Greeny Quiz 11-30 Sp

Front 1

Despite the fact that some patients do not need respiration intervention what should treatment planning should always address?

Back 1

The possible need to attend to respiration

Front 2

Describe some of the related speech tasks that focus on increasing breath support.

Back 2

maximal vowel prolongation (for duration and loudness)
targeting the optimal breath group
pushing, pulling, bearing down
controlled exhalation tasks
expiatory muscle conditioning
postural adjustments

Front 3

List some nonspeech tasks used for respiration intervention

Back 3

Manometer
Transducer

Front 4

Medical approval and supervision must be consulted when which type of prosthetic device for respiration intervention is used and why?

Back 4

Admoninal Trussing
-because it can restrict inspiration and increase the risk of pneumonia

Front 5

Which types of repsiration interventions are considered behavioral compensaion:
*use of an expiratory board of paddle
*providing feedback about the movement of the chest wall
*inspiratory checking
*increasing awareness of deep inhalation and forceful exhalation

Back 5

inspiratory checking and
increasing awareness of deep inhalation and forceful exhalation

Front 6

When working with a pt who has phonation issues, what is the focus on behavioral management?

Back 6

The focus of behavioral management of phonation is: To increase utterance length per breath group and to obtain loudness levels that are sufficient for social contexts.

Front 7

Describe two types of prosthetic management devices that are useful in the intervention of phonation:

Back 7

portible amplification systems,
articifical larynx
cervical collars/neck braces (for movement disorders)
vocal intensity control (VU meter on recorder)

Front 8

What are some of the effort closure techniques used in the behavioral management of phonation for a patient with vocal fold weakness?

Back 8

grunting
controlled coughing
pushing
lifting
pulling

Front 9

Hyperadduction or Hypoadduction?

The clinician may prompt the client to initiate speech with a breath voice.

Back 9

Hyperadduction

Front 10

Which type of pitch (higher or lower) may decrease tremor amplitude?

Back 10

Lower Pitch

Front 11

How will the patient with velopharyngeal inadequacy present?

Back 11

-reduced breath group
-increased pauses for inhalation
-air wastage (nasal airflow)
-reduced intensity

Front 12

What is one informal way to assess for velopharyngeal inadequacy?

Back 12

compare the client's speech with nares occluded vs. speech with nares nonoccluded

Front 13

What qualities must a patient have if he/she is to be considered a candidate for prosthetic management?

Back 13

-significant VP weakness as a primary concern
-have evidence of lateral pharyngeal wall movement during speech
-have stable deficits (not rapidly worsening)
-not have a significant gag reflex
-be very motivated
-be able to operate themselves

Front 14

What things might an SLP target when attempting to target resonance from a behavioral management standpoint?

Back 14

-modify pattern of speaking
-resistance training
-feedback
-techniques focused on nonspeech velopharyngeal movements

Front 15

Articulation sometimes improves when ______ ______ is optimized (2 words).

Back 15

respiratory support

Front 16

Are pharmacologic management techniques for articulation well investigated?

Back 16

NO

Front 17

_____________ ____________ (2 words) have potential as an effective treatment for lingual protrusion dystonia and orofacial and mandibular dystonias that impair speech.

Back 17

Botox Injection

Front 18

The text listed 5 types of behavioral management for articulation- what were they?

Back 18

Strength training
Relaxation exercises
Stretching exercises
Instrumental biofeedback
Traditional approaches

Front 19

Describe 2 of the 6 traditional approaches to behavioral modification of articulation listed in the text.

Back 19

integral stimulation- watch and listen tasks
phonetic placement- hands on and picture cueing
phonetic derivation- using nonspeech gesture to facillitate production
exaggeration of consonants
contrastive drill tasks- minimal contrasts
intelligibility drills-

Front 20

What is the most powerful, single behaviorally modifiable variable for improving intelligibility?

Back 20

Rate

Front 21

what speech target also-
*facilitates articulatory precision and intelligibility by allowing for a full range of movement, increases time for coordination, and improves linguistic phrasing?

Back 21

Rate Modification (usually reduction)

Front 22

Functional meaningful generalization of rate modification requires what?

Back 22

intensive and extended training

Front 23

Delayed Auditory Feedback Machines, Pacing Devices, and Alphabet Boards are what type of management for what speech therapy target?

Back 23

type of management: prosthetic
speech therapy target: rate modification

Front 24

Name three nonprosthetic rate reduction strategies:

Back 24

hand or finger tapping (syllables or words)
visual feedback (computer or oscilloscope)
rhythmic cueing or metered cueing
backdoor approaches

Front 25

T/F Prosody and naturalness are not always appropriate targets in tehrapy

Back 25

False: they are always appropriate!

Front 26

To slow down rate of speech nomal people do what?

Back 26

Decrease the length of pauses more often than actually speeding up their articulators

Front 27

Describe the following strategies for intervention of prosody and naturalness:
*contrastive stress tasks
*referential tasks

Back 27

Contrastive stress tasks: scripted responses in which segmental information does not vary, but the stress patterns do - minimal pairs with stress!

Referential Tasks: patient reads randomized phrases or sentences containing prespecified stress targets that are unknown to a listener. If the listener is able to identify the targeted stressed word, the patient has succeeded!

Front 28

Please describe an appropraite sequence of therapy activities when targeting prosody and naturalness.

Back 28

Should begin with highly structured tasks and then transition gradually to spontaneous speech, use of short dialogues of scripts of conversation.

Front 29

Table 17-2
Behavioral approaches are indicated for which Dysarthria Types?

Back 29

all

Front 30

Table 17-2
Respiration treatments are indicated for which Dysarthria Types?

Back 30

Flaccid, Spastic, Ataxic, Hypokinetic, Hyperkinetic

NOT Unilateral UMN

Front 31

Table 17-2
Phonation treatments are indicated for which Dysarthria Types?

Back 31

Flaccid, Spastic,Hypokinetic, Hyperkinetic

NOT Ataxic or Unilateral UMN

Front 32

Table 17-2
Resonance treatments are indicated for which Dysarthria Types?

Back 32

Flaccid, Hypokinetic, Spastic

NOT Ataxic, Unilateral UMN or Hyperkinetic

Front 33

Table 17-2
Articulation treatments are indicated for which Dysarthria Types?

Back 33

all

Front 34

Table 17-2
Prosthetic treatments are indicated for which Dysarthria Types?

Back 34

Flaccid, Spastic, Ataxic, Hypokinetic, and Hyperkinetic

NOT Unilateral UMN

Front 35

Table 17-2
Medical/Surgical treatments are indicated for which Dysarthria Types?

Back 35

Flaccid, Spastic, Hypokinetic, and Hyperkinetic

NOT Ataxic or Unilateral UMN

Front 36

Table 17-2
Pharmacologic treatments are indicated for which Dysarthria Types?

Back 36

Flaccid, Spastic, Ataxic, Hypokinetic, and Hyperkinetic

NOT Unilateral UMN

Front 37

Table 17-2
*Glossopharyngeal breathing
*Expiratory muscle conditioning
*Inspiratory checking
*Neck breathing

-area all indicated for _____dysarthria to target ______.

Back 37

Flaccid dysarthria for Respiration

Front 38

When targeting Phonatoion:
Which treatment techniques work for flaccid and which work for Hypokinetic?

1. Turn head during speech
2. Lateralize thyroid cartilage
3. Effort closure techniques
4. Abrupt glottal attack
5. Intense, high-level phonatory effort
6. LSVT

Back 38

Flaccid: turn head during speech, lateralize thyroid cartilage, effort closure techniques, abrupt glottal attack, intense, high-level phonatory effort

Hypokinetic: effort closure techniques, abrupt glottal attack, intense, high-level phonatory effort, and LSVT

Front 39

Table 17-2
Breathy Onset is a treatment technique frequently used in respiration therapy for which two dysarthria types?

Back 39

Spastic and Hyperkinetic

Front 40

When targeting resonance with a patient with _____ dysarthria the following techniques are uniquely appropriate:
*CPAP
*Supine positioning
*Reduce pressure consonant duration

Back 40

Flaccid

Front 41

Table 17-2
When targeting phonation with a patient with hyperkinetic dysarthria which techniques may be appropriate?

Back 41

*continuous voicing of consonants
*breathy onset
*relaxation and massage

Front 42

Table 17-2
When targeting articulation with a patient with flaccid dysarthria which techniques are not indicated?

Back 42

relaxation exercises and sensory tricks

Front 43

Table 17-2
T/F Stretching and strengthening exercises are appropriate for targeting articulation in spastic dysarthria.

Back 43

False-
Strengthening exercises are not indicated for spastic dysarthria BUT
Stretching exercises are!

Front 44

Table 17-2
Sensory tricks are indicated for use in articulation therapy for which Dysarthria?

Back 44

Hyperkinetic Dysarthria

Front 45

Table 17-2
What are the three treatment tasks for Prosody and Naturalness that are indicated for all dysarthrias?

Back 45

*Breath group duration
*Contrastive stress tasks
*referential stress tasks

Front 46

Table 17-2
Does Unilateral UMN dysarthria benefit from any prosthetic techniques/strategies?

Back 46

no

Front 47

Table 17-2
Label which prosthetic approach is indicated for use with which dysarthria.

*Flaccid or Hypokinetic

-Abdominal binders/corsets
-DAF
-Expiratory board/paddle
-Artificial larynges
-Metronome
-Palatal lift

Back 47

Flaccid: abdominal binders, expiratory boardm artificial larynges, palatal lift

Hypokinetic: DAF, pacing board, metronome

Front 48

Table 17-2
T/F No pharmacologic agent is specifically designed to improve speech

Back 48

TRUE!