chapter 5 Flashcards
What is Otitis Media with Effusion (OME) ?
Why is it dangerous to speech development? (2)
middle ear infection with fluid buildup
fluid blocks sound transmission and can cause temporary mild-moderate hearing loss
Frequent OME can lead to speech sound disorders due to the varying auditory input
What is the biggest indicator that OME will cause SSD?
Acces to medical care
In Speech Sound Perception, what is the difference between General versus Phoneme-Specific Measures?
Most children who have speech sound perception problems, typically struggle to differentiate specific phonemes.
They don’t necessarily have difficulty with speech perception for all sounds.
In Speech Sound Perception, what is the difference between External and Internal Monitoring?
Are either of these useful in therapy?
Internal: monitoring one’s own ongoing speech sound productions
External: is another person’s production of a sound is accurate
Research is unclear
In Speech Sound Perception, what is the difference between Discrimination Training and Production Performance?
Are either of these useful in therapy?
Discrimination Training - Teaching a child to differentiate between sounds
Production Performance - Teaching a child to produce sounds
Providing both seems to have the greatest impact
In Speech Sound Perception, what is Self-Monitoring?
Is this useful in therapy?
Identifying one’s own errors
Research has varied in whether this influences treatment outcomes.
Do SSD tend to stem from the inability to discriminate speech sounds?
No
How do structural variations of the Lips impact speech?
Rare - only with major variations
Ackerman syndrome, congenital double lip
How do structural variations of the Teeth impact speech?
2
Speakers with articulation errors more likely to have malocclusion than speakers with normal articulation
Usually not a significant factor
What is the difference between dental Occlusion and Malocclusion?
Occlusion (good) – first molars align when the jaws are closed
Malocclusion (bad) – imperfect/irregular position of the teeth when jaws are closed
How do structural variations of the Tongue impact speech?
2
Severe ankyloglossia (short frenulum) can be a factor but is RARE
Those with macroglossia or who have had partial glossectomy tend to be able to compensate
How do structural variations of the Hard Palate impact speech?
(3)
Usually able to be compensated for
Trouble when holes in the hard palate from cleft palate, surgical removal, etc.
Removal of the maxilla is a major problem
How does Oral Tactile Sensitivity affect SSD?
Oral sensory abilities tend to be lower in those who have articulation difficulties
What is the trouble with Oral Anesthetization during assessment?
Intelligibility is typically maintained in adults with normal articulation skills, but with more misarticulations and slower speech rate
What is Oral Form Recognition?
Has this been proven as significant?
Placing various forms in the mouth and asking the participant to match the form that they feel in their mouths to drawings of the form.
Research is inconsistent on whether those with misarticulation difficulty or whether there was no relationship between those two factors.
What is Oral Stereognosis?
Oral form identification
Does Oral Sensory Function aid Speech Sound Learning?
Some studies suggest that improving oral sensory awareness helps to improve articulation, but others do not support that idea.