final exam Flashcards

1
Q

voice disorder

A

disorders of vocal disturbances where there is a problem initiating or controlling the voice

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2
Q

what is included with voice production

A

pitch - frequency of vibration
loudness - amplitude
quality - complexity

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3
Q

factors that influence voice

A

dysphonia, nonorganic, and organic factors

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4
Q

dysphonia

A

any condition of poor or unpleasant voice quality

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5
Q

nonorganic factors

A

aphonia - absence of audible phonation
emotional problems - stress or anxiety

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6
Q

organic factors

A

laryngitis, tumors, paralysis, vocal fold webbing, etc.

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7
Q

organic voice problems

A

pathology of disease affecting larynx or vocal tract
-most alter mass of vocal folds
-ex. edema, tumors, webbing, etc.

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8
Q

functional voice problems

A

due to faulty voice use or psychogenic factors

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8
Q

functional voice problems

A

due to faulty voice use or psychogenic factors
-vocal abuse or vocal hygiene
-sypmtoms range from whispered, breathness, hoarse, variation in pitch and loudness

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9
Q

vocal hyperfunction

A

includes any voice disorder characterized by excessive laryngeal tension or overly forceful closure of the vocal folds (vocal abuse or misuse)

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10
Q

vocal hypofunction

A

includes voice disorder characterized by incomplete closure of the vocal folds (neurologic disorders such as unilateral vocal fold paralysis, myasthenia gravis, and muscular dystrophy)

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11
Q

dysphagia

A

swallowing disorder characterized by the difficulty moving food from the mouth to the stomach

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12
Q

phases of a swallow

A

anticipatory stage : sensory information
oral stage : preparatory phase and transport phase
pharyngeal stage : protect the airway and directs the bolus towards the stomach
esophageal stage : as the bolus passes through the upper esophageal sphincter, the larynx lowers and moves backward to resume breathing

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13
Q

acute dysphagia

A

resulting from a stroke or some other incident

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14
Q

gradual deterioration dysphagia

A

resulting from a progressive disease

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15
Q

what should be considered when developing a dysphagia plan

A

positioning, cueing, bolus modification, and swallowing strategies

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16
Q

treatment goals for dysphagia

A

-prevention of aspiration, malnutrition, and dehydration
-re establishment of oral intake of food and liquid

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17
Q

postural techniques for dysphagia

A

chin down, chin elevated, head turn, head tilt, and lying down

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18
Q

maneuvers for dysphagia

A

supraglottic swallow, super-supraglottic swallow, effortful swallow, mendelson maneuver, and masako manuever

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19
Q

exercises for dysphagia

A

shaker exercises, tongue exercises, and transference of treatment effects

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20
Q

other considerations for dysphagia treatment

A

sensory stimuli, dietary changes, medical procedures, and neuromuscular electrical stimulation

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21
Q

what is the main difference of swallows for adults compared to pediatrics

A

adults had a normal swallow and children have yet to acquire normal eating skills

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22
Q

aspiration

A

when food or liquid enters a person’s airway and eventually the lungs

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23
Q

dysarthria

A

impaired ability to execute motor movement (weakness of oral muscles)

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24
Q

subsystems for dysarthria

A

respiration, phonation, resonance, and articulation

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25
Q

respiration treatment

A

establish consistent controlled exhalation to support speech

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26
Q

phonation treatment

A

efficient vocal fold closure during speech

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27
Q

resonance treatment

A

decrease hypernasality by generation of intraoral pressure

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28
Q

articulation treatment

A

improved speech sound production with constraints of impairment

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29
Q

aphasia

A

language disorder as a result to brain damage
-impaired comprehension and/or extension

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30
Q

two broad types of aphasia

A

fluent and non fluent

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31
Q

fluent aphasia

A

impaired comprehension (wernicke’s area), normal or fast rate of speech, unaware of their errors
-wernicke’s
-transcortical sensory
-conduction
-anomic

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32
Q

non fluent aphasia

A

comprehension varies, reduced vocabulary, agrammatic, impaired articulation/rate, usually aware of their errors
-broca’s
-transcortical memory
-global

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33
Q

FAST for a stroke

A

Face - smile and observe if one side of the face drops
Arms - raise both arms and see if one drops
Speech - have them count and notice if speech is slurred or strange
Time - call 911 if any of the above is a yes

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34
Q

speech characteristics with aphasia

A

aphasia - word finding difficulties
paraphasia (phonemic and semantic) - substitution
perseveration - inappropriate continuation of a response
subpropositional speech - grammar is fluent by over learned phrases are used on a higher scale
agrammatism - syntactic deficit of the omission of function words

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35
Q

what is the goal of treatment for aphasia

A

improve communication skills to the highest degree possible

36
Q

restorative/linguistic treatment

A

individuals linguistic knowledge has been disrupted and these skills can be strengthened or restored through direct instruction
-intensive and repeated therapy activities to improve linguistic skills that have been affected (syntax, word finding, phonology, etc.)

37
Q

substitutive/compensatory treatment

A

language function has been lost in an individual with aphasia, need to establish functional communication
-use procedures to encourage whatever modalities are available to the individual to convey messages successfully
-social communication, basic needs, daily planning, reading/writing/number concepts

38
Q

traumatic brain injury

A

external insults to the brain from vehicular accidents, gunshots, sports related accidents, falls, explosions, etc.

39
Q

executive functions

A

goal directed behaviors such as self-awareness, problem solving, planning/sequencing, regulating emotions, impaired pragmatic skills, reasoning

40
Q

functional domains

A

motor, attention, memory, processing speech, language, visuospatial, executive function, and mood

41
Q

stuttering

A

abnormally high frequency and/or duration of stoppage in the forward flow of speech
-cause is unknown but there is a influence by genetic and environmental factors

42
Q

core behaviors of stuttering

A

basic manifestations seemingly beyond voluntarily control
-repetitions, prolongations, blocks, disfluencies primarily on first sound or syllable

43
Q

secondary behaviors

A

develops over time as learned reactions to core behaviors and occur as break from stutter
-escape behaviors (head nods, eye blinks, and jaw tremors)
-avoidance behavior (substitutions, tension, pauses)

44
Q

treatment approaches

A

fluency shaping - increase fluent speech
stuttering modification - teach client to stutter more easily

45
Q

language disorders

A

abnormal acquisition, comprehension, and/or use of spoken or written language

46
Q

characteristics of language disorders

A

inattention, impulsivity, hyperactivity, ADD, perseveration, and echolalia

47
Q

why do children have language problems

A

primary vs. secondary, developmental or acquired, delayed vs. aberrant, range of severity

48
Q

primary disorder

A

primary deficit in the absence of other developmental areas

49
Q

secondary disorder

A

association with other impairments

50
Q

development disorder

A

present from birth or occurs at the onset of language acquisition

51
Q

acquired disorder

A

loss of language function due to illness or trauma

52
Q

delayed disorder

A

proceed through the same acquisition but at a slower rate

53
Q

aberrant disorder

A

proceed with atypical acquisition that is different from the normal sequence

54
Q

range of severity

A

can range along a continuum of mild to profound impairment

55
Q

do language problems impact communication skills?

A

not necessarily because communication can occur without language

56
Q

do language problems impact school performance?

A

yes, language is a rule covered system that involves symbols and verbal behavior

57
Q

how do we measure the complexity of a child’s developing language skills?

A

pretreatment baselines provide opportunities for the client to demonstrate communicative behavior

58
Q

what are some language intervention techniques

A

parallels talk and self talk, modeling (“mand” modeling), expansion, recast, creating opportunities

59
Q

phonology

A

sound system of language

60
Q

phonological disorder vs. articulation disorder

A

phonological is a sound system, articulation is the motor component

61
Q

patterns of errors for phonological problems

A

stopping, final consonant deletion, velar fronting, gliding, cluster reduction

62
Q

what occurs for patients with phonological problems

A

phonological processes, distinctive features, and paired oppositions

63
Q

articulation

A

emphasis is on the motor component of speech

64
Q

patterns of error for articulation disorders

A

substitution, omission, addition, and distortion of sound at the motor level

65
Q

what occurs for patients with articulation disorders

A

motor practice (drilling)
traditional approach, motor kinesthetic approach, distinctive features, and paired oppositions

66
Q

what disorders result in articulation problems

A

cleft palate, hearing impairment, and apraxia

67
Q

cleft palate

A

big concern : non developmental approach because deficits are the result of structural and NOT developmental factors

68
Q

hearing impairment

A

omission of final consonants, substitutions of voiced consonants for voiceless, vowel errors, distortions of fricatives and affricates

69
Q

apraxia

A

motor planning disorder characterized by reduced ability to volitionally sequence movements of the articulators for speech
-increase voluntary control over articulatory movements

70
Q

ambilingual

A

proficient in both native and secondary language

71
Q

equilingual

A

communicating effectively in both languages

72
Q

semilingual

A

demonstrating poor mastery in L1 and L2

73
Q

simultaneous acquisition

A

begin learning both languages from birth

74
Q

sequential acquisition

A

several years of monolingualism first
-may result in loss of L1 or interruption of progress

75
Q

components of goal writting

A

do, condiiton, criterion

76
Q

‘do’ statement

A

explains the condition under what the client will perform
-ex. will produce _______

77
Q

condition

A

description of a specific behavior
- ex. will produce x when _________

78
Q

criteria

A

desired degree of acceptable performance
- ex. will produce x when w in _________

79
Q

SOAP notes

A

subjective, objective, assessment, plan

80
Q

what is included in SOAP notes

A

-short record of therapy visit
-enable monitoring of treatment program
-provide information per visit
-facilitate continuity of treatment
-can vary based on requirements of insurance and/or family

81
Q

individualized education program (IEP)

A

ensures all children ages 3-21 with special needs receive a free, appropriate public education (FAPE)

82
Q

requirements of an IEP

A

present levels of performance, annual goals, special education and services, placement recommendation, initiation and duration of service, testing adaptation

83
Q

individual family service plan (IFSP)

A

for free, appropriate education extended by PL 99-457 to include infants and toddlers birth to 3 years
-focuses on the family as a unit

84
Q

components of a IFSP

A

present level of development, family resources and concerns, major outcomes, EI services, description of natural environment, service coordinator, and transition plan

85
Q

diagnostic reports

A

summarizes assessment results

86
Q

treatment reports

A

summary of the treatment provided
-not necessarily a discharge from service

87
Q

how do we change communicative behavior?

A

clinician support starts at a high point them decreases as the advancement in the below :
1. simple response
2. more complex response
3. most complex response
4. spontaneous conversation in all settings