Cluttering Flashcards
disorder of fluency
cluttering
Cluttering may also be a disorder of?
language
but what came first the language disorder or the cluttering?
Cluttering contains what type of errors?
syntax speech excluding/disorganized sounds phonology errors attention deficits
What is also involved in cluttering?
excessive breaks stemming from disorganized speech planning/thinking
Someone who clutters is very….
unintelligible
According to Dr. B
What will the parents of someone who clutters say? A
parents will say their child was never fluent. There was no typical development. It is like the babbling never stopped.
What might the parents call the cluttering?
stuttering
Apraxia vs Cluttering
Cluttering: rushes of speech rates syllables change Apraxia: syllables are fine, its the speech sounds that are messed up
Approximately what percent of the people who clutter only clutter?
5%
Approximately what percent of people who clutter also stutter?
95%
Cluttering VS Stuttering
- not cyclical
- not variable to situations
- stays at given level of severity
- other language deficits co-occur (speaking, reading, and writing)
- developmental milestones are usually not met
- not sure of what they want to say
- its a language and fluency disorder
- little or no struggle
- no concomitant features
- you can have them slow down and think about what they want to say
How can you identify someone who clutters?
- listen to conversation speech sample
- content is not right
- confusing, disorganized language and word finding difficulties
- excessive revisions
- interjections
What are the hallmarks of cluttering?
- bursts of speech and pauses that are too long
- not aware of the problem
- vowels and consonants are messed up
- slurring speech sounds
- poor intelligibility
What is the characteristic of the prosodic pattern?
Not monotone but extremely predictable
Deleting what syllable is common?
non-stressed
What learning disabilities co-occur
reading
writing
sloppy handwriting
Overarching all of these problems is??
disorganized life
poor life scheduling
How do you evaluate cluttering?
- rate of speech (pauses and rush of speech)
- articulation (what syllables are being left out/slurred)
- Auditory processing and comprehensive abilities
- basic motor eval for neuro soft signs (floppy/moppy kids)
- Awareness of the cluttering (you will find they are not aware)
Treatment
- increase awareness
- slow rate of speech (use pacing bad or some type of manipulative)
- pace and enunciate
- production in conversation
- for language work on memory and sequencing
- work on attention (gaze)
Prognosis
- not good
- motivation is lacking (unawareness of the problem)
- progress (if any) will be slow… why? because training attention and sequencing is really hard.
