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Developmental Apraxia of Speech (DAS)
Child has no control over lip, jaw, tongue movement when speaking; Brain has trouble planning speech movement
Controversial in:
Etiology
Speech characteristics
DAS: Etiology
Controversial;
Disorder of speech motor control
Unknown cause
DAS: Speech characteristics
Controversial;
Exact/agreed symptoms are variable
Not all symptoms have to be present
No one symptom must be present
Groping
Ongoing series of movements of articulators to find desired artic position
Cleft palate/lip
Cons. distortions assoc. w nasal emissions:
Due to velo-pharyn inadequacy → Nasality during vowels + vocalist cons.
Unusual backed artic.: Back velar sub for /l, r, n/
Hearing impairment: Speech characteristics
Deletions + sub. w final cons. deletion being the most common
Acquired Apraxia of Speech (AAS)
Disorder in production of articulation + prosody; Results from impairment to CNS programming of oral movement
Dysarthria
Neuromuscular disorder; Impairment of CNS + PNS (specifically speech control/coordination portion);
Muscular weakness/paralysis + discoordinaton result from neurological involvement
Affects all speech processes
SLP Role
Conduct unbiased assessment
Differential diagnosis
Differential diagnosis
Diff. vs. Disorder; Sort out phono. patterns (influenced by community) from phono. disorders
Primary/Native lg.
First lg. learned; Can be 1+ lgs., as long as both acquired simultaneously; Never changes
Dominant lg.
Strongest lg.; Mixed lg. dominance (lg1 + lg 2 equally fluent); Can change
Spanish: Vowels
5 primary vowels:
Front - /i, e/
Back - /u, o, a/
Spanish: Consonants
18 total;
Stops /p, b, t, d, k, g/
Fricatives /f, x (hw), s/
Affricate /t, ʃ/
Glides /w, j/
Flap /ɾ/
Lateral /l/
Trill /rr/
Nasals /m, n, ɲ, ñ/
Asian lgs.: Tone
Most are tonal; Diffs. in word meaning signified by pitch diffs.; Dialect diffs. not errors
Speakers of other dialects shouldn’t be treated…
Unless errors in other dialects/wants to learn SAE dialect (not in schools)
Criterion-referenced
Standardized lg test; Looks at whether certain skills have been achieved rather than a score
Age-equivalent score performance is…
Assigned an age
Age-equivalent score-performance
Assigned an age
Use with caution (shouldn’t say “performing like a 3 year old — ASHA warns)
Not used in schools for school age children, but can be for preschool
Standard scores assign…
A number to mean + constant number to SD
For IQ tests…
Mean is often 100 + SD is 15
Percentile-ranke score tells you…
What % of test takers scored at/lower than your child
ex. 40th percentile of children scored at or below your child on this sub/test
Reliability
Repeatability, consistency of measurement
Correlation
Statistical measure of how 2 sets of test scores/half scores vary; Contains:
Pos. + neg.
Higher the correlation
More reliable test
Validity
Test measures what it says it measures
Construct validity
Accuracy with which measure describes trait/construct; Compare test with other test measuring same thing
Basal
Number of consecutive correct answers must have to continue test
Mean Length Utterance (MLU)
Number of morphemes in each utterance divided by number of utterances
Mean compared to norms
Not meaningful for ages 4.0+
Informal analysis
Look over each utterance for morphological errors + syntactic complexity
Informal analysis traits
Used to support standardized eval of syntax/morphology
50+ utterances
Most common in schools
Word finding difficulties: symptoms
frequent pauses + pronouns
repetitions
circumlocutions
fillers
nonspecific words
frequent pronouns
clichés
routinized expression
Grice’s 4 Principles
On topic
Truthful
Be brief
Be relevant
By age of 10…
Children should be able to change utterances when not understood
Proxemics
Personal space
Non-verbal comm.
Eye contact
Proxemics
Gestures
Facial expressions
Posture/other body lg.
Conversational rules/interactional strategies
Convo. Initiation
Topic initiation
Maintenance
Elaboration
Topic changing
Termination
Grice’s principles
Conve