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13 Cards in this Set
- Front
- Back
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Apraxia Treatment Approaches
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Articulatory-Kinematic - focus on movements in the mouth, often paired with visual stimuli e.g. Rosenbek's 8 Step Continuum
Rate and Rhythm Control Intersystemic Facilitation-Reorganization AAC Approaches |
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Rosenbek's 8 Step Continuum (Articulatory Kinematic)
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1) Integral Stimulation - maximal cueing, including visual and auditory, demonstrate and have client say along with clinician
2) Provide integral stimulation again, but client waits and repeats after clinician have finished, with clinician silently mouthing the words. 3) Integral stimulation, delay and no additional cueing 4) Repetition of target several times by client without cueing. 5) Oral reading as cue 6) Delayed oral reading (remove stimulus say word) 7) Question to elicit target 8) Role-playing to elicit target. |
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Articulatory-Kinematic Treatments
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Repeated motoric practice is the key principle. Modelling and repetition is primary means of getting client to say target.
Includes Rosenbek Hierarchy, PROMPT, phonetic placement, phonetic derivation |
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PROMPT
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Formalized system requiring certification for providing sensory feedback through tactile cueing. Combines kinesthetic (actual touching), auditory and visual stimulation.
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EPG
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Electropalatography. Seldom used in clinical practice, more for research. Form of bio-feedback
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Phonetic placement
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Verbal instruction on articulatory positioning (where) voicing and manner (how). May or may not include visual cues.
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Phonetic derivation
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Using pro-movements client already has to develop others e.g. lip popping noise to achieve labial stops.
Also: Key Word - find a word client can say well consistently and use this word to draw attention to articulatory processes e.g. can say "Sam" so use this word to demo how "s" is produced. |
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Rate and Rhythm Approaches
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Treatment approaches which manipulate rate and rhythm. Typical goal is to slow speech to allow more time for programming. Assumption is rate underlies issues.
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Stress Patterning
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Practice of multisyllabic words, attention drawn to contrastive stress, feedback on relative syllable durations. Modelling and auditory feedback.
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Metronome Approaches
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Reduction of rate with use of metronome as guide. Slowly ramp rate up over course of treatment. Often includes tapping as a self-cue.
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Rate Control
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Other approaches used to reduce rate. Includes use of a pacing board. Syllable by syllable production. Clinician provides cues which are faded eventually.
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AAC Approaches (Not always effective, clients may not want to use)
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No-tech - gestures, drawings, facial expressions Low tech - communication boards, booksHigh-tech - electronic voice output aids, apps |
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Intersystemic Approaches
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Use of other relatively intact modalities to facilitate communication e.g. gestures, melodic intonation, vibrotactile stimulation. Need to be paired with verbalization to be effective.
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