Management of Articulation

Question 1

To work on reducing tone you can use ________, __________ or ____________.

Answer 1

Biofeedback (speech & non-speech activities)
*Need to make sure you are clear that it focuses on speech/communication
Botox (Hyperkinetic or spastic)
Pharmacological (don’t do much for speech)

Question 2

Optimizing speech ________ can help inprove intelligibility and articulatory proficiency

Answer 2

Rate

Using pacing or DAF

Question 3

4 questions to consider before strength training to improve articulation:

Answer 3

1. Is severe weakness a problem?
2. Does severe weakness interfere w/ speech function?
3. Contraindications to strength training?
4. Commitment?

Question 4

Behavioural ways to work on compensation for impairment

Answer 4

Adjustments in movement patterns (explicit)
Contrastive production
Intelligibility drills

Question 5

Prosthetic management for compensation of impairment

Answer 5

Palatal lift
Bite block
Pacing systems
DAF