Fluency Flashcards

1
Q

incidence specifies what?

A

rate of occurrence

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2
Q

prevalence specifies what?

A

number of people

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3
Q

is stuttering more common in males or females?

A

males

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4
Q

what is the loci of stuttering?

A

locations in a speech sequence where stuttering are observed

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5
Q

T/F re: loci, vowels more than consonants

A

FALSE: stuttering happens more on consonants than vowels

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6
Q

T/F re: loci, on first sound/syllable of a word

A

TRUE

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7
Q

T/F re: loci, on last word in phrase/sentence

A

FALSE: first word in phrase (like how it’s on first sound/syllable)

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8
Q

T/F re: loci, on shorter, more common words

A

FALSE: on longer words

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9
Q

T/F re: loci, with less frequently used words

A

TRUE

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10
Q

T/F re: loci, on content words, not function words

A

TRUE

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11
Q

T/F re: loci in preschool CH, they stutter on content words also

A

FALSE: they stutter more on function words

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12
Q

name some general treatment goals for stuttering

A
reduce amount of stuttering
establish normal-sounding fluency
reduce assoc. motor behaviors (that may make stuttering worse)
reduce avoidance
counseling client and family
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13
Q

what is neurogenic stuttering?

A

stuttering associated with a documented neuropathy

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14
Q

3 common etiologies of neurogenic stuttering

A

CVA, extrapyramidal diseases (PD), and drug toxicity

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15
Q

name the term: rapid but disordered articulation, possibly combined with a high rate of disfluencies and impaired prosodic features

A

cluttering

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16
Q

what helps clients who clutter?

A

reducing speech rate and increasing awareness

17
Q

foundation of fluency and voice

A

airflow

18
Q

3 parts of speech iceberg

A

behavioural component (we cannot see this)

affective component (emotions)
cognitive component
19
Q

describe stuttering in terms of what?

A

frequency (#disfluencies/total words) and duration

20
Q

accessory/secondary disfluencies

A

interjections

revisions

phrase and word reps

21
Q

core disfluencies

A

sound, syllable reps

blocks

broken words

prolongations

22
Q

assessment: when?

A

situational variability

cyclical!

23
Q

assessment: where

A

where in word (diff diagnosis)

developmental stuttering: initial ONLY

SAAND (neuro): all word positions

24
Q

disfluency rate that exceeds _____ of spoken words when all kinds of disfluencies counted

A

5%

25
Q

assessment: what

A

types, sounds, severity, core, concomitant behaviours, %

26
Q

fluency shaping therapy addresses what part of iceberg?

deals with what?

A

tip: behavioural component

deals with: reducing stuttering itself

27
Q

stuttering modification therapy measures what?

what are the 2 goals?

A

measures tension/anxiety, NOT stutters/disfluencies themselves. Need to address emotional aspects of stuttering to decrease stuttering

(2 goals: reduce shame/anxiety, teach disfluencies)

28
Q

stutter modification addresses what part of iceberg?

A

2 parts of the bottom of the iceberg (including emotions)

28
Q

5 techniques in stutter modification

A

cancellation: finish sentence

pull-out: stop and start again

bounce

preparatory set: set articulators before speaking

slow rate: by drawing out vowels

28
Q

4 techniques in fluency shaping therapy

A

soft contact: on consonants

continuous phonation: like singing

short phrases

slow rate: on vowels

28
Q

both therapies want client to be able to do what, in end?

A

be independent, self monitoring, and able to self correct

29
Q

parent education re: stuttering is…

A

cyclical

variable

they did not cause stuttering

it’s ok to talk about speech, no need to ignore it

increase situations that promote fluency and decrease situations that inhibit fluency

30
Q

SAAND: stands for…

associated with?

A

stuttering associated with acquired neurological disorders

CVA

31
Q

developmental vs SAAND differences

A

developmental: stutter more on nouns, SAAND: grammatical words (and, the)
developmental: stutter initial position only: SAAND: all positions
developmental: adaptation effect: able to repeat and stutter less, not present on SAAND client (still disfluent)
developmental: automised tasks are more fluent, SAAND: automatics not more fluent

SAAND: concomitant features are rare

32
Q

developmental vs SAAND similarities

A

both know what they want to say

SAAND can include prolongation or block

if word finding/lang issues: more going on with both of them