Childhood MSD Intervention Principles Flashcards

1
Q

What is comprehensibility/ comprehensibility evaluation?

A

Amount of information that is being exchanged by the speaker, what is being conveyed as a message

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2
Q

In the assessment, you want to know if they can contrast. This is a supplemental assessment that can be a part of your stimulability

A

Comprehensibility ax

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3
Q

Participation ax looks into:

A
  1. QOL
  2. Observation in Classroom and at Home
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4
Q

Focus: improving respiratory, phonatory, articulatory, and resonators performance for speech production

A

Impairment-Based Treatment

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5
Q

Outcome: improve speech production accuracy, speech rate and prosodic contours

A

Impairment-based Treatment

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6
Q

This focuses on improving the speech processes

A

Impairment-based treatment

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7
Q

Focus: developing compensatory strategies to obtain rapid or immediate improvements in speech intelligibility and communicative success

A

Activity/participation - based treatment

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8
Q

Compensations: ACC, hand gestures, alphabet cues, slow speech rate, overarticulation, strategic pause/breath, word emphasis

A

Activity/Participation- Based Treatment Approaches

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9
Q

Activity/Participation-based treatment is leaning more on

A

Comprehensibility than intelligibility

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10
Q

Motor speech treatment hierarchy, 1st order target

A

Respiration and resonation, for CAS: prosody

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11
Q

Motor Speech treatment hierarchy, 2nd order

A

Phonation

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12
Q

Motor speech treatment hierarchy, 3rd order:

A

Articulation and phonology

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13
Q

Components of NMTP:

A

○ Strength
○ Muscle tone
○ Stability and Coordination
○ Motor Planning and programming

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14
Q

We primarily use this for dysarthria.

A

NMTP

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15
Q

In overload (strength training) we…

A

Tap our muscles beyond our functioning. Dapat may hypertrophy.

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16
Q

We increase the ____ in overload (Strength training)

A

pagurin ang muscles para ma-increase ang recruitment ng motor units.

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17
Q

In progression (strength training) we…

A

Work on that load for a week or 2 then slowly progress.

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18
Q

In recovery we

A

Start the generalization

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19
Q

tongue strengthening exercises, the recommendation is

A

At least 3 times a week everyday.

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20
Q

respiratory muscle strengthening exercise recommendation

A

3 to 5 days a week and at least 2 days break na split (1:1)

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21
Q

If you don’t use the musculature or the structure, then you will lose the function to something else.

A

Reversibility

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22
Q

Specificity for lingual elevation

A

Strength, endurance, power and dynamics for lingual elevation

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23
Q

Specificity for dysphagia strategies

A

E ortful suck and swallow

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24
Q

No Specificity

A

○ Speed of lingual movement
○ Direction of lingual movement
○ Overall strength

25
Muscle tone subsystems
1. Slow stretch 2. Quick stretch and tapping 3. Massage 3. Vibration 5. Cold
26
- Pag slow you inhibit the stretch reflex, and helps reduce the rigidity - It can also increase the ROM, you can use it for speech: jaw closure - NOTE: it does not reduce the tone, you cannot do something about it
Slow stretch
27
- Intended to increase the contraction by stimulating the stretch reflex. - Good for the jaw
Quick stretch and tapping
28
- Targets the superficial and deep cutaneous receptors of the muscles - Intended to decrease rigidity and the muscle hyperfunction.
Massage
29
- Increases the agonist, the contraction of agonists muscle - And decreases the contraction of the antagonist muscles - We expect this on jaw musculature.
vibration
30
Decrease the contraction and decrease the muscle contraction speed (maraming gumagamit)
Cold
31
Motor learning principle says that
what we are teaching is not for the patient to produce the sounds. what we are AFTER is that we’re teaching motor movements.
32
Motor learning
Processes associated with practice or experience leading to relatively permanent changes in the capability for movement
33
Motor Learning (PLM)
1. Level of stimuli 2. Structure of practice 3. Feedback 4. Focus: long term learning
34
Motor program is
An organized set of motor commands that can be specified before movement initiation
35
generalized motor program
abstract movement pattern that specifies relative timing and relative force of muscle contractions
36
It is observed within the session
Acquiistion
37
It is when the child is able to remember it for a while
Retention
38
It is when you are able to apply it in other scenarios
Transfer
39
Precursors to motor learning
Establishes the readiness of the child
40
The precursors to motor learning
1. Establishing trust 2. Motivation 3. Focused attention 3. Pre-practice 5. Simple targets
41
To be able to independently use the skill Gusto mo magamit niya na So anong kailangan gawin: they need to follow the conditions of practice
Practice phase
42
In goal / target setting
Motor program dapat yung target and parang ploy lang yung speech sound
43
Repetitive drills are
Sucient trials within a practice session
44
In strength training during session
machachallenge yung kid but at the same time hindi siya mafafatigue. Would give 10 repetition per set, having 3 sets, fo
45
Massed practice is
more frequent sessions per week over a period.
46
Distributed practice
refers to the length and frequency of the treatment session.
47
all practice trials of a stimulus are done in one time block.
Blocked
48
order of presentation of all stimuli is random.
Random
49
3 kinds of feedback
● Knowledge of results (KR) ● Knowledge of performance (KP) ● Finely specified
50
Gaano ba kadalas ang feedback?
would depend kung pre-practice or practice. - In pre-practice you would want feedback as to every target. Provide feedback kahit na tama and mali.
51
In KR we do
sinasabi mo lang na “tama ba or accurate ba ginawa mo” like “ah oo mali yan, mali production mo”
52
In KP we do
sinasabi mo ang performance, ano ang ginawa niyang mali, ano ginawa niyang tama.
53
more useful sa early staged in the motor program.
KP
54
supports more generalization.
KR
55
more useful in pre-practice
KP
56
more useful in practice
KR
57
will work on adults as they like to know where specifically they went wrong and they have the language skills to back it up
Finely specified feedback
58
What is neuroplasticity
capacity of the nervous system for change