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42 Cards in this Set

  • Front
  • Back
Speech sound disorders are more common in ______
boys
SSD affect approx ____% of children below 8 years old
10% below 8

5% of children above 8 years old

by 17 it reduces to .5%
3 Factors
Mechanism
Cognitive/linguistic
Psycho-social
Mechanism Factors
1.
2.
3.
Anatomic
Neurologic
Sensory
Ankyloglossia
tongue-tie
Minor Structural variations
Lips
Teeth
Tongue Size
Hard Palate
Major Structural variations
Tongue- Macroglossia, glossectomy
Cleft Palate (hard and soft)
Nasopharynx-enlarged adenoids
Neuromotor disorders
Weakness or paralysis-dysarthria
Incoordination-dyspraxia
Congenital or acquired:
Cerebral palsy
TBI
Myofunctional disorders
Tongue thrust
Tongue contacts lower lip during swallow
May be misidentified as macroglossia
Resting position against or between front teech, puts pressure on them
Hearing Loss
Not all children with SSD have HL and not all children with HL have SSD

Vowel subs and distortions
Consonant errors (V/VL, nasal-oral, fricative-stop confusions)
ICD, FCD

Suprasegmental errors: slower rate, pitch, nasality, harsh or breathy, cul du sac resonance (mod-severe HL)

otitis media
Oral sensory function
3 types of feedback
tactile-touch
kinesthetic-motion
proprioceptive-position in space

not sure if oral sensory ability is related to sph sound skill
IQ
weak relationship

most with SSD have normal IQs
Psycho-social factors
Gender (females better until age 12)
3:1 boys:girls
Socio-economic status
Measured by mother's edu and fam income
Correlate
Coexist with a SSI, but not known for certain to be causal
(ex: lang disorder, family history)
Contributing Factor
Precipitate, accompany, maintain the disorder, related to impairments, interference with function of mechanism
Ex: HL, CL/P, motor impairment
Co-Morbidity
More than one problem at the same time

Theoretical and practical problems:
Problems with morphology may look like SSD and vice versa.
Treat both at same time, or one 1st
Top-down vs Bottom-up
Top-down: syntactic structure dominates phonological structure
Language disorders are likely to reflect in articulation and phonological disorders

Bottom-up: phonological structure has an effect on syntactic structure
Phonological disorders contribute to lang disorders
Treatment
Treating other aspects of language prob won't affect speech
Treating speech might affect aspects of lang
Probably best to treat both
Speech Sounds: Morphology
Try to target words that allow you to target both areas:
toe-toes FCD, plurals
boat-boats Cluster reduction, plurals
Sph Sounds: Semantics
Select New words
improves understanding of word
broadens their vocab
SSD and Auditory discrimination
Discrimination training affects production
Production training affects discrimination
Neither training affects the other

Recommendation: train production and probe discrimination
SSD + academic performance
children with SSD have increased reading and writing probs
SSD + Psychiatric problems
more behavior problems
Higher ADD and emotional problems
Shriberg created SDCD
Speech Disorder Classification System- chart
Reading 2 Parts
Word Recognition
Listening Comprehension
How to measure:
Word ID
Listening comp
Word ID: real word reading, non word reading
-Woodcock reading mastery tests

Listening Comp: narrative comp, receptive lang skills
What is needed for word recognition
PA
Concept of alphabetic principle
Orthographic (letter) knowledge
Practice, practice, practice
PA involves 2 broad skills
1) Learning that words can be broken down into units smaller than syllables

2) Learning about indiv phonemes
PA Skills
Rhyming
syllable segmentation
phoneme segmentation
blending
letter name knowledge
letter-sound correspondence
alliteration
Heirarchy
Activities
words-syllable-phoneme

books, songs, pig latin, talk like robots, alphabet game
3 different written form in language
Logographic- each symbol=one word

Syllabary - each symbol=one syllable

Alphabetic- each symbol=one phoneme
English
26 symbols-- 44 phonemes
PA and reading
Before: rhyming, syllable segmentation

During: phoneme segmentation, blending, letter names, letter-sound correspondence

After- alliteration
Listening comp questions
literal info

inferences

sequential
Listening comp
you need
vocab

background knowledge

'running' inferences are made
Reading 2nd grade
WORD RECOGNITION
Reading 8th grade
LISTENING COMP
Poor Reader Subgroups
The Box
Word Recog
Listening comp P G
G dyslexia non specified
P mixed RD Specific Comp Deficit (hyperlexia)
Dyslexia
not a visual problem!

Impairment in phonological processing (not necessarily production)
Reading role of an SLP according to ASHA
Preventing written lang probs by fostering lang acq and emergent literacy

ID and assessing children at risk for reading and writing probs

providing intervention and documenting outcomes for R&W

Advocating for effective literacy practice

Providing assistance to general edu teachers
In Sum
Prevention- parent education

ID- Observe children in PA activities
Screening

Assessment- formal testing

Intervention- curriculum relevant and collaborative interventions