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what is dysfluency
a breakdown in the flow of speech
what is fluent speech
smooth, effortless, rythmic
do all people stutter
yes some of the time
is stuttering the same for all stutterers
no they each have their own pattern
what is the ratio of girl to boy stuttering
1:6
what type of people always stutter?
people with down syndrome
is there a cure for stuttering
no
is stuttering genetic
no but there is a familial tendency
what can cause an adult to stutter
1- if it layed doormant from when you were a kid it could come back
2- if you go through a trauma
is talking on the phone easier or harder for a stutterer
harder because they dont get feedback so they think its bad feedback
how did technology help stutterers
they could text, so they don't have to talk as much
what are the causes of a stutter
1) unknown
2) psychological
does stuttering start small or bad
starts small and gets worse
what is the theory of capacity of demands
when the demands for speech exceed the child's capabilities to speak
what is a filler
you know, um
what is whole word repetition
what time time time
part-word repetitions
"What t-t-t-time is it?"
prolongation
I sssssee you- stretching out the sound instead of repeating s, s, s,
insertion of schwa
adding an uh sounds
instaed of dad its du-ad
instaed of blue its buh-loo
whats block
when words dont come out
order from best to worst of sutters
filler, whole word repetition, part word repetition, prolongation, instertion of schwa, block
how does it help to recognize your pattern as a stutterer
you can know when youll stutter so youll skip the word
what is a secondary characterisitic
if you once didn't stutter while you were doing an action, then you repeat that action every time you say that word even though it didn't prevent you from stuttering any other time
how to evalutate a stutterer
ideally you should do it without them realizing they have a stutter
put them in 3 situations with 3 dif people and video them
how to do indirect therapy
you make surroundings more comfortable for them
whats direct therapy for stuttering
add the H sounds before
say hard sounds softly
give techniques to avoid situations
propose vocab thats easier for them
what is auditory feedback loop
its when you can hear yourself speak so you fix the way you sound if its off, but when people who are deaf can't hear themselves so they stutterau
how does the ear work
sounds waves travel through th eair, they are collected by the pinna, go through the ear canal
hit the tempranic membrane which vibrates and sends the sound to the 3 osciles, which vibrate and push sound into cochlea, then the cilia vibrations turn the soundwaves into electrical impulses, which travel along the 8th nerve to the brain and the brain interprets the sound
how to treat someone born without a pinna
when they are an adult you can insert a pinna with surgery
what is atresia
closure of the ear canal
how to treat atresia
if its skin blocking the ear canal, cut it
if its bone cut it with surgery
what is an impacted ceruman
when the ear wax didn't regenerate properly so it blocks the eardrum
hearing is muffled
how to fix impacted cerumen
dr removes it
what is otosclerosis
hardening of the 3 osicles
happens in old age
what are tumors in the ear
growths that make the 3 osicles no vibrate, when removed can ruin hearing
what is presbycosis
when cilia die out, old age
waht is oceopation HC
ocucupational hearing loss due to job
ex; construction worker
what are cochlear implants
Medical devices implanted in the ear that are wired to the nerves collecting soundwaves and turning them into electrical impulses
how does the Cohclear implant surgery work
they cut into the skull and put electrodes into the cochlea, connected to the 8th nerve and a magnet connected on the outside, then they sounds in to measure brain waves to see if it workds
who are cochlear implants best for
kids who get implants very young
or people who became deaf later in life
how does an audiologist test a baby's hearing
with a probe
what is normal hearing
hearing sounds from 0-15 decibles
what is damaged hearing
35-50 decibels
How is pitch measured?
in hertz H2
what is the peak age for hearing
18
what do you need for a cochlear implant to work
a working 8th nerve
how does audiologist test adult's hearing
with an audiogram- they play sounds with different pitches and see which ones they could hear
how does an audiologist test a child's hearing
place them in a sound proof room and play sounds with different pitches and see if they react
where is sensory neural hearing loss
inner ear
where is conductive ear loss
middle or outer ear
what does a heraing aid do
amplifies the noise- makes it louder
What is otitis media?
ear infection
what causes vertigo and minieres disease
when the eustachian tube is not in the right position
what position is adult's eustachian tube in
vertical
what position is child's eustachian tube in
horizontal
what causes an ear infection
because baby's eustachian tube is not vertical, bacteria can get stuck in it, causing the walls to swell ad pushing flyid into the middle ear
what happens if you dont treat an ear infection
they walls continue to sweel push the fluids whcih can rupture the tympanic membrane- then you mustt get antibiotics
what is a tube
it drains the fluid in the ear to prevent ear infections
what is air conduction
hearing sounds through the air
what is bone conduction
the bones in your body send vibratios
why do you sound different in a voice note
its just air conduction, you don't feel your bones moving
what is CAPD
central processsing disorder
not a hearing loss, but cant process sound in the brain
how to treat CAPD
you start with 2 pieces of reltaed info, and then keep adding
-teach to repeat information back
-make eye contact
-clear articulation