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What is an IDEAL sample size/context for a disfluency count? (not always realistic)
300 words or 3 samples of 100 words in a language sample
Where can we get our samples from?
Narratives
Conversation
step by step instructions
reading out loud
only if functional and pertinent for your patient
How can you gather a conversation sample?
Through an interview, play-based, guided conversation
What's the purpose of disfluency counting?
Gives us an idea about...
kinds of disfluency
how often they are being produced per 100 words/syllables
duration of disfluent moments
***this all helps towards developing a diagnosis
What type of disfluencies are considered stuttering like?
part word repetition (sound or syllable)
whole word repetition (monosyllabic)
Tense pauses or blocks
Dysrhythmic phonation (prolongations or sound that is tense or harsh)
What type of disfluencies are considered more typical?
Phrase repetitions
interjections
Revisions
Multisyllabic word repetitions (common in Spanish speakers)
What percentage of disfluency in a child's speech is considered stuttering like opposed to normal disfluency?
50% of child's speech
If child has more than _____ stutter-like disfluencies per 100 words, more likely to be stuttering
3
At what age do children begin to decrease what type of repetitions?
4yrs: part-word repetition (sound and syllable)
this means if this behavior continues after 4 then it is more likely to be stuttering
What percentage of the total disfluency count is considered atypical?
10% or more
it should be less than 10% to be considered typical/fluent
what do you count for the total?
Total words =
Total disfluencies =
Total SLDs (stuttering like) =
Total NSLD’s (nonstuttering like) =
Percent disfluencies
Total Percentage =
Percent SLD’s =
Percent NSLD’s =
Total Percentage = total disfluencies/total word count
Percent SLD’s = SLD count/disfluency count
Percent NSLD’s = NSLD count/disfluency count
What is the formula for disfluency rate
rate of disfluencies = Disfluencies total / words
do we count “uh” and “um” as words
no