part 3: treatment of speech sound disorders Flashcards

1
Q

target selection for tx

A

-types of patterns
-effect on intelligibility
-stimulability
-age of acquistion
-error consistency: start with sounds that are sometimes produced correctly

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2
Q

cycles approach - when to use

A

-children with highly unintelligibile speech
-goal of tx is to increase intelligibility/communication
-no mastery criterion, cycle the phonemes out as need

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3
Q

cycles approach - emphasis of tx

A
  1. auditory bombardment
  2. production practice
    3.errorless learning

go in order from most stimulable sounds

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4
Q

cycles approach - method

A

-review practice words from previous session
-introduce phoneme target for the day
-auditory bombardment (read list of words containing sound for 1 min)
-activity with new target words
-stimulability prob to select targets for next session
-2nd auditory bombardment plus phonological awareness activity
-home practice

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5
Q

goal of traditional/motor based approach

A

change motor behaviors
-assume all artic errors happen bc of incorrect placement of

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6
Q

3 stages of traditional approach

A
  1. establishment
  2. generalization
  3. maintenance
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7
Q

establishment: traditional approach

A

teach correct production in easiest environments
-perceptual discrimination/training: identification, isolation, stimulation discrimination

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8
Q

steps for production practice

A
  1. imitation/stimulability training
  2. teach phonetic placement
  3. successive approximation: build off of what child can say and modify them into target sound
  4. contextual utilization
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9
Q

core vocabulary treatment

A

focus on small, functional vocab in increase intelligibility; can be combined with other approaches

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10
Q

steps for core vocab tx

A
  1. child, parents, teachers select 30-50 high functioning words
  2. select 10 words each week of tx
  3. end session by rehearsing best productions (consistently correct productions removed from list, inconsistent words remain on the list)
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11
Q

visual feedback: electropalatography

A

a false palate provides feeback about the placement of the tongue along the hard palate

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12
Q

visual feedback: spectograms

A

provide visual feedback of the acoustics of speech. certain sounds have acoustic cues that can be readily observed in a spectogram

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13
Q

visual feedback: ultrasound

A

provides visual feedback of tongue shape and some information about tongue placement

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14
Q

visual feedback: real-time spectra

A

the Start App provides a real-time spectrum, allowing both the clinician and client to see the 3rd formant

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15
Q

visual feedback: drawing of vocal tract or articulatory synthesizer

A

drawing or using a articulatory synthesizer can help the client visualize

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16
Q

toobaloo

A

enhanced auditory feedback of a client’s own voice. good for almost any sound

17
Q

auditory feedback: straws

A

especially good for laterilized /s/

18
Q

auditory feedback perturbation

A

acoustic cues (formants or pitch) are manipulated while a person speaks so they hear something else

19
Q

different types of tactile feedback

A

-sucker or tongue depressor
Speech Buddies

20
Q

minimal pairs (phonological approach)

A

focus on contrast of sounds (a single phoneme contrasted to another single phoneme)
-communication oriented: help child understand difference
-typically paired sound with errored sound
-use perceptual training