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cathy's COMPS/Praxis > Fluency > Flashcards

Flashcards in Fluency Deck (35):
1

incidence specifies what?

rate of occurrence

2

prevalence specifies what?

number of people

3

is stuttering more common in males or females?

males

4

what is the loci of stuttering?

locations in a speech sequence where stuttering are observed

5

T/F re: loci, vowels more than consonants

FALSE: stuttering happens more on consonants than vowels

6

T/F re: loci, on first sound/syllable of a word

TRUE

7

T/F re: loci, on last word in phrase/sentence

FALSE: first word in phrase (like how it's on first sound/syllable)

8

T/F re: loci, on shorter, more common words

FALSE: on longer words

9

T/F re: loci, with less frequently used words

TRUE

10

T/F re: loci, on content words, not function words

TRUE

11

T/F re: loci in preschool CH, they stutter on content words also

FALSE: they stutter more on function words

12

name some general treatment goals for stuttering

reduce amount of stuttering
establish normal-sounding fluency
reduce assoc. motor behaviors (that may make stuttering worse)
reduce avoidance
counseling client and family

13

what is neurogenic stuttering?

stuttering associated with a documented neuropathy

14

3 common etiologies of neurogenic stuttering

CVA, extrapyramidal diseases (PD), and drug toxicity

15

name the term: rapid but disordered articulation, possibly combined with a high rate of disfluencies and impaired prosodic features

cluttering

16

what helps clients who clutter?

reducing speech rate and increasing awareness

17

foundation of fluency and voice

airflow

18

3 parts of speech iceberg

behavioural component (we cannot see this)

affective component (emotions)
cognitive component

19

describe stuttering in terms of what?

frequency (#disfluencies/total words) and duration

20

accessory/secondary disfluencies

interjections

revisions

phrase and word reps

21

core disfluencies

sound, syllable reps

blocks

broken words

prolongations

22

assessment: when?

situational variability

cyclical!

23

assessment: where

where in word (diff diagnosis)

developmental stuttering: initial ONLY

SAAND (neuro): all word positions

24

disfluency rate that exceeds _____ of spoken words when all kinds of disfluencies counted

5%

25

assessment: what

types, sounds, severity, core, concomitant behaviours, %

26

fluency shaping therapy addresses what part of iceberg?

deals with what?

tip: behavioural component

deals with: reducing stuttering itself

27

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)

28

stutter modification addresses what part of iceberg?

2 parts of the bottom of the iceberg (including emotions)

28

5 techniques in stutter modification

cancellation: finish sentence

pull-out: stop and start again

bounce

preparatory set: set articulators before speaking

slow rate: by drawing out vowels

28

4 techniques in fluency shaping therapy

soft contact: on consonants

continuous phonation: like singing

short phrases

slow rate: on vowels

28

both therapies want client to be able to do what, in end?

be independent, self monitoring, and able to self correct

29

parent education re: stuttering is...

cyclical

variable

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

30

SAAND: stands for...

associated with?

stuttering associated with acquired neurological disorders

CVA

31

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

32

developmental vs SAAND similarities

both know what they want to say

SAAND can include prolongation or block

if word finding/lang issues: more going on with both of them