Lec 2 Exam 3 Flashcards
(21 cards)
types of cerebral palsy
- spastic
- athetoid
- ataxic
- rigid
- mixed
definition of cerebral palsy
- non progressive motor disorder resulting from brain damage that occurs pre, peri, post natally
- adults don’t acquire it , you are born with it
speech prob and their assessment
- Oral motor
- Feeding
- Slow DDK rates, discoordination of tongue
- Resonance
- Prosody
- Respiration
- Phonantion
- Articulation
resonance
- hyper nasality
- nasal emission
- poor oral resonance
Do an oral peripheral assessment of speech
Watch them suck, chew, swallow and get oral motor info
prosody
- may sound monotone
- mono loudness
respiration
could be weak w/ weak voice
- poor volume
- VF adducive impacts voice
articulation
- imprecise articulation
- sound slurred
- phonological patterns consonant cluster reduction
Dysarthria
NEURO motor disorder affecting all systems respiration, phonation, articulation , resonance, prososdy
characteristics to look for in assessment
- breathy respiration
- difficulty with appropriate syllable stress
Articulation: imprecise , distored consonants weak pressure consonants - polsive osunds will be impacted
Hypernasaility
b/c no strong velopharyngeal closure ]
phonation
monotone, monoloudness, often soft voice
Festination
small shuffling
Hall marks to chdhood apraxia
- inconsistent errors
- flat prosody
- difficulties sequencing sounds and syllables
- moderate to severely unintelligible
Owens, Farinella, Metx 2015
- CAS not the result of neuromuscular weakness
- ch was CAS have impaired motor planning and programming capabilities
- Unable to automatically learn motor plans necessary for rapid accurate speech production
- Better at word level than connected speech level
Associated problem
- family hx in some chd
- possible learning disability ( not always)
- better receptive lang skills decrease expressive lang
- slow treatment process - long process
- oral apraxia difficulty w/ volitional non speech task
- slow DDK
- Soft neurological signs - gross and fine motor incoordination (potential referrals to other professionals)
For assessment - need to evaluate what
- pitch, loudness, prosody
- overall intelligibility
- resonance- hypernasality
- DDK alternating and sequential motion
- sample production of same phoneme in multiple trials
- ask them to produce words in both imitative and spontaneous modes
- developmental hx - feeding, sucking, problems? slow lang dev?
- volitional non speech movements of oral muscles insolation and in sequence
- receptive and expressive lang skills
- articulation - give test admin items repetedly to assess consistency of production
11 connected speech sample
12 production of polysyllabic words- have them say the words several times check for consistency
inconsistency of errors is a hallmark of
Chdhood Apraxia of Speech
assessment of cleft palate patients
- difficulty w/ pressure consonants ( stops fricatives affricatives)
- nasal emission- hyper nasality
- compensatory errors like glottal stops - hoarseness
- middle ear dysfunction (eustachian tube OME)
- watch expressive receptive lang gap
- listen for vocal pathology like harseness soft voice due to strain on VF or to VPI
what test to use for assessment of cleft palate
iowa pressure test - part of templin-darley
Assessment strategies for cleft palate
- work with team of professionals
- help plan surgical interventions
- Assess intelligibility in connected speech
- ESP asess production of pressure consonants in words and sentences
- determine presence of hypernasality on vowels and nasal emission on consonants
hold a mirror under the chds nose and check for what
- have them prolong /i/
- mirror should be clear if there is no hypernasality
