Lecture 10 Flashcards

1
Q

What is cluttering?

A

a disorder of fluency

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2
Q

what is the ASHA definition of cluttering?

A
  • a fluency disorder characterized by
    1. a rapid and/or irregular speaking rule
    2. excessive disfluencies- can co-occur with stuttering
    3. other symptoms:
    a. language errors: syntax, sequencing
    b. phonological issues
    c. attention deficits
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3
Q

What does cluttering involve?

A

a. excessive breaks in the normal flow of speech
b. disorganization in thinking and speech planning
c. talking too fast or irregular rate

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4
Q

parents usually report that:

A
  • cluttering appeared as soon as the child started to talk
  • child “was really never fluent”
  • they may call cluttering , stuttering
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5
Q

What are the difference between cluttering and stuttering? 1-3

A
  1. Early cluttering is NOT cyclical or not variable
  2. Maintains a level of severity
  3. Other speech and language delays usually evident
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6
Q

To identify cluttering…

A
Need to listen to conversational 
speech:
- doesn’t sound fluent, but not stuttering
- content of utterances just not right
- may be confusing, disorganized
- word finding difficulties
-  excessive revisions
-  irregular speaking rate; bursts of speech with delays and pauses
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7
Q

other issues RE: cluttering

A
  • usually few if any concomitant or secondary behaviors
  • usually mispronunciations (difficulty with sequencing, problems with multisyllabic words)
  • may exhibit slurring of speech sounds
  • may have poor intelligibility
  • may have fixed intonation pattern
  • may exhibit deletions of non stressed syllables in longer words- (fortunately> ferchly)
  • may exhibit learning disabilities
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8
Q

Areas of evaluations for cluttering

A
  • rate
  • articulation
  • receptive/expressive language
  • auditory comprehensive and processing skills
  • motor evaluation- gait; posture; balance; muscle tone
  • awareness of cluttering
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9
Q

treatment for cluttering

A
  1. increase awareness
  2. reduce rate
  3. concentrate on details of speech production
  4. language – memory sequencing (retelling stories, visual map to help them organize thoughts)
  5. Work on increasing attention span/ focus
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10
Q

Prognosis for Cluttering

A
  • progress can be made, but may be slow
  • most clutterers are not aware of the problem
  • may deny problem
  • at times lack of motivation
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11
Q

other issues RE: cluttering part 2

A
  • may have difficulty with handwriting
  • may have attention issues; distractibility
  • may have poor organization skills in day to day life
  • may have little or no awareness of problem (major difference from stuttering and clutterer)
  • therefore, no struggle, no frustration or shame
  • suggestions to “slow down”, “ think about what you want to say” – seems to help clutterers
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12
Q

What are the difference between cluttering and stuttering? 4-6

A
  1. Developmental milestones are frequently delayed (motor issues can also be a problem)
  2. While normal limits cognitively, may have difficulty reading and writing. Most do well in math and science. (cus if u hav lang issues, u may have difficulty in reading and writing, also problems with phonological aspects)
  3. Clutterers aren’t necessarily sure of what they want to say; in contrast those who stutter know exactly what they want to say. **HALMARK
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