Specific tx approaches

Question 1

AAC

Answer 1

Good for everyone
Technical/cost considerations
Buy-in

Question 2

Dynamic Temporal and Tactile Cueing (DTTC)

Target population

Answer 2

Children with severe CAS

Question 3

Dynamic Temporal and Tactile Cueing (DTTC)

Theory

Answer 3

Integral stimulation
Hierarchical cueing
Principles of motor planning

Question 4

Dynamic Temporal and Tactile Cueing (DTTC)

Practice

Answer 4

Many repetitions
Immediate and frequent feedback in early stages
short parent sessions

Question 5

EMST

Target population

Answer 5

People with reduced breath support for speech

Question 6

EMST

Theory

Answer 6

Increase expiratory muscle strength

Question 7

EMST

Practice

Answer 7

Intensive

Distributed

Question 8

Kaufman

Target population

Answer 8

Children with CAS etc

Question 9

Kaufman

Theory

Answer 9

Break down speech and language into smaller units and rebuild
a - ap - apuh - apul

Question 10

Kaufman

Practice

Answer 10

Drill-based
Generalizable?
Teaches and reinforces word approximations

Question 11

LSVT

Target population

Answer 11

Parkinsons (hypokinetic)
Children with CP (spastic dysarthria)
MS (ataxic- spastic)

Question 12

LSVT

Theory

Answer 12

Focus on increasing level of phonatory effort and Increasing laryngeal adduction

Question 13

LSVT

Practice

Answer 13

Vocal pushing techniques
Over-articulation
Increasing maximum phonation time + pitch range
Louder speech in progressively more complex speech
tasks
Incorporates sensory awareness and motor system
training

Question 14

MPT - Maximum performance training

Target population

Answer 14

Speakers unable to generate adequate subglottal air pressure to support phonation
spastic, flaccid, and mixed-type

Question 15

MPT - Maximum performance training

Theory

Answer 15

Muscle conditioning to improve functional output

Reach and exceed performance envelope

Question 16

Melodic intonation therapy

Target population

Answer 16

AOS/CAS

Anyone who needs articulation accuracy and fluency

Question 17

Melodic intonation therapy

Theory

Answer 17

RH preservation

Wide distribution of singing in the brain

Question 18

Melodic intonation therapy

Practice

Answer 18

Progressively longer phrases
Rhythm
Pitch contour or intonation
Unison production
Fading out prompts
Left hand tapping

Question 19

Nuffield

Target population

Answer 19

CAS

Question 20

Nuffield

Theory

Answer 20

Motor programming
bottom-up
several layers targeted

Question 21

Nuffield

Practice

Answer 21

Real words

Works on one feature at a time across three separate goals

Question 22

ReST

Answer 22

Pseudowords

Question 23

OMT

Theory

Answer 23

A therapy approach used to correct the proper function of the oral and facial muscles used at rest, for speaking and for swallowing
Includes exercises and neuromuscular reeducation
of the muscles

Question 24

OMT

Target population

Answer 24

Individuals with Orofacial Myofunctional
Disorders
Individuals who are unable to make any
progress using other therapy approaches
Client with barriers for development of adequate speech sounds e.g. difficulty breathing through the
nose which can result in oral
abnormalities
Important to consider age!

Question 25

OMT practice

Answer 25

Exercises

Question 26

PROMPT Prompts for Restructuring Oral Muscular Phonetic Targets

Answer 26

Moving faces around

Question 27

Sound production Tx

Answer 27

For AOS
Targets are real words, phrases, or sentences the client
produces with inconsistent errors
Response-Contingent Hierarchy: The clinician begins with minimal cueing, only providing the next level of support if the client produces an error

Question 28

Speech motor learning program

Answer 28

Nonwords
Rate Ease and accuracy of production
Easiest to hardest sounds, then increase word shapes
Integral stimulation