CAS Treatment Principles Flashcards

1
Q

CAS Therapy Principles

A
  1. based on PLM
  2. Motor activities rather than conceptual activities
  3. Stimuli selection
  4. Drill type therapy
  5. Ultimate goal: habituation and automaticity —> intelligibility
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2
Q

Precursors to Motor Learning

A
  1. Trust
  2. Motivation
  3. Focused attention
  4. Pre-practice
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3
Q

How do we establish trust

A

according to caruso and strand is that the best way to earn the child’s trust is actually by giving them motivation.

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4
Q

How to build motivation

A

Dapat motivating ang activity or task, you have to make the child understand the goal of treatment is to practice movement.

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5
Q

How to build focused attention

A

Helping the child understand the tasks and how procedures will be performed

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6
Q

Pre-practice

A

Making sure the child understand the tasks and how procedures will be performed Focused attention to the task

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7
Q
  • Early success can help establish the child’s trust in both the clinician and in the process of therapy
  • Can lead to motivation
  • Validating the child’s frustration and providing him or her with some success early on
A

Establishing trust

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8
Q
  • At the level at which the child is likely to understand, explain what you will be doing in treatment and why it helps
  • Make the child choose an initial stimuli
  • feedback/reinforce
A

Understand goal of treatment

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9
Q
  • allocation of capacities
  • structure treatment environment
  • maintained attention
A

Focused attention

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10
Q

Motor Learning principles

A

Pre-practice
Distribution of practice
Number of trials
Schedule of practice
Variability of practice
Frequency of feedback
Type of feedback
Timing of feedback

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11
Q

Child’s attention is directed to specific aspect/s of treatment targets for the session

A

Pre pratice

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12
Q

Practice opportunities are provided in…

A

in order to help the child practice the articulatory production

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13
Q

O er the child opportunities to accurately achieve a motor plan with which they may be struggling

A

Pre-practice

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14
Q

Feedback in pre-practice

A

High frequency and specificity

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15
Q

length of pre-practice is longer and shorter when…

A

○ Longer when introducing new targets
○ Shorter when practicing a familiar motor plan

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16
Q

Number of trials in pre-practice

A

better generalization of motor speech plan ng untrained targets kapag maraming frequencies.

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17
Q

Distribution of practice

A

Massed Practice schedule of more frequent sessions per week over a shorter period

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18
Q

2 types of variability of practice

A

Blocked and random

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19
Q

Variability of practice: blocked vs random

A

○ Blocked: early learning of targets during acquisition stage
○ Random: retention and transfer of motor speech plans

20
Q

Types of Feedback

A
  • intrinsic
  • extrinsic
  • KP and KR
  • Summation Feedback
21
Q

Make them more aware of their tactile, proprioceptive and kinesthetic sensory feedback.

A

Intrinsic Feedback

22
Q

make feedback sa kanilang performance para later on they can give feedback sa sarili nila and correct themselves.

A

Extrinsic Feedback

23
Q
  • Very helpful to enhance the motivation of older children
  • Example: Ngayon you have 5 productions na but before 2 lang. Very good!
A

Summation Feedback

24
Q

Frequency of Feedback

A

● Pre-Practice: Frequent
● Practice: Less frequent

25
Timing of Feedback
● Immediate Feedback: initial acquisition ● Delayed Feedback: Enhance retention
26
PRISM
● Phoneme Sequencing ● Repetitive Practice ● Intensity of Treatment ● Selection of Target Utterances ● Multisensory Cues and Feedback
27
in phoneme sequencing we begin…
Begin treatment at CV or VC level But if 2 phoneme combinations are too challenging, work with meaningful isolated Recommended na functional targets
28
Factors to consider in phoneme sequencing
- phonetic influences - familiarity - motivation - facilitative phonetic environments
29
How to Improve Phoneme Sequencing
● Use phonemes in the child’s repertoire when teaching new syllable shapes ● Consider facilitative contexts ● Establish each syllable shape in multiple phonetic contexts ● Use backward chaining ● Provide multisensory cues ● Consider simple phrases
30
Repetitive Practice
Use of repetition leads to opportunities to develop better motor planning and motor memory Volitional control to automatic control Blocked vs Random - Blocked is for new skill; Random for something you want to transfer already Repetition does not imply lack of functionality
31
Factors for repetitive practice
- age - developmental capacities - attention span - frustration tolerance and persistence
32
Enhancing motivation principles
- success - power of language - motor skills - fun
33
Enhance Motivation: Success
- ZPD - Phonetic Inventory - Linguistic Abilities - Multisensory cueing - Reduced Rate
34
Enhance Motivation: Power of Language
Teach words that are FUNCTIONAL and PRAGMATIC
35
Enhance Motivation: Motor Skills
Feedback should be CLEAR and CONCRETE
36
Enhance Motivation: Fun
Games and Activities Must be fun to the child Repetitive tasks
37
Three - Phase Method
SET-UP: Activity and Target utterances are introduced ACTIVITY: Child participates in the activity WRAP-UP: Review of the targets
38
Intensity of Services/Treatment
Intensive: learning of new motor skills Set-up should allow for large number of trials Short, frequent practice sessions
39
Selection of Target Utterance factors
- speech - language - environmental factors - motivational factors - social factors
40
Speech factors for selecting targets
- syllable speech - phonemes - prosody - contextual limitation - facilitating contexts
41
Language factors for selecting targets
- semantic relations - grammatical morphemes - cognitive-linguistic age
42
Environmental factors for selecting targets
- home - school - community
43
Primary Types of Cues
Visual Auditory Tactile/Kinesthetic/Proprioceptive Metacognitive
44
is auditory and proprioceptive
Rate variations cues
45
are auditory and metacognitive because linelabel yung sound
Metaphors