Management of VP Impairment

Question 1

3 types of VP dysfunction

Answer 1

Inadequate closure (Minimal-severe)
Delayed closure
Inconsistent closure

Question 2

Ways to assess hypernasality

Answer 2

Sentences
Paragraphs (Grandfather Passage, Rainbow Passage)
The Pittsburg Sentences

Question 3

Hyponasality is secondary to

Answer 3

Upper respiratory infection
Hypertrophied turbinate
Obstructing pharyngeal flap
Palatal obturator
Palatal lift

Question 4

To assess impact of intervention for VPI

Answer 4

Occlude naries and assess loudness, articulatory precision and speech intelligibility

Question 5

Clients with ___________ may benefit from supine because:

Answer 5

Flaccid dysarthria

Gravity aids in the soft palate approximating the posterior pharyngeal wall

Question 6

Behavioural Interventions appropriate for:

Example:

Answer 6

Mild VP dysfunction (controversial)

CPAP - Continuous Positive Airway Pressure

Question 7

Rather than directly working on VP dysfunction, focus on:

Answer 7

Rate control

Reduced loudness

Question 8

In individuals with __________ VPI, prosthetic management has to be considered.
Example:

Answer 8

Greater than mild

Palatal lift

Question 9

Prosthetic Management Candidates

Answer 9

• Static or slowly progressive dysarthria
• Intact cognition, memory, judgement, swallowing and manual dexterity
• Disproportionately reduced ability to produce pressure consonants
• Those w/ predominant flaccidity do better than those with spasticity
• Respiration, articulation & phonation relatively intact

Question 10

Poor Candidates for prosthetic management

Answer 10

• Lack of cooperation/understanding, agitation, inability to tolerate some discomfort
• Very young
• Palatal spasticity
• Rapidly changing disorder
• Dysphagia
• Inadequate dentition

Question 11

Nasal Obtruation

Answer 11

Early in recovery
Clients who are more transient in their symptoms
Clients who don’t want lifts or are poor candidates
*Requires mouth breathing while in place