acquired stammering and cluttering

stammer definition

characterised by an abnormally high frequency and/or duration of stoppages in the forward flow of speech

stammer presentation

can affect the whole body- fatigue, worn out, anxiety

voice, brain, mouth and breathing don't seem to fit together

motor speech disorder

* prolongations
* blocks
* avoid certain words bc cant say
* repetition

neurogenic stammering

* most common form
* stuttering associated with acquired neuro damage (SAAND)

can be result of -

* brain damage associated with stroke
* brain tumours
* progressive diseases (PSP, TBI, Alzheimer’s, PD)
* drugs – meds for epilepsy
* streptococcal infection
* renal dialysis

psychogenic stammering

* result of a psychological trauma
* poorly understood

caused by -

* stress
* death
* break ups
* mental impact of physical trauma
* depression

cluttering definition

Cluttering is a fluency disorder wherein segments of conversation (a) in the speaker’s native language, (b) typically are perceived as too fast overall, (c) too irregular, (d) or both.

The segments of rapid and/ or irregular speech rate must further be accompanied by one or more of the following: (a) excessive ‘normal’ disfluencies; (b) excessive collapsing or deletion of syllables; and/ or (c) abnormal pauses, syllable stress, or speech rhythm.

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(St. Louis & Schulte, 2011, pp. 41– 242

features

overly rapid speech rate (tachylalia)

* fasts bursts of speech interspersed with short inappropriate pauses, jerky speech

excessive coarticulation

* can be so severe that words are lost

disfluencies

* part-word, word and phrase repetitions
* stammering
* can be dual diagnosis

aetiology

* no known cause
* evidence of neuro differences between ppl who clutter and ppl who don’t
* more neural activity in certain places in brain
* commonly comorbid with speech/non-speech difficulties

impact

* MH
* bullying
* misunderstood
* avoidance
* less emplyability
* friends
* frustration
* part of them
* injustice

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