Assessment of Motor Speech Disorders

Question 1

spirometer

Answer 1

measures vital capacity by capturing air and compare to normative data

Question 2

objective assessment

Answer 2

1. respiratory
2. acoustic
3. resonance
4. articulation

Question 3

although patients are coming to us for MSD, we screen for

Answer 3

language, cognition, hearing, and swallowing

Question 4

what is a salient symptom?

Answer 4

are unique to the problem and aid in differential diagnosis

Question 5

hypothesis may include these questions…

Answer 5

what symptoms are most salient?
what is the effect on communication?
effect on overall intelligibility?
what is their stimulability?
prognosis for speech disorder?

Question 6

some aspects of a disorder are more modifiable than others which is known as…

Answer 6

stimulability

Question 7

when it comes to improvement, respiration is

Answer 7

not always improved

Question 8

when it comes to improvement, voice …

Answer 8

makes a lot of improvement!

Question 9

when it comes to improvement, articulation makes…

Answer 9

a lot of improvement!

Question 10

when it comes to improvement, fluency makes…

Answer 10

sometimes good improvement, sometimes not

Question 11

when it comes to improvement, prosody makes…

Answer 11

sometimes good improvement, sometimes not

Question 12

when it comes to improvement, intelligibility…

Answer 12

can improve a lot because there are a lot of ways to do so

Question 13

different possible hypothesis

Answer 13

• 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

Question 14

prognostic statements include

Answer 14

excellent
good
fair
poor

Question 15

patients can be discharged under several categories:

Answer 15

• clinical normal outcome (unlikely)
• maximum gain
• activities of daily living
• self discharge

Question 16

assessment report writing parts:

Answer 16

1. case history
2. direct observation
3. impressions & recommendations

Question 17

direct observation parts (in report writing)

Answer 17

perceptual speech assessment
motor physiology assessment
language screening
cognitive screening
hearing screening
swallowing screening

Question 18

impressions and recommendations parts (in report writing)

Answer 18

1. identify type of motor speech disorder
2. severity of the overall problem and each symptom
3. most salient symptoms (most distinctive)
4. which symptoms that do not fit the syndrome
5. affect on overall communication (WHO model)
6. associated pathophysiology (what is going to happen to this patient over time?)
7. hypothesis (what type of treatment should be done)
8. goals (short term and long term)
9. prognosis — expectations!!

Question 19

the WHO model…

Answer 19

expands our scope of practice

Question 20

the most logical way to organize the data from an assessment into a clinical report is based on…

Answer 20

speech subsystems