Exam 3 - AOS

Question 1

what is AOS?

Answer 1

disorder of motor programming affecting timing and sequencing

Question 2

AOS is NOT caused by:

Answer 2

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

Question 3

________ AOS is rare!

Answer 3

Pure

Question 4

2 subcategories of apraxia

Answer 4

ideational
ideomotor

Question 5

3 subcategories of ideomotor apraxia

Answer 5

limb
nonverbal oral
AOS

Question 6

ideomotor apraxia strengths

Answer 6

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

Question 7

ideomotor apraxia difficulties

Answer 7

voluntary movements
pantomiming
following VERBAL commands

Question 8

neurological basis of AOS

Answer 8

motor speech programmer
perisylvian area of LEFT hemisphere

Question 9

causes of AOS

Answer 9

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

Question 10

most common cause of AOS

Answer 10

stroke

Question 11

non-speech symptoms of AOS

Answer 11

limb apraxia
difficulty performing voluntary movements
groping

Question 12

subsystems most affected w AOS

Answer 12

articulation
prosody

Question 13

articulation

Answer 13

shaping of vocal airstream into phoneme via various articulators

Question 14

prosody

Answer 14

melody of speech and using stress/intonation to convey meaning

Question 15

substitutions (or likely distortions) of phonemes

Answer 15

AOS articulation speech characteristic

Question 16

placement errors most common

Answer 16

AOS articulation speech characteristic

Question 17

increased difficulty w fricatives

Answer 17

AOS articulation speech characteristic

Question 18

consonant clusters more difficult than single consonants

Answer 18

AOS articulation speech characteristic

Question 19

multi syllabic words more difficult than single syllable words

Answer 19

AOS articulation speech characteristic

Question 20

voluntary production of speech more difficult than automatic or reactive speech

Answer 20

AOS articulation speech characteristic

Question 21

sounds produced more posteriorly more difficult than anterior sounds

Answer 21

AOS articulation speech characteristic

Question 22

more difficulty the farther the distance between points of articulatory contact

Answer 22

AOS articulation speech characteristic

Question 23

slow rate of speech

Answer 23

AOS prosody speech characteristic

Question 24

equal syllable stress

Answer 24

AOS prosody speech characteristic

Question 25

silent pauses at initiation of words or between words/syllables

Answer 25

AOS prosody speech characteristic

Question 26

decreased variation in pitch and loudness

Answer 26

AOS prosody speech characteristic

Question 27

Ax of AOS

Answer 27

oral mech exam DDKs connected speech tasks related to AOS

Question 28

Ax tasks related to AOS

Answer 28

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

Question 29

4 categories of behaviors determine correct Dx of AOS:

Answer 29

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

Question 30

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

Answer 30

muscle weakness sensory loss comprehension deficits incoordination

Question 31

differentiating between ______ and aphasia can be difficult

Answer 31

AOS aphasia

Question 32

Tx of AOS

Answer 32

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

Question 33

goal of AOS Tx

Answer 33

help patient relearn motor sequences to produce phonemes accurately

Question 34

AOS Tx types

Answer 34

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

Question 35

AOS Tx techniques

Answer 35

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

Question 36

AOS Tx articulatory-kinematic

Answer 36

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

Question 37

AOS Tx rate control & timing

Answer 37

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

Question 38

AOS Tx total communication

Answer 38

no/low/high tech

Question 39

AOS Tx word and phrase focused

Answer 39

script training

Question 40

eight step continuum

Answer 40

1. demonstrate aloud 2. demonstrate aloud, pause, demonstrate silently 3. demonstrate aloud, pause, client repeats 4. same as 3 but repeat 5x 5. show written words & picture; client names 6. show written word/picture then hide; client names from memory 7. prompt w question 8. role play (optional)

Question 41

SPT

Answer 41

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)

Question 42

integral stimulation

Answer 42

seeing and hearing the model

Question 43

tactile cues

Answer 43

tapping or manipulating articulators

Question 44

visual cues

Answer 44

show or draw articulator placement

Question 45

repetition

Answer 45

facilitate multiple correct productions

Question 46

simple targets first

Answer 46

chose simple targets that facilitate success before moving to more complex

Question 47

minimize barriers

Answer 47

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

Question 48

dont forget to _____-

Answer 48

educate!!!

Question 49

dosage

Answer 49

intensive and individualized treatment

Question 50

timing

Answer 50

begin as early as possible

Question 51

setting

Answer 51

naturalistic environment may facilitate generalization

Question 51

AOS is a subcategory of

Answer 51

ideomotor apraxia which involves disturbance in performance needed to complete action

Question 51

goal of minimizing barriers

Answer 51

facilitate better overall communication

Question 51

when diagnosing, important to eliminate conditions that

Answer 51

cause speech errors similar to those in AOS