W3b: Lecture 8 - Assessment in childhood motor speech disorders: Suspected CAS Flashcards
What are the general assessment principles mentioned for differentiating CAS and childhood dysarthria?
The principles include ruling out inconsistent phonological disorder and severe consistent phonological disorder, with a focus on differentiating between CAS and childhood dysarthria for treatment planning.
What are the suggested assessment steps for evaluating children suspected of having CAS or childhood dysarthria?
The steps include using the DEAP as per the MISLToe Protocol, conducting an oromotor assessment, obtaining a language sample, performing a phonetic and phonological analysis, dynamic assessment, and specialist assessments.
What should clinicians be cautious about when assessing young children with CAS regarding inconsistency?
Young children with CAS may not exhibit inconsistency if they have a limited phonetic inventory, so clinicians should look for vowel errors and assess multi-syllabic words in older children or those with milder CAS.
Why is a stimulability assessment important, and how should it be performed?
Stimulability assessment helps identify a child’s ability to produce sounds in different vowel environments and syllable positions. It can be performed using the DEAP articulation assessment or other tools like Miccio’s assessment.
What aspects are included in an oromotor assessment?
It includes assessing the anatomical structures involved in speech, observing oromotor function during nonverbal and speech contexts, and using tasks such as vowel prolongation and oral diadochokinesis (DDK).
What specialist assessments are mentioned for diagnosing motor speech disorders like CAS?
Specialist assessments include the Nuffield Dyspraxia Programme, Dynamic Evaluation of Motor Speech Skills (DEMSS), Verbal Motor Production Assessment for Children (VMPAC), and the Kaufman Speech Praxis Test (KSPT).
What is the Nuffield Dyspraxia Assessment used for, and how does it help in planning intervention?
It assesses the production of consonants and vowels, oromotor skills, and diadochokinetic tasks, helping to identify segmental and suprasegmental features of CAS, which informs intervention planning.
What is the significance of the increased contact between tongue and palate in assessing oromotor function?
Increased contact may indicate difficulty differentiating between the tongue tip and dorsum, leading to undifferentiated lingual gestures, which could be a feature of CAS or dysarthria.
What should be considered in the differential diagnosis of CAS vs dysarthria?
- CAS and dysarthria share some characteristics, but dysarthria is caused by an underlying motor disorder.
- A detailed oral motor examination, observation of isolated and combined oral movements, and assessment of eating, drinking, and swallowing can help differentiate the two.
How does abnormal timing affect speech production in children with CAS or dysarthria?
Abnormal timing can affect the coordination and rhythm of speech, leading to imprecise articulation and reduced intelligibility
What is the significance of diadochokinetic (DDK) tasks in assessing motor speech disorders?
DDK tasks evaluate the ability to rapidly alternate articulatory movements, providing insights into the motor control and coordination issues present in both CAS and dysarthria
Why is it essential to rule out submucous cleft and Inconsistent Phonological Disorder (IPD) when diagnosing CAS?
These conditions can present with symptoms similar to CAS, so ruling them out ensures an accurate diagnosis and avoids misdiagnosis, which could lead to inappropriate treatment strategies.
