Speech final Flashcards
How is cleft lip and palate formed?
upper lip fuse together by 8 weeks gestation
what is the cause of cleft palate
no single cause
what areas do cleft palate effect?
can impact nose/nostril development
what sounds do cleft palates effect
stops fricatives and affricates
what does an incomplete palate mean for cleft lip
Incomplete means it doesn’t go all the way to the back of the palette
what is a submucous cleft?
Abnormality in hard palate development that is hidden by mucosal tissue of the palate
No actual opening in the nasal cavity
what are 3 signs a submucous cleft may be present
Bifid uvula
Hypernasal voice quality
Bluish tint in midline of soft palate
what are 4 slp related issues for slps
feeding, hearing, dental, resonance, articulation/phonological, language delays and disorders
what are the steps behind cleft lip palate assesment
birth - 4 ome and resknance, surgery, asses for velopharyngeal dysfunction
what is the treatment for cleft lip
same treatment for phonological, voice and language disorders
what is fluency described as
continuity, smothness, rate and effort in speech prod
what are normal symptoms of disfluency
hesitations pauses, repeating sounds, use fillers
what are overt/characteristics of stutering
Audible “Core Behaviors”
Repetitions
Prolongations
“Silent blocks” - respiratory, phonatory, or articulatory
Interjections of sounds, syllables, words (“fillers)
Revisions
○
Visual
Eyes: blinking
Head/Face: tension, furrowing of forehead, jerking
Raising/tensing shoulders
Arms/Hands: swinging arms, jerking, clenching fish, pressing fingers together
Tensing chest muscles
what is overt and covert?
overt means audible and visible while covert means feelings beliefs and attitudes
what is prolongation?
Prolongation is the extension of a consonant or vowels
whats revision?
word switches or change of topics/ kids may not know the answer to a question but change the answer incase they have to say something specific that will trigger them
what are covert stuttering symptoms
frustration anger anxiety
are there any co-occuring disorders with stuttering?
yes lots
what is cluttering?
speech delivery that is abnormaly fast irregular or both
what are the characteristics of cluttering?
rapid speech
disfluencies
syllable deletion
Ungrammatical syntax
who is most likely to have a cluttering issue?
post stroke patients
are cluttering patients aware?
no
ideal stutter assemsent
parent interview, speech sample, child interview, observations, assesment covert assesment
stuttering treatment
indirect and direct
whats an example of indirect treatment?
caregiver allows lots of time and counselling, turn taking, reduce pressure
whats an example of direct treatment?
Counselling
○ Confidence building with therapy tasks
○ Lidcombe Program
○ Fluency modification (once a bit older)
According to Gregory, what are the four stages of therapy?
The four stages of therapy are
1 developing insight and attitudes
2 increasing awareness of muscular tension,
3 analyzing and modifying speech
4 building new speech skills
What is a cognitive communication disorder
Language problem that occurs secondary to cognitive impairment
What are the common causes of a cognitive communication disorder?
TBI, right hemisphere damage, dementia
what are some characteristics of a traumatic brain injury with both paediatric and adult patients?
cognition, memory, attention, language reasoning, judgement information processing psychosocial behavior, and they may have motor deficits
What does a mild TBI mean?
Concussion
What are some common causes of a TBI?
Falls, motor accident, child, accident, child abuse, sport injury, altercations
What is the difference between closed and open when referring to a brain injury?
Closed is most common, and it means that the skull will be impacted, but it’s not fractured or penetrated, and open means that the skull and brain are penetrated by a severe impact and can cause skull fragments to disperse into brain
what are the differences between paediatric and adult brains when discussing traumatic brain injury
Paediatric brains are more susceptible to injury because of soft tissue and children often lack awareness and maybe impulsive children’s brains are also not fully developed
What are the stages of assessment for a traumatic brain injury?
Acute, rehabilitation hospital, outpatient services, continued outpatient, and private
what is the assessment for a traumatic brain injury?
Complete a cognitive test
Receptive and expressive language
Speech production
Swallowing
And hearing
what is the treatment for a traumatic brain injury
Cognitive rehabilitation focusses on cognitive skills within the area of communication and the goal is to improve cognitive and psychosocial functioning and foster independence
what can neurological impairment impactfor slp
Communication, cognition, speech, and or swallowing
where do SOP’s and adults go for treatment of a neurological language disorder?
Acute care, hospitals, long-term care and private practice are options
what are the variety of etiologies?
Stroke, TBI, tumours toxins and degenerative diseases and disorders.
What are the three types of strokes
hemorrhagic, ischemic and transient ischemic attack
what is a HEMORRHAGIC stroke
Rupturing of blood vessel, leading to damage in brain tissue can be caused by an aneurism
what is an SCHEMIC or occlusive stroke?
Partial or complete blockage of blood flow thrombosis versus embolism blockage
what is a transient SCHEMIC attack
Blood flow insufficiency and partial blockage
what is the recovery for strokes based on
Age, overall health prior to stroke, site and size of lesion
where can strokes happen
In any of the CNS
what are tumors?
Abnormal masses of tissue that caused compression and displacement of brain tissue
what are the types of tumours
Primary and secondary a primary tumour originates in the brain, and a secondary tumour originates somewhere else, and then travels to the brain due to cells metastasizing through the bloodstream
are all tumours cancerous
Some tumours are cancerous malignant and some are not cancerous benign
what are some common types of toxins?
Alcohol, recreational drugs, and environmental toxins
what is a degenerative disease or disorder
The brain changes due to progressive deterioration of structures and functions
what are some examples of degenerative diseases or disorders
Dementia, ALS, Parkinson’s, multiple sclerosis, MS
what is aphasia
An acquired language impairment due to a neurological damage
does aphasia affect us, expressive or receptive
Both
is there any other cognitive impairments that coexist with aphasia?
Yes, sensory, motor, intellectual, and or cognitive
can you determine the type of aphasia by knowing where the site of the lesion is?
Sometimes you can determine it, but you have to look at the symptoms
what is the assessment for language disorders?
History, receptive and expressive abilities, nonverbal, communication, reading, and writing abilities
What is the ratio of boys to girls diagnosed with Autism Spectrum Disorder?
A) 1:1
B) 2:1
C) 3:1
D) 4:1
C) 3:1
Which of the following is NOT considered a characteristic of Autism Spectrum Disorder?
A) Increased interest in social interaction
B) Impaired communication skills
C) Repetitive, stereotyped movements
D) Restricted interests
A) Increased interest in social interaction
According to DSM-5, which of the following is an essential characteristic of Autism Spectrum Disorder?
A) Hyperactivity and impulsivity
B) Persistent impairment in reciprocal social communication and social interaction
C) Perfect communication skills
D) High level of empathy
B) Persistent impairment in reciprocal social communication and social interaction, and restricted, repetitive patterns of behavior
Which factor is NOT associated with the increasing rates of Autism Spectrum Disorder?
A) Genetics and environment
B) In Utero complications
C) Vaccines
D) Consistent rates across race and ethnicity
C) vaccines
Which of the following is NOT a symptom that presents from early childhood and limits or impairs everyday functioning in Autism Spectrum Disorder?
A) Delayed language skills
B) Lack of interest in social interaction
C) Regression or loss of language skills at any age
D) Reduced or absent eye contact with caregivers
B) Lack of interest in social interaction
Which of the following is NOT a symptom that presents from early childhood and limits or impairs everyday functioning in Autism Spectrum Disorder?
A) Delayed language skills
B) Lack of interest in social interaction
C) Regression or loss of language skills at any age
D) Reduced or absent eye contact with caregivers
B) Hyperactivity
True or False: Autism Spectrum Disorder is a neurodevelopmental disorder characterized by decreased interest in social interaction and relationships.
true
True or False: Genetics and environment are potential factors contributing to the increasing rates of Autism Spectrum Disorder.
true
true or False: Lack of response to own name by 12 months is a symptom associated with delayed language skills in Autism Spectrum Disorder.
true