Fluency

Question 1

Speech features unique to SLDs

Answer 1

Sound/syllable reps
Prolongations
Blocks
Clusters

Question 2

Covert features of SLDs

Answer 2

Physical tension/struggle
eye blinks
facial grimacing
change in pitch or loudness
Negative reactions/frustration
Avoidance behaviors
Family history

Question 3

Speech features seen in TLDs

Answer 3

multisyllable rep
Whole word rep
Phrase rep
interjections
revisions

Question 4

What causes neurogenic stuttering?

Answer 4

Strokes, TBI, RHD, Parkinson’s drug toxicity or nerve damage related to a neurological episode

Question 5

What causes phychogenic stuttering?

Answer 5

Sudden onset after emotional trauma or stress. Also seen in patients w/ chrinic psychological illness

Question 6

How are neuro/psychogenic stuttering different from typical developmental stuttering?

Answer 6

Rep of medial and final syllables
Dysfluent production of function words
Dysfluent in imitated speech
rapid speech rate
few to no secondary behaviors
no adaption effect

Question 7

How would you assess if the pt has develop. stuttering vs neuro/psych?

Answer 7

review med records/interview
Choral reading

Question 8

How would you treat neuro/psych stuttering?

Answer 8

reduce rate of speech through DAF or pacing boards
relaxation techniques to reduce tension
postural changes to reduce jaw tension
biofeedback

Question 9

What are indicators that a child’s stuttering will persist?

Answer 9

Family hx
they are male
onset after 3.5 years
frequency/sevarity has not decreased after 1 year post onset (esp for girls)
continued presence of prologations and blocks
phonological skills are below the norm