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42 Cards in this Set
- Front
- Back
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Do non-speech oral motor exercises help children with CAS?
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No: not a strength issue. It is a programming and planning problem.
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What is the ASHA technical report definition of CAS?
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-CAS is a neurological childhood (pediatric) SSD in which the precision and consistency of movements underlying speech are impaired in the absence of neuromuscular deficits (e.g., abnormal reflexes, abnormal tone).
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What is the etiology of CAS?
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CAS may occur as a result of known neurological impairment, in association with complex neurobehavioral disorders of known or unknown origin, or as an idiopathic neurogenic SSD.
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What does the core impairment in planning and/or programming spatiotemporal parameters of movement sequences for CAS result in?
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results in errors in speech sound production and prosody
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What are red flags for CAS? (know 10)
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-inconsistencies
-vowel distortions -unusual prosody -non-developemental sounds -voicing errors -intonation errors -groping -sequencing errors -suprasegmental differences -intermittent nasal resonance -unsuccessful self-correction attempts |
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Who diagnoses CAS?
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certified SLP who has specialized knowledge in motor-learning theory and is skilled in differential diagnosis
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What are some case history red flags for CAS?
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-family history
-trouble feeding -excessive drooling -late talkers -little babbling -"good" babies |
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How should you use rate to teach words to child?
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slow down rate to teach, then bring it to normal speech to increase learning and naturalness
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What is the hierarchy of support for CAS?
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-simultaneous
-direct imitation -delayed imitation -spontaneous |
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What should a typical CAS tx schedule look like?
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-error reduced learning
-frequent sessions (long or short, depends on child) -multiple repetitions (50-100) |
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What are some simple ideas to get lots of repetitions and reduce boredom?
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-sticker charts
-crafts -bean bag toss -pick up cards |
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True or false: Non-verbal children are not automatically CAS.
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True: potential/suspected CAS.
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What are suspected CAS children called in a report?
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SCAS or pervasis/persistent SSD
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If child is not making progress, what should you do?
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-look at tx
-look at underlying disorder/cause -go back to cumulative folder/original reports -change frequency of sessions -change type of delivery (traditional, phonological, motor speech) |
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What is backward chaining?
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-teach syllables starting with end and going forward
-teaches appropriate stress on word syllables |
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Why is coarticulation important?
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-because we don't speak our words separately
-sounds/words melt into each other |
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What is intelligibility?
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understanding of speech itself
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What is comprehensibility?
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understanding of the message (context)
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For acquisition, what practice distribution should you use?
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mass practice
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For retention, what practice distribution should you use?
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distributed practice
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For acquisition, what practice variability should you use?
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-consistent context
-consistent prosody -consistent pitch -consistent rate |
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For retention, what practice variability should you use?
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-varied context
-varied prosody -varied pitch -varied rate |
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For acquisition, what practice schedule should you use?
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blocked practice with predictable order
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For retention, what practice schedule should you use?
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random practice with unpredictable order
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For acquisition, what feedback type should you use?
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knowledge of performance
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For retention, what feedback type should you use?
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knowledge of results
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For acquisition, what feedback frequency should you use?
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often, immediate
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For retention, what feedback frequency should you use?
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inconsistent, delayed
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For acquisition, what rate should you use?
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slow rate
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For retention, what rate should you use?
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normal, varied rate
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What things should you ask about in the history?
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-medical history
-developmental history -family history -communication skills -psychosocial skills -motor skills -current medical status |
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What components should be included in a CAS assessment?
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1. history
2. examination of child's neuromuscular status (overal motor skills, sensory issues) 3. structural-functional exam 4. motor speech exam (sound, syllable, word) 5. sound system (formal assessment and connected speech sample) 6. prosody/fluency naturalness 7. intelligibility and comprehensibility |
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What should you look at in a structural-functional exam?
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-structural deficits
-oral apraxia -size of structures -proprioceptive/sensory feedback -range of motion -speed -coordination -under/overshooting -groping |
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What are assessments you could use for CAS?
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-GFTA (administer twice in same sesssion)
-VMPAC -PPVT -TACL -Khan-Lewis (process analysis) -IASCC |
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What is the VMPAC?
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Verbal Motor Production Assessment for Children
-finds where child breaks down -assesses: global motor control, focal oromotor control, sequencing |
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What is the TACL?
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Test of Auditory Comprehension of Language
-receptive assessment |
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What is the IASCC?
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Index of Augmented Speech Comprehensibility in Children
-assesses intelligibility and comprehensibility -hierarchy of cuing -non-standardized |
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What are risk factors for CAS?
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??
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What are protective factors for CAS?
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??
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Why is it important to know which sounds are beginning, middle, and late?
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to know if child is following the developmental sequence of sounds acquisition (red flag if they are not)
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Stimulability/non-stimulability and tx.
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??
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Complex sounds
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??
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