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The nervous system ( for CSD) is made up of
respiratory, phonatory and articulatory systems
Neurons are the
building blocks of the nervous system
our body contains how many neurons?
10 million
The CNS includes the ( extended)
cerebrum, brainstem, cerebellum and spinal cord
Cerebrum ( anatomy)
has two cerebral hemispheres that are similar but not identical
Lobes of the brain are
frontal, parietal, temporal and occipital
Frontal Lobe
motor movements, planning motor movements, executive functioning
Parietal Lobe
sensation and spatial processing
Temporal Love
auditory processing, and both language and non linguistic sounds
Occipital Lobe
visual processing
Brainstem
includes the midbrain, pons and medulla; lies at the base of the brain anterior to the cerebellum
Cerebellum function
important for balance and ensuring coordination
Spinal cord ( location)
lies within vertebral column
Spinal Cord ( function)
relays information from the brain to the body and vice versa
how many cranial nerves are there?
12 pairs
how many spinal nerves are there
31 pairs
Respiration is defined as
the power source for speech production
The respiration function is made up of
lungs, rib-cage, air passageways, and diaphragm
Lungs ( location)
lie within the rib cage
Alveoli are
end organs in the lungs that exchange oxygen and carbon dioxide
Respiratory Pathway is
Mouth/nose, pharynx, larynx, trachea, bronchi, bronchioles, lungs/ alveoli
Inhalation
the diaphragm contracts, rib cage elevates. Air is taken in so pressure decreased and is equalized by taking more air in.
Exhalation
muscles relax, a decrease In lung volume results in increased pressure which is equalized by expelling air
the Larynx is also known as the
voice box
Larynx function
to convert respiratory energy to sound energy
the Larynx is made up of
vocal folds, epiglottis, cricoid cartilage, thyroid cartilage and paired arytenoid cartilage
Vocal folds do what
protect our airways, and help regulate the release of air forming sound.
aspiration is
inhaling foreign matter
Phonation ( basic process)
vocal folds are brought together, then pressure builds below them and blows them apart, where they vibrate to create sound
vocal tract is
a series of interconnected tubes from the larynx to the opening of the mouth and nose
oral cavity
lips to pharynx
nasal cavity
opening at nares to pharynx
pharyngeal cavity
extends from the vocal folds to the nasal cavity
the velum does what
directs air into the oral cavity or nasal cavity forming different tones of sound
articulation
the process of forming speech sounds by movement of articulators
articulators can be
fixed or mobile
the main articulator in the mouth is
the tongue,
what are among the most common communication disorders treated by SLP’s?
Developmental speech disorders
articulation
the ability to produce sounds in sequence by moving the articulators a
articulation disorders
difficulty producing the sounds and sound sequences of a particular language
artic disorders often have difficulty with
moving their articulators to form sounds
the difference between artic and phonology disorders is
with artic disorders one cannot even make the sounds. With phonology, one can make the sounds, but they don’t know how to use them
Phonological disorders
difficulty understanding and implementing the underlying rules for producing sounds and sequences
Final consonant deletion
bat vs ba
Syllable Deletion
above vs bove
cluster reduction
step vs sep
Assimilation
dig vs gig
stopping
teep vs sheep
Fronting
car vs tar
Functional speech difficulties
the cause of differences from typically developing speech development patterns that cannot be determined
Structural impairments include
cleft lip and palate, syndroms, macro and micro gloria and dental abnormalities
Dysarthria in children is
weakness/ paralysis and slowness in coordination plus abnormal muscles tone; often involves trouble eating or drooling
What is dysarthria in children caused by?
stroke, ALS, CP or developmental disorders
what disorder is dysarthria in children most commonly associated with?
cerebral palsy
Developmental Apraxia
inability to effectively “plan” motor movements
Key signs of developmental apraxia include
groping behavior, difficulty with long words and complicated sentences as well as generative speech
Apraxia is a
motor planning problem
Dysarthria is
motor weakness
Acquired Dysarthria is different from CP because
the adult have been able to use speech for many years; A
Acquired dysarthria is characterized by
slushy or slurred speech
Acquired apraxia treatment focuses on
Bailey to program movements by slowly increasing demand
Assessment process has 2 parts
screening and evaluation
Screening is simply
the determination if an evaluation is necessary
SODA errors are
substation, omission, distortion and addition
Substitution errors
wabbit for rabbit
omission errors
boo for book
Distortion errors
lisp
addition errors
boata for boat
Articulation-based therapy
repetitive motor practice with feedback and attention to how the body is used to produce sounds
Therapy progression
isolation, syllables, words, phrases, sentences, connected speech
Phonological based therapy
emphasize these of speech sounds and syllable sequences to communicate ideas
AAC
Augmentative and Alternative communication device