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126 > Lec 2 Exam 3 > Flashcards

Lec 2 Exam 3 Flashcards

1
Q

types of cerebral palsy

A
  1. spastic
  2. athetoid
  3. ataxic
  4. rigid
  5. mixed
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2
Q

definition of cerebral palsy

A
  • non progressive motor disorder resulting from brain damage that occurs pre, peri, post natally
  • adults don’t acquire it , you are born with it
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3
Q

speech prob and their assessment

A
  1. Oral motor
  2. Feeding
  3. Slow DDK rates, discoordination of tongue
  4. Resonance
  5. Prosody
  6. Respiration
  7. Phonantion
  8. Articulation
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4
Q

resonance

A
  • hyper nasality
  • nasal emission
  • poor oral resonance
    Do an oral peripheral assessment of speech
    Watch them suck, chew, swallow and get oral motor info
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5
Q

prosody

A
  • may sound monotone

- mono loudness

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6
Q

respiration

A

could be weak w/ weak voice

  • poor volume
  • VF adducive impacts voice
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7
Q

articulation

A
  • imprecise articulation
  • sound slurred
  • phonological patterns consonant cluster reduction
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8
Q

Dysarthria

A

NEURO motor disorder affecting all systems respiration, phonation, articulation , resonance, prososdy

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9
Q

characteristics to look for in assessment

A
  • breathy respiration
  • difficulty with appropriate syllable stress
    Articulation: imprecise , distored consonants weak pressure consonants - polsive osunds will be impacted
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10
Q

Hypernasaility

A

b/c no strong velopharyngeal closure ]

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11
Q

phonation

A

monotone, monoloudness, often soft voice

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12
Q

Festination

A

small shuffling

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13
Q

Hall marks to chdhood apraxia

A
  • inconsistent errors
  • flat prosody
  • difficulties sequencing sounds and syllables
  • moderate to severely unintelligible
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14
Q

Owens, Farinella, Metx 2015

A
  • CAS not the result of neuromuscular weakness
  • ch was CAS have impaired motor planning and programming capabilities
  • Unable to automatically learn motor plans necessary for rapid accurate speech production
  • Better at word level than connected speech level
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15
Q

Associated problem

A
  • family hx in some chd
  • possible learning disability ( not always)
  • better receptive lang skills decrease expressive lang
  • slow treatment process - long process
  • oral apraxia difficulty w/ volitional non speech task
  • slow DDK
  • Soft neurological signs - gross and fine motor incoordination (potential referrals to other professionals)
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16
Q

For assessment - need to evaluate what

A
  1. pitch, loudness, prosody
  2. overall intelligibility
  3. resonance- hypernasality
  4. DDK alternating and sequential motion
  5. sample production of same phoneme in multiple trials
  6. ask them to produce words in both imitative and spontaneous modes
  7. developmental hx - feeding, sucking, problems? slow lang dev?
  8. volitional non speech movements of oral muscles insolation and in sequence
  9. receptive and expressive lang skills
  10. articulation - give test admin items repetedly to assess consistency of production
    11 connected speech sample
    12 production of polysyllabic words- have them say the words several times check for consistency
17
Q

inconsistency of errors is a hallmark of

A

Chdhood Apraxia of Speech

18
Q

assessment of cleft palate patients

A
  • difficulty w/ pressure consonants ( stops fricatives affricatives)
  • nasal emission- hyper nasality
  • compensatory errors like glottal stops - hoarseness
  • middle ear dysfunction (eustachian tube OME)
  • watch expressive receptive lang gap
  • listen for vocal pathology like harseness soft voice due to strain on VF or to VPI
19
Q

what test to use for assessment of cleft palate

A

iowa pressure test - part of templin-darley

20
Q

Assessment strategies for cleft palate

A
  1. work with team of professionals
  2. help plan surgical interventions
  3. Assess intelligibility in connected speech
  4. ESP asess production of pressure consonants in words and sentences
  5. determine presence of hypernasality on vowels and nasal emission on consonants
21
Q

hold a mirror under the chds nose and check for what

A
  • have them prolong /i/

- mirror should be clear if there is no hypernasality

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