Lecture 7

Question 1

List desirable components of a Speech therapy program for CLP:

Answer 1

1) parent counselling
2) Home speech and language stimulation program
3) Direct Speech therapy
4) Team Management Approach

Question 2

What should early parent counselling consist of:

Answer 2

• 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

Question 3

Phonetic articulation therapy is the ________. Phonemic articulation therapy involved a phonologically based approach. Artic in CLP is usually the _______

Answer 3

traditional motor approach

Phonetic (traditional motor) approach

Question 4

List the 6 general elements of phonetic articulation therapy:

Answer 4

1) Ear training
2) Sound production in isolation
3) Nonsense syllables
4) Word level
5) Structured contexts (phrases and sentences)
6) Spontaneous speech

Question 5

Describe treatment components for cleft-type compensatory articulations:

Answer 5

• place map for consonants
• appropriate initial treatment targets
• est. desired sound
• teach correct target vs error contrast
• est. self monitoring
• increase complexity

Question 6

List the 3 approaches to CLP artic therapy

Answer 6

1) light articulatory contacts
2) strong articulatory contacts
3) Eclectic approaches

Question 7

Describe the rational behind light artic contacts:

Answer 7

light artic contrasts reduce pressure requirements so nasal emission can be reduced.

Question 8

Opponents to light artic contacts would say that the ______

Answer 8

hypernasality may drown out the consonant sounds and speech may be fairly unintelligible

Question 9

Describe the rational behind strong artic contacts:

Answer 9

Will increase tactile feedback and ensure the consonant sounds are clearly audible.

Question 10

Opponents to strong artic contacts would say that the ______

Answer 10

increase in nasal emissions would be unpleasant perceptually. Rigid method and patients may experience failure.

Question 11

Intensive therapy
Frequent therapy
Effective use of reinforcers
Home assignment and carryover
Are all:

Answer 11

principles of Speech therapy

Question 12

List cues for artic therapy:

Answer 12

• Auditory (modelling)
• Phonetic
• visual
• verbal
• manual (manipulate articulatory organ)
• tactile (kinesthetic feedback for the patient)

Question 13

Why all an “S” a wohobi?

Answer 13

change the label for kids who’ve had tons of therapy

Question 14

List tips to eliminate glottal stops and glottal coproductions:

Answer 14

• 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)

Question 15

Nasal occlusion for the build up of oral air pressure. Describe sequence:

Answer 15

• occlude nares and sustaining sound
• occlusion, release, occlusion sustaining sound
• release, occlusion, release sustaining sound
• proceed to syllables and words

Question 16

What could a child do to prevent mid-dorsum palatal stops?

Answer 16

anchor the sides of the dorsum by softly biting them. Use tip for /t/ and back for /k/

Question 17

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.

Answer 17

pharyngeal stops

Question 18

To eliminate pharyngeal fricatives:

Answer 18

• 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

Question 19

A yawn helps to get the _______

Answer 19

velum up and tongue down

Question 20

How would you treat phoneme specific emission:

Answer 20

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