrary, creative and learned. Languages evolve. Primary vehicle for communication Can be spoken or manual (American Sign Language)
29
Generative system
Language is a generative system-it is a creative/productive tool. -Finite set of rules and symbols allow us to produce and infinite number of novel utterances. -Words can refer to more than one thing -Things can be called more than one name -Words can be combined in a variety of ways
30
rules of language
form: syntax, morphology and phonology content : semantics use: pragmatics
31
5 aspects of language
Phonology -Distributional Rules -Sequencing Rules Morphology -Free Morphemes -Bound Morphemes -Inflectional Morphemes -Derivational Morphemes Syntax Semantics Pragmatics
32
Form
Elements that connect sounds and symbols with meaning. Rules that govern phonology, morphology and syntax
33
Phoneme
PHONEME-smallest linguistic unit of sound that signals a difference in meaning (ie /m/at, /p/at, /b/at)
34
allophome
ALLOPHONE-a specific production of a phoneme belongs to the same sound family , and does not change the meaning of a word. Phonemes are classified: -Acoustic Properties, Articulatory Properties and Manner of Articulation
35
phonological processes
SYLLABLE STRUCTURE PROCESS ASSIMILATION BACKING
36
SYLLABLE STRUCTURE PROCESS
SYLLABLE STRUCTURE PROCESS: delete one or more phonemes in a consonant cluster-Cluster Reduction (ie top it for stop it) or Final Consonant Deletion (ie. “ba” for bat)
37
ASSIMILATION
ASSIMILATION-one sound has influenced the other (ie. “goggy” for doggy)
38
BACKING
BACKING-make a sound in the back of the mouth when it is suppose to be make in the front of the mouth. (ie. TOP –child will say COP) or FRONTING- where child will make a sound in the front of the mouth when it is suppose to be made in the back (ie COP-child will say TOP)
39
Morphology
Morphology is a set of rules that govern words
40
MORPHEME
MORPHEME-the smallest linguistic unit with meaning that can’t be broken down and still have meaning.
41
FREE MORPHEMES-
FREE MORPHEMES-when a morpheme stands by itself (ie. Car, boy).
42
BOUND MORPHEMES-
BOUND MORPHEMES-cannot stand alone and is always attached to a free morpheme BOUND MORPHEMES can be attached by prefixes and suffixes ie. Biggest (2 morphemes)-superlative morpheme means most ie. Cooked (2 morphemes)- ed means past tense Morphemes deal with numbers (ie. Cat/s) ie. Joan’s (2 morphemes) –possessive morpheme
43
Derivational morphome
Includes both suffixes and prefixes changes whole classes of words creates a new meaning of the word
44
inflectional morpheme
morpheme that serves a purely grammatical function never creating a new word. only a different form of the same word (past tense, plural).
45
mean length of utterance
MLU-measure of language development based on average number of morphemes per utterance 4. Why the man sitting 5 morphemes ADD NUMBER OF MORPHEMES AND DIVIDE BY THE NUMBER OF UTTERANCES
46
Syntax
Rules which govern the organization of sentences, word order and different types of sentences Sentence Organization, which combinations are acceptable and which ones are not (ie. “The boy hit the ball” vs. “Ball the hit boy the”) Each sentence contains Noun Phrase and Verb Phrase.
47
Transformational Rules:
Transformational Rules: allows us to change basic sentences into a variety of sentence types
48
variety of sentence types
Declarative Sentence: THE GIRL HIT THE BOY. Negative Sentence: THE GIRL DID NOT HIT THE BOY. Passive Sentence: THE BOY WAS HIT BY THE GIRL. Interrogative Sentence: DID THE GIRL HIT THE BOY Compound Sentence: THE BOY CRIED AND THE GIRL WAS HAPPY
49
prescriptive grammar
A set of rules how a language should be spoken. It refers to the notion that there is one way of speaking a language. Dictates a particular standard of grammar.
50
Descriptive grammar
Description of actual patterns (syntactic system rules) used in speaking. does not judge the appropriateness of grammar, but simply states the rules used to produce language.
51
world knowledge
Refers to an individual’s auto biographical and experiential understanding and memory of particular events reflecting cultural and personal interpretations
52
word knowledge
Verbal word and symbol definitions Usually based on world knowledge
53
concept development
VALIDITY STATUS ACCESSIBILITY
54
linguistic competence
Knowledge of the rules for generating and understanding conventional linguistic forms- morphology, phonology etc.
55
comminicative competence
Degree of success when communicating, measured by appropriateness of the message
56
pragmatics
Social Rules of Language Knowledge of Social Appropriateness *EYE CONTACT *TURN TAKING *TOPIC MAINTENANCE *TOPIC INITIATION *CONVERSATIONAL TURN-TAKING
57
Paralinguistic Information/ Suprasegmentals-
It’s not only the words you say, but how they are said that can convey a message. It can change the form and meaning of the message. Without paralinguistic information added to a message, we would sound robotic when we speak.
58
Nonlinguistic Information-
We utilize nonlinguistic cues, such as body language and facial expressions, which add to the “affect” that a person demonstrates
59
Metalinguistic Cues-
ability to think about language, talk about it, and analyze it- use this in humor, sarcasm
60
Intonation
Intonation- When we make a statement our intonation drops at the end of the sentence. When we ask a question, it rises. You can take the same exact words, and by changing the intonation at the end of the sentence, the meaning changes. Say
61
NON-VERBAL COMMUNICATION
Eye Contact *Facial Expressions *Gestures *Hearing Acuity *Kinesics *Proxemics *Chronemics *Tactile *Artifacts
62
Cultural identity
We are all members of a larger community that make up our cultural identity *Speakers and Listeners who share a common language and culture have the capacity for “optimum” communication. *Speakers and listeners must share competence in a common language if they are to communicate fully.
63
Toddler language development
Focus of language is on language function: serves pragmatic purpose. *First words occur at approximately 12- months of age *Early language development is characterized by single word utterances and by early multiword combinations *Primarily nouns *Multiword utterances are rule based *First words fill the intentions previously served by gestures and or vocalizations
64
PRESCHOOL LANGUAGE development
By kindergarten has learned 90 percent of the syntax, morphology, and phonology that she will use as an adult *New words are added to lexicon at the rate of two or three per day
65
Preschool language development
Developmental focus on language form *Language form follows function *Paralinguistic information incorporated into utterances. *Syntactic complexity increasing.
66
School age development
Growth in all aspects of language *Changes slower *Emphasis on language shifts to written language *Acquire derivational morphology *Figurate language develops *Increase in syntactic complexity *Pragmatically-turn-taking for longer periods of time, topic changes less abrupt.
67
Newborn
Most is reflexive *Most common sounds are cries and partial vowel sounds *Cries become differentiated by the end of the first month
68
2-3 month
Cooing *Produces back consonants and middle and back vowel sounds
69
4-6 months
Babbling- prolongedc periods of vocalization and strings of sounds *Lip sounds p,b,w,m
70
6-10 months
Reduplicated babbling – repetitive syllable production *More closely approximates mature speech *Baba mama wawa
71
11-14 months
Phonetically consistent forms *Variegated babbling *Jargon speech *First words
72
Communication impairment
ASHA: Disorders of speech (articulation, voice, fluency, resonance), orofacial, myofunctional patterns, language, swallowing, cognitive communication, hearing and balance. *Reading, writing, and manual communication systems are included. *Variations in communication are not impairments. *Dialects: Differences that reflect regional, social, cultural, or ethnic identity.
73
Etiology
Means of classifying communication disorders. *Etiology: Cause/Origin *Time at which disorder occurs
74
Congenital
Congenital: Present at birth
75
Acquired
Acquired: Result of illness, accident, or environmental circumstances later in life.
76
Severity
Severity: Range from mild to profound
77
Language disorders examples
Disorders of Form (examples): *-Phonology-not producing word endings *-Morphology-incorrect use of past tense *-Syntax-incorrect word order *Disorders of Content (Semantics): (examples): *-Limited vocabulary, difficulty understanding abstract language. *Disorders of Use (Pragmatics): (examples): *-Difficulty staying on topic, inappropriate responses, interrupting conversational partners
78
Dysarthria
Dysarthria-cause by paralysis, weakness, poor coordination
79
Apraxia
*-Apraxia-Neuromotor programming difficulties.
80
Disorders of fluency
Disorders of Fluency *-Developmental disfluency: Young children *Speech behaviors: hesitations, repetitions, prolongations, fillers *Stuttering: when speech behaviors exceed or are different from the norm, accompanied by struggle or tension. *Noticed around 6 years old. *Causes are generally unknown.
81
Disorder of voice
Disorders of Voice *Vocal abuse can result in hoarsness *Disease, trauma, allergies, neuromuscular or endocrine disorders
82
Deafness
Deafness *-Primary sensory input for communication is not auditory *-Interventions: Total communication (sign, speech, speechreading) Assistive listening devices, cochlear implants, auditory training.
83
Hard of hearing
*Hard of Hearing *-Depend primarily on audition for communication. *-Temporary or Permanent *-Categorized by severity, laterality, and type *-Mild to severe *-Bilateral or unilateral *-Conductive, Sensorineural, or Mixed *Auditory Processing Disorders (APD) *-Normal hearing but difficulty understanding speech
84
Prevalence in USA
Most communication disorder are secondary to Other disabilities. *Prevalence *Number/percentage of people within a population who have a particular disorder at a given time. Examples *-17% of Americans have a communication disorder. *-11% have a hearing loss *-6% have a speech, voice, or language disorder.
85
Conductive hearing loss
In the Middle and outer ear
86
Sensorineural hearing loss
In the inner ear
87
Mixed hearing loss
A mix of outer, middle and inner ear
88
Anatomy:
Anatomy: Study of structures of the body and relationship of the structures
89
Physiology:
Study of the functions of organisms and bodily structures
90
Three physiological subsystems are involved in speech production
Respiratory: Driving force for speech via positive air pressure beneath vocal folds Laryngeal: Vocal fold vibrate at high speeds Articulatory/resonatory: An acoustic filter that allows certain frequencies to pass while blocking others
91
The Respiratory System
Primary biological functions Supply oxygen to the blood Remove excess carbon dioxide Also the generating source for speech production
92
Lungs:
Pair of air-filled elastic sacs that change in size and shape and allow us to breathe
93
Trachea:
Air moves into the lungs via the trachea and branches into bronchi
94
Structures of the Respiratory System
Pulmonary apparatus Lungs: Pair of air-filled elastic sacs that change in size and shape and allow us to breathe Trachea: Air moves into the lungs via the trachea and branches into bronchi Pulmonary airways Chest wall (thorax) Rib cage Abdominal wall Abdominal content Diaphragm
95
Muscles of the Respiratory System
Inspiratory muscles – generally above the diaphragm Expiratory muscles – generally below the diaphragm Muscles of Inspiration
96
Diaphragm
Principle muscle of inspiration Dome-shaped structure composed of a thin, flat, nonelastic central tendon and broad rim of muscle fibers that radiate to the edges of the central tendon Contracts during inspiration, pulling down and forward, increasing lung volume Numerous thoracic and neck muscles also contribute
97
Muscles of Expiration
Most important muscles of expiration are located in the front and sides of the abdomen Assist the diaphragm’s movement back to its relaxed, dome-shape Other muscles may be used depending on body position, pathological state, and environmental conditions
98
Resting tidal breathing
Breathing to sustain life Duration of inspiration and expiration is relatively equal
99
Inspiration
Diaphragm contracts, rib cage and lungs expand, lung volume increases and alveolar pressure drops Causes air to rush in and equalize with atmospheric pressure
100
Expiration
Decrease in the size of the rib cage wall, compression of the lungs, increase in pressure in the lungs, air rushes out to achieve equilibrium with atmospheric pressure Does not require active muscle contraction A respiratory cycle is one inhalation and one exhalation
101
Speech breathing
Contraction of diaphragm leads to rapid, forceful inspirations Inspirations are much shorter than expirations The amount of air inspired is greater than during resting tidal breathing Inspiratory and expiratory muscles are both activated during speech
102
Lifespan Issues of the Respiratory System
Resting tidal breathing rate decreases from birth to adulthood More alveoli Maximum lung capacity is reached in early adulthood Constant until middle age Respiratory function is affected by exercise, health, and smoking
103
Larynx
Air valve composed of cartilages, muscles, and other tissue Main sound generator for speech Sits on top of the trachea and opens into the pharynx Appears to be suspended from the hyoid bone, the point of attachment for laryngeal and tongue muscles
104
The Laryngeal System
Primary biological function of the larynx Prevent foreign objects from entering the trachea and lungs Larynx can impound air for forceful expulsion of foreign objects threatening lower airways Structures of the Laryngeal System
105
Thyroid cartilage
Largest laryngeal cartilage Forms the front and sides of the laryngeal skeleton and protects the inner components of the larynx
106
Thyroid prominence
“Adam’s apple”; just below the thyroid notch
107
Vocal folds
Attached at the front near the midline of the thyroid cartilage and at the back to the arytenoid cartilages via the vocal ligament Abduct during respiration and adduct during phonation
108
Glottis
The space between the vocal folds
109
Thyroarytenoid muscle
Bulk of each vocal fold Contraction shortens and thickens the vocal folds
110
Cricoarytenoid muscle
Stiffens and lengthens the vocal folds, increases pitch
111
Lateral cricoarytenoid and arytenoid muscles
Contraction results in vocal fold adduction
112
Posterior cricoarytenoid muscle
Primary muscle of vocal fold abduction
113
Lifespan Issues of the Laryngeal System
Larynx is small and high in the neck in newborns Reaches final position between 10 and 20 years of age Laryngeal cartilages increase in size and become less pliable Vocal folds increase in length differentially for males and females 29 mm for males; 21 mm for females Female laryngeal cartilage never completely ossifies Vocal folds atrophy and lose elasticity with age Men notice increase in pitch with advancing age Women experience decreased pitch with the contribution of hormone-related changes
114
The Articulatory/Resonating System
Composed of Oral cavity Nasal cavity Pharyngeal cavity Vocal tract is a resonant acoustic tube Shapes sound energy produced by respiratory and laryngeal systems into speech sounds
115
Mandible articulates with the temporal bone by the
Mandible articulates with the temporal bone by the temporomandibular joint
116
Structures of the Articulatory/Resonating System
22 bones in the facial skeleton and cranium Mandible articulates with the temporal bone by the temporomandibular joint Teeth Tongue
117
Teeth
Adults have 32 teeth within alveolar processes of the mandible and maxilla Hard palate is composed of the horizontal bones of the maxilla
118
Tongue
Muscular hydrostat Structural support through contraction of muscles and has a soft skeleton of connective tissue
119
Velum
Also called the soft palate Located in the pharynx Uvula: Termination of the velum Velopharyngeal closure Contact of the velum with the lateral and posterior pharyngeal walls
120
Velar elevation
Necessary to prevent air or food escaping through the nose Necessary to build up air pressure for production of pressure sounds Air that escapes through the nose during speech results in a nasal quality
121
Lifespan Issues of the Articulatory/Resonating System
Bones of the skull reach adult size by about age 8 Newborns have 45 separate skull bones that fuse into 22 at adulthood Lower facial bones reach adult size at about 18 years Dentition emerges at about 6 months and is complete around 3 years Secondary dentition is complete around 18 years A newborn’s tongue occupies most of the oral cavity Tongue reaches adult size by about 16 years of age By 2 months of age, infants can inconsistently close the velopharynx for syllable productions Consistent between 6 mos and 3 yrs Aging has minimal impact on velopharyngeal function for speech Length and volume of oral cavity increases Influences the overall resonant characteristics Lowers the frequencies at which the vocal tract naturally resonates
122
Fundamental frequency
Fundamental frequency: Number of cycles of vocal fold vibration per second
123
Harmonics
Harmonics: Whole number multiples of the fundamental frequency
124
The Speech Production Process
Begins with phonation Air pressure builds up beneath adducted vocal folds (alveolar pressure) Air pressure from below displaces the lower edges of each vocal fold laterally Followed by lateral displacement of the upper edges Elastic properties results in vocal folds colliding Fundamental frequency: Number of cycles of vocal fold vibration per second Harmonics: Whole number multiples of the fundamental frequency Movement of the tongue, lips, and larynx change the shape of the vocal tract and modify sound
125
Anterior view of the vocal folds
Anterior view of the vocal folds during one cycle of vibration. Air from the lungs creates pressure beneath the vocal folds (1, 2, and 3). This pressure causes the vocal folds to separate (4). The natural elastic restoring forces of the vocal folds and the time delay with respect to the upper and lower portions of the vocal folds causes the vocal folds to begin to close (5 and 6). The vocal folds close the glottis to end the cycle, and the next cycle begins (7).
126
Early intervention
0-3 years old CPSE 3-5 years old