June 25 Slides 2nd Deck Flashcards
What would you note when beginning an oral mech exam?
* Tonsils? • Lip scars? • Palate scars? • High arched palate? • Palatal Lift? • Occlusion?
What constitutes a perceptual speech exam?
- Conversational speech
2. Structuredlisteningtasks
Conversation is important: Mild forms of VPI only manifest in what?
complexity of conversation
Sometimes, the velopharynx can push closed what kind of utterances?
short
When the velopharynx pushes closed for short utterances,, can it sustain over time?
NO
Describe a structured listening task.
Use a commercial standardized test
– Most SLPs have
– Yields a standard score, percentile, age equivalency
– Evaluates all consonants, positions
Name 3 benefits to a non-standarized assessment.
- May be easier to categorize
* May be organized by sound class • May be easier to spot patterns
What speech productions do you begin with in the oral mech exam?
Begin with CVCs • Mom—pop—bib • Nine—Tight—Dad • Coke—gag • Fife—valve—sis—zoos Shush—church—judge Lull—roar
What do you advance to after cvcs?
more complex tasks: words, phrases, sentences
What do you use when you advance to more complex tasks: words, phrases, sentences
- The Resonance vs. Articulation Quick Check
* (Handout available)
After the Resonance vs. Articulation Quick Check, what do you do?
repeat it, but plug the nose if you are concerned about hypernasality or weak consonants
What if there is a fistula especially in the hard palate or the hard-soft junction?
plug it
Then what do you do after you plug the fistula especially in the hard palate or the hard-soft junction?
repeat your test and note if there is a difference
If the fistula is plugged what happens to the speech resonance and pressure? Is further VP assessment needed?
- they normalize
- no
If fistula is plugged and there is no change, or improvement, what do you do?
- proceed to other studies, but plug the fistula
When fistula is plugged during perceptual speech exam, what do you use?
Be sure to use only appropriate articulations
What do you do if the child has a significant facial difference when giving perceptual speech exam?
repeat your test, but don’t look at the child
If the child has a significant facial difference, you repeat your test, take notes, and check if you hear WHAT with appropriate articulations?
- Hypernasality
- Nasal emission
- Nasal turbulence
- Nasal grimacing
- Weakened consonants
- Nasalized consonants
If you hear • Hypernasality • Nasal emission • Nasal turbulence • Nasal grimacing • Weakened consonants • Nasalized consonants
WHAT SHOULD YOU DO?
Refer back to the team for further study:
– Imaging
– PressureFlow
– Acoustic
What should you do if the child only has nasals and glottals?
- Begin therapy to expand the repertoire
- This child is not ready for imaging or other evaluation techniques
- The medical team can evaluate more fully if you have at least [p,b] in syllables, words, or phrases
What if there are a variety of articulation errors? Do you treat (provide speech therapy) obligatory errors?
No, you don’t treat obligatory errors
Do you treat (provide speech therapy) adaptive errors?
No, you don’t treat adaptive errors?
Do you treat (provide speech therapy) maladaptive errors?
definitely treat
Do you treat (provide therapy) developmental errors?
treat if and when appropriate as you would any other child
What do you ask parents to do for perceptual speech exam?
Ask parents to sign release
allowing you to
communicate with the
treating team
Send your evaluation results
Ask questions
Relay your concerns
Report your treatment plan
