Week Ten Flashcards
What speech systems are mostly effected in apraxia of speech?
Articulation and prosody
What are some salient speech characteristics of AOS?
- Syllable segregation
- Prosodic abnormalities
- Slow rate
- Sound errors (subsitutions, additions, prolongations)
- Groping
What is the goal of intervention in AOS?
Improve the individual’s ability to assemble, retrieve and execute motor plans for speech.
Improve movement accuracy
General principles of AOS intervention
- Start early
- Document baseline data
- Use untrained stimuli for a measure of generalization of training
- Lots of practise is required
- Prinicples of motor learning
What are the different treatment approaches for AOS?
Articulatory-kinematic approach
- Focus: Improving speech through improving the movements required for production
Prosodic Approach
- Focus: improving speech through using rhythm, rate and intonational contours
What is involved in the articulatory-kinematic treatment approach?
Modeling-repetition
- Watch me, listen to me and repeat after me
Integral stimulation
- Watch me, listen to me and say it with me
aim: conscious awareness of the look and sound of the target movement
Articulatory cues
- Visual
- Physical manipulation
- Verbal explanations
- clinician models
Who is suitable for this treatment
- moderate or severe AOS
- People who have AOS and Asphasia
- Outcome measures: articulation accuracy
What are some articulatory-kinematic intervention protocols?
8 Step Continuum
Sound Production Treatment
What is involved in the prosody approach?
- AOS is characterised by disruptions in prosody and the timing of speech production
- May re-establish stress and temporal patterning
What are some prosodic approaches?
Melodic intonation Therapy
Contrastive stress
What techniques could be used for speechless apraxic clients?
- Automatic speech tasks
- Use of carrier phrases (i’d like a cup of…)
- Singing familiar songs
- Pairing a highly symbolic gesture with its associated sound or word
