Comd 3120 Artic Orders Final Exam Study Mod 10 And 11

Front 1

Tongue Thrust aka

Back 1

Reverse or Immature Swallow

Front 2

Nearly all infants swallow by pushing tongue ______

Back 2

forward

Front 3

By age __ most children change to a normal swallow pattern which involves:

Back 3

6, squeezing the tongue against the roof of the mouth instead of pushing it foward against the teeth

Front 4

Tongue thrust causes: (3)

Back 4

Hereditary Factors
Learned Behaviors (Thumb Sucking)
Dealy or interruption in the oral maturation process

Front 5

Tongue thrust symptoms: (5)

Back 5

1) facial grimace and/or pursing of lips when swallowing
2)mouth breathing due to allergies or enlarged tonsils/adenoid
3) open bite condition of teeth
4) open mouth posture with forward tongue position noted during rest
5) difficulty with speech especially the /s/ and /z/ sounds

Front 6

Describe Tongue Thrust Test

Back 6

Hold liquid in mouth, part lips and if liquid escapes from teeth then tongue thruster

Front 7

Tongue THrust Indications: (5)

Back 7

1) Irregular positioning of teeth
2) Difficulty in making certain sounds
3) Major concern for orthodontic work
4) Chapped Lips
5) Lip puckering and lip licking prior to swallow

Front 8

Swallowing occurs about ____ times per day. During swallow, the tongue can exert momentary pressure of __ to __ pounds on the surronding structures of the mouth.

Back 8

2000, 1-6

Front 9

Tongue thrust management: 2

Back 9

Managed through applicances
oral motor exercises for lips, tongue and jaw.

Front 10

With the applicances for tongue thrusters, there are a couple of types:

Back 10

cage
removable guard

- prevents tongue from touching teeth

Front 11

With tongue thrust management:
which is the best?
But it involves?
and another drawback is?
not recommended for age under?

Back 11

Oral motor exercises
lots of homework
insurance does not cover
7

Front 12

Tongue thrusters teeth - which ones are usually effected?

Back 12

top

Front 13

Behavior Modification Philosophies: 2

Back 13

every child is good
every behavior has a communicative function

Front 14

Prepartion for behavior modification rule guidelines:

Back 14

time and effort is necessary
1 rule per year of age
explain
demonstracte
practice
retrain

OR

only a few
teach them
post and explain consequences

Front 15

WIth Behavior modification not all rules should be ______
and give example

Back 15

negative.
HAVE FUN!
LISTEN TO ME
EYES ON ME
SIT IN CHAIR

Front 16

3 cardinal rules of behavior modification:

Back 16

wait for student's attention
know what students are doing (safety)
praise in public and reprove in private

Front 17

Methods of Behavior Modification: (4)

Back 17

Focus on child that is behaving while other is not
use soft, low, controlled voice
Stop teaching if you do not have control (go over rules)
enlist parent's help (notify them of rules)

Front 18

List Motivators: (7)

Back 18

Stickers
Treat
COmputer Time
Phone call
chips
free speech day
fill out chart

Front 19

list foggers (2)

Back 19

I understand...but (restate rules)
I know you're...but (restate rules)

Front 20

Praise should be (4)

Back 20

immediate
specific
sincere
varied

Front 21

WHat is most important with Behavior Modification?

Back 21

CONSISTENCY

Front 22

Rules to follow using Behavior Therapy - how many? and what are they?

Back 22

10
Rule of Immediacy
Rule of Attention
Rule of Pairing Reward
Rule of COntinous Reward
Rule of Selective Reward
Rule of Small Steps
Rule of Chaining
Rule of Getting Child's Attention
Rule of Imitation
Rule of Relevant Cues

Front 23

Rule of Immediacy is

Back 23

provide IMMEDIATE recognition, can be a treat or token or social reward

Front 24

Rule of Attention is:

Back 24

Give attention to GOOD behavior

Front 25

RUle of Pairing Rewards

Back 25

pair an activity with speech (eating dinner is fun and SOCIAL)

Front 26

Rule of COntinous Rewards

Back 26

Reward each correct response
then every other, then every 3 then variable reward (variable reward serves best)

Front 27

Rule of Selective reward

Back 27

only reward productions, not game winning

Front 28

Rule of small steps

Back 28

demand very little, then build up expectations
(lingusitic levels)

Front 29

Rule of chaining

Back 29

one behavior leads to another in a chain leading to a complex behvaior

Front 30

Rule of getting child's attention

Back 30

make sure you child's attention when:
giving directions -
childern learn better when they are actively attending

Front 31

Rule of Imitation

Back 31

modeling desired behavior is imporatn as a method of instruction

Front 32

Rule of relevant cues

Back 32

important to use relevant cues-
ex. the cue is to 'close your teeth when you say /s/' is imporatnt to children that lisp.
watch me
get ready

Front 33

What is generalization?

Back 33

intermediate target of clinical intervention
-either a temporary production of a recently learned response in different contexts and situations OR new untrained responses based on recent or remote learning

Front 34

Types of generalization?

Back 34

-to untaught stimulus items
-across word positions
-across linguistic levels
-within sound classes (continuency)
-across sound classes (fricatives->affricates->stops) this is not a usual one
-across situations

Front 35

When is enough generalization?

Back 35

conversational speech is 85% or better accuracy
in or out of therapy with clinician
while engaged in some other motor activity

Front 36

Maintenance?

Back 36

production of the target objectives in the client's natural environment over time
-after discharge

Front 37

5 components of Maintenance

Back 37

across language activities (what)
across conversational settings (where)
across conversational partners (with whom)
across associated activities (while doing what)
across time (how long)

Front 38

Examples of across language activities (WHAT)

Back 38

playing barrier games
ordering a pizza
playing puppets
explaining how to do something

Front 39

Examples across conversational settings (WHERE)

Back 39

in the clinic room
in the lunch room
on the playground
on the school bus
in the office

Front 40

Examples of across conversational partners (WHO)

Back 40

with parents, teachers, friend, slp, pets, music teacher

Front 41

examples of across assoicated activities (WHILE WHAT)

Back 41

while working on a clas project
while watching TV
while building legos
while coloring

Front 42

Examples of Across Time (How Long)

Back 42

for 5 min before dinner
5 min before bed
30 min after therapy session
1 hour after school
during an entire sporting event

Front 43

During maintenance the _____ is no longer responsible and the _____ is

Back 43

clinician, client/parent

Front 44

During maintenance the parent and clinician should

Back 44

1)practice 'Rx' at home
2) Clinician practices situations that do not look like Rx
3) Parent oversees situations that do not lookike therapy but reminder is present
-give a reminder to client (wrist counter, painted fingernail, log book, signs)
4) Client oversees situations that do not look like therapy and NO REMINDER

Front 45

SLP should check with parent/client when?

Back 45

1, 3, and 6 months

Front 46

Parent Involvement and Homework

Back 46

Must understand they are 3rd member of team
2) changing behviors = changing motor behaviors/habits
3) Need to know what to expect in behavioral change
4) timelines involved in generation complex speech changes

Front 47

Parents should know that ______ will be assigned

Back 47

homework

Front 48

Homework -
client should make folder and should be assigned ______ session and _______

Back 48

every, monitored

Front 49

homework - problem signs

Back 49

not completed
not returned
parent not staying for rx session
parent coming late

Front 50

Homework time limits for ages:
kinndergarten
grade 1 and 2
grade 3, 4, 5

Back 50

5 min, 10 min, 15 min

Front 51

Reinfrocement - best when used on a/an __________ type of schedule

Back 51

intermittant

Front 52

Palatometer is

Back 52

video articulator as tongue/lips make contact with the roof of the mouth and lips

Front 53

WIth a palatometer - not all ____ show

Back 53

not all vowels show

Front 54

A palometer is great for _____

Back 54

lispers

Front 55

What can you do with a palatometer

Back 55

you can compare how you mouth make sounds with how the client's mouth make sounds