Paediatrics Flashcards
What is ‘most knowledge’ approach?
For children with lower confidence. target sound in initial position (earlier development)
What is the ‘least knowledge’ approach
good for confident (risk taker) kids. Also known as complexity approach. Task is ‘trickier’ target sound could be in final, medial position or in consonant cluster.
Name 5 phonological impairment therapy intervention approaches (contrastive/non-contrastive)
- Minimal pairs
- multiple oppositions
- maximal oppositions
- treatment of empty set
- metaphonological
- core vocab
- cycles approach (non-contrastive)
Treatment of empty set
targets 2 sounds that child can’t produce. eg /s/, /m/- sheet-meet
core vocab
only used for inconsistent errors (only 10% of kids), CAS
teaches how to plan the phonemes in words. eg book -b-oo-k, practice sound multiple times, then combine sounds.
Is lateral lisp a phonological impairment?
No, articulation impairment
What is the difference between CAS and SSP?
CAS= groping movements, Vowel errors, small phonetic inventory
What does relational analysis do
compares childs form with adult form (eg %of consonants correct)
What is CHIRPA used for?
tool to assess children with multiple phon. errors
Name the 5 SSD’s
phonological impairment, inconsistent phonological impairment, articulation impairment, childhood apraxia of speech (CAS), childhood dysarthria
What is the ICS, intelligibility context scale used for?
Measures environmental factors.
example of SMART goal
Ben will decrease final consonant deletion of /t/ sound to 10% usage with clinician in therapy session using minimal pairs approach.
Metaphonological approach
builds awareness of structure of words, identifying sonds in words, swapping them to create new words, tap- t, swap t to s.
multiple oppositions
similar to minimal pairs
used for children with moderate to severe impairment, phoneme collapse.
working on several target sound/error sounds at the same time: k, p, h, tr
tie- Kai, pie, hi, try
minimal pairs
for mild to moderate impairment, 1 target sound.
point out to child that semantic information/meaning changes in words if we change the sounds: tap-sap