Other Disorders of Fluency Flashcards
Is cluttering a disorder of fluency?
Yes
Define cluttering
Distinct from stuttering:
- rapid, irregular rate of speech
- excessive disfluencies (every word has something wrong with it)
What errors might you expect in cluttering?
Language: Syntax sequencing (transposed) Spoken very quickly Phonological: Attention Deficit
Does cluttering occur on its own?
Small # of people who only clutter
Usually occurs alongside stuttering
Cluttering is…
not cyclical not variable according to situations often accompanied by speech and language delays often accompanied by delayed childhood milestones usually in children with normal IQ hard time reading/writing do fine in math/science kids not sure of what they want to say do not sound fluent difficult for listener to follow train of thought word-finding difficulties excessive interjections and revisions speaking rate sounds jerky no struggle or concomitant features little to no awareness of problem FLUENCY AND LANGUAGE DISORDER mispronunciations, slurring prosodic variations (patterns) deletion of non-emphatic syllables learning disability not low IQ easily distractible disorganized in life in general
What tips are not helpful in stuttering but work in cluttering?
“Stop and think”
“Slow down”
How do you evaluate cluttering?
rate of speech articulation get repertoire of sounds language (syntax errors- sequence) auditory comprehension, processing watch client's movement/gate (balance, walking, posture, muscle tone) Cluttering kids are "floppy" Disorganization of motor planning low awareness of how they sound
What do you treat in cluttering?
Increase awareness reduce rate (articulate, slow down) language sequencing memory attention span
What is SAAND?
Stuttering Associated with Acquired Neurological Disorder
acquired, cortical stuttering
What causes SAAND?
events like a CVA (stroke) or TBI (brain injury)
SAAND can be what 2 things?
Transient- present for a little while then resolves. Present in unilateral, multifocal brain injury (most common type to see)
Persistent- bilateral, multifocal damage (explosion brain injury- football)
How can you differentiate SAAND from developmental stuttering?
Case history
Coup-contra-coup
The initial site of the blow and injuries resulting from brain sloshing to other side of the skull
3 causes of stuttering
Psychogenic: causes can be associated with acquired stuttering
Neurological: detected, diagnosed
Malingering: faking it
Looking for malingering
rule out Aphasia/word-finding drag out the observation/interview look for core features, evidence of Aphasia look for where sound errors are (word medial and final)
