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Speech Disorders Across the Lifespan > Articulation and phonology - assessment and diagnosis > Flashcards

Articulation and phonology - assessment and diagnosis Flashcards

1
Q

What are the minimum requirements of a speech assessment?

A
  1. Single words (standardised ax)
  2. Spontaneous speech sample
  3. Consistency assessment
    + OPE and stimulability testing if required
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2
Q

What could you use to obtain a spontaneous speech sample? (4)

A
  1. Conversation
  2. Picture description
  3. Re-telling a story
  4. Role play
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3
Q

Key diagnostic information from speech assessment

A
  1. What they attempted to produce
  2. What they actually produced
  3. What was produced correctly
  4. What was produced incorrectly
  5. Nature of incorrect pronunciation
  6. Extent (% occurrence) of phonological processes/other errors
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4
Q

What is independent analysis vs relationship analysis of speech data?

A

Independent = looking at child’s unique system without reference to target/adult phonology - inventories
Relational = looking at child’s system relative to ideal target/adult phonology - percentages

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5
Q

Steps of independent analysis

A
  1. What is present - consonant inventory, vowel inventory, syllable-word shapes inventory, syllable-stress patterns inventory - match these for child’s age
  2. What is not present - inventory constraints (absent sounds), positional constraints (WI vs WM vs WF), sequential/phonotactic constraints (C/V combinations not used)
  3. Stimulability - for sounds that aren’t present try to elicit in isolation/syllables/words providing verbal/visual/tactile/auditory cues
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6
Q

How can stimulability to used to differentially diagnose?

A

Differential diagnosis of articulation (phonetic) and phonological disorder relies on whether an accurate production of the speech sounds in error can be elicited - if a speech sound is not stimulable, it is an articulation disorder

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7
Q

What is relational analysis?

A

Using single words and connected speech to determine:
- Percentage consonants correct (PCC)
- Percentage phonemes correct (PPC)
- Percentage vowels correct (PVC)
- Phonological processes analysis

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8
Q

How to measure severity (3)

A
  1. Effect of disorder on intelligibility
  2. Degree of concern caused for child/caregiver/teacher
  3. Consequences of disorder (eg. academic, social)
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9
Q

Prognosis for ‘functional’ phonological delay/disorder

A

Positive prognosis

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10
Q

What are the components of the DEAP assessment?

A

5 minute diagnostic screener - gives direction to assessment in other areas
1. Articulation
2. Phonology
3. Oro-motor ability
4. Inconsistency

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11
Q

How to cue if a child doesn’t know the name of a picture? (hierarchy 5)

A
  1. What’s this?
  2. Semantic cue
  3. Phonemic cue (eg. starts with)
  4. Forced choice
  5. Tell me/say ‘word’
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12
Q

How to test for a co-occurring language impairment? (4)

A
  1. Receptive vocab - PPVT-4
  2. Receptive grammar - CELF P3/5
  3. Pragmatics
  4. Phonological awareness - CTOPP-2
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13
Q

Reading/spelling profile of phonological delay

A
  1. PA = intact
  2. Reading accuracy = impaired
  3. Reading comprehension = intact
  4. Spelling = intact
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14
Q

Reading/spelling profile of phonological disorder

A
  1. PA = impaired
  2. Reading accuracy = impaired
  3. Reading comprehension = impaired
  4. Spelling = impaired
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15
Q

Reading/spelling profile of inconsistent phonological disorder

A
  1. PA = intact except syllable segmentation
  2. Reading accuracy = impaired
  3. Reading comprehension = impaired
  4. Spelling = impaired
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16
Q

3 core executive functions involved in phonological impairment

A
  1. Working memory
  2. Inhibition
  3. Cognitive flexibility
17
Q

What is the difference between phonological short term memory and phonological working memory?

A

Phonological short term memory = ‘hold’
Phonological working memory = ‘hold and manipulate’

17
Q

What is the difference between phonological short term memory and phonological working memory?

A

Phonological short term memory = ‘hold’
Phonological working memory = ‘hold and manipulate’

18
Q

pSTM and pWM in phonological impairments

A

Phonological delay = decreased pSTM and decreased pWM
Phonological disorder = intact pSTM and decreased pWM

Speech Disorders Across the Lifespan (15 decks)

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