SSD Flashcards

1
Q

Neurology - what processing does speech require (3)

A

auditory, somatosensory and motor processing

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2
Q

Speech requires: (6)

A
Articulation
Phonetics
Phonology
Morphology
Perception
Discrimination
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3
Q
McLeod and Crewe 2018
Early phonemes (13) and age
A

/p/ /b/ /m/ /d/ /n/ /h/ /t/ /k/ /g/ /w/ /ŋ/ /f/ /j/ (2;0-3;11)

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4
Q
McLeod and Crewe 2018
Middle phonemes (7) and age
A

/l/ /dʒ/ /tʃ/ /s/ /v/ /ʃ/ /z/ (4;0-4;11)

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5
Q
McLeod and Crewe 2018
Late phonemes (4) and age
A

/ɹ/ /ʒ/ /ð//θ/ (5;0-6;11)

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6
Q

By 3 years which (3) processes should be gone?

A

context sensitive voicing (pig=big)

Word final devoicing (pig=pick)

initial/final consonant deletion

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7
Q

By 3-4 years which (2) processes should be gone?

A

Fronting (car=tar)

Consonant harmony (mine = mime)

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8
Q

By 4 years which (2) processes should be gone?

A

Weak syllable deletion (elephant - scant)

cluster reduction (spoon=poon)

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9
Q

By 5+ years which (2) processes should be gone?

A

Gliding (leg/weg)

Stopping (fish=tish) *consonant dependent

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10
Q

Define speech delay (1), what do (1)

A

Follow typical developmental pattern but more slowly.

‘watch and wait’

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11
Q

Define speech disorder (1), what do (1)

A

Do not follow typical developmental patterns

Requires therapy to resolve.

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12
Q

Prevalence of speech disorder at 4yrs

A

3.5-5% of 4 year olds.

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13
Q

What is wrong with delay/disorder model?

A

Distinguishing between ‘delay’ and ‘disorder’ is highly complex.

‘typical development’ diagnosis criteria probably not sufficient to prevent negative outcomes.

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14
Q

speech difficulties negative outcomes (6)

A
Weak oral language 
Literacy and written language difficulties
social and behavioural problems 
Mental health 
Low school and employment achievement. 
Bullying
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15
Q

Speech difficulties: Early childhood predictors: (4)

A

Weak sucking at 4 weeks.
Not combining words at 24 months (2 years).
Limited morphology at 38months (3 years).
Unintelligibility at 38 months (3 years).

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16
Q

Speech difficulties: School age predictors:

A

Parent reports difficulty to certain sounds at 7 years.
Tympanostomy tube insertion up to 8 years.
History of coordination difficulties.

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17
Q

Speech Red flags up to 3 years (8)

A

Failing to babble, or late onset of canonical babble.

Otitis Media

Glottal replacement (non-dialectal)

Initial consonant deletion: Not found in typical development of English

Small phonetic inventory / Inventory constraints.

Backing of obstruents (Stops, fricatives, affricates.)

Vowel errors

Intellectual disability.

18
Q

Speech Red flags up to 3+ years (3)

A

3+ years: Final consonant deletion

5+ years: Percentage of consonants correct (PCC) less than 50%

6+ years: Low intelligibility. Likely to affect literacy.

19
Q

Risk factors: speech difficulties (4)

A

Male

Hearing problems

Ear infections

Reactive temperament.

20
Q

Protective factors: Speech difficulties (4)

A

Breastfed >9months.

Maternal wellbeing.

Multilingual parents.

Persistent temperament.

21
Q

SSD Functional Model:

Known medical causes: (4)

Functional (unknown causes) (3)

A

Known cause (Medical):
Genetic (Down Syndrome)
Hearing loss
Neuromotor disorders (Cerebral Palsy)

Functional (unknown cause):
Childhood apraxia of speech
Articulation disorders
Phonological disorders

22
Q

Psycholinguistic model:

Types of delay/disorder (5)

A

Phonological delay:

Consistent phonological disorder

Inconsistent phonological disorder

Articulation disorder

Childhood Apraxia of Speech

23
Q

Psycholinguistic model:

Define Consistent vs inconsistent phonological disorder

(2)

(2)

A

Consistent phonological disorder:
Non-developmental error types.
Impaired understanding of phonological system.

Inconsistent phonological disorder:
Non-developmental error types.
Token-to-token inconsistency (same phoneme/word produced differently)

24
Q

Psycholinguistic model:

Define Phonological delay (2)

A

Phonemic difficulty.

Typical developmental pathway but present phonologically as chronologically younger.

25
Q

Psycholinguistic model:

Define Articulation disorder (3)

A

Phonetic difficulties.

Unable to produce particular perceptually acceptable phones.

Substitutions or distortions when produce the sound.

26
Q

Psycholinguistic model:

Define Childhood Apraxia of Speech (1)

A
  • Difficulty motor planning.
27
Q

McLeod and Baker 2017:

2 categories of speech difficulties (2)

A

Phonological / Motor

28
Q
McLeod and Baker 2017:
Phonological difficulties (2)
A

Phonological impairment:

Inconsistent speech disorder:

29
Q

McLeod and Baker 2017:

Define Phonological impairment (2)

A

Cognitive linguistic difficulty with the phonological system.

Pattern based errors.

30
Q

McLeod and Baker 2017:

Define Inconsistent speech disorder (2)

A

Phonological assembly difficulty without oro-motor difficulties.

Inconsistent production of the same lexical items

31
Q

McLeod and Baker 2017:

Define: Articulation impairment (1), examples of common errors (2)

A
A Motor speech difficulty.
Speech errors (often /s/ /r/)
32
Q

McLeod and Baker 2017:

Define: Childhood Apraxia of Speech (1)

A

Childhood Apraxia of Speech:

Motor speech disorder in planning and programming speech movement.

33
Q

McLeod and Baker 2017:

Define: Childhood dysarthria:

A

Childhood dysarthria:
Motor speech disorder.
Disordered sensorimotor control in speech production

34
Q
McLeod and Baker 2017:
Motor difficulties (3)
A

Articulation impairment

Childhood Apraxia of Speech.

Childhood dysarthria.

35
Q

Stoel-Gammon 1988

Define Independant analysis

A

Analyse Childs unique system without reference to target phonology.

36
Q

Stoel-Gammon 1988

Define Relational analysis

A

Analyse Childs speech in relation to target phonology.

37
Q

Flow of identifying SSD

A
  1. Case History
  2. Observation and Informal assessment.
  3. Formal assessment.
  4. Hypothesis driven intervention.
38
Q

Define Articulation (1)

A

Physical production of sounds.

39
Q

Define Phonology

A

Sound systems and rules governing sound combinations

40
Q

Speech sound disorders (SSD) have either an articulation or a phonological basis. True/False

A

False

Speech sound disorders (SSD) may have an articulation and/or phonological basis or both

41
Q

What % of SSD have unknown origin?

A

70-80%

42
Q

SSD can impact on life activities and participation in many ways. Which framework is used to examine this impact?

A

ICF