Term
| Name the 4 types of ORGANICALLY based SSD's |
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Definition
1. Major deviations of oral-facial structures
2. Hearing loss
3. Genetic syndromes
4. Neuromotor disorders
- dysarthria
- apraxia |
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Term
| Major Deviations of oral-facial structures includes what? |
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Definition
cleft lip &/or palate (before surgery)
- after surgery assume mech. is normal (25-30% have to have surgery redone)
-surgery stunts growth vs. correct speech development.
-in therapy, need to know how long kid has had the "correct" mechanism for. |
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Term
| What do you need to consider with an organically based SSD due to HEARING LOSS? |
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Definition
1. degree and type of loss (conductive vs. sensorineural)
2. age of onset & detection
3. management-amplification, cochlear implant
4. Quality of intervention
5. Other factors |
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Term
| What do we know about Otitis Media (OME)? |
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Definition
1. It is common 75-95% children
2. elevated thresholds 0-60dB
3. some kids w/ OM have phonological delay, though
4. it doesn't always result in a phonological delay.
5. kids can catch up if OM is resolved |
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Term
| What kinds of problems are there related to research with OME? |
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Definition
1. hard to document frequency of occurrence
2. no hearing test results (no one ever checks to see if there's hearing loss if they have OME
3. access to medical care (SES factors)
Shriberg et al. (2000a)- reviewed studies:
17 studies showed NO association b/w OME and speech delay
21 studies showed POSITIVE association b/w the two.
Roberts et al. 2004-reviewed 14 prospective studies: "no too small association, IF IN OPTIMAL LEARNING ENVIRONMENT" |
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Term
| Genetic syndromes can have a ___ effect on SSD's. |
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Definition
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Term
| Neuromotor disorders involve what? |
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Definition
more common in adults
-articulation
-phonation
-respiration
- and VP function |
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Term
| What are the 2 types of Neuromotor Disorders? |
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Definition
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Term
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Definition
paralysis, weakness, or incoordination of speech musculature, injury to nervous system.
Characterized by:
- problems:
intelligibility
imprecise consonant articulation |
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Term
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Definition
impairment of motor programming w/o weakness, paralysis, or incoordination.
Characterized by: artic. & prosody |
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Term
| Childhood Apraxia of Speech |
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Definition
- named CAS due to same struggle behavior as shown in adults w/ apraxia
Different than in adults:
- children have no automatic pre-learned speech to fall back on
- accompany problems w/ syntax, morphology, and spelling
other characteristics:
- probs w/ vowels (errors, distortions, don't have many in repertoire)
-weird error patterns (hard to transcribe)
-errors increase as phrases increase (length)
-inconsistent artic
-automatic utterances-easy, voluntary-hard
-putukuh HARD rate & accuracy
-slower rate (timing issues)
-choppy/monotone
-groping/struggle behavior
-oral apraxia |
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