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89 Cards in this Set
- Front
- Back
articulation and phonological disorders may occur |
as isolated problems or with other disorders -language disorders, mental retardation, brain injuries, orofacial anomalies |
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most common communication disorders of children |
articulation and phonological disorders |
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articulation disorder |
incorrect production of speech sounds due to faulty placement, timing, direction, pressure, speed, or integration of movements |
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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 |
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phonemes in American English |
45 |
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vowels |
voiced speech sounds from an unrestricted vocal tract; placement and shape of tongue determine the sound |
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consonants |
sounds articulated by stopping outgoing airstream or constricting airstream using articulators -place, manner, articulation |
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place |
where articulators come together |
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manner |
how airstream is modified |
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voice |
vibrating or nonvibrating vocal folds |
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etiology |
cause or set of causes |
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etiologies in children |
-normal variation -environmental problems -physical impairments or differences -combinations are common, causes often unknown |
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normal variation |
~70% within normal range; 15% above and 15% below |
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clinitians work with |
15% significantly below mean for: -hearing -speech or language -cognitive functioning |
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functional vs. organic |
organic- anatomic, physiologic, or neurologic cause functional- no known cause |
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environmental problems |
-prenatal, perinatal (birth environment), postnatal |
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hearing impairments |
hearing is the most crucial influence on speech and language development; impairments cause delays and disorders |
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most children with communication problems have |
multiple causitive factors; may include all three etiology types |
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four primary types of articulation errors |
-substtutions -omissions -distortions -additions |
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in phonological disorders, child hasn't |
learned linguistic rules ro produce and combine sounds into syllables |
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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 |
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analyze speech samples for |
-correct sounds and errored speech sounds -number, types, and consistancy of errors -intelligibility in conversation and speech rate |
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evaluate stimulability because |
improves prognosis |
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clinicians must be |
-scientists -humanists -artists |
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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 |
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dysarthria |
motor speech disorder; poor articulation of phonemes, related to muscles |
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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 |
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emotional and social effects |
may be teased, mocked, excluded, etc. |
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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 |
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language impairment can occur |
on its own or as part of a broader developmental disability |
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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 |
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language delay |
slow start at developing language with ability to catch up with peers -single delay more likely to catch up |
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language disorder (in opposition to delay) |
usually doesn't catch up with peers |
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expressive language affected by cultural diversity is a |
difference, not worse |
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language tests may not differentiate between a |
normal child with a dialect and a language-impaired child; can't base diagnosis on single measure |
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prevalence |
total rate in population |
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incidence |
rate in a population over a certain period of time |
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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 |
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prevalence and incidense of SLI |
7-8% of children starting school -8-9% boys -6-7% girls |
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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 |
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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 |
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receptive language |
language comprehension; process by which listener infers meaning based on context and long-term memory related to the message |
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SLI children tend to improve |
receptive skills; expressive may remain impaired |
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children with SLI have difficulty with |
-direct questions -more difficulty with indirect questions -poor comprehension of words and language |
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expressive problems caused by problems related to |
-articulation and phonology -morphology and syntax -vocabulary development and semantics -metalinguistics -pragmatics |
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hard for child with SLI to |
express needs; adjectives often limited |
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percent of children with language disorders that also have learning disabilities |
75%; may not be diagnosed with LD until later |
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diagnosis over time |
may be reclassified; must be a gap between potential and acual academic achievement |
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percent of children with learning disabilities that have difficulty with motor skills |
15% |
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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 |
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adolescents with SLIs |
-challenged by rapid speech, expressive language problems, difficulty understanding complex verbal information and responding, learning to read and write |
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assessment |
work or activity leading to a clinical decision -the diagnosis (responsibility of SLP) -includes case history and interview -evaluated receptive and expressive language |
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assessment based on |
valid and reliable measurements |
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validity |
does test measure what it says it measures |
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reliability |
are results the same if test done by a different experimenter or on a different day- repeatability/consistancy |
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diagnosis |
-responsibility of SLP, cannot always be clearly made; do not diagnose autism etc. |
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therapy for language disorders |
-use evidence-based treatments that are effective, functional, and attainable |
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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 |
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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 |
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clinician (for therapy) |
-pre-plans structure and sequence -has tagible reinforcers available -remains flexible to meet needs |
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calculate MLU |
-need multiple utterances -count unique morphemes in an utterance (repeated word doesn't count), divide by number of utterances |
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SLP and AUD scope of practice |
bigger than some expect -speech, language, hearing -cognition and cognitive disorders -literacy and literacy problems |
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reading and writing are |
essential components of communication |
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literacy |
the ability to communicate through written language; language disorders can cause |
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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 |
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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 |
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alphabetic principle |
words composed of sounds represented by letters |
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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 |
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single best predictor of reading success |
phonological awareness |
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orthography |
letters |
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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 |
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proficient readers to this |
easily and accurately recognize words without sounding them out; use letter sequences and orthographic patterns to process words as units |
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literacy disorder (disability) |
reading and writing impairments in a heterogeneous population of children |
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reading disability (dyslexia) |
a neurological problem that makes reading difficult or impossible; most common learning disability (present in 75% of children with LDs) |
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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 |
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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 |
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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 |
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secondary consequences of literacy disabilities |
-academic difficulties and career limitations, limits interpersonal relationships, may misunderstand what they read; underachievement for IQ |
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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) |
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PEER CROWD |
Prompt-Evaluate-Expand-Report Completion-Recall-Open-ended-Wh-question-Distancing |
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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 |
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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 |
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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 |
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response to intervention |
1. general classroom 2. small group 3. special education referral |
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cerebral palsy |
hypo or hyper tonicity (too weak or tense) |
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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 |
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assessment for writing skills |
-ask child to copy letters and words -write name, age, address |
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intervention for reading |
pair word with picture and modeled verbal stimuli |
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writing intervention |
-have child print or trace letter with speech sound being targeted -write words that child is practicing saying |