Fluency

Question 1

What are accessory fluency behaviors?

Answer 1

Interjections
Revisions
Phrase repetitions
Word repetitions

Question 2

What are some behaviors/reactions that go along with stuttering?

Answer 2

Affective – emotions
Cognitive – “I know I stutter, so I won’t talk”
Concomitant behavior – not always a conscious behavior
Eye blinking, snapping, head rolling, stomping foot

Question 3

How do you assess for fluency?

Answer 3

Word for Word transcription of at least 100 words

Transcribe to illustrate how they stutter

Do transcription – then description

Note behaviors and emotions and figure percentage of disfluency

Write an assessment report

Question 4

WR

Answer 4

Whole word repetition

Question 5

I

Answer 5

Interjection

Question 6

R

Answer 6

Revision

Question 7

PR

Answer 7

Phrase repetition

Question 8

BW

Answer 8

Broken word

Question 9

SR

Answer 9

Sound repetition

Question 10

P

Answer 10

Prolongation

Question 11

SLR

Answer 11

Syllable repetition

Question 12

What is the most effective dysfluency correctors?

Answer 12

Slow rate of speech

Continuous airflow

Relaxation

Question 13

What is incidence?

Answer 13

The number of new cases each year

Question 14

What is prevalence?

Answer 14

Total number of people living with that right now

Question 15

What are the treatments for fluency?

Answer 15

Stuttering modification – emotional

Fluency shaping – physical

Question 16

What are the goals for stuttering modification?

Answer 16

Reducing feeling of shame and anxiety through Desensitization

Teaching stutters to modify the way they stutter
Cancellation

Pull out

Bounce

Preparatory set

Slowed rate

Question 17

What are the phases of stuttering modification?

Answer 17

Identification
Desensitization
Modification
Stabilization

Question 18

What are the goals for fluency shaping?

Answer 18

Reduce or illuminate the amount of stuttering through the following techniques:
  Easy onset – vowels
  Soft contact – consonants
  Short phrases
  Continuous phonation

Question 19

What are poor fluency behaviors?

Answer 19

Repetitions
Prolongations
Blocks
Broken words

Question 20

What strategies do you use with stuttering modification?

Answer 20

Cancellation

Pull-out

Bounce

Preparatory set

Slowed rate

Question 21

What technique do you use with fluency shaping (physical)?

Answer 21

Easy onset (vowels)

Soft contact (consonants)

Short phrases

Continuous phonation

Question 22

What is the over arching goal of both fluency shaping and stuttering modification?

Answer 22

Slow rate of speech

Motivation

Spontaneous or controlled self discipline

Fluency

Independence

Self monitoring

Self correcting

Question 23

Cluttering

Answer 23

Never fluent

Tell them to slow down and think about what they want to say

Unaware

Sloppy handwriting

Developmental milestones are delayed

Irregular speaking rate

Extensive interjections and revisions

Little or not pauses

No struggle

Slurred speech

Poor intelligibility

Question 24

What do you say to a parent if their child stutters and needs tx?

Answer 24

It is cyclical

It is variable

Make it clear they aren’t at fault

It’s ok to talk about speech- don’t ignore it

Increase situations that enhance fluency (praise) and decrease situations that inhibit fluency (slow down, say it right)

Question 25

What is SAAND?

Answer 25

Stuttering associated with acquires neurological disorders

Acquired in adulthood most commonly due to a CVA