Treatment of Organic Articulation Disorders Flashcards
WHat is vpi?
Velopharyngeal incompetence. Inability to close off nasal cavity during speech bc of inadequate velar movement.
What are some speech errors for cleft palate?
Fricative, affricate, plosive
Distortion omission subs
audible nasal emission, hyperanasality, articulation issues- more on voiceless. most errors in final pos.
glottal stops for plosives.
Main goals for cleft palate kids
correct articulatory placement light articulatory contact open mouth greater decreased hypernasality more front placeent of articulators
When should children have therapy in regards to flap surgery?
prior if glottal and pharyngeal placement only.
Remember for cleft palate-
Dont’ teach k or g to avoid compensatory strategies
services as early as possible
counseling beyond craniofacial defects
Hearing impairment occurs at___ Deafness occurs at___
less than 80 dB, deaf greater than 80 dB
What are slight, mild, moderate, severe, profound?
16-25 no diff, 26-40 voiceless consonant issues occasionally, 41-70 low intensity, high f, short duration difficulties, FCD 71-90 Confusion of voiced and voiceless, difficulty w consonants, 91+ global speech impairment
What are other factors that affect hearing impairment intelligibility?
Age of onset, age of ID, amplification dependent on age, type and amount of usage of device.
What are hearing impairment treatment approaches?
oral- spoken lang as primary mode through amp, auditory training, speech inst
manual- earliest acq of linguistic system (ASL) fingerspelling, manually coded Eng
Total comm- any combo that is effective in acquiring lang
bilingual/bicultural- asl as first lang and learn eng in school to develop reading/writing
What are four factors associated with implantation?
years of use
nonverbal intelligence
oral comm as primary mode of comm after implant
number of active electrodes with wide range
What is a cochlear implant?
directly stimulates surviving auditory nerve fibers
How to teach those with hearing loss?
Cued speech to teach pvm
Select stimulus that are related to classroom curriculum
Ensure child’s amplification system working
Expect fear when sound introd
Childhood apraxia of speech?
Gap btwn rec and exp language
Very unintelligible/possibly nonverbal
Inconsistent errors
Vowel distortions, omission, addition, distortion..
Groping movements
Resistant to tradition articulation therapy
What are some characteristics of apraxia treatement/
Slow prog, poor gen Intensive systemeatic drills needed Short, frequent ssns Look into AAC Focus on melody and connectedness of speech
What should early apraxia therapy focus on?
Accuracy, then speed. Reduplicated sounds for kids at single word level. Thearpy must be positive!
