Flashcards in Fluency Deck (35):
incidence specifies what?
rate of occurrence
prevalence specifies what?
number of people
is stuttering more common in males or females?
what is the loci of stuttering?
locations in a speech sequence where stuttering are observed
T/F re: loci, vowels more than consonants
FALSE: stuttering happens more on consonants than vowels
T/F re: loci, on first sound/syllable of a word
T/F re: loci, on last word in phrase/sentence
FALSE: first word in phrase (like how it's on first sound/syllable)
T/F re: loci, on shorter, more common words
FALSE: on longer words
T/F re: loci, with less frequently used words
T/F re: loci, on content words, not function words
T/F re: loci in preschool CH, they stutter on content words also
FALSE: they stutter more on function words
name some general treatment goals for stuttering
reduce amount of stuttering
establish normal-sounding fluency
reduce assoc. motor behaviors (that may make stuttering worse)
counseling client and family
what is neurogenic stuttering?
stuttering associated with a documented neuropathy
3 common etiologies of neurogenic stuttering
CVA, extrapyramidal diseases (PD), and drug toxicity
name the term: rapid but disordered articulation, possibly combined with a high rate of disfluencies and impaired prosodic features
what helps clients who clutter?
reducing speech rate and increasing awareness
foundation of fluency and voice
3 parts of speech iceberg
behavioural component (we cannot see this)
affective component (emotions)
describe stuttering in terms of what?
frequency (#disfluencies/total words) and duration
phrase and word reps
sound, syllable reps
where in word (diff diagnosis)
developmental stuttering: initial ONLY
SAAND (neuro): all word positions
disfluency rate that exceeds _____ of spoken words when all kinds of disfluencies counted
types, sounds, severity, core, concomitant behaviours, %
fluency shaping therapy addresses what part of iceberg?
deals with what?
tip: behavioural component
deals with: reducing stuttering itself
stuttering modification therapy measures what?
what are the 2 goals?
measures tension/anxiety, NOT stutters/disfluencies themselves. Need to address emotional aspects of stuttering to decrease stuttering
(2 goals: reduce shame/anxiety, teach disfluencies)
stutter modification addresses what part of iceberg?
2 parts of the bottom of the iceberg (including emotions)
5 techniques in stutter modification
cancellation: finish sentence
pull-out: stop and start again
preparatory set: set articulators before speaking
slow rate: by drawing out vowels
4 techniques in fluency shaping therapy
soft contact: on consonants
continuous phonation: like singing
slow rate: on vowels
both therapies want client to be able to do what, in end?
be independent, self monitoring, and able to self correct
parent education re: stuttering is...
they did not cause stuttering
it's ok to talk about speech, no need to ignore it
increase situations that promote fluency and decrease situations that inhibit fluency
SAAND: stands for...
stuttering associated with acquired neurological disorders
developmental vs SAAND differences
developmental: stutter more on nouns, SAAND: grammatical words (and, the)
developmental: stutter initial position only: SAAND: all positions
developmental: adaptation effect: able to repeat and stutter less, not present on SAAND client (still disfluent)
developmental: automised tasks are more fluent, SAAND: automatics not more fluent
SAAND: concomitant features are rare