lecture 12- management

Question 1

restorative vs compensatory approaches

Answer 1

restorative- need to consider etiology, time post onset, type of dysarthria
compensatory- internal strategies vs external aids

Question 2

treatment goals

Answer 2

improve intelligibility
improve efficiency (speed)
improve naturalness (fix odd speech)

Question 3

improving naturalness focuses on ____

Answer 3

improving prosidy

Question 4

prepractice principles of motor learning

Answer 4

• list at least two factors involved in motivation for motor speech therapy
• Instructions must be clearly understood
• Provide observational learning through modeling and demonstration
• “Verbal pretraining” is used to give the pt exposure to the stimuli that will be used in the task
• Prepractice should provide knowledge of how a movement is produced
• Establish a prepractice reference of correctness

Question 5

2 factors involved in motivation for motor speech thrapy

Answer 5

1. make sure patient understands WHY task is important to learn
2. involve patient in goal setting

Question 6

Practice principles of motor learning

Answer 6

-Intensive and repeated practice is necessary
-Random practice facilitates the development of motor programs and thus facilitates learning and is more efficient than blocked practice…because it
promotes generalization
-Remediation should progress systematically through hierarchies of task difficulty
-For severe impairments you may need to start with non-speech movements but they should be movements that are a piece of the intended speech
movement

Question 7

initial learning is slower with ransom or blocked practice?

Answer 7

ramdom, so it is good to start with blocked and then move to random

Question 8

2 types of feedback for motor learning

Answer 8

1. knowledge of results (KR)- right or wrong

2. knowledge of performance (KP) - how they got it right/wrong

Question 9

too frequent or too detailed kr feedback

Answer 9

detrimental to motor learning. more frequency feedback may be necessary initially

Question 10

a large delay in KR feedback

Answer 10

impair motor speech learning

Question 11

if strength training exercises are done….

Answer 11

they should be as speech like as possible

Question 12

most common strategies for achieving compensated intelligibility

Answer 12

• modify speech rate
• overarticulation
• increase loudness