Lecture 7 Flashcards
List desirable components of a Speech therapy program for CLP:
1) parent counselling
2) Home speech and language stimulation program
3) Direct Speech therapy
4) Team Management Approach
What should early parent counselling consist of:
- explain speech and effects of CLP on speech
- encourage a rich language environment
- encourage oral airflow
- use plosive loaded target words
- recognize and discourage compensatory articulations
Phonetic articulation therapy is the ________. Phonemic articulation therapy involved a phonologically based approach. Artic in CLP is usually the _______
traditional motor approach
Phonetic (traditional motor) approach
List the 6 general elements of phonetic articulation therapy:
1) Ear training
2) Sound production in isolation
3) Nonsense syllables
4) Word level
5) Structured contexts (phrases and sentences)
6) Spontaneous speech
Describe treatment components for cleft-type compensatory articulations:
- place map for consonants
- appropriate initial treatment targets
- est. desired sound
- teach correct target vs error contrast
- est. self monitoring
- increase complexity
List the 3 approaches to CLP artic therapy
1) light articulatory contacts
2) strong articulatory contacts
3) Eclectic approaches
Describe the rational behind light artic contacts:
light artic contrasts reduce pressure requirements so nasal emission can be reduced.
Opponents to light artic contacts would say that the ______
hypernasality may drown out the consonant sounds and speech may be fairly unintelligible
Describe the rational behind strong artic contacts:
Will increase tactile feedback and ensure the consonant sounds are clearly audible.
Opponents to strong artic contacts would say that the ______
increase in nasal emissions would be unpleasant perceptually. Rigid method and patients may experience failure.
Intensive therapy Frequent therapy Effective use of reinforcers Home assignment and carryover Are all:
principles of Speech therapy
List cues for artic therapy:
- Auditory (modelling)
- Phonetic
- visual
- verbal
- manual (manipulate articulatory organ)
- tactile (kinesthetic feedback for the patient)
Why all an “S” a wohobi?
change the label for kids who’ve had tons of therapy
List tips to eliminate glottal stops and glottal coproductions:
- whispering
- aspirated plosives
- increase transition time of voiced plosives (sustain voicing before the release and aspirate vowel onset)
- kinesthetic feedback from the neck (glottal plosion can be felt in sides of thyroid)
Nasal occlusion for the build up of oral air pressure. Describe sequence:
- occlude nares and sustaining sound
- occlusion, release, occlusion sustaining sound
- release, occlusion, release sustaining sound
- proceed to syllables and words
What could a child do to prevent mid-dorsum palatal stops?
anchor the sides of the dorsum by softly biting them. Use tip for /t/ and back for /k/
High front vowel contexts and frication could help eliminate ________ stops. You could also remediate them by having the child yawn to get the base of tongue down and velum up.
pharyngeal stops
To eliminate pharyngeal fricatives:
- move place of production up and forward
- use visual and tactile feedback
- teach /sh/ before /s/
- use clenched teeth to facilitate /s/
- use stops to facilitate fricatives
A yawn helps to get the _______
velum up and tongue down
How would you treat phoneme specific emission:
1) est. oral vs nasal airflow
2) practice the target in isolation
3) use adjacent places of artic to facilitate the target
4) use drills to consolidate
5) use biofeedback
