Lectures 8-10 Flashcards

1
Q

Toddler Language:
18 months:
Use–>

Content and Form–>
-Vocabulary _____
-Ability to comprehend words _____
-By age 2 _____

A

Use–>
-May use a single word for a variety of purposes
Content and Form–>
-Vocabulary increases rapidly
-Ability to comprehend words is gradual and context-specific
-By age 2, expressive vocabulary is about 150- 300 words

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1
Q

Pre Language:
8-9 months:
-Infants develop ____ –> indicated by….

Better speech perception at 6 months=

12 months:

A

Pre Language:
8-9 months:
-Infants develop INTENTIONALITY –> indicated by eye contact, consistent – sound/intonation patterns for
specific intentions, persistent attempts– to communicate

Better speech perception at 6 months= better word/phrase understanding and production later

12 months: First meaningful word used to express an intention

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2
Q

Preschool Language:

Reformulating:

USE:

CONTENT:

A

-Increased memory
-may use substitution

Reformulating: When caregivers repeat the child’s utterance in mature form

USE:
-Children introduce topics – and maintain them for 2-3 turns with caregivers
-Begin to consider the needs of the listener
-Four-year-olds
– Tell simple sequential stories
– Usually about the – past

CONTENT:
Age 2: Expressive vocabulary grows to ~300 words
Age 3: Expressive vocabulary grows to ~900 words
– Age 4: Expressive vocabulary grows to ~1500 words
-May comprehend 2-3 times that in context

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3
Q

School-age and adolescent:
Content:

1st graders
-Expressive vocabulary of ____
-May understand _______

6th grade:

High School:

Definitions:

Figurative language/ multiple meanings:

A

1st Graders:
-Expressive vocabulary of about 2,600 words
-May understand as many as 8,000 roots and 14,000 when derivations are included
-Receptive vocabulary growth

6th grade: 30,000 words

High School: 60,000 words

Definitions: are more dictionary-like

Figurative language/ multiple meanings:
-acquired multiple meanings
-sayings that do not always mean what they seem to mean, as in idioms; correlates with literacy skill

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4
Q

School-age and adolescent
~FORM~
Age 5:
-Use most _____
-Limited use of ____

Gradually add _____

-Morphological development:

-Development of prefixes ____

A

Age 5
– Use most verb tenses, possessive pronouns, conjunctions
– Limited use of comparative –er, superlative –est, relative
pronouns

-Gradually add passive sentences, reflexive pronouns, conjunctions such as although and however, and variations of compound and complex sentences

Morphological development
– Derivational suffixes (paint/painter)

Development of prefixes such as un-, ir-, and dis- continue into adulthood

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5
Q

Language Disorder

A

– Delays in critical language precursors in first year
– Slow to achieve important language milestones in
toddler and preschool years
– Struggle with academic skills that rely on
language proficiency in school-age years
– Face ongoing challenges in living and working in adult years

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6
Q

Language Disorder Risks:

Risk of being a late talker is associated with:

A

-Children with expressive vocabulary delays at 24 months
~Increased risk for later speech/language problems

~Risk of being a late talker is associated with
– Being a boy
– Low SES
– Multiple child household
– Reduced peer interaction
– Hearing or attention problems
– Potential genetic factors

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7
Q

Lifespan Issues

A

-Sustained attention deficits
Children identified as late talkers at 24-31 months
– Still have weakness in language-related skills in adolescence
-When compared to typically-developing

-peers poorer outcomes in
– Literacy
– Mental health
– Employment (Even at 34 years of age)

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8
Q

Primary/ Specific Language Impairment
~Brain imaging of children with SLI

~Deficits in ______

~Deficits in _____

~______ ______ deficits

A

~Brain imaging of children with SLI~
– Brain symmetry between left and right hemispheres as opposed to
the typical asymmetry
– MRI suggests different patterns of activation resulting in less
efficient patterns of functioning in areas critical for communication
processing

~Deficits in working memory~
– Active process that allows limited information to be held in a temporary accessible state while cognitive processing occurs

~Deficits in processing speed

~Executive function deficits
– The organizing and directing function of the brain

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9
Q

Defining Characteristics of PLI/SLI:
~Language Characteristics
Difficulty in:

Pragmatic Problems:

Deficits in:

Difficulty with grammatical ____

May speak ______

A

Language Characteristics

– Difficulty
-Extracting regularities from language
-Constructing word-referent associations for lexical growth
-Registering different contexts for language

– Pragmatics problems may rise from inability to use language forms effectively

– Deficits in the ability to recognize the impact of and recognize emotions

– Difficulty with grammatical morphemes
~Deficits in phonological working memory

– May speak more slowly with more frequent speech disruptions

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10
Q

PLI/ SLI Lifespan issues:

A

-Affects between 4 and 7% of preschool children
-Negatively perceived by their peers
-Poor social skills
-Many are later identified as having learning disabilities (LD)
-Later academic difficulties
 Especially with language-based activities
-Adolescents with SLI view themselves negatively and are less independent
-Deficits in vocabulary persist even among those who attend college

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11
Q

Intellectual Disability (ID)
Consists of:

% of population:

Severity based on level of IQ:

Causes:

A

Consists of the following
– Substantial limitations in intellectual functioning
– Significant limitations in adaptive behavior
– Originates before age 18

2.5% of the population

Severity based on the level of IQ
– Ranges from mild to profound
– Newer severity ratings are based on the amount of assistance an individual needs to get through daily life

Causes can be biological or socioenvironmental

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12
Q

Intellectual Disability Language Characteristics:

A

-Children with Down syndrome (DS) and fragile X (FXS) have moderate to severe language delays
-Boys with FXS make phonological errors similar to those of younger typically-developing youth
-Those with DS have more significant phonological differences
-Boys with FXS produce longer, more complex utterances than do boys with DS
-Language comprehension and/or production can be below the level of cognition
-Children with ID produce shorter, more immature forms
-In later development, paths differ more from typical development

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13
Q

Intellectual Disabilities Lifespan Issues:

A

– Sometimes identified early due to physical anomalies, at-risk indicators, or delayed development
– Early intervention is best
– Some children are not identified until age 2 or 3
– Depending on severity
-Regular education class with special services
-Self-contained, special classroom
-Developmental centers for profound ID with other disabilities

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14
Q

Traumatic Brain Injury (TBI)
Can result from:

Most common injury in children is ___

Variables:

A

-Can result from traumatic brain injury (TBI), stroke, congenital malformation, convulsive disorders, or encephalopathy

-Most common injury in children is TBI

-TBI: May be localized or diffuse brain damage as the result of external force

-One million children and adolescents in the U.S. have experienced a TBI

Variables
– Site and extent of lesion
– Age at onset
– Age of the injury

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15
Q

TBI Language Characteristics:

A

– Language problems can occur even after mild injuries
– Some deficits can remain long after the injury
 Particularly in pragmatics
– Language comprehension and higher functions such as figurative
language an dual meanings are often impaired
– Language form is relatively unaffected
– Utterances are often lengthy, inappropriate, and off topic, and
fluency is disturbed
– Word retrieval, naming, and object description difficulties may be
present
– Narration may be difficult

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16
Q

Social Communication Disorder (SCD)
Social Communication:

Social communication disorder:

In ASD:

SCD does not include:

A

Social communication
– Ability to communicate with a variety of partners in various
situations
– Behaviors vary by culture, situations, and partners

Social communication disorder (SCD)
– Persistent difficulty in the social use of verbal and nonverbal
communication and may include problems in all those areas

In autism spectrum disorder (ASD), social communication problems are one of the defining features of the disorder

SCD does not include the repetitive movements or fixated interests found in ASD

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17
Q

Learning Disabilities (LD)
Sic categories of characteristics:

PEESEVERATION:

Children with perceptual disabilities may confuse:

A

Six categories of characteristics:
– Motor
– Attention
– Perception
– Symbol
– Memory
– Emotion
Perseveration: Becoming fixated n a single task or behavior and repeating it compulsively

-Children with perceptual disabilities may confuse similar sounds,
similar-sounding words, and similar-looking printed letters and words

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18
Q

LD
% of children with LD + reading problem:

ADHD:

Causes/ factors:

A

-As high as 80% of children with LD have a reading problem

-Some exhibit word-finding problems that result in blocks and the use of fillers or circumlocutions

-Emotional problems may be a reaction to frustration

Attention Deficit Hyperactivity Disorder (ADHD)
– Underlying neurological impairment in executive function that regulates behavior, causing impulsiveness

-Possible biological causal factors
-Socioenvironmental factors may contribute

-Poor ability to attend selectively, concentrating on inappropriate or unimportant stimuli

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19
Q

Autism Spectrum Disorder (ASD)

Must have all 3 of the following:

A
  1. Persistent problems in social communication and interaction across different contexts
  2. Problems with social-emotional reciprocity, nonverbal communicative and social interaction behaviors, developing and maintaining relationships appropriate for maturity level
  3. Restricted, repetitive patterns of behavior, interests, or activities characterized by two or more of the following
    -Stereotypes or repetitive motor movements, use of objects, or speech
    -Excessive reliance on routines, ritualized patterns of behavior, or
    resistance to change
    -Highly fixated and restricted, abnormally intense interests or focus;
    -Hyper- or hyposensitivity and reactivity to environmental input or
    unusual interest in sensory information
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20
Q

ASD
Motor/common patterns:

Prevalence:

Cause:

A

-Motor patterns of behavior may include rocking and fascination with lights or spinning objects
-May insist on certain routines
-May be preoccupied with specific objects, foods, or clothing
-May have adverse reactions to sounds or textures

-Prevalence 1 in 36 children
-Boys are 4 times more likely to display ASD characteristics
-Most children with ASD have IQs above 70
-Approximately 25% of children with ASD exhibit Intellectual Disability

-Primary cause is biological

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21
Q

ASD Characteristics

A

-Communication problems are one of the first indicators of possible ASD
-25-60% of individuals with ASD remain nonspeaking
-Some have immediate or delayed echolalia
-Prosodic features are often affected, often having a mechanical quality
-Pragmatics and semantics are more affected than form
-Some use entire verbal routines, called formuli
-Those with good language can still misinterpret subtleties of language

22
Q

ASD Lifespan Issues

A

– Identified by age 2-3 years
– School-aged children may be included in regular
education or special education classes
– Those who are mildly impaired may live on their own
and hold competitive employment
– Many have adult life patterns of adults with ID
-Require supervision and care

23
Q

ASSESSMENT STEPS
1.
2.
3.
4.
5.
6.
7.

A
  1. Referral
    – Occurs at any time
    – Parent, teacher, physician
  2. Screening
    – Purpose to determine if there is a presence of a problem
    – Does not diagnosis or qualify/quantify the deficits
  3. Case History
    – All the information that can be gathered from records or questionnaire
  4. Interview
    – Information from caregivers on development, environment, and uses of language
  5. Observation
    – In as many settings as possible
  6. Testing
    – Standardized testing if appropriate
     Explores strengths & weaknesses in a variety of areas
     Interpret scores based on bell curve
    – Dynamic assessment allows for trial of intervention (does the child respond if “x” is done)
  7. Language Sample
    – Conversation in a natural setting for formal analysis of age appropriate language skills (e.g., turn taking, grammar)
24
Q

Intervention procedures:

A

-Anticipate types of errors the child will make & the support the child needs to gain skills
– Model the desired behavior
– Cue the child to respond

-Cues can be verbal or nonverbal, least to most supportive
-Corrective feedback and reinforcement

25
Q

What is literacy?

A

The use of visual modes of of communication, specifically reading and writing

  • There is a link between a child’s early reading abilities a history of
    communication, language difficulties & specifically reading conversational language
    and writing abilities.
  • As many as 60% of children with language impairment have difficulty with literacy.
26
Q

Decoding:

A

*Segmenting a word and blending the sounds together

*C-A-T

*Decoding as applied to reading an alphabetic language involves applying the alphabetic principle to identify the spoken word that corresponds with the written word.

27
Q

Decoding Skills: Phonological Awareness

A
  • Knowledge of sounds/syllables and the
    sound structure of words is important for
    reading development
  • Includes phonemic awareness
  • Ability to manipulate sounds, such as blending or segmenting
  • Ability to determine a word when a phoneme or syllable is deleted
  • Comparing initial phonemes for likeness and difference
28
Q

Decoding Skills: Morphological Awareness

A
  • Morphological Awareness
    • By age 10
      • Awareness of and knowledge about morphological structure
  • By middle school
    • Morphological complexity increases
29
Q

Comprehension:

Critical Literacy:

Dynamic Literacy:

Metacognition:

A

-Meaning is actively constructed from words and sentences and from personal meanings and experiences

  • Critical literacy: Active analysis and synthesis of information
  • Dynamic literacy: Relate content to other knowledge through reasoning
  • Metacognition: Knowing what to do and how to do it
    • Self-appraisal
    • Executive function
30
Q

Normal Reading Development:

Emerging Literacy:

Dialogic Reading:

Print Awareness (early and later):

A

Emerging Literacy
* Begins around age 1 when books are shared with toddlers
* Dialogic reading: Interactive method of reading picture books

*Print awareness
Early
* Knowledge of the meaning and function of print
* The direction print proceeds across a page and through a
book
* Recognition of some letters

Later
* Recognizing words as distinct units, identifying letters, using terminology such as letter, word, sentence

31
Q

Risks for reading disorders:

A

is greatest for children with a history of problems in articulation and expressive/receptive language

Children with:
* deficits in oral language comprehension but normal
phonological abilities may have poor reading comprehension
* little or no oral language comprehension difficulties but with
poor phonological disabilities may be poor decoders
* low SES environments acquire language more slowly and may have delayed letter recognition and phonological awareness

32
Q

Reading Disorders secondary to:

A

Language Impairment
Generally:
* Begin with less language and have difficulty catching up
* Have poor comprehension skills because the lack language
knowledge needed to integrate information
* Have poor metalinguistic skills
* Possess linguistic processing difficulties
* As adolescents are poor readers with vocabulary, grammar, and
verbal memory deficits
* Significant negative correlation between children’s nonmainstream dialect use and reading achievement

33
Q

Spelling
Preliterate:

Preschool-1st grade:

2nd-5th:

A
  • Preliterate attempts consist of scribbles, drawing, and an occasional letter * Later use some phoneme-grapheme knowledge with letter names
  • May use invented spelling
  • Names of letters may be used in spelling

Preschool – 1st Grade Learn about spacing, sequencing, ways to represent phonemes, and morpheme-grapheme relationships
* Become more efficient as they recognize regularities
* Increased memory supports spelling

2nd – 5th Grade Shift from phonological strategy to a mixed one
* Mostly self-taught using a trial-and-error approach
* Approx 4,000 words are explicitly taught in elementary school

34
Q

Spelling
Mature spellers rely on:

Adults:

A

Mature spellers rely on: * Memory
* Spelling and reading experience
*Phonological/semantic/morphological knowledge
* Orthographic knowledge and mental grapheme representations
* Analogy

  • Spelling competes with other aspects of writing for cognitive energy

Adults spell letter-by-letter, by syllable, and by sub-syllable unit

35
Q

Writing Disorders through the lifespan

Defects in:

Children with language impairments:

Children with learning disorders:

A
  • Deficits in writing complexity and accuracy
  • Children with Language Impairments often have writing deficits
  • Reduced written productivity, total number of words, total number of utterances, total number of ideas
  • Children with L earning Disorders may have difficulties with all aspects of writing
36
Q

Assessment of developmental writing:

A
  • Portfolios of children’s writing
  • Narrative samples for elementary school
    children
  • Expository (explain, illuminate or expose) writing samples for older elementary school children or adolescents
37
Q

Two major categories of Speech-sound disorders:

Name and impairment

A

Articulation Disorders:
Articulation: How sounds of the language are produced

Articulation impairment: inability to articulate certain speech sounds correctly.

Phonological Disorders:
Phonology: How speech sounds are used in the language

Phonological impairment:
involves the rules that govern sound patterns in a given language.

38
Q

What is a speech sound disorder?

A

Definition: An impairment of an individual’s sound system resulting in significant problem with speech-sound production that differs from age- and culturally-based expectations.

39
Q

Classification of Speech Sounds:

Vowel Classification:

A

◦ Classification of Speech Sounds
-Either vowel or consonant
-Consonant phoneme classification
-Place, manner and voicing

Vowel classification
◦ Tongue and lip position and relative degree of tension in the
articulators

40
Q

Speech Sounds
How many phonemes?

Phonotactic Rules:

Allophones:

Aspirations:

Cognate Pairs:

A

◦ Spoken English has about 42 different phonemes

Phonotactic rules:
◦ Specify acceptable sequences and locations of speech sounds
◦ cannot start a word with all consonants e.g., mb, ts
◦ cannot end a word with all consonants e.g., kch

Allophones:
◦ Variations of phonemes

Aspiration:
◦ Little puff of air that can follow a sound such as /p/ or /t/

Cognate pairs:
◦ Consonants that have the same place and manner but differ with regard to voicing

41
Q

Normal Sound Acquisition

Speech sound emergence:
2 months:

3 months:

Between 4-6 months:

6-7 months:

A

Speech Sound Emergence:

By 2 months:
◦ Develop non distress sounds – “gooing” or “cooing”

By 3 months:
◦ Vocalize in response to the speech of others

Between 4 and 6 months:
◦ Imitate tone and pitch and begin babbling (random vocal play)

6-7 months:
◦ Changes to reduplicated babbling (strings of consonant-vowel syllable repetitions or self-imitations)

42
Q

Normal Sound Acquisition

Toddler Speech:

A

◦ First recognizable word produced around 12 months
◦ Children use phonological patterns (processes) as a strategy
when faced with a difficult word
◦ Toddlers often omit final consonants
◦ Multisyllable words may be reduced to one or two syllables, or
the syllables may be repeated
◦ Consonant blends might be shortened to single consonants
◦ One type of sound might be substituted for another

43
Q

Normal Sound Acquisition

Preschool Speech:

A

◦ Most phonological patterns toddlers use disappear by age 4
◦ Consonant blends may continue to develop into early elementary school ◦ Children who experience phonological difficulties continue to use immature
phonological patterns
◦ Children continue to master new speech sounds throughout the preschool
period
◦ A sound may be produced correctly in single words but not in connected
speech
◦ Phoneme acquisition is gradual and depends on the sound, its location,
frequency, and proximity to other sounds

44
Q

Normal Sound Acquisition

School-age Speech

5-year-olds:

6-year-olds:

8-year-olds

Morphophonemic Contrasts:

A

5-year-olds:
◦ Difficulty with a few consonant sounds and with consonant blends

6-year-olds:
◦ Have acquired most English speech sounds

8-year-olds:
◦ Have acquired consonant clusters

◦ Phonological system is similar to adults by early elementary school

Morphophonemic contrasts:
-take years to master
-Changes in pronunciation as a result of morphological changes
-Minimal pair e.g., bat–>cat–>hat

45
Q

Lifespan Issues of Speech Sound Impairment:

A

◦ ~75% of preschool children normalize speech sound
errors by age 6 with or without treatment
◦ Majority normalize by age 8
◦ Errors that persist may have a negative impact on academic or professional accomplishments and
personal relationships
◦ Speech patterns are harder to change as we get older

46
Q

Disorders with associated speech sound disorders:

Hearing loss:

Lifespan Issues:

A

Hearing Loss:
◦ Phonology, voice quality, pitch, rate, and rhythm are similarly affected
◦ Relationship between type and degree of hearing loss cannot be
determined; there are some patterns, though

Lifespan Issues:
◦ Individuals born deaf or with severe hearing impairment typically have
poorer speech than those with a later loss
◦ Speech deteriorates over time for those who lose hearing after learning to talk
◦ Accuracy of speech sound production improves with hearing aids and
training

47
Q

Disorders with associated speech sound disorders

Childhood Apraxia of Speech:

Speech Characteristics:

A

Childhood Apraxia of Speech (CAS):

-Neurological speech sound disorder that affects the ability to plan and/or program
the movement sequences necessary for accurate speech production
-Speech may be unintelligible, segmented/choppy, disfluent, lacking in prosodic variation
-Awareness of difficulty with speech can lead to unwillingness to talk

Speech characteristics:
◦ Inconsistent errors on consonants and vowels on repeated productions
◦ Lengthened and disrupted transitions between sounds/syllables
◦ Inappropriate prosody

48
Q

Comprehensive Articulation and Phonological Assessment

Description of Articulatory Status:

Sound Error Inventory

Syllable and word Structure:

A

Description of Articulatory Status:
◦ Speech Sound Inventory
◦ Appropriate for young children and for those whose speech is
unintelligible

Sound Error Inventory:
◦ Identify phonemes the client misarticulates
◦ Sound errors: Substitutions, omissions, distortions, additions
◦ Errors can be compared to norms for the child’s age

Syllable and Word Structure:
◦ List most common word and syllable shapes
◦ Reductions or simplifications

49
Q

Comprehensive Articulation and Phonological Assessment

Description of phonological status:

Intelligibility:

A

Description of Phonological Status:
◦ Pattern Analysis
◦ Standardized assessments and computerized programs can analyze
phonological patterns

Intelligibility:
◦ How easy it is to understand the individual
◦ Spends on number, type, and consistence of errors
◦ Voice, fluency, rate, rhythm, language, and use of gesture contribute
◦ Other factors: Listener’s hearing acuity, familiarity, experience listening to disordered speech, noise, message complexity, cues
◦ Measure of intelligibility: percentage of intelligible words or percentage of
intelligible syllables/consonants

50
Q

Target Selection:

A

Goal:
◦ Make the client easier to understand
◦ Improve communicative effectiveness

◦ Factors include phoneme frequency and likelihood of success o

-Sounds or patterns that are stimulable

-Follow developmental norms and select early-acquired sounds and
patterns

-Target sounds that are more complex

-Target sounds that impact overall system-wide change

51
Q

Treatment should be individualized:

Language-based Approaches:

A

Language-Based Approaches:
◦ Instruction is within the context of learning language
◦ Not appropriate for children with severe speech delays
◦ Need more direct, structured practice

◦ Effective for
generalization to spontaneous speech

52
Q

Treatment should be individualized

Phonological-based approaches:

Cycles Approach:

Minimal Pair contrasts:

A

Phonological-Based Approaches:
◦ For children with multiple speech sound errors and are highly
unintelligible

Cycles approach:
◦ Starts with most stimulable phonological pattern and progresses
through multiple cycles
◦ Sessions contain a review, auditory-perceptual training, and
production of targets using drill play

Minimal pair contrasts:
◦ Child produces picture card pairs that differ by one phoneme
◦ One card contains the child’s error sound/pattern and the other is the correct form

53
Q

Treatment should be individualized

Treatment of Motor Speech Disorders

Lee Silverman Voice Treatment:

Computer Applications:

A

Treatment of Motor Speech Disorders

Lee Silverman Voice Treatment:
◦ Intensive treatment ◦ 4 days per week, 60 minutes per session, for 4 weeks
◦ Originally designed to increase loudness levels of patients with Parkinson disease
◦ Successfully used with children with C P with modifications
◦ Requires proper training and certification

Computer applications:
◦ Can be used in conjunction with direct
◦ Provides opportunity for daily practice