Assessment
Because the diagnostic criteria for CAS is not firmly established the challenge in diagnosis and assessment becomes differentiating CAS from other speech sound disorders such as speech delay and dysarthria and specific language impairment (SLI) (Lewis et al., 2004). Many other speech sound disorders show similar signs as those in children with CAS (McCabe, Rosenthal, & McLeod, 1998).
Children suspected of having CAS are referred to a speech-language pathologist for a comprehensive assessment. Comprehensive assessment utilizes a number of activities and measures including formal, informal assessment tools. It is important for speech-language pathologists to select instruments that are psychometrically sound for the assessment (Dollaghan, 2004). Comprehensive assessment includes the case history, oral-motor assessment, hearing screening, and oral mechanism assessment (American Speech-Language-Hearing Association, n.d.b).
Oral/mechanism examination is important for differentiation of dysarthria and other speech sound disorders from CAS. It can also assist in identifying apraxia of speech and oral apraxia, which may or
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These provide intensive and frequent practice of speech targets, include sensory input for speech production such as tactile, visual, and cognitive cues, focus on accurate speech movement, and utilize specific conditions of practice such as blocked practice targets, and provide feedback (Maas et al, 2008). There are a number of intervention programs available including the Kaufman Speech to Language Protocol utilizing behavioral principles to aide in motor-speech shaping (Kaufman, 1995), Nuffield Dyspraxia Program, which focuses on speech output and motor programming skills (Williams & Stephens, 2010), and Training Syllable Sequences focused on using nonsense syllables to train motor planning flexibility (Velleman, 2003; Velleman & Strand,
Researchers conclude that the are differences in swallowing between male and female, with female having a longer oropharyngeal transit than male for a 5-ml bolus. 2. What are the implications of these results for communication disorders? Since the participants were asymptomatic, the duration results and images might be different for those with swallowing disorders.
Albeit all different, most have one thing in common, echolalia. As a student of the masters program I hope to research ways I can better understand the reason behind it and what intervention methods are best. My goal in research is to support my clients in achieving a more spontaneous and intentional way of communication. Throughout my practice, I have struggled with where to praise a direct imitation when a child gains their first few words to a growing concern when it takes the form of a more gestalt language process. In addition to echolalia research, I hope to contribute to the neurodiverse population with more research on ways for therapists to provide affirming and strengths based therapy.
SAY, the Stuttering Association for the Youth, supports children who stutter feel less alone, and feel more self-confident. Stuttering can make a person repeat, or stretch out syllables, and/or become silent in the middle of a word or sentence. As mentioned in the article,” The Incredible Power of Speech”, it’s no surprise that scientists find it difficult to discover a cure for stuttering. The complex production of your voice includes the working together of your body parts. Regardless of the curing process being a hard and an extremely complicated one, according to, “The Incredible Power of Speech”, scientists have managed to pinpoint parts of the brain that control speech.
These deficits may be attributed to reduced vital capacity and subglottal air pressure, deficits in laryngeal function, control of the respiratory and phonatory subsystem, and possibly attributed to the client’s abnormal postural control, as observed throughout known and unknown contents. During the Diadochokinetic (DDK) task, the client demonstrated alternating loudness variations after she was provided with a model and instructions (i.e., “repeat fast and steady”). Additionally, during a sustained phonation task of the vowel /a/, the client was provided instructions to hold and sustain the vowel (i.e., “take a breath and say /a/, hold that out for long and steadily as you can”) which also revealed alternating loudness variations, and a strained-strangles voice. Her maximum phonation time (MPT) was 13 seconds, which could signify respiratory and phonatory
He can start practicing this fluency technique in clinic by reading something to the clinician. • We need to redesign and re-evaluate Brendan’s practice routine by devising an individualised speech task hierarchy to assist the transfer of fluency technique. Speech practice should also be incorporated in everyday situations in order to maintain an effective fluency technique. • Brendan should follow the updated practice routine and use fluency technique of 2 in everyday situations such as having a conversation on the phone or ordering a meal in a restaurant (O’Brien et al., 2015).
Throughout this instruction, Cuomo uses the “I do, you do, we do” method, a form of gradual release recommended by Moats for phonological instruction (Amplify, 2018; Moats, 2020, p. 163). Cuomo, representing this curriculum, teaches phonological awareness by sounding out /ie/ and showing how the mouth forms when making the sound. To encourage mouth awareness, she has students focus on the fact that their mouths smile when they sound out the /ie/ phoneme (Amplify 2018; Moats, 2020). To reach various learner profiles, she integrates multimodal learning via arm taps, visual diagraphs, reading activities, and dictation exercises (Moats, 2020).
In order to assess phonatory issues, the clinician should assess the quality of the voice and make note of any irregularities or behaviors that result in excessive force on the vocal folds. If there positive findings are noted, the child should undergo a diagnostic voice evaluation for further assessment and recommendations (Pena-Brooks & Hedge, 2007). Resonance disorders can be assessed during the oral peripheral examination by observing movement of the velopharyngeal mechanism during phonation of the /a/ sound. In addition, the presence of hypernasality and nasal emissions should be ascertained during the examination (Pena-Brooks & Hedge, 2007). Treatment Programs or Methods One piece of advice Knutson (2015) offers to speech-language
Gallena (2007), suggested using the following tasks for assessing adductor spasmodic dysphonia: 1) “sustained vowel /a/”, 2)”glottal diadochokinesis”, 3) connected speech both in sentences and conversation, 4) read “Towne-Heuer Passage”, and 5) laughing and singing. These tasks will examine voice breaks, aperiodic segments, the length of time needed to read sentences or passage, frequency shifts and presence or absence of tremors. Voice Handicap Index. In addition, the clinician will want to know the individuals perception of their voice. The Voice Handicap Index (VHI) scale strives to assess the level of impact that is caused by the voice problem.
Wright’s everyday life, and thus his speech disorder affects multiple aspects of his life. “Patients have difficulty producing grammatical sentences and their speech is limited mainly to short utterances of less than four words. Producing the right sounds or finding the right words is often a laborious process. Some persons have more difficulty using verbs than using nouns. A person with Broca’s aphasia may understand speech relatively well, particularly when the grammatical structure of the spoken language is simple.
4. Topic: Behavioral Audiometry In Behavioral Observational Audiometry the observer decides if an infant is responding to a stimulus based on changes in sucking, eye gaze, and other potential reactions. The responses are then measured against the Auditory Behavior Index, which lists where the minimum response level is for typical hearing children for the first two years of life. Unfortunately, BOA is not appropriate for pure tone threshold testing of infants because the Auditory Behavior Index does not measure sensitivity, it measures responsivity, so it is not a reliable source of audiometric information.
This research study article “Dialect Awareness and Lexical Comprehension of Mainstream American English in African American English-Speaking Children” written and conducted by Jan Edwards, Megan Gross, Jianshen Chen, Maryellen C. MacDonald, David Kaplan, Megan Brown, and Mark S. Seidenberg examines the sociocultural conditions of AAE. The writers hypothesize that children who speak AAE have trouble comprehending words that are not commonly present in the dialect. The purpose of the study is to promote dialectal awareness and dialectal comprehension. The article’s research team is from the University of Wisconsin Madison, which holds one off the nations top Speech Language Pathology programs.
Based on observations of Child N, I noticed he exhibits significant difficulty with expressive and pragmatic language skills. The day I observed the child was the day he had speech therapy in a group session. Due to the confidentiality of the other children, the speech therapist was uncomfortable with me attending the speech session with Child N. As per the teachers the child was said to demonstrate consistent errors in speech sound production. One or more of the child’s phonological patterns of sound are at least 40% disordered which makes the conversational intelligibility significantly affected.
Research on the Neurogenic Disorder: Aphasia There are several types of Neurogenic speech disorders such as aprosody and apraxia of speech, but in this paper will be focused on the disorder otherwise known as, aphasia. Classified as a language disorder, aphasia debilitates a person’s ability to form, read, write and/or understand spoken language (“American Speech,” n.d.). My goal is to inform and create awareness about aphasia in hopes that it will break down the barriers between those with aphasia and those without. The purpose of this paper is to help patients with aphasia by knowing the three stages of aphasia, by knowing the psychosocial challenges of people with aphasia, and finally, by knowing different methods that will directly help
Interviews were also conducted between parents and SLPs to obtain information regarding the child’s developmental, medical, and stuttering history. Last but not least, the conversational speech sample was collected from each child. The results of the study were that stuttering events were more likely to occur in trisyllabic tone combinations with a conflicting tone context. Also, stuttering occurred more frequently in Tone 3 and Tone 4 syllables rather than Tone 1 or Tone 2
Adults with diseases that affect the CNS and children with developmental disorders of language or learning disorders have difficulty understanding spoken language, even when they have knowledge of it. If any of these individuals in addition to their condition had a DPAC latter certainly contribute significantly to their understanding problems. Thus, patients with a lesion in the right hemisphere temporal and parietal area have difficulty in analyzing acoustic information as well as pitch, loudness, tempo, and rhythm in speech which help us understand the structure and meaning of an utterance.. ( Rhawn,