managing AOS

Question 1

primary goal for managing AOS

Answer 1

• maximize the effectiveness, efficiency, and naturalness of communication (ARTIC & PROSODY)
• Management focuses on restoring or compensating for impaired functions, as well as adjusting to the loss of normal speech

Question 2

differences for AOS tx

Answer 2

• Reestablishing plans or programs
• Improving the ability to select or activate them, or set the parameters (e.g., duration, force) for speech movements in a given context

Question 3

influence of aphasia

Answer 3

• Comprehension of spoken and written stimuli
• Difficult to distinguish aphasic from apraxic errors during verbal responses
• Aphasia may be so severe that verbal communication will not be functional even if motor speech ability is intact

Question 4

medical Tx

Answer 4

NONE- pranked

Question 5

Prosthetic tx and AAC

Answer 5

• DAF ineffective
• Pacing boards, metronome may be helpful
• AAC systems (e.g., pictures, letter and word boards, electronic and computerized devices) may benefit some patients

Question 6

behavioral tx: speaker-oriented

Answer 6

• Aim for improved intelligibility, efficiency, and naturalness of communication
• Improving or compensating for inadequacies in the planning or programming of speech
• Treatment focuses on speech itself
  Impairment-level behavioral treatment focuses on articulation and prosody

Question 7

behavioral tx: communicaion-oriented

Answer 7

“same as dysarthria”

Question 8

Principles/Guidelines for Behavioral tx

Answer 8

• Should start early, but may extend into chronic phase of disorder
• Inventory speech errors and successes
• Nonspeech oromotor practice (only if AoS is severe)
• Use Principles of Motor Learning

Question 9

Degenerative disease tx usually focuses on:

Answer 9

• maintaining speech
• developing compensatory strategies for maintaining intelligibility or comprehensibility
• addressing current or future needs for AAC

Question 10

Use Principles of Motor Learning

Answer 10

Drill, Instruction and learning, Feedback, Specificity, Consistent and Variable Practice

Question 11

all AOS approaches emphasize

Answer 11

• careful stimulus selection
• orderly progression of treatment tasks
• the use of intensive and systematic drill
  other:
• Imitation
• intrasystemic reorganization (e.g., automatic responses)
• Intersystemic reorganization (e.g., tapping, pacing board)

Question 12

Articulatory-Kinematic (A-K) Approaches
Primary

Answer 12

• Primary- Eight-step (integral stimulation) continuum, Sound Production Treatment (SPT), Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT), Motor Learning Guided (MLG) Treatment
• Additional- Biofeedback, Sound, syllable, and word level approaches, Multiple syllable utterance level

Question 13

Rate and/or Rhythm Approaches

Answer 13

Contrastive stress tasks, Metronome and related pacing techniques (pacing board, hand/finger tapping), Metrical Pacing Therapy (MPT), Singing, Melodic Intonation Therapy (MIT)

Question 14

Additional Approaches and Techniques

Answer 14

Key words, Multiple Input Phoneme Therapy (MIPT), Voluntary Control of Involuntary Utterances (VCIU), Script training

Question 15

Techniques for Mute or Severely Impaired Patients

Answer 15

Automatic speech tasks, Carrier phrases, Gestures to trigger speech, Nonspeech oromotor movements, Artificial larynx