Protocol

Question 1

Perceptual Evaluation of Respiration:

tasks:
produce ? and listen for  
produce ? and listen for
count from ? 
produce ? very softly then ?

Answer 1

connected speech/ loudness
connected speech/ number of syllable per breath group
1-20 in one breath
ah/ gradually becoming louder

Question 2

Questions to ask yourself: respiration 
does patient exhibit 
does patient initiate ? 
is the patient able to ?
are there any ? 
does patient seem to ? 
how many... in one breath 
how long is each 
does patient pause at?

Answer 2

normal respiratory pattern
speech at beginning of exhalation
make a point or breathe in every time he pauses
exaggerated movements such as lifting shoulder during inhalation
run out of air while speaking
words or syllables do they produce in one breath
breath group
appropriate places in utterance to take a new breath

Question 3

Questions to ask yourself (phonation) 
is the patient ? 
can the patient maintain? 
does the patients loudness increase ? 
can patient ? 
is voice quality 
does patient complain of ? 
is patient using ? and does it ?

Answer 3

too loud/soft
consistent and appropriate level of loudness throughout utterance
toward end of utterance
shout
normal and can it be varied appropriately
fatigue when talking for long periods of time
appropriate pitch and does it vary appropriately

Question 4

Perceptual Evaluation of Resonance: 
tasks: 
produce ? 
alternate sentences with 
if nasal emission suspected place a ? 
observe ? during repetitive production of ah

Answer 4

ee-ooo and alternately pinch nostrils
many nasal sounds with one that has no nasal sounds
mirror under nose
soft palate movement

Question 5

Questions to ask self (resonance):
does patient sound ?
does air escape ?
does patient sound ?

Answer 5

hypernasal
through nose
hyponasal

Question 6

Perceptual Evaluation of Articulation: 
tasks: 
through ? 
... tasks 
-
-
repetition of 
spontaneous

Answer 6

oral mechanism exam
oral diadochokinetic tasks 
AMR and SMR
repetition of words, phrases, sentences 
speech connected speech

Question 7

Perceptual Evaluation of Articulation: 
tasks: 
through ? 
... tasks 
-
-
repetition of 
spontaneous

Answer 7

oral mechanism exam
oral diadochokinetic tasks 
AMR and SMR
repetition of words, phrases, sentences 
speech connected speech

Question 8

Questions to ask yourself: 
are there certain sounds that patient 
are the patients AMR and SMR ? 
are they ?
to what extent is impaired articulation compromising ?

Answer 8

constantly misarticulates
slow
irregular in rhythm
articulation

Question 9

Perceptual evaluation of prosody:
involves coordination of ?
therefore what can be wrong is less easy to ?
the best way to assess is ?

Answer 9

respiratory, phonatory, and articulatory subsystems

distinguish

conversational speech and notes stress, intonation, rate, rhythm