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40 Cards in this Set
- Front
- Back
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In a speech sample, assess
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intelligibility, articulation, resonance, velopharyngeal function
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Besides a speech sample give a
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formal articulation test
do syllable and sentence repetition, counting, spontaneous connected speech |
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Counting from60 t0 69 tests
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voiceless fricative, velar stop, alveolar plosive
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Counting from 70-79
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contains nasal phoneme followed by an alveolar plosive
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Counting from 80
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voiced vowels and consonants
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Counting 80-89
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voiced vowels and consonants
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Counting 90-99
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nasal environment allows examiner to assess the production of the nasal /n/ in connected speech
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What to evaluate
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articulation, stimulability, nasal air emission, (consistent, inconsistent, phoneme specific) weak consonants, short utterance length, oral motor dysfunction, resonance
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in a interview with parents,
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ask for current concerns, articulation, resonance, language, medical history, developmental history, feeding and oral motor history airway
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Don't forget to assess
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normal language
language disorder phonology early intervention |
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Informal language assessment includes
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observing spontaneous vocalizations and utterances
asking the child to point to various objects or follow commands determine primary mode of communication MLU errors of syntax |
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formal tests might include
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Rosetti infant toddler
Receptive Expressive Emergent Language Scale |
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obligatory error
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child is making correct placement but the manner is different
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compensatory
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misarticulation
pharyngeal fricative may be similar to a lateral lisp |
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phoneme specific
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only on specific phonemes
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weak consonants
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weak intraoral air pressure
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stimulability
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quickly assessing if the child can imitate a problem sound
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nasal air emission can occur
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consistent, inconsistent phoneme specific
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After palatoplasty, __% need pharyngoplasty
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25%
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Visual detection includes **
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mirror test, air paddle see scope
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tactile detection might include
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feeling the sides of the nose
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Auditory detection includes
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nose pinch, stethoscope, straw, listening tube
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A great developmental assessment is the
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MacArthur Communication Development inventory
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MacArthur includes
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Words and Gestures Form (8 to 16 mos.)
comprehension and production of vocabulary Words and Sentences Form (16 to 30 mos.) expressive vocabulary and grammatical use Either form may be used with older, developmentally-delayed children |
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MacArthur also includes a parent
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questionnaire
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see scape
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a closed container with a tube with an opening at the end of the tube...can be used in the nose or the mouth "bye baby a bib
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If the foam goes up on a see scape that means
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air is coming out of the nose
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a mirror is used
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to see if air from the nose is on the mirror on particular sounds
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an air paddle is used
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to see if the paddle moves when it is not supposed to move
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if you feel the nose you are feeling for
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vibrations
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a nose pinch is used
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to see if a change occurs in articulation ** best tool ** do during assessment
helps determine where the child is doing placement |
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a stethoscope is used
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to go in child's nose and another person can also listen It is to listen for nasal emission
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a straw
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is used to listen for nasal emission
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audible nasal air emission
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involves physical management
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inaudible air emission
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can't hear it well, but it can be heard with a straw
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nasal grimace
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attempted frication face srrunching face up to try to produce a frication at the level of my nose
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to scale hypernasality
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a four point scale can be used 0 WFL 1 Mild
intermittent is a good sign pervasive - always hypernasal |
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types of resonance
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hypernasal, hyponasal, mixed
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hyponasal might mean
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large adenoids, wide flap
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mixed resonance means
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hypernasality, hyponasal, cul de sac
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