Adult Treatment and Management Flashcards
Dysarthria treatment aims
- Targets physiologic support for speech
- assumes intact motor plans/programs for speech
Apraxia of Speech treatment aims
- assumes intact physiologic support for speech
- targets motor plans/programs for speech
Subsystem-focused dysarthria treatment
- behavioral treatment
- restorative
Global behavioral strategies for dysarthria
- restorative
- thought to globally affect more than just one sumstyem
- often have one goal
examples of global behavioral strategies for dysarthria
- rate modifications
- clear speech
- loud speech (i.e. LSVT)
Examples of subsystem focused treatment for dysarthria
-increasing resporatory suppor, RVT for phonation, CPAP for resonance, speech breathing groups for prosody
Key diagnostic characteristics for AOS
- prosodic disturbances
- articulation disorders
- articulatory groping
- errors increase with length and complexity
prosodic disturbance examples
- syllable segregation
- slow rate
- lexical stress errors
- lengthened instersegment duration
Articulatory-kinematic approaches for AOS rationale
AOS involves disordered articulation and sequencing; need to refine spatial and temporal aspects of speech
Rate/rhythm control approaches for AOS rationale
AOS involves disrupted timing of speech production; need to re-establish temporal patterning
Examples of articulatory kinematic aproaches
- sound production treatment
- Script training
- structured oral reading
Examples of Rate/rhythm control approaches
- Rhythmic Pacing
- Audio/video entrainment
- Contrastive stress
- melodic intonation therapy (MIT)