AOS Adults Flashcards
Classes of tx for AOS (4)
Articulatory kinematic techniques
Rate-Rhythm control
Pairing speech with gestures
Alternative and Augmentative Communication (AAC)
Articulatory kinematic techniques
Most studied approach
Focus: Improving articulatory accuracy for speech sounds
and for sequencing of sounds
Can be combined with rate-rhythm-pacing control
Rate/rhythm control
Focus: Treatments that imposed control over
rhythm/timing/rate
Rationale for use:
Increased time to reach articulatory postures
Improved functioning of central pattern generators
Decreased degrees of freedom in speech production
Increased allocation of resources
Motoric “spillover”
Pairing speech with gestures
Focus: using a relatively intact system to facilitate
functioning of another system (i.e., speech)
Can be meaningful or non-meaningful gestures
Gestures to cue articulation
Augmentative and Alternative Communication
AAC
Especially for severe AOS Examples of approaches: Unaided Gestures, Writing, Drawing, Facial expressions Aided: Communication boards/notebooks Speech Generating Devices (SGDs)
Which is more difficult:
Meaning or nonsense words?
Nonsense
Which is more difficult:
High or low frequency words?
low frequency words
Which is more difficult:
Syllables with more or less phonemes?
More phonemes
Which is more difficult:
Consonant clusters that cross syllables or within syllables?
Within syllables
Which is more difficult:
Stressed or unstressed?
Unstressed
Which is more difficult:
Automatic or volitional speech?
Volitional
Which is more difficult:
Front or back place of articulation consonants
Back
Which is more difficult:
Singletons or clusters?
Obviously clusters
Which is better: Unimodal or multimodal modeling
Multimodal
Rank in order of difficulty: Place distinctions Oral/nasal distinctions Voicing distinctions Manner distinctions
Oral/nasal distinctions
Voicing distinctions
Manner distinctions
Place distinctions
Rank in order of difficulty: Place distinctions Oral/nasal distinctions Voicing distinctions Manner distinctions
Oral/nasal distinctions
Voicing distinctions
Manner distinctions
Place distinctions
Format (individual vs. group therapy)
Individual better for intensive drill work (acquisition stage)
Group for practice opportunities (retention stage)
Dosage
Intensive and repetitive
Timing
Early is best!
Works in chronic phase as well
Setting
Naturalistic
Incorporate a variety of communication partners (facilitate
generalization and carry over)
Practice distribution
Frequent in acquisition stage
Practice variability
Random more effective than blocked, especially later stages
Feedback frequency
Not constant, delayed
Pre-practice Goals
Ensure motivation to learn
Client understands the task
Stimulability for acceptable responses
Integral stimulation steps
- Direct imitation with simultaneous production by clinician
- Delayed imitation with mimed production by clinician
- Imitation without simultaneous cues by clinician
- Several successive productions (no cues)
- Written stimuli, production while looking
- Written stimuli, delayed production without looking
- Response to question
- Role-playing
Types of cues
Auditory (modeling, breaking apart, backwards chaining) Verbal (semantic description) Visual Gestural Tactile
