Apraxia: Assessment and Treatment Flashcards
What are the three other names for Apraxia of Speech (AOS)?
- verbal apraxia
- acquired apraxia of speech
- dyspraxia
What are some characteristics of AOS? (10)
- omissions/substitutions/distortions
- put sounds together
- groping
- automatic speech=easy
- longer utterances=hard
- initiation of sounds=hard
- diff mistakes on same word
- slow speaking
- prosody/rhythm affected
- awareness of deficits
APRAXIA is difficulty with…
DYSARTHRIA is difficulty with…
…PLANNING
…EXECUTION
What are some disorders that AOS can co-exist with?
- aphasia (brocas area)
- dysarthria
What are the concomitant cognitive deficits people with AOS have?
- emotional liability
- attentional deficits
Name 5 other types of apraxia
- ideomotor (imagery)
- ideational (order)
- constructional (draw)
- gait (posture)
- dressing
What is something we must apply in treatment of AOS?
- rules of motor learning
What are different ways we can adjust the treatment procedure? (6)
- specificity
- intensity
- practice variabilities
- practice schedule
- complexity
- feedback=key
What is the concept of pre-practice?
- get buy in
- motivation
- what working on and why?
What are the three principles of treatment used for people with AOS?
- Articulatory
- Prosodic
- Tactile
In articulation, what are the three methods used?
- sound production
- integral stimulation
- MIPT
What severity of AOS is appropriate for integral stimulation?
- moderate to severe apraxia
What is the method of integral stimulation and what is it known as?
- for training motor pathways for speech production
- “watch me, listen, do as i do”
How does integral stimulation typically work?
- begin with clint imitating clinicians model (decrease cuing)
- 8 step continuum
For people with severe apraxia, what should we work on?
- start with vowels, then CV, VC
- choose functional words (for everyone)
What does MIPT articulation treatment stand for? and who is it used with?
Multiple Input Phoneme Therapy
- severe apraxia with verbal ‘stereotypes’ (use to adv)
What is sound production treatment?
- combinations of different articulatory treatments
- teaches you how to produce consonant sounds
What are the different concepts used in sound production treatment?
- phonemic placement
- cueing hierarchy
- minimal pairs
How do we promote transfer?
- involve diff communication partners
- involve diff speaking contexts
What are the two prosodic treatment types?
- MIT (melodic intonation therapy)
- Contrastive Stress
What does MIT stand for? How does it work?
- prosodic approach
- focuses on intonation patterns
- clinician models rhythmic tapping while saying short phrase
What are the 5 stages in MIT therapy?
- hum phrase together
- sing together, tap patients left hand once per syllable
- fade your singing
- have patient repeat after you
- ask probe question, ask patient to answer using practiced phrase
In MIT, what is the “melody” based on?
the natural intonation pattern of the spoken phrase
What is contrastive stress therapy?
- prosodic approach
- focus on stress pattern and intonational contour
- clinician asks questions, the person with AOS must modify stress pattern in the phrase to answer q
Who should use AAC as a treatment for AOS?
- those with little functional verbal communication
- sign language
- speech output devices
