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Neuromotor Speech Disorders > Pediatric > Flashcards

Pediatric Flashcards

1
Q

Developmental motor speech disorder

A

Disorder in which speech development is delayed or deviant, with no period of typical development

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2
Q

Spastic Cerebral palsy

A
  • hypertonia
  • primitive reflexes/ hyperreflexia
  • spascticity, weakness, limited range
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3
Q

Most common time of cerebral palsy

A

spastic

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4
Q

Athetoid (dyskinetic) cerebral palsy

A
  • abnormal, involuntary, variable movement

- fluctuaction between hyper- and hypotonia

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5
Q

Ataxic cerebral palsy

A

-balance, coordination, depth perception
-fine motor skills
shaking with deliberate actions

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6
Q

Posterior fossa tumor

A

sometimes brings dysarthria

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7
Q

Down syndrome

A
  • hypotonia
  • developmental delays and atypical development
  • reduced ROM of jaw, lips, tongue
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8
Q

TBI

A
  • speech often co-occurring with language, cognitive, and social impairments
  • associated with dysarthria
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9
Q

Syndromes related to CAS

A
  • galactosemia
  • Fragile X
  • Velocardiofacial syndrome
  • Rhett syndrome

-FOXP2 mutation, possibly

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10
Q

Speech hallmarks of CAS

A
  • inconsistent errors
  • lengthened and disrupted coartic transitions
  • inappropriate prosody, esp. in relation to lexical or phrasal stress
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11
Q

Is there a validated list of features for diagnosis?

A

no (ASHA, 2007)

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12
Q

Weakness/ incoordination in speeh musculature

A

dysarthria

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13
Q

problems with involuntary motor control (e.g. chewing)

A

dysarthria

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14
Q

inconsistent articulatory errors

A

CAS

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15
Q

Errors increase with complexity and length

A

CAS

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16
Q

disrupted rate, rythm and stress

A

CAS and Dysarthria

17
Q

Impaired control of pitch and loudness

A

Dysarthria

18
Q

Atypical voice quality

A

dysarthria

19
Q

CAS and difficulty with ddk

A

only with pataka

20
Q

Dysarthria and difficulty with ddk

A

papapa and pataka

21
Q

Treatment goals of CAS

A
  • increase consistency
  • increase accuracy
  • expand phonemic inventory
22
Q

Systems approach (Pennington)

A
  • for kids w/ dysarthria secondary to cerebral palsy
  • intensive
  • stabilizing phonatory and respiratory effort and control, speech rate and phrase length, or syllables/breath
  • efficacy in kids w/ dysarthria 5-11 and 12-18
23
Q

LSVT Loud

A
  • intensive
  • neuroplasticity-prinicipled
  • adults w/ parkinsons, extended to kids with CP
  • targets healthy vocal loudness and how loudness feels
24
Q

Speech systems intelligibility treatment (SSIT)

A
  • motor learning principles
  • targets improved function and coordination of speech subsystems
  • from sustained vowels to spoken language
  • shown to improve loudness and intelligibility for kids with CP`
25
Q

start with small stimulus for high performance, then increase, varying rate, intonation, loudness

A

CAS

26
Q

Core vocabulary treatment

A
  • CAS
  • increased consistentcy
  • goal is child’s best production from list of 50 functional words developed by family
  • no focus on expanding phonemic inventory
27
Q

Modified core vocab treatment

A
  • adds stimulability training
  • presents sounds in isolation with an associated gesture
  • parent word list includes target sounds
28
Q

Dynamic Temporal and Tactile Cueing (DTTC)

A
  • CAS
  • integral stimulation method
  • sequences of sounds rather than a single sound
  • increases complexity up to phrases
  • clinician constantly adds or fades auditorry, visual, tactile cues
29
Q

Prompts for restructuring oral muscular phonetic targets (PROMPT)

A
  • Tactile facilitation method
  • motor programming skills
  • physical input about place, manner, degree, etc
  • various clinical populations, but only emerging evidence
30
Q

Linguistic approaches

A
  • CAS
  • linguistic and phonological components of speech and flexible, functional communication
  • speech sounds and groups of sounds with similar patterns of error
  • intended to complement motoric approaches
31
Q

Biofeedback

A
  • knowledge of performance

- mirror, webcams, ultrasounds, etc

Neuromotor Speech Disorders (4 decks)

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