AOS Adults

Question 1

Classes of tx for AOS (4)

Answer 1

Articulatory kinematic techniques
Rate-Rhythm control
Pairing speech with gestures
Alternative and Augmentative Communication (AAC)

Question 2

Articulatory kinematic techniques

Answer 2

Most studied approach
Focus: Improving articulatory accuracy for speech sounds
and for sequencing of sounds
Can be combined with rate-rhythm-pacing control

Question 3

Rate/rhythm control

Answer 3

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”

Question 4

Pairing speech with gestures

Answer 4

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

Question 5

Augmentative and Alternative Communication

AAC

Answer 5

Especially for severe AOS
Examples of approaches: Unaided
Gestures, Writing, Drawing, Facial expressions
Aided:
Communication boards/notebooks
Speech Generating Devices (SGDs)

Question 6

Which is more difficult:

Meaning or nonsense words?

Answer 6

Nonsense

Question 7

Which is more difficult:

High or low frequency words?

Answer 7

low frequency words

Question 8

Which is more difficult:

Syllables with more or less phonemes?

Answer 8

More phonemes

Question 9

Which is more difficult:

Consonant clusters that cross syllables or within syllables?

Answer 9

Within syllables

Question 10

Which is more difficult:

Stressed or unstressed?

Answer 10

Unstressed

Question 11

Which is more difficult:

Automatic or volitional speech?

Answer 11

Volitional

Question 12

Which is more difficult:

Front or back place of articulation consonants

Answer 12

Back

Question 13

Which is more difficult:

Singletons or clusters?

Answer 13

Obviously clusters

Question 14

Which is better: Unimodal or multimodal modeling

Answer 14

Multimodal

Question 15

Rank in order of difficulty:
Place distinctions
Oral/nasal distinctions
Voicing distinctions
Manner distinctions

Answer 15

Oral/nasal distinctions
Voicing distinctions
Manner distinctions
Place distinctions

Question 16

Rank in order of difficulty:
Place distinctions
Oral/nasal distinctions
Voicing distinctions
Manner distinctions

Answer 16

Oral/nasal distinctions
Voicing distinctions
Manner distinctions
Place distinctions

Question 17

Format (individual vs. group therapy)

Answer 17

Individual better for intensive drill work (acquisition stage)
Group for practice opportunities (retention stage)

Question 18

Dosage

Answer 18

Intensive and repetitive

Question 19

Timing

Answer 19

Early is best!

Works in chronic phase as well

Question 20

Setting

Answer 20

Naturalistic
Incorporate a variety of communication partners (facilitate
generalization and carry over)

Question 21

Practice distribution

Answer 21

Frequent in acquisition stage

Question 22

Practice variability

Answer 22

Random more effective than blocked, especially later stages

Question 23

Feedback frequency

Answer 23

Not constant, delayed

Question 24

Pre-practice Goals

Answer 24

Ensure motivation to learn
Client understands the task
Stimulability for acceptable responses

Question 25

Integral stimulation steps

Answer 25

1. Direct imitation with simultaneous production by clinician
2. Delayed imitation with mimed production by clinician
3. Imitation without simultaneous cues by clinician
4. Several successive productions (no cues)
5. Written stimuli, production while looking
6. Written stimuli, delayed production without looking
7. Response to question
8. Role-playing

Question 26

Types of cues

Answer 26

Auditory (modeling, breaking apart, backwards chaining)
Verbal (semantic description)
Visual 
Gestural
Tactile