D Maldonado Case Study

734 Words 3 Pages
D’Amari Brown, a thirteen year–one month old male, attends Lehman College Speech and Hearing Clinic for individual speech-language services twice weekly for 50 minutes. He has been attending the clinic since spring 2012; his intervention has focused on fluency and intonation. The case history form was sent home with D’Amari for his mother, Jennifer Maldonado to complete. Mrs. Maldonado completed the case history form and acted as a reliable informant. Additionally, Mrs. Maldonado has stated through a phone interview that she feels that “his stuttering has gotten worse over the last two years.” She reported that she would schedule a neurological evaluation for D’Amari due to concerns regarding facial grimaces and body movements.

D’Amari was
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Family history for speech and language delays is significant for D’Amari’s grandfather stuttered. It was reported that D’Amari enjoys interacting with his peers and brother.

D’Amari is currently enrolled in a regular education seventh grade class at P.S. 37 Riverdale in the Bronx, NY. He receives speech-language services twice weekly for 30 minutes in an individual and group setting. Additionally, D’Amari also receives supplemental speech-language therapy once a week in a group setting, for two hours at SAY, since November 2014.

D’Amari presented as a respectful and polite male. Initially reserved, he became relaxed as the session progressed and conversed with the clinician as topics presented themselves. He was attentive and cooperative throughout the therapy
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An informal assessment was conducted to assess the structure and functioning of his articulators and adequacy for speech. D’Amari’s facial structures were symmetrical at rest. He exhibited: reduced labial range of motion, reduced lingual range and speed of motion, reduced lingual strength, and a significant overbite. An informal diadochokinetic (DDK) assessment was also administered to assess coordination and control of the articulators through a hierarchy of /pʌ/, /tʌ/, /kʌ/, /pʌtəkə/ productions which increase in length and complexity. D’Amari’s DDK rates fall within average range. It should be noted that D’Amari revealed abnormal spasms throughout the informal oral peripheral examination and informal DDK assessment.

Informal assessment through unstructured and structured tasks revealed D’Amari’s ability to answer “wh-” questions accurately. He was able to sequentially retell a narrative and displayed the ability to comprehend humorous language as evidenced by smiling at jokes made by the clinician.

Informal assessment through unstructured and structured tasks revealed D’Amari’s ability to respond to questions in complete sentences through age appropriate knowledge base for grammatical forms and expressive vocabulary. He enjoyed talking about his trips with his brother, and recalled which MTA trains and buses he took over the summer.

Informal assessment through conversation and speech samples were considered

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