Specific tx approaches Flashcards
AAC
Good for everyone
Technical/cost considerations
Buy-in
Dynamic Temporal and Tactile Cueing (DTTC)
Target population
Children with severe CAS
Dynamic Temporal and Tactile Cueing (DTTC)
Theory
Integral stimulation
Hierarchical cueing
Principles of motor planning
Dynamic Temporal and Tactile Cueing (DTTC)
Practice
Many repetitions
Immediate and frequent feedback in early stages
short parent sessions
EMST
Target population
People with reduced breath support for speech
EMST
Theory
Increase expiratory muscle strength
EMST
Practice
Intensive
Distributed
Kaufman
Target population
Children with CAS etc
Kaufman
Theory
Break down speech and language into smaller units and rebuild
a - ap - apuh - apul
Kaufman
Practice
Drill-based
Generalizable?
Teaches and reinforces word approximations
LSVT
Target population
Parkinsons (hypokinetic)
Children with CP (spastic dysarthria)
MS (ataxic- spastic)
LSVT
Theory
Focus on increasing level of phonatory effort and Increasing laryngeal adduction
LSVT
Practice
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
MPT - Maximum performance training
Target population
Speakers unable to generate adequate subglottal air pressure to support phonation
spastic, flaccid, and mixed-type
MPT - Maximum performance training
Theory
Muscle conditioning to improve functional output
Reach and exceed performance envelope
Melodic intonation therapy
Target population
AOS/CAS
Anyone who needs articulation accuracy and fluency
Melodic intonation therapy
Theory
RH preservation
Wide distribution of singing in the brain
Melodic intonation therapy
Practice
Progressively longer phrases Rhythm Pitch contour or intonation Unison production Fading out prompts Left hand tapping
Nuffield
Target population
CAS
Nuffield
Theory
Motor programming
bottom-up
several layers targeted
Nuffield
Practice
Real words
Works on one feature at a time across three separate goals
ReST
Pseudowords
OMT
Theory
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
OMT
Target population
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!
OMT practice
Exercises
PROMPT Prompts for Restructuring Oral Muscular Phonetic Targets
Moving faces around
Sound production Tx
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
Speech motor learning program
Nonwords
Rate Ease and accuracy of production
Easiest to hardest sounds, then increase word shapes
Integral stimulation
