Lecture 1 Flashcards
Assessment of stuttering behaviours (7)
- Frequency (%SS)
- Type
- Duration
- Secondary behaviours
- Severity (SSI-4)
- Fluency technique (speech naturalness)
- Speech rate
Assessment checklist (10)
- Questionnaire (case history)
- Modified Erikson Scale
- Conversation Sample
- Reading Sample
- Beyond clinic measures
- Locus of control (internal vs external)
- Self-rating of reactions to situations
- Hierarchy of speech situations
- OASES
- further ax
Mater smooth speech program (8 concept stages)
- Relaxation
- Mechanics of smooth speech
- Planning
- Rate control
- Attitude change
- Rehearsal
- High level communication skills
- Considerations of environmental factors
La Trobe phases (3)
- Intensive
- Maintenance
- Review days
BERL technique
Breathe all air our ease into phrase run all words together lengthen vowels and last word - diaphragmatic breathing - gentle contact (consonants) easy onset (vowels)
Prolonged Speech
- continuious vocalisation
- soft contacts
- gentle onsets (aspirated vowels)
Continuous air flow
naturalness taught later
Camperdown program
Non-programmed speech restructuring (prolonged speech)
- no anxiety component
Fluency shaping
- work with speakers’ motor control abilities and apply approaches to facilitate new speech production patterns
- establish fluent speech in controlled environment with + and - reinforcement
- transfer to normal conversation
- speech can become monotonous and artificial
Operant therapies
Operant conditioning (fluency rewarding or SITO)
evience base for children but may be useful in adolescence if:
- mild stutter
- not been stuttering for long
- rate control is main application of stuttering
- SITO for some clients)
Assistive devices
devices alter auditory feedback
- masking or delayed auditory feedback
use these devices selectively in situations
Pharmacology
dopamine inhibitors
- side effects, lest side effects with Pagoclone
requires GP and psychiatrist to prescribe
Stuttering Modification
stutter more fluently
- modify moments of stuttering so it is less severe
- reduce fear of stuttering, eliminate avoidance
good hybrid approach
Neurogenic stuttering (SAAND)
stuttering after acquired neurogenic damage
- stroke most common cause
Neurogenic features
- function and content words
- stutter on non-initial syllables
- absent secondary behaviours
- no adaption with repeated readings
- less responsive to fluency-enhancing conditions
(DAF)
Neurogenic treatment
- Behavioural
- pacing: 1 syllable at a time with taping rhythm
- fluency shaping - slow rate easy onset
- Stuttering modification - Neurosurgery
- Medications
