Motor Speech Disorders Exam 3 Questions and Answers
1. important considerations in clinical decision-making:
- helps us predict future
- how realistic is change?
- some interventions may be more helpful based on level
- underlying motor concerns
- current strategies and perception
- other communication concerns, medications, etc.: cause/prognosis treatment history
severity
nature/type (presenting features)
motivation and awareness confounding
factors
2. stages of treatment: planning for recovery or degenerative process?
Stage 1: No functional speech
Stage 2: Residual natural speech and augmentative strategies Stage 3:
Reduction in speech intelligibility
Stage 4: Obvious disorder with intelligible speech
Stage 5: No detectable motor speech disorder: planning for recovery
3. stages of treatment: planning for recovery or degenerative process?
Stage 1: No detectable speech disorder
Stage 2: Obvious speech disorder with intelligible speech Stage 3:
Reduction in speech intelligibility
Stage 4: Residual natural speech and augmentative strategies Stage 5: No
functional speech: degenerative process
4. approaches (overview to treatment): 3 types: speaker-oriented, communica- tion-oriented,
substitution
5. restoration aims to reduce the : impairment (subsystem focus)
6. compensation aims to reduce the : activity limitation (intelligibility and
rate/naturalness)
7. communication-oriented approaches to treatment: supplementation of speech (e.g.,
alphabet board), social compensation (e.g., proximity)
8. goal is to reduce activity (speaking) limitation by impacting intelligibility and/or
naturalness in a positive manner: behavioral compensation
9. reflects the combination of speaking and pause time: speech rate
10.potential benefits of slowing down for a speaker with dysarthria: improve precision,
coordination, and respiratory patterning
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, Motor Speech Disorders Exam 3 Questions and Answers
11.potential benefits of slowing down for a communication partner: added time to process,
creates boundaries between words
12.two broad categories of rate control strategies: rigid, natural
13.typically easy to learn/apply but the speaker is less natural speaking: rigid
14.more difficult to establish (carryover) but techniques help preserve natu- ralness: natural
15.examples of rigid rate control strategies: alphabet supplementation, pacing
16.point to the first letter of the word while speaking: alphabet (cues) supple- mentation
17. alphabet supplementation:
- messages that help the talker control an interaction client needs
ability to and some
early on, focus on decreasing : control phrases
point, literacy
cognitive load
18.pacing techniques: pacing board, finger/leg tapping, metronome, delayed au- ditory feedback
19.gives the client feedback of their own speech as it's being said through a listening device
delayed by clinician: delayed auditory feedback
20.pros of rigid rate control strategies: limited instruction, low cost
21.cons of rigid rate control strategies: sacrifice naturalness, may draw negative attention
22.examples of natural rate control strategies: rhythmic cueing, pacer software program, delayed
auditory feedback, backdoor approaches, beat or baton gestures
23.pointing to words in passage at target rate of speech: rhythmic cueing
24. rhythmic cueing:
start with
goal = client internalizes : written materials
target rate
25.computer version, speaking rate determined by clinician, patient "pace" rate of narrative
(orally read): pacer software program
26.alternative of pacer software program: mobile technology
27. DAF - some success with profiles; fade once
rate is internalized: -
hypokinetic
28.designed to address speech naturalness but also indirectly slow speaking rate: backdoor
approaches
29.how do we get someone to slow down?: increase loudness, stress patterning, phrase and breath
groups
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1. important considerations in clinical decision-making:
- helps us predict future
- how realistic is change?
- some interventions may be more helpful based on level
- underlying motor concerns
- current strategies and perception
- other communication concerns, medications, etc.: cause/prognosis treatment history
severity
nature/type (presenting features)
motivation and awareness confounding
factors
2. stages of treatment: planning for recovery or degenerative process?
Stage 1: No functional speech
Stage 2: Residual natural speech and augmentative strategies Stage 3:
Reduction in speech intelligibility
Stage 4: Obvious disorder with intelligible speech
Stage 5: No detectable motor speech disorder: planning for recovery
3. stages of treatment: planning for recovery or degenerative process?
Stage 1: No detectable speech disorder
Stage 2: Obvious speech disorder with intelligible speech Stage 3:
Reduction in speech intelligibility
Stage 4: Residual natural speech and augmentative strategies Stage 5: No
functional speech: degenerative process
4. approaches (overview to treatment): 3 types: speaker-oriented, communica- tion-oriented,
substitution
5. restoration aims to reduce the : impairment (subsystem focus)
6. compensation aims to reduce the : activity limitation (intelligibility and
rate/naturalness)
7. communication-oriented approaches to treatment: supplementation of speech (e.g.,
alphabet board), social compensation (e.g., proximity)
8. goal is to reduce activity (speaking) limitation by impacting intelligibility and/or
naturalness in a positive manner: behavioral compensation
9. reflects the combination of speaking and pause time: speech rate
10.potential benefits of slowing down for a speaker with dysarthria: improve precision,
coordination, and respiratory patterning
1/9
, Motor Speech Disorders Exam 3 Questions and Answers
11.potential benefits of slowing down for a communication partner: added time to process,
creates boundaries between words
12.two broad categories of rate control strategies: rigid, natural
13.typically easy to learn/apply but the speaker is less natural speaking: rigid
14.more difficult to establish (carryover) but techniques help preserve natu- ralness: natural
15.examples of rigid rate control strategies: alphabet supplementation, pacing
16.point to the first letter of the word while speaking: alphabet (cues) supple- mentation
17. alphabet supplementation:
- messages that help the talker control an interaction client needs
ability to and some
early on, focus on decreasing : control phrases
point, literacy
cognitive load
18.pacing techniques: pacing board, finger/leg tapping, metronome, delayed au- ditory feedback
19.gives the client feedback of their own speech as it's being said through a listening device
delayed by clinician: delayed auditory feedback
20.pros of rigid rate control strategies: limited instruction, low cost
21.cons of rigid rate control strategies: sacrifice naturalness, may draw negative attention
22.examples of natural rate control strategies: rhythmic cueing, pacer software program, delayed
auditory feedback, backdoor approaches, beat or baton gestures
23.pointing to words in passage at target rate of speech: rhythmic cueing
24. rhythmic cueing:
start with
goal = client internalizes : written materials
target rate
25.computer version, speaking rate determined by clinician, patient "pace" rate of narrative
(orally read): pacer software program
26.alternative of pacer software program: mobile technology
27. DAF - some success with profiles; fade once
rate is internalized: -
hypokinetic
28.designed to address speech naturalness but also indirectly slow speaking rate: backdoor
approaches
29.how do we get someone to slow down?: increase loudness, stress patterning, phrase and breath
groups
2/9
