Childhood MSD Intervention Principles Flashcards
What is comprehensibility/ comprehensibility evaluation?
Amount of information that is being exchanged by the speaker, what is being conveyed as a message
In the assessment, you want to know if they can contrast. This is a supplemental assessment that can be a part of your stimulability
Comprehensibility ax
Participation ax looks into:
- QOL
- Observation in Classroom and at Home
Focus: improving respiratory, phonatory, articulatory, and resonators performance for speech production
Impairment-Based Treatment
Outcome: improve speech production accuracy, speech rate and prosodic contours
Impairment-based Treatment
This focuses on improving the speech processes
Impairment-based treatment
Focus: developing compensatory strategies to obtain rapid or immediate improvements in speech intelligibility and communicative success
Activity/participation - based treatment
Compensations: ACC, hand gestures, alphabet cues, slow speech rate, overarticulation, strategic pause/breath, word emphasis
Activity/Participation- Based Treatment Approaches
Activity/Participation-based treatment is leaning more on
Comprehensibility than intelligibility
Motor speech treatment hierarchy, 1st order target
Respiration and resonation, for CAS: prosody
Motor Speech treatment hierarchy, 2nd order
Phonation
Motor speech treatment hierarchy, 3rd order:
Articulation and phonology
Components of NMTP:
○ Strength
○ Muscle tone
○ Stability and Coordination
○ Motor Planning and programming
We primarily use this for dysarthria.
NMTP
In overload (strength training) we…
Tap our muscles beyond our functioning. Dapat may hypertrophy.
We increase the ____ in overload (Strength training)
pagurin ang muscles para ma-increase ang recruitment ng motor units.
In progression (strength training) we…
Work on that load for a week or 2 then slowly progress.
In recovery we
Start the generalization
tongue strengthening exercises, the recommendation is
At least 3 times a week everyday.
respiratory muscle strengthening exercise recommendation
3 to 5 days a week and at least 2 days break na split (1:1)
If you don’t use the musculature or the structure, then you will lose the function to something else.
Reversibility
Specificity for lingual elevation
Strength, endurance, power and dynamics for lingual elevation
Specificity for dysphagia strategies
E ortful suck and swallow
No Specificity
○ Speed of lingual movement
○ Direction of lingual movement
○ Overall strength