Motor Speech

Question 1

What are the 5 components of Speech?

Answer 1

• Respiration
• Phonation
• Resonance
• Articulation
• Prosody

Question 2

ASSOCIATED SPEECH CHANGES: RESPIRATION

Answer 2

• Reduced overall loudness
• Loudness decay- start off yelling and then gets really quiet
• Excessive loudness variation

Question 3

ASSOCIATED SPEECH CHANGES: RESONANCE-

Answer 3

• Hypernasality
• Nasal emission
• Weak articulatory contacts
• Hyponasality
• Alternating resonance

Question 4

ASSOCIATED SPEECH CHANGES: PHONATION-

Answer 4

• Strained voice (effortful)
• Breathiness
• Reduced loudness
• mono-pitch/mono-loudness
• Tremor
• Flutter

Question 5

ASSOCIATED SPEECH CHANGES: ARTICULATION-

Answer 5

• Articulatory imprecision

- Slow rate

Question 6

ASSOCIATED SPEECH CHANGES: PROSODY-

Answer 6

-Intonation

Question 7

TREATMENT: RESPIRATION-

Answer 7

• Postural adjustments
• External supports:
• Inspiratory Muscle training: Belling breathing, Discourage excess use of accessory muscles.
• Controlled Expiration (inspiratory Checking)
• Expiratory Muscle Strength Training (EMST)
• Phrase Grouping: targets strategic pauses for inhalation.

Question 8

TREATMENT: RESONANCE-

Answer 8

• Velopharyngeal Exercise- non-speech exercise (ex; Horn-blowing, straw-sucking) however, no evidence for carryover to speech tasks.
• Speech-Based Resonatory Treatment- emphasis of appropriate oral and/or nasal resonance.
• Prosthetic Management: Palatal lift- lifts the velum. You put it in like dentures

Question 9

TREATMENT: PHONATION-

Answer 9

• Reducing Laryngeal strain- circolaryngeal massage, these pts. Need to relax to relieve that tension on the throat, to begin with.
• Laryngeal exercise: push-pull, grunt, cough, pitch glides, pitch matching.
• Coordination respiration and phonation:
• Lee Silverman Voice Treatment (LSVT): this targets respiratory, articulatory, laryngeal, prosodic subsystems.

Question 10

TREATMENT: ARTICULATION-

Answer 10

• Overarticulation
• Alternative place/manner/voicing
• Coordination of complex phonetic sequencing
• Have a mirror so they can get that bio-feedback
• Supporting Articulatory Function- Velopharyngeal support, jaw support (bite block), sensory tricks, stretching/massage.
• See the sound-visual phonics (visual phonics)
• Gesture and symbol-based cueing system.

Question 11

TREATMENT: PROSODY-

Answer 11

• Work on speaking rate
• Pacing board/Hand tapping
• Stopping briefly between each word, not a syllable.
• Delayed Auditory Feedback (DAF)