Lecture 12: Management Flashcards
restorative approach : ___ :: compensatory approach : ___
considers etiology, time post onset, and dysarthria type; considers internal strategies vs. external aids
treatment of MSDs may focus on ___ (or any combination of these) (3)
intelligibility, efficiency, and naturalness of speech
how do you improve naturalness?
by improving prosody
list three factors involved in motivation for motor speech therapy
make sure the patient understands why a task is important to learn; involve the patient in goal setting; patients do better when a standard is set than saying “do the best you can”
prepractice principles of motor learning in tx (6)
motivation; instructions must be completely understood; provide observational learning through modeling and demonstration; verbal pretraining; provide knowledge of how a movement is produced; establish a prepractice reference of correctness
verbal pretraining is used to ___*
give the patient exposure to the stimuli that will be used in the task
*involves demos and covering all stimuli that will be targeted in the tx session
practice principals of motor learning (3)
intensive-repeated practice is necessary; random practice is more efficient than blocked practice b/c it allows for generalization; remediation should progress systematically through hierarchies of task difficulty
initial learning is slower with ___ than ___
random practice than blocked practice
considering hierarchies of task difficulty, how do you begin a therapy program for patients with severe impairments?
start with non speech movements, but they should be movements that are a piece of the intended speech movement
feedback systems (2)
knowledge of results : telling the patient whether they got it right or not :: knowledge of performance : feedback about specific aspects of the movement
too frequent or too detailed knowledge of results feedback may be ___*
detrimental to motor learning
*more frequent feedback may be necessary in the initial learning trails
___ could impair motor speech learning (re: feedback systems)
a large delay in applying knowledge of results feedback
maintain an unfilled interval of time (___ seconds) following provision of knowledge of results feedback to ___
3; to allow the patient to process info
if strength training exercises are done, they should be ___
as speech-like as possible (i.e. they target a movement made during speech production such as elevating the jaw in order to approximate the lips for a bilabial sound)
list the most common strategies for achieving compensated intelligibility (3)
increasing loudness; overarticulation; modifying speech rate
