SSD Flashcards
Neurology - what processing does speech require (3)
auditory, somatosensory and motor processing
Speech requires: (6)
Articulation Phonetics Phonology Morphology Perception Discrimination
McLeod and Crewe 2018 Early phonemes (13) and age
/p/ /b/ /m/ /d/ /n/ /h/ /t/ /k/ /g/ /w/ /ŋ/ /f/ /j/ (2;0-3;11)
McLeod and Crewe 2018 Middle phonemes (7) and age
/l/ /dʒ/ /tʃ/ /s/ /v/ /ʃ/ /z/ (4;0-4;11)
McLeod and Crewe 2018 Late phonemes (4) and age
/ɹ/ /ʒ/ /ð//θ/ (5;0-6;11)
By 3 years which (3) processes should be gone?
context sensitive voicing (pig=big)
Word final devoicing (pig=pick)
initial/final consonant deletion
By 3-4 years which (2) processes should be gone?
Fronting (car=tar)
Consonant harmony (mine = mime)
By 4 years which (2) processes should be gone?
Weak syllable deletion (elephant - scant)
cluster reduction (spoon=poon)
By 5+ years which (2) processes should be gone?
Gliding (leg/weg)
Stopping (fish=tish) *consonant dependent
Define speech delay (1), what do (1)
Follow typical developmental pattern but more slowly.
‘watch and wait’
Define speech disorder (1), what do (1)
Do not follow typical developmental patterns
Requires therapy to resolve.
Prevalence of speech disorder at 4yrs
3.5-5% of 4 year olds.
What is wrong with delay/disorder model?
Distinguishing between ‘delay’ and ‘disorder’ is highly complex.
‘typical development’ diagnosis criteria probably not sufficient to prevent negative outcomes.
speech difficulties negative outcomes (6)
Weak oral language Literacy and written language difficulties social and behavioural problems Mental health Low school and employment achievement. Bullying
Speech difficulties: Early childhood predictors: (4)
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).
Speech difficulties: School age predictors:
Parent reports difficulty to certain sounds at 7 years.
Tympanostomy tube insertion up to 8 years.
History of coordination difficulties.