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42 Cards in this Set
- Front
- Back
Speech sound disorders are more common in ______
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boys
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SSD affect approx ____% of children below 8 years old
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10% below 8
5% of children above 8 years old by 17 it reduces to .5% |
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3 Factors
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Mechanism
Cognitive/linguistic Psycho-social |
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Mechanism Factors
1. 2. 3. |
Anatomic
Neurologic Sensory |
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Ankyloglossia
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tongue-tie
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Minor Structural variations
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Lips
Teeth Tongue Size Hard Palate |
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Major Structural variations
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Tongue- Macroglossia, glossectomy
Cleft Palate (hard and soft) Nasopharynx-enlarged adenoids |
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Neuromotor disorders
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Weakness or paralysis-dysarthria
Incoordination-dyspraxia Congenital or acquired: Cerebral palsy TBI Myofunctional disorders |
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Tongue thrust
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Tongue contacts lower lip during swallow
May be misidentified as macroglossia Resting position against or between front teech, puts pressure on them |
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Hearing Loss
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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 |
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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 |
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IQ
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weak relationship
most with SSD have normal IQs |
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Psycho-social factors
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Gender (females better until age 12)
3:1 boys:girls |
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Socio-economic status
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Measured by mother's edu and fam income
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Correlate
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Coexist with a SSI, but not known for certain to be causal
(ex: lang disorder, family history) |
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Contributing Factor
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Precipitate, accompany, maintain the disorder, related to impairments, interference with function of mechanism
Ex: HL, CL/P, motor impairment |
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Co-Morbidity
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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 |
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Top-down vs Bottom-up
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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 |
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Treatment
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Treating other aspects of language prob won't affect speech
Treating speech might affect aspects of lang Probably best to treat both |
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Speech Sounds: Morphology
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Try to target words that allow you to target both areas:
toe-toes FCD, plurals boat-boats Cluster reduction, plurals |
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Sph Sounds: Semantics
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Select New words
improves understanding of word broadens their vocab |
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SSD and Auditory discrimination
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Discrimination training affects production
Production training affects discrimination Neither training affects the other Recommendation: train production and probe discrimination |
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SSD + academic performance
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children with SSD have increased reading and writing probs
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SSD + Psychiatric problems
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more behavior problems
Higher ADD and emotional problems |
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Shriberg created SDCD
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Speech Disorder Classification System- chart
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Reading 2 Parts
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Word Recognition
Listening Comprehension |
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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 |
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What is needed for word recognition
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PA
Concept of alphabetic principle Orthographic (letter) knowledge Practice, practice, practice |
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PA involves 2 broad skills
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1) Learning that words can be broken down into units smaller than syllables
2) Learning about indiv phonemes |
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PA Skills
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Rhyming
syllable segmentation phoneme segmentation blending letter name knowledge letter-sound correspondence alliteration |
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Heirarchy
Activities |
words-syllable-phoneme
books, songs, pig latin, talk like robots, alphabet game |
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3 different written form in language
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Logographic- each symbol=one word
Syllabary - each symbol=one syllable Alphabetic- each symbol=one phoneme |
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English
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26 symbols-- 44 phonemes
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PA and reading
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Before: rhyming, syllable segmentation
During: phoneme segmentation, blending, letter names, letter-sound correspondence After- alliteration |
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Listening comp questions
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literal info
inferences sequential |
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Listening comp
you need |
vocab
background knowledge 'running' inferences are made |
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Reading 2nd grade
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WORD RECOGNITION
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Reading 8th grade
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LISTENING COMP
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Poor Reader Subgroups
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The Box
Word Recog Listening comp P G G dyslexia non specified P mixed RD Specific Comp Deficit (hyperlexia) |
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Dyslexia
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not a visual problem!
Impairment in phonological processing (not necessarily production) |
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Reading role of an SLP according to ASHA
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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 |
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In Sum
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Prevention- parent education
ID- Observe children in PA activities Screening Assessment- formal testing Intervention- curriculum relevant and collaborative interventions |