Cluttering

Question 1

disorder of fluency

Answer 1

cluttering

Question 2

Cluttering may also be a disorder of?

Answer 2

language

but what came first the language disorder or the cluttering?

Question 3

Cluttering contains what type of errors?

Answer 3

syntax 
speech
excluding/disorganized sounds 
phonology errors 
attention deficits

Question 4

What is also involved in cluttering?

Answer 4

excessive breaks stemming from disorganized speech planning/thinking

Question 5

Someone who clutters is very….

Answer 5

unintelligible

Question 6

According to Dr. B

What will the parents of someone who clutters say? A

Answer 6

parents will say their child was never fluent. There was no typical development. It is like the babbling never stopped.

Question 7

What might the parents call the cluttering?

Answer 7

stuttering

Question 8

Apraxia vs Cluttering

Answer 8

Cluttering: 
rushes of speech rates 
syllables change 
Apraxia: 
syllables are fine, its the speech sounds that are messed up

Question 9

Approximately what percent of the people who clutter only clutter?

Answer 9

5%

Question 10

Approximately what percent of people who clutter also stutter?

Answer 10

95%

Question 11

Cluttering VS Stuttering

Answer 11

• not cyclical
• not variable to situations
• stays at given level of severity
• other language deficits co-occur (speaking, reading, and writing)
• developmental milestones are usually not met
• not sure of what they want to say
• its a language and fluency disorder
• little or no struggle
• no concomitant features
• you can have them slow down and think about what they want to say

Question 12

How can you identify someone who clutters?

Answer 12

• listen to conversation speech sample
• content is not right
• confusing, disorganized language and word finding difficulties
• excessive revisions
• interjections

Question 13

What are the hallmarks of cluttering?

Answer 13

• bursts of speech and pauses that are too long
• not aware of the problem
• vowels and consonants are messed up
• slurring speech sounds
• poor intelligibility

Question 14

What is the characteristic of the prosodic pattern?

Answer 14

Not monotone but extremely predictable

Question 15

Deleting what syllable is common?

Answer 15

non-stressed

Question 16

What learning disabilities co-occur

Answer 16

reading
writing
sloppy handwriting

Question 17

Overarching all of these problems is??

Answer 17

disorganized life

poor life scheduling

Question 18

How do you evaluate cluttering?

Answer 18

• rate of speech (pauses and rush of speech)
• articulation (what syllables are being left out/slurred)
• Auditory processing and comprehensive abilities
• basic motor eval for neuro soft signs (floppy/moppy kids)
• Awareness of the cluttering (you will find they are not aware)

Question 19

Treatment

Answer 19

• increase awareness
• slow rate of speech (use pacing bad or some type of manipulative)
• pace and enunciate
• production in conversation
• for language work on memory and sequencing
• work on attention (gaze)

Question 20

Prognosis

Answer 20

• not good
• motivation is lacking (unawareness of the problem)
• progress (if any) will be slow… why? because training attention and sequencing is really hard.