Assessment of Motor Speech Disorders Flashcards
spirometer
measures vital capacity by capturing air and compare to normative data
objective assessment
- respiratory
- acoustic
- resonance
- articulation
although patients are coming to us for MSD, we screen for
language, cognition, hearing, and swallowing
what is a salient symptom?
are unique to the problem and aid in differential diagnosis
hypothesis may include these questions…
what symptoms are most salient? what is the effect on communication? effect on overall intelligibility? what is their stimulability? prognosis for speech disorder?
some aspects of a disorder are more modifiable than others which is known as…
stimulability
when it comes to improvement, respiration is
not always improved
when it comes to improvement, voice …
makes a lot of improvement!
when it comes to improvement, articulation makes…
a lot of improvement!
when it comes to improvement, fluency makes…
sometimes good improvement, sometimes not
when it comes to improvement, prosody makes…
sometimes good improvement, sometimes not
when it comes to improvement, intelligibility…
can improve a lot because there are a lot of ways to do so
different possible hypothesis
- restore lost function
- promote residual function – help them use the skills they do have left
- reduce the need for lost function – use technology to replace some of he things a person might need to say
- use of technology
prognostic statements include
excellent
good
fair
poor
patients can be discharged under several categories:
- clinical normal outcome (unlikely)
- maximum gain
- activities of daily living
- self discharge
assessment report writing parts:
- case history
- direct observation
- impressions & recommendations
direct observation parts (in report writing)
perceptual speech assessment motor physiology assessment language screening cognitive screening hearing screening swallowing screening
impressions and recommendations parts (in report writing)
- identify type of motor speech disorder
- severity of the overall problem and each symptom
- most salient symptoms (most distinctive)
- which symptoms that do not fit the syndrome
- affect on overall communication (WHO model)
- associated pathophysiology (what is going to happen to this patient over time?)
- hypothesis (what type of treatment should be done)
- goals (short term and long term)
- prognosis — expectations!!
the WHO model…
expands our scope of practice
the most logical way to organize the data from an assessment into a clinical report is based on…
speech subsystems
