Dysarthria: Speech Rate, Prosodic, Artic Impairments Flashcards
What are the two most common types of clients seen for speech rate therapy?
- dysarthric patients with very distorted artic who need to slow down to be understood
- patients with conditions (eg. Parkinsons) which may make them speak too fast
Name some speech rate therapy techniques.
- alphabet board supplementation
- rhythmic cueing
- delayed auditory feedback
- pacing board or tapping
What are the main goals of artic therapy?
- reduce impairment and strengthen the articulators
- compensate for the impairment
How do you compensate for the artic impairment?
- exaggeration of articulation
- speech rate reduction
- contrastive production drills (minimal pairs)
Name some articulation therapy techniques.
- minimal pairs
- intelligibility drills
- traditional (integral stimulation, phonetic placement, phonetic derivation)
In terms of prosody, what does DRIP stand for?
D = duration R = rate I = intensity P = pitch
What are the three main aspects of prosody?
stress, intonation, rhythm
What types of prosody impairment could you see in dysarthric patients?
- inappropriate/inadequate loudness
- inappropriate pitch levels/variation
- impaired rate of speech
- impaired stress patterning
What three features may make speech sound unnatural?
monotony, syntactic mismathes, inconsistencies
What is contrastive stress?
- focuses on stress patterning and intonational contour
- clinician elicits designated answer by asking various questions
Generating awareness of stress and intonation is KEY
What is the main goal of contrastive stress?
to increase the naturalness of speech
Many people with dysarthria can experience changes in their….
speech rate
articulation
prosody
What is the main goal of speech rate therapy?
increase intelligibility
