Exam 3 - AOS Flashcards by Morgan Villa | Brainscape

Q

what is AOS?

A

disorder of motor programming affecting timing and sequencing

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Q

AOS is NOT caused by:

A

muscle weakness
abnormal muscle tone
reduced ROM
decreased muscle steadiness
language or sensory deficits

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Q

________ AOS is rare!

A

Pure

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Q

2 subcategories of apraxia

A

ideational
ideomotor

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Q

3 subcategories of ideomotor apraxia

A

limb
nonverbal oral
AOS

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Q

ideomotor apraxia strengths

A

spontaneous or automatic movements
manipulating real objects
following GESTURAL commands (imitating)

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Q

ideomotor apraxia difficulties

A

voluntary movements
pantomiming
following VERBAL commands

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Q

neurological basis of AOS

A

motor speech programmer
perisylvian area of LEFT hemisphere

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Q

causes of AOS

A

disorders that damage motor speech programmer
-stroke
-degenerative diseases
-trauma
-tumor

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Q

most common cause of AOS

A

stroke

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Q

non-speech symptoms of AOS

A

limb apraxia
difficulty performing voluntary movements
groping

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Q

subsystems most affected w AOS

A

articulation
prosody

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Q

articulation

A

shaping of vocal airstream into phoneme via various articulators

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Q

prosody

A

melody of speech and using stress/intonation to convey meaning

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Q

substitutions (or likely distortions) of phonemes

A

AOS articulation speech characteristic

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Q

placement errors most common

A

AOS articulation speech characteristic

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Q

increased difficulty w fricatives

A

AOS articulation speech characteristic

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Q

consonant clusters more difficult than single consonants

A

AOS articulation speech characteristic

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Q

multi syllabic words more difficult than single syllable words

A

AOS articulation speech characteristic

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Q

voluntary production of speech more difficult than automatic or reactive speech

A

AOS articulation speech characteristic

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Q

sounds produced more posteriorly more difficult than anterior sounds

A

AOS articulation speech characteristic

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Q

more difficulty the farther the distance between points of articulatory contact

A

AOS articulation speech characteristic

Q

slow rate of speech

A

AOS prosody speech characteristic

Q

equal syllable stress

A

AOS prosody speech characteristic

Q

silent pauses at initiation of words or between words/syllables

A

AOS prosody speech characteristic

Q

decreased variation in pitch and loudness

A

AOS prosody speech characteristic

Q

Ax of AOS

A

oral mech exam
DDKs
connected speech
tasks related to AOS

Q

Ax tasks related to AOS

A

repeating words of increasing length
reading or repeating low-frequency, multisyllabic words in isolation or sentences
reading or repeating CVC words w same initial and final consonant
automatic speech tasks

Q

4 categories of behaviors determine correct Dx of AOS:

A

primary clinical characteristics
non discriminative clinical characteristics
behaviors usually found in disorders other than AOS
behaviors that r/o presence of AOS

Q

r/o other conditions that cause movement difficulties similar to those in AOS

A

muscle weakness
sensory loss
comprehension deficits
incoordination

Q

differentiating between ______ and aphasia can be difficult

A

AOS
aphasia

Q

Tx of AOS

A

mostly behaviorally-based procedures to help select and sequence speech sounds correctly
mostly 1:1 intensive treatments

Q

goal of AOS Tx

A

help patient relearn motor sequences to produce phonemes accurately

Q

AOS Tx types

A

sequenced to maintain success
repetitive and intensive drill
patients learn to self-monitor
concentrate on functional words

Q

AOS Tx techniques

A

articulatory-kinematic
rate control & timing
total communication
word & phrase focused

Q

AOS Tx articulatory-kinematic

A

articulatory placement cues
visual/auditory feedback
tactile-kinesthetic cues (PROMPT)
eight-step continuum
sound production treatment (SPT)

Q

AOS Tx rate control & timing

A

hand/finger tapping
singing
choral reading
pacing (metronome)
melodic intonation therapy (MIT)

Q

AOS Tx total communication

A

no/low/high tech

Q

AOS Tx word and phrase focused

A

script training

Q

eight step continuum

A

demonstrate aloud
demonstrate aloud, pause, demonstrate silently
demonstrate aloud, pause, client repeats
same as 3 but repeat 5x
show written words & picture; client names
show written word/picture then hide; client names from memory
prompt w question
role play (optional)

Q

SPT

A

sound production treatment
1. say the word (if correct, repeat 5x)
2. show the letter (if correct, repeat 5x)
3. watch and listen to me (if correct, repeat 5x)
4. articulatory placement cueing (if correct, repeat 5x)

Q

integral stimulation

A

seeing and hearing the model

Q

tactile cues

A

tapping or manipulating articulators

Q

visual cues

A

show or draw articulator placement

Q

repetition

A

facilitate multiple correct productions

Q

simple targets first

A

chose simple targets that facilitate success before moving to more complex

Q

minimize barriers

A

modify environment
inform listeners about the individual’s communication needs and preferred method of communication
encourage speaker to use strategies for repairing breakdowns

Q

dont forget to _____-

A

educate!!!

Q

dosage

A

intensive and individualized treatment

Q

timing

A

begin as early as possible

Q

setting

A

naturalistic environment may facilitate generalization

Q

AOS is a subcategory of

A

ideomotor apraxia which involves disturbance in performance needed to complete action

Q

goal of minimizing barriers

A

facilitate better overall communication

Q

when diagnosing, important to eliminate conditions that

A

cause speech errors similar to those in AOS