Fluency

Question 0

Define SR

Answer 0

Severity rating

Question 1

Define %SS

Answer 1

Percentage of syllables stuttered

Question 2

Define SPM

Answer 2

Syllables per minute (ie rate of speech)

Question 3

What is the timeframe for natural recovery if it is going to occur?

Answer 3

12 months

Question 4

How common is natural recovery?

Answer 4

Very common (50 - 80%).

Question 5

What are the risk factors which can prevent natural recovery?

Answer 5

Family history, speech/language difficulties, male gender

Question 6

Name a treatment which involves parent-child interaction therapy.

Answer 6

Palin PCI (parent-child interaction) program

Question 7

Name three treatments which use response contingent methods.

Answer 7

Lidcombe, Westmead, GILCU

Question 8

Name a treatment for adults and adolescents

Answer 8

Smooth speech

Question 9

When is typically the best time for treatment?

Answer 9

6 months after onset of consistent stutter. Earlier if about to go to school.

Question 10

Is early intervention more effective?

Answer 10

Yes! Stuttering can be eliminated if treated young. Older clients taught to manage it.

Question 11

How could you treat a child with a stutter and speech problem?

Answer 11

Palin PCI (indirect) with direct speech therapy. Avoids conflicting treatment.

Question 12

What happens while monitoring before treatment?

Answer 12

Parents take daily SR. Monthly clinic sessions. Reduce parents demands (eg pressure to talk correctly).

Question 13

What is the Westmead program? Who is it for?

Answer 13

Syllable-timed speech (robot talking). Pre-schoolers.

Question 14

What is the criteria for stage 2 (maintenance) in WP and LP?

Answer 14

Mean SR 2 and %SS <1 for 3 consecutive weeks

Question 15

What is indicated by SR 2?

Answer 15

Extremely mild stutter, not noticeable

Question 16

What is indicated by SR 1?

Answer 16

No ambiguous stuttering (normal disfluencies ok)

Question 17

What is indicated by SR 3?

Answer 17

Stutter starts to be noticeable at this point. No blocks.

Question 18

What age range is the Lidcombe Program aimed at?

Answer 18

3-12 years

Question 19

What is the highest possible SR under the LP?

Answer 19

10

Question 20

Define PVC

Answer 20

Parent verbal contingency

Question 21

Who is suitable for Palin PCI?

Answer 21

Children up to 7, 12 months post onset.

Question 22

Which treatment had the best evidence base for preschoolers?

Answer 22

Lidcombe Program

Question 23

List common examples of covert stuttering.

Answer 23

Blinking, avoiding words/people/settings likely to cause stutter, head & neck muscle tension

Question 24

List types of stutters.

Answer 24

Blocks, prolongations, repetitions