Lecture 10 Flashcards
1
Q
What is cluttering?
A
a disorder of fluency
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
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
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
5
Q
What are the difference between cluttering and stuttering? 1-3
A
- Early cluttering is NOT cyclical or not variable
- Maintains a level of severity
- Other speech and language delays usually evident
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
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
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
9
Q
treatment for cluttering
A
- increase awareness
- reduce rate
- concentrate on details of speech production
- language – memory sequencing (retelling stories, visual map to help them organize thoughts)
- Work on increasing attention span/ focus
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
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
12
Q
What are the difference between cluttering and stuttering? 4-6
A
- Developmental milestones are frequently delayed (motor issues can also be a problem)
- 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)
- Clutterers aren’t necessarily sure of what they want to say; in contrast those who stutter know exactly what they want to say. **HALMARK