CSD Exam 1 Flashcards
what is impairment
Loss or abnormality of function
E.g. A hearing impairment
what is disability
Reduced competence in meeting needs in daily living
E.g. Person with hearing impairment has trouble with a telephone
what is handicap
Social, Educational or Occupational disadvantage from the impairment/disability
E.g. Hearing impaired person has trouble in a noisy classroom
what is speech difference
Differences typically associated with a dialect or a second language. Not a disorder.
what is speech disorder
“When a person is unable to produce speech sounds correctly or fluently, or has problems with his or her voice, then he or she has a speech disorder .” - ASHA
what is communication?
The process by which two or more people share
information, including facts, thoughts, ideas and
feelings
what is formulation?
is the process of pulling together one’s thoughts or ideas before sharing them with another. What is the thought or feeling you want to share
what is transmission?
is the process of conveying those ideas to another person, often by speaking but also by signing, gesturing, or writing.
what is reception?
is the process of receiving information from another person
what is comprehension?
is the process of making sense of information presented to you
what are communication modalities?
describes the manner in which information is transmitted and received.
what are the three components of communication?
Language, Speech, Hearing
what is language?
The cognitive process of forming thoughts and ideas
A symbol system for communication
what is speech?
Neuromuscular process of turning language into a
sound signal for communication
what is hearing?
The perception of sound
Or, in communication, the perception of speech
what are the three domains of language?
Content, Form, Use
what is content?(semantics)
refers to the meaning of language-the words we use and the meaning behind them.
what is form?(syntax, morphology, phonology)
is how words, sentences, and sounds are organized and arranged to convey content.
what is use?(pragmatics)
is how language is used functionally to meet personal and social needs
what is semantics?
refers to the rules of language governing the meaning of individual words and word combinations.
what is syntax?
refers to the rules of language governing the internal organization of sentences.
what is pragmatics?
refers to the rules of language governing how language is used for social purposes. Governs three important aspects of social use of language. (communication functions, Conversation, social conventions)
what are the three systems involved in speech?
Respiration, Phonation, Articulation
what is respiration?
breath of air that begins in lungs and travels up through the trachea(windpipe) over the vocal cords.
what is phonation?
air into oral or nasal cavities
what is articulation?
air manipulated by the oral articulators-tongue, teeth, jaw
what are the four components to normal speech?
breath support, voice, articulation, fluency
what is breath support?
Passive expiration is not enough to support
speech
Active contraction of inspiratory and expiratory
muscles creates
a consistent airflow
10% inspiration, 90% expiration
Use several muscles and structures – diaphragm,
abdominal muscles, ribs, muscles in between ribs
etc
.
what is voice?
Voice quality, volume, and pitch can affect speech Quality: how breathy, hoarse, broken, or nasal a voice sounds Volume: how loud or soft the voice sounds Pitch: how high or low the voice sounds
what is normal speech articulation?
Sounds must be produced accurately and consistently for effective speech Try /s/
what is fluency?
Fluent speech is produced easily and
smoothly, without hesitations, interjections,
repetitions, or circumlocutions
Fields of CSD
SLP, Audiologist, Speech Language Hearing Science, 3 principles of evidence based practice.
Roles of SLP
They prevent and screen for communication
disorders
They assess for and diagnose communication
disorders
They treat and manage communication
disorders
They also advocate on behalf of people with
communication disorders
Roles of Audiologist
Audiologists prevent, identify, and
manage hearing and balance system
dysfunction
Roles of Speech, language, and hearing
scientists
Speech, language, and hearing scientists do research related to speech, language, hearing, and communication
Three communication disorders
language, speech, hearing
what arelanguage disorders
Language disorders can affect any domain (content, form, use) Children or adults can have language disorders Examples: Children : SLI Children: Intellectual disability with language disorders Adults: Aphasia Adults: TBI with resulting language disorders
what are speech disorders
Speech disorders can include difficulties with any of the components of normal speech production: 1. Articulation and phonological disorders Distortions, substitutions, and omissions of speech sounds because of structural, articulatory, or perceptual problems . 2. Fluency disorders Repetitions, prolongations, and blocks during speech 3. Voice disorders Difficulties with voice production 4. Motor speech disorders Distortions, substitutions, and omissions of speech sounds because of neurological problems
what are hearing disorders?
Hearing disorders affect auditory pathways from the ear to the brain 1. Conductive hearing loss: Affects the outer or middle ear 2. Sensorineural hearing loss: Affects the inner ear or the auditory nerve that connects the inner ear to the brain. 3. Auditory Processing disorders \: Affects the processing of speech sounds in the auditory center in the brain
what are feeding and swallowing disorders?
Pediatric Feeding and swallowing disorders Can be related to some developmental disorders Cerebral palsy, cleft palate Can be acquired through a TBI, etc. Adult dysphagia Can be because of a stroke , other neurological diseases, Alzheimer’s disease, head and neck cancer, etc.
what are the categories of communication disorders?
Age of onset Etiology Progression Severity
what is age of onset?
When the disorder starts Congenital or developmental Before, during, or shortly after birth Cerebral palsy, childhood apraxia of speech, autism Acquired Occurs after a period of normal development Traumatic brain injury, Aphasia, Amyotrophic Lateral Sclerosis (ALS)
what is etiology?
The cause of a disorder Organic disorders have neurological or physiological causes Aphasia is caused by brain injury Aphonia is caused by laryngectomies Functional disorders have no known cause Childhood language disorders Autism
what is progression?
How a disorder changes over time Progressive or degenerative disorders Deteriorate over time ALS, MS, Muscular dystrophy, Alzheimer’s disease Non-progressive Maintain over time TBI, Down syndrome
severity category
Mild Moderate Severe Profound
Communication Disorders vs.
Communication Differences
Disorder:
Significantly lower skills than others of the
same
cultural background, language community,
and dialect community
A communication difference is a variation
between linguistic communities.
In Pittsburgh, speakers often omit linking verbs in
sentences like, “The laundry needs washed.”
In African American English (AAE), speakers
often omit verbs in sentences like “he tired” or
substitute /f/ for “th” in words like “bath” and
“birthday”
A communication disorder is a variation within
a linguistic community.
what are assessments?
Often Multidisciplinary
It may involve many professionals who bring
diverse knowledge, skills, and experiences.
School example: special educator, classroom teacher,
reading specialist, SLP
Rehab example: Physical therapy, Occupational
Therapy, Nursing, SLP
Systematic
It follows certain procedures so that its outcome
will be comprehensive, nonbiased, and valid.
goals of assessments
Verify and characterize the communication disorder Identify causes (etiology) Propose plans to “treat” Qualify the client/patient for services Attempt to provide a prognosis Achieved through various means
what are the five stages of the assessment process?
I. Screening & referral II. Designing & administering the assessment protocol III. Interpreting assessment findings IV. Developing an intervention plan V. Monitoring progress and outcomes
Screening and referral
S creening is the use of a test or task to conduct a quick check of performance in one area. A hearing screening provides a quick and relatively inexpensive probe of a person’s hearing at key levels. Passing Failing
Referral is the process of requesting
speech, language, and hearing
services.
Referrals are made by parents or other
caregivers, or by educational and health-care
professionals.
These people may have completed an official
screening, or may have just noticed a problem
and then refer to the SLP or audiologist
II Designing and administering the
assessment protocol.
Record review (Collect a case history) Interview Systematic observation Questionnaire/survey Formal tests Instrumentation
Record review
Looking at any relevant records that will help professional in understanding the problem Medical records Educational records Developmental information Any previous therapy records
Interview
Collecting information from the family,
caregivers, client, or other professionals
See example interview questions for a client on pg.
176
In our clinic, the interview is the first part of the
face to face assessment process
Systematic observations
Observing how a person uses communication for functional purposes in activities in home, work, and school environments. Examples: Observing a student within his/her classroom Observing a preschooler interact with parents Observing an adult communicating with