6653040
Description
Flashcards by Simone Norman, updated more than 1 year ago
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Created by Simone Norman
almost 8 years ago
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| Question | Answer |
| Cleft palate | -congenital malformation of palate/lip due to failure of oral structures to fuse at midline during first trimester -cleft lip repair generally completed at 3 mos or at least before 2 yrs -3 mos post surgery before speech therapy begins |
| speech errors in cleft palate | -VPI: inability to close off oral cavity from nasal cavity during speech due to inadequate velar movement -may see audible nasal emission, hypernasal resonance, artic errors -speech errors: distortions and omissions, omit consonant blends, fricative affricates and plosives affected, usually errors occur in final position |
| treatment goals for children with cleft palates | 1. correct artic placement 2. light articulatory contacts 3. greater mouth opening 4. decrease hypernasal resonance quality 5. promote more anterior placement of articulatory production |
| tips for working with kids with cleft palate | -children w/ only glottal or pharyngeal place of artic errors should have therapy PRIOR to flap surgery -if questionable VPI, delay /k/ and /g/ training to avoid tendency to adopt compensatory movements -watch for dental anomalies that may lead to lateralization of fricatives/affricates -indicate services as early as possible -use biofeedback devices |
| hearing impairment | -has the HL gets worse, it progresses as follows: voiceless consonants, sounds characterized by low intensity HF or short duration, sig difficult in consonant production, then finally global speech production impairment with neutralization, sub, addition, nasalization of vowels |
| treatment approaches to HL | 1.ORAL: emphasize spoken lang as primary mode of comm through speechreading, amplification, auditory training 2. MANUAL: focus on earliest acquisition of a linguistic system (ASL) 3. TOTAL COMM: encourages any combo of modalities to facilitate language acquisition 4. BILINGUAL/BICULTURAL: children exposed to ASL as first lang, learn English in school for reading and writing |
| cochlear implants | -directly stimulates surviving auditory nerve fibers -four factors associated: years of device used, nonverbal intelligence, oral comm as primary mode post-implant, number of active electrodes with a wide dynamic range |
| tips for working with kids with HL | -cued speech may be helpful teaching P-V-M -incorporate alternative sensory modalities in early stages of tx -select stimulus words related to classroom curriculum -always ensure child's amp system is working -use auditory trainers -anticipate a period of fear/confusion when sound is introduced for first time! |
| childhood apraxia of speech | -significant gap b/w receptive/expressive lang skill characterized by: -restricted phonemic repertoire, reduced ability to imitate sounds, highly inconsistent speech errors, vowel distortions, struggling and groping movements, high % of errors in orally complex sounds or multisyllabic words |
| factors to consider in treatment for CAS | -progress is slow and marked by poor retention and generalization -intensive, systematic drill is necessary due to motor programming -shorter, more frequent sessions are better -use visual, tactile, auditory cues -concentrate on how sounds "feel" and use self-monitoring |
| tricks for treatment CAS | -oral-motor movements can be used to facilitate articulatory placement for acquisition of new consonants -early therapy should focus on accuracy, then later speed of movements -counseling for parents and children --> therapy MUSt be a positive experience |
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