Adult Neuromotor Intervention Flashcards
Management principles for acquired neuromotor conditions
- Accurate self-awareness of patient’s current skills
- Treatment plans are highly individualized
- Be specific
- Patient’s motivation to change greatly affects outcome
- Accurate self-evaluation of speech during and after therapy sessions
- Gradually add cognitive-linguistic load
True or False. It is important to have an accurate self-awareness of a patient’s current skills.
True
What are the principles of motor learning?
- Practice amount: Small practice vs large practice
- Practice distribution: Massed or distributed
- Practice variability: Constant (practicing one word) vs variable (practicing different variable e.g., sit, mass, etc.,)
- Practice schedule: Blocked vs random
- Attentional focus: Internal vs external
- Target complexity: Simple vs complex
Non-speech oral motor exercises are used primarily to increase _______________
Increase strength of target muscles however there is no evidence that this affects speech
True or False. Non-speech oral motor exercises could be beneficial for only flaccid dysarthria
True
True or False. Speech and non-speech movements depend on different neuromotor pathways.
True
There are different types of non-speech exercises. What are they?
- Isometric exercises- Involve muscle contraction w/o movement of the body part (e.g., Tongue Press: Pressing the tongue against the roof of the mouth and holding it for a certain period.)
- Isotonic (there’s movement)
Intervention procedures for respiration
- Postural adjustments
- Behavioral management:
- diaphragmatic breathing,
- breathing exercise: exhale for a longer duration compared to inhale,
- sustained phonation
Phonation intervention
- Pharmacological treatment
- Behavioral management
- Environmental modifications
What are behavior management techniques that you can do with a person who has problems with phonation?
- Voice relaxation techniques (masyadong hyperfunction yung vf) →
- inhalation phonation,
- laryngeal massage
- yawn-sigh
- chant-talk - Increase vocal fold adduction→
- effortful closure,
- hard glottal attack,
- head turning (for VF paresis)
Resonance intervention procedures
- Surgical management–e.g., pharyngeal flap
- Behavioral management–
(1) changing speech characteristics
–increasing loudness, reduce rate of speech, over articulation
(2) strengthening velar closure
– blowing bubbles/whistle, pushing/pulling;
– continuous positive airway pressure (CPAP)
Intervention procedures for articulation
- Pharmacological management
- Behavioral management
What behavioral management can an SLP do for a person with dysarthria to improve articulation?
- Traditional articulation therapy (e.g., minimal pairs, phonetic placement, articulation drills, intelligibility drills)
- Improving articulatory contacts (e.g., passive stretches, opm exercises, reducing rate)
External cues to change the rate of speech
Pacing board, metronome, hand/finger tapping
External cues to pause for rate, prosody, naturalness behavioral management
Cued reading materials
