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89 Cards in this Set

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articulation and phonological disorders may occur

as isolated problems or with other disorders


-language disorders, mental retardation, brain injuries, orofacial anomalies

most common communication disorders of children

articulation and phonological disorders

articulation disorder

incorrect production of speech sounds due to faulty placement, timing, direction, pressure, speed, or integration of movements

phonological disorder

-errors of several phonemes that form patterns or clusters


-result of child simplifying speech sounds and sound combinations


-children may be able to produce all speech sounds, but lacks knowledge of system to use them

phonemes in American English

45

vowels

voiced speech sounds from an unrestricted vocal tract; placement and shape of tongue determine the sound

consonants

sounds articulated by stopping outgoing airstream or constricting airstream using articulators


-place, manner, articulation

place

where articulators come together

manner

how airstream is modified

voice

vibrating or nonvibrating vocal folds

etiology

cause or set of causes

etiologies in children

-normal variation


-environmental problems


-physical impairments or differences


-combinations are common, causes often unknown

normal variation

~70% within normal range; 15% above and 15% below

clinitians work with

15% significantly below mean for:


-hearing


-speech or language


-cognitive functioning

functional vs. organic

organic- anatomic, physiologic, or neurologic cause


functional- no known cause

environmental problems

-prenatal, perinatal (birth environment), postnatal

hearing impairments

hearing is the most crucial influence on speech and language development; impairments cause delays and disorders

most children with communication problems have

multiple causitive factors; may include all three etiology types

four primary types of articulation errors

-substtutions


-omissions


-distortions


-additions

in phonological disorders, child hasn't

learned linguistic rules ro produce and combine sounds into syllables

evaluation of articulation and phonology begins with

begin with unstructured time with child


-build rapport


-age-appropriate games and toys helpful


-speech systems assessed


-recordings made of spontaneous speech samples

analyze speech samples for

-correct sounds and errored speech sounds


-number, types, and consistancy of errors


-intelligibility in conversation and speech rate

evaluate stimulability because

improves prognosis

clinicians must be

-scientists


-humanists


-artists

childhood apraxia of speech (CAS)

motor speech disorder, not caused by muscle weakness; affects planning, programming, sequencing, coordinating, and initiating motor movements or articulators


-interferes with articulation and prosody

dysarthria

motor speech disorder; poor articulation of phonemes, related to muscles

group of motor speech disorders

caused by paresis, paralysis, or lack of coordination or speech muscles as a result of CNS or PNS damage


-may affect respiration, phonation, resonation, articulation, and prosody

emotional and social effects

may be teased, mocked, excluded, etc.

children with language impairments are/have

-a heterogenous group


-problems may worsten with age (when entering school)


-magnification of problems when expected to read, learn by reading, or write

language impairment can occur

on its own or as part of a broader developmental disability

definition of language disorder

impaired comprehension or use of spoken, written, or other symbol systems


-may involve form, content, or function


-may be expressive or receptive or both

language delay

slow start at developing language with ability to catch up with peers


-single delay more likely to catch up

language disorder (in opposition to delay)

usually doesn't catch up with peers

expressive language affected by cultural diversity is a

difference, not worse

language tests may not differentiate between a

normal child with a dialect and a language-impaired child; can't base diagnosis on single measure

prevalence

total rate in population

incidence

rate in a population over a certain period of time

specific language impairment (SLI)

receptive or expressive language impairments not attributed to any general or specific cause or condition; primary language disorder; slow to develop and delays

prevalence and incidense of SLI

7-8% of children starting school


-8-9% boys


-6-7% girls

prevalence and incidence of speech or language disorders

-one million children being treated in US for primary disorders (no other issues)


-700,000 being treated for secondary disorders

language disorder

disorder of abnormal acquisition, comprehension, or expression of spoken or written language; may involve form, content, use; often have problems with sentence provessing or abstracting information meaninfully for storage and retrieval in short- and long-term memory

receptive language

language comprehension; process by which listener infers meaning based on context and long-term memory related to the message

SLI children tend to improve

receptive skills; expressive may remain impaired

children with SLI have difficulty with

-direct questions


-more difficulty with indirect questions


-poor comprehension of words and language

expressive problems caused by problems related to

-articulation and phonology


-morphology and syntax


-vocabulary development and semantics


-metalinguistics


-pragmatics

hard for child with SLI to

express needs; adjectives often limited

percent of children with language disorders that also have learning disabilities

75%; may not be diagnosed with LD until later

diagnosis over time

may be reclassified; must be a gap between potential and acual academic achievement

percent of children with learning disabilities that have difficulty with motor skills

15%

potential other problems if you have SLI; adolescents (nonlanguage)

adverse affects on:


-academic achievement


-career choices


-marital and peer relations


-may remain unidentified and underserved

adolescents with SLIs

-challenged by rapid speech, expressive language problems, difficulty understanding complex verbal information and responding, learning to read and write

assessment

work or activity leading to a clinical decision


-the diagnosis (responsibility of SLP)


-includes case history and interview


-evaluated receptive and expressive language

assessment based on

valid and reliable measurements

validity

does test measure what it says it measures

reliability

are results the same if test done by a different experimenter or on a different day- repeatability/consistancy

diagnosis

-responsibility of SLP, cannot always be clearly made; do not diagnose autism etc.

therapy for language disorders

-use evidence-based treatments that are effective, functional, and attainable

select goals (target behaviors) based on

-use normal language development as a guide


-target simple language rules before complex


-choose targets that will be most helpful

organization and structure of therapy

-well-organized and tightly structured are most beneficial for children just starting or with moderate to severe language impairments and behavioral challenges

clinician (for therapy)

-pre-plans structure and sequence


-has tagible reinforcers available


-remains flexible to meet needs

calculate MLU

-need multiple utterances


-count unique morphemes in an utterance (repeated word doesn't count), divide by number of utterances

SLP and AUD scope of practice

bigger than some expect


-speech, language, hearing


-cognition and cognitive disorders


-literacy and literacy problems

reading and writing are

essential components of communication

literacy

the ability to communicate through written language; language disorders can cause

perceptual systems

auditory system adapted to process speech, but visual system not adapted to process text; requires knowledge or phonological system


-reading is a new human ability with no specific biological adaptation

emergent literacy/preliteracy period (birth-kindergarten)

skills developed to prepare children for learning to read and write; lack knowledge of phoneme-grapheme (letter) correspondence


-dialogic reading


-phonological awareness


-word recognition


-emergent writing in preschool

alphabetic principle

words composed of sounds represented by letters

phonological awareness

involves recognizing and understanding:


-sound-letter associations


-sounds combine to form words


-a single-syllable word can be segmented into beginning, middle, and ending sounds


-that longer words have more middle sounds

single best predictor of reading success

phonological awareness

orthography

letters

conventional literacy

ability to read and write correctly and the ability to learn to read (around age 8)


-cognitive shift from decoding and recognition to understanding and acquiring knowledge

proficient readers to this

easily and accurately recognize words without sounding them out; use letter sequences and orthographic patterns to process words as units

literacy disorder (disability)

reading and writing impairments in a heterogeneous population of children

reading disability (dyslexia)

a neurological problem that makes reading difficult or impossible; most common learning disability (present in 75% of children with LDs)

dysgraphia

writing disability or disorder; developmental motor disorder affecting ability to write; biologically based


-messy or illegible handwriting, misspellings, difficulty with grammar and organizing sentences

contributions of the English language to reading difficulties

inconsistancies in:


-pronunciation of words


-letter-sound correspondence


-shapes and styles of letters; sans/serif, printed/handwritten

common problems of children with literacy disabilities

-deficits in phonological processing (may be inherited or from releated ear infections)


-problems in word recognition and spelling

secondary consequences of literacy disabilities

-academic difficulties and career limitations, limits interpersonal relationships, may misunderstand what they read; underachievement for IQ

assessment of pre-reading and reading skills

-first assess receptive and expressive language


-may need referral to reading specialist


-ask child to copy letters and numbers, write name etc., for advanced look at legibility, spelling, word usage, grammar


-TOPEL (standardized tests)

PEER CROWD

Prompt-Evaluate-Expand-Report


Completion-Recall-Open-ended-Wh-question-Distancing

intervention for reading and writing problems

-teaching reading skills in context of speech and language therapy


-pair written material with pictured and modeled verbal stimuli; storybooks, guided reading to work on articulation, syntax, semantics, and pragmatics

multicultural considerations for reading and writing problems

-differences in narrative writing; story length, content, sequence and structure, verb tenses


-telling stories based on shared book reading, personal accounts

assessment for any communication disorder

1. case history


2. screen hearing


3. oral-facial structures


4. test: issue of normal variation/below average


5. spontaneous sample of speech

response to intervention

1. general classroom


2. small group


3. special education referral

cerebral palsy

hypo or hyper tonicity (too weak or tense)

SLI children have

1. delayed onset of first words


2. delayed use of 2-word utterances


3. vocabulary slow to develop


4. speech and language slow to develop

assessment for writing skills

-ask child to copy letters and words


-write name, age, address

intervention for reading

pair word with picture and modeled verbal stimuli

writing intervention

-have child print or trace letter with speech sound being targeted


-write words that child is practicing saying