Speech-Language Case Studies

Improved Essays
D’Amari Brown, a thirteen year–one month old male, attends Lehman College Speech and Hearing Clinic for individual speech-language services twice weekly for 50 minutes. He has been attending the clinic since spring 2012; his intervention has focused on fluency and intonation. The case history form was sent home with D’Amari for his mother, Jennifer Maldonado to complete. Mrs. Maldonado completed the case history form and acted as a reliable informant. Additionally, Mrs. Maldonado has stated through a phone interview that she feels that “his stuttering has gotten worse over the last two years.” She reported that she would schedule a neurological evaluation for D’Amari due to concerns regarding facial grimaces and body movements.

D’Amari was
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37 Riverdale in the Bronx, NY. He receives speech-language services twice weekly for 30 minutes in an individual and group setting. Additionally, D’Amari also receives supplemental speech-language therapy once a week in a group setting, for two hours at SAY, since November 2014.

D’Amari presented as a respectful and polite male. Initially reserved, he became relaxed as the session progressed and conversed with the clinician as topics presented themselves. He was attentive and cooperative throughout the therapy session.

A full oral-peripheral examination was not administered. An informal assessment was conducted to assess the structure and functioning of his articulators and adequacy for speech. D’Amari’s facial structures were symmetrical at rest. He exhibited: reduced labial range of motion, reduced lingual range and speed of motion, reduced lingual strength, and a significant overbite. An informal diadochokinetic (DDK) assessment was also administered to assess coordination and control of the articulators through a hierarchy of /pʌ/, /tʌ/, /kʌ/, /pʌtəkə/ productions which increase in length and complexity. D’Amari’s DDK rates fall within average range. It should be noted that D’Amari revealed abnormal spasms throughout the informal oral peripheral examination and informal DDK
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His voice could be described as monotone and staccato. D’Amari did not vary his pitch, intonation or volume while reading a passage; he did not use the punctuations, or differentiate between interrogative and declarative sentences.

Literacy
D’Amari’s reading was assessed through a seventh grade reading passage, Nighttime in Texas, obtained from readworks.org. He answered 6/7 multiple-choice questions correctly, and wrote down the answer to three short questions. An example of his written answer is as follows:

Dave thinks that Carlos might be sleepwalking in the beginning of the story. Dave wonders if Carlos is suffering from the sleep walking condition.

The transcription revealed proper capitalization, punctuations, grammatical endings, and grapheme phonemes

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