L6 SSD pt 2 Flashcards

1
Q

pre-disposing factors definition

A

Factors which make a child more likely to develop SSD

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2
Q

examples of predisposing factors of SSD

A
  • Sensory: hearing and vision e.g. persistent Otitis Media
  • Neurological: motor planning and execution, structural
  • Cognitive/ linguistic: including processing, not combining words at 2 years, stuttering, DLD
  • Social-emotional: less sociable, more reactive - lower socialisation leads to less understanding of cues
  • Low SES/maternal education at risk
  • Structural: e.g. cleft palate, no teeth
  • Gender: male
  • Genetic: gender; family history.
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3
Q

precipitating factors definition

A

Factors which may make the SSD worse - usually within the last 6-12 months

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4
Q

examples of precipitating factors of SSD

A
  • Hearing loss, ear infections
  • General health
  • Environmental stressors
  • Opportunities and reinforcement
  • Trauma
  • Sucking habits eg bottle
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5
Q

perpetuating factors definition

A

Factors which stop the SSD from getting better

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6
Q

example of perpetuating factors

A
  • Stasis on sensory, motor, cognitive, social issues (there has been no change for these factors thus the SSD can’t get better)
  • Potential advantage implicit in presentation - encouraging it bc it’s “cute”
  • Reinforcement from context - copying the child’s mispronouncination
  • Failure to initiate change
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7
Q

four speech sound disorder classification systems

A
  1. Stages of development
  2. Underlying cause
  3. psycholinguistic model
  4. surface speech characteristics
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8
Q

who came up with stages of development and when

SSD classification system

A

Grunwell 1981

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9
Q

describe stages of development

SSD classification system

A
  • Age nine months to 4 and a half
  • Purely focuses on actually phonological ages and stages
    • Not useful in clinical practice due to lack of info on risk or cause
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10
Q

who came up with underlying cause and when

SSD classification system

A

Shriberg 1997

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11
Q

describe shriberg’s underlying causes

SSD classification system

A
  • Four different categories of speech disorders
    • normal speech
    • speech delay
    • speech errors
    • motor speech disorder
  • Uses case history to discover risk factors
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12
Q

who came up with psycholinguistic model and when

SSD classification

A

Stackhouse and Wells 1997

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13
Q

6 processes in saying a word

psycholinguistic model - stackhouse & wells

A
  1. Recognise the picture and process information → visual processing
  2. Think of the word – find the name → Cognitive -linguistic skills
  3. Retrieve the sound form → phonological skills
  4. Translate that form into a motor plan → phonetic skills
  5. Execute that motor plan by articulating all the sounds, in the correct order → articulation skills
  6. Listen to your production to check the accuracy → auditory processing
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14
Q

describe psycholinguistic model

SSD classification system

A
  • any breakdown in aforementioned underlying speech processes
  • no subcategories - each child has a unique profile
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15
Q

who came up with surface speech characteristics and when

SSD classification systems

A

Dodd - 2014

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16
Q

five SSD subtype classifications

Dodd 2014

A
  • articulation disorder
  • phonological delay
  • consistent phonological disorder
  • atypical phonological disorder
  • childhood apraxia of speech
17
Q

what percentage of children with SSD have articulation disorders

Dodd 2014

A

12%

18
Q

describe articulation disorders

according to Dodd 2014

A
  • Isolated errors in articulating, distorted errors on imitation and spontaneous, common errors: /r/ & /s
  • The child literally cannot articulate the sound - often it’s a structural issue
  • Not stimulable, not in phonetic inventory
19
Q

what percentage of children with SSD have a phonological delay

Dodd 2014

A

55%

20
Q

describe phonological delay

according to Dodd 2014

A

Child produces phonological pattern errors typical in normal development but at a later stage of development

21
Q

what percentage of children with SSD have consisten phonological disorder

according to Dodd 2014

A

20%

22
Q

describe consistent phonological disorder

according to Dodd 2014

A
  • Predictable error patterns, patterns atypical in normal speech development.
  • Can co-occur with typical error patterns
  • Variability <40%
23
Q

what percentage of children with SSD have inconsistent phonological disorder

according to Dodd 2014

A

10%

24
Q

describe inconsistent phonological disorder

according to Dodd 2014

A
  • Inconsistent production of words - /table/ → [cable], [bable], [gable],
  • Better on imitation; extent of variability is crucial i.e., >40%,
  • Difficulty with representation of motor plan
25
Q

what percentage of children with SSD have childhood apraxia of speech

according to Dodd 2014

A

3%

26
Q

describe childhood apraxoa of speech

according to Dodd 2014

A

Speech inconsistency, problems with phonetic planning, motor programming, imitation of novel words, & prosody, groping