Fluency Flashcards
What are accessory fluency behaviors?
Interjections
Revisions
Phrase repetitions
Word repetitions
What are some behaviors/reactions that go along with stuttering?
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
How do you assess for fluency?
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
WR
Whole word repetition
I
Interjection
R
Revision
PR
Phrase repetition
BW
Broken word
SR
Sound repetition
P
Prolongation
SLR
Syllable repetition
What is the most effective dysfluency correctors?
Slow rate of speech
Continuous airflow
Relaxation
What is incidence?
The number of new cases each year
What is prevalence?
Total number of people living with that right now
What are the treatments for fluency?
Stuttering modification – emotional
Fluency shaping – physical
What are the goals for stuttering modification?
Reducing feeling of shame and anxiety through Desensitization
Teaching stutters to modify the way they stutter
Cancellation
Pull out
Bounce
Preparatory set
Slowed rate
What are the phases of stuttering modification?
Identification
Desensitization
Modification
Stabilization
What are the goals for fluency shaping?
Reduce or illuminate the amount of stuttering through the following techniques: Easy onset – vowels Soft contact – consonants Short phrases Continuous phonation
What are poor fluency behaviors?
Repetitions
Prolongations
Blocks
Broken words
What strategies do you use with stuttering modification?
Cancellation
Pull-out
Bounce
Preparatory set
Slowed rate
What technique do you use with fluency shaping (physical)?
Easy onset (vowels)
Soft contact (consonants)
Short phrases
Continuous phonation
What is the over arching goal of both fluency shaping and stuttering modification?
Slow rate of speech
Motivation
Spontaneous or controlled self discipline
Fluency
Independence
Self monitoring
Self correcting
Cluttering
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
What do you say to a parent if their child stutters and needs tx?
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)
What is SAAND?
Stuttering associated with acquires neurological disorders
Acquired in adulthood most commonly due to a CVA
