Disorders Module 3 Flashcards
Fluency is
a descriptive term used to characterize the flow of speech during communication
Fluent refers to
speech moving along @an appropriate rate with easy rhythm
dysfluent refers to
disrupted in one or more following areas: rate, rhythm, smoothness, effort, or automaticity
what is fluency disorder?
disturbance in the normal fluency and timing patterns of speech that is inappropriate for the person’s age
Significant enough that it impacts social communication, educational or occupational performance
Dysfluency characteristics
repititions
prolongations
Interjections
Words broken by pauses,
Pauses in speech (blocks)
substitutions to avoid problematic words
excess physical tension in producing speech
Speech disfluencies are ……
the core features of a fluency disorder
Primary characteristics
repetition
Prplongation
Block
Secondary characteristics
eye blinks, Lip tremor, Head jerks, Fillers, Pauses, Word changes, Negative feelings & attitudes
Block refers to
a complete pause in the production of a syllable or word
Block
…….stops and ……
airflow stops & articulators become stuck in place
Broken word …..
a word interrupted by a pause, prolongation, or block
Circumlocution
talking around a word or substituting another word or phrase for it
Filler word, interjection
a word inserted into utterances or phrases
Propongation refers to
When a consonant or vowel sound held longer than normal
Nature of airflow and articulators during Prolongation
Airflow continues, but the articulators are stuck in place
Rate
an undividual’s pace of speaking
Repetition
the replication of a sound, syllable, or word
Part word or whole word
Revision refers to
Changing, abandoning an utterance during its delivery
Prevalence
1 in 100
Incidence
5 in 100
Prevalence & Incidence
affect children most between 2 and 10
Boys are affected @higher rates than girls
Classification of fluency disorders
- developmental
- acquired
Types of acquired fluency disorder
neurogenic and paychogenic
Difference between neurogenic and psychogenic
those of psychogenic origin are typically provoked by a significant stressor
Characteristics of fluency disorder
- core features
- secondary features
Core features include
- dynamic nature
- types
- within-word and between-word disfluencies
Secondary features
Escape behaviors
Avoidance behaviors (word, sound, situations)
Feelings and attitudes
The assessment process
Referral Assessment protocol Diagnosis Prognosis Treatment recommendations
Dysphonia
A voice that is disprdered in some way
Aphonia
total loss or lack of voice
Terminology related to voice quality
Dysphonia
Aphonis
Terminology related to vocal fold functioning
Diplophonia
Hypofunctioning
Hyperfunctioning
Diplophonia is
vocal folds produce 2 different pitches simultaneuously
Diplophonia cause
a mass difference in each vocal fold
Voice disorder incidence is higher in …. (Gender)
women
Branches of the CN X
pharyngeal branch
Superior laryngeal branch
Recurrent laryngeal branch
