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Fluency > SAAND > Flashcards

SAAND Flashcards

1
Q

What does SAAND stand for?

A

Stuttering Associated with Acquired Neurological Disorder

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2
Q

What is SAAND also known as?

A

Acquired/cortical stuttering

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3
Q

What are the causes SAAND?

A

TBI
Stroke (CVA)
Neurological or some disease process (tumor)

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4
Q

When is SAAND going to be transient?

A

if it is unilateral damage

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5
Q

When will SAAND not be transient?

A

If it is persistent bilateral damage

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6
Q

What information will you gather rather than get the % disfluent?

A

an extremely detailed medical case history, along with all medical documents

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7
Q

What questions should you ask?

A

Has the person always been disfluent (developmental stuttering)?

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8
Q

Because SAAND is an acquired Neurological dx…..

A

don’t just interview the client

get medical documents and interview family/caregiver/friend, etc.

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9
Q

What will you ask the family?

A
  • is it developmental
  • has it happened recently
  • what precipitating events led to the stuttering (looking for medical trauma/emergency)
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10
Q

What types of stuttering should you be differentiating between?

A
  • developmental
  • psychological
  • brain injury (neurological)
  • malingering (litigation seeking money)
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11
Q

Observation and testing:

what do you need to rule out?

A
  • is it a word finding issue?
  • rule out motor speech issues (apraxia)
  • rule out cluttering
  • where do the disfluencies occur in the word?
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12
Q

What are two standard aphasia batteries?

A
  • Boston

- aphasia profile

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13
Q

Check for the Loci of disfluencies? What is different between developmental and SAAND?

A
  • developmental disfluencies occur in the word initial ONLY!
  • SAAND can be in any position
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14
Q

Concomitant behaviors?

A

There are no concomitant features in SAAND

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15
Q

What is the adaptation effect?

A

For example a developmental stutterer will stutter on a reading passage, but when they read it the second time they will not stutter at all
-when SAAND tries this they will always stutter (repeated reading will never get better)

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16
Q

Automatized task

A

for example a developmental stutterer will be able to count or say the flag solute without stuttering. Someone with SAAND can’t do this.

17
Q

Palilalia

disintegration of the substantia nigra

A

It is when some with Parkinsons will do rep’s faster and faster and it will fade out.

  • this does not happen in SAAND
  • but someone with parkinsons can have palilalia and SAAND
18
Q

What details will the malingers not know?

A
  • Palilalia
  • automized tasks
  • adaption effect
  • concomitant behaviors
  • loci of disfluencies
19
Q

What are the 7 areas to assess and observe?

A
  1. standard aphasia battery
  2. loci of disfluencies
  3. concomitant behaviors
  4. adaptation effect
  5. automized tasks
  6. palilalia
  7. malingers
20
Q

What kinds of words will SAAND be disfluent on? And what is the loci?

A
  • they will be disfluent on the content and the functor words.
  • they will be disfluent on all positions
21
Q

Tx for SAAND

A

-depends on other details like how handicapping is the SAAND VS other issues, like comprehension, receptive/expressive skills.

22
Q

Some interventions other than speech therapy?

A
  1. Surgical: endarterectomy (rotorutering the carotid artery) can lead to perfusion (lack of oxygen to the brain) which can result in SAAND and dementia.
  2. Pharmacology: anti-censure medication. Ceasures caused by a TBI can lead to SAAND.
  3. DAF: can help
  4. Biofeedback and relaxation: reduce SAAND but don’t eliminate it.
  5. Speech Pacing: reduced speech rate can help unlike with developmental stuttering
23
Q

Outcomes for treatment

A

hard to predict and hard to research because it is all caused by something different

24
Q

Stroke will usually be?

A

transient because it is usually unilateral

25
Q

If the disease that is causing the SAAND is rapidly progressing what should you do?

A

Do not treat because the time could be better spent serving a different therapy.

26
Q

What should you do if the client does not already have a full neuro work-up?

A

Refer the client and do not do anything further until you have all paperwork.

27
Q

How is SAAND and developmental stuttering similar?

A

the person knows what they want to say but can because of the involuntary repetitions or blocks.
-if they don’t know what they want to say that is a problem, and there are other issues (possibly aphasia).

Fluency (12 decks)

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