Pediatric

Question 1

Developmental motor speech disorder

Answer 1

Disorder in which speech development is delayed or deviant, with no period of typical development

Question 2

Spastic Cerebral palsy

Answer 2

• hypertonia
• primitive reflexes/ hyperreflexia
• spascticity, weakness, limited range

Question 3

Most common time of cerebral palsy

Answer 3

spastic

Question 4

Athetoid (dyskinetic) cerebral palsy

Answer 4

• abnormal, involuntary, variable movement

- fluctuaction between hyper- and hypotonia

Question 5

Ataxic cerebral palsy

Answer 5

-balance, coordination, depth perception
-fine motor skills
shaking with deliberate actions

Question 6

Posterior fossa tumor

Answer 6

sometimes brings dysarthria

Question 7

Down syndrome

Answer 7

• hypotonia
• developmental delays and atypical development
• reduced ROM of jaw, lips, tongue

Question 8

TBI

Answer 8

• speech often co-occurring with language, cognitive, and social impairments
• associated with dysarthria

Question 9

Syndromes related to CAS

Answer 9

• galactosemia
• Fragile X
• Velocardiofacial syndrome
• Rhett syndrome

-FOXP2 mutation, possibly

Question 10

Speech hallmarks of CAS

Answer 10

• inconsistent errors
• lengthened and disrupted coartic transitions
• inappropriate prosody, esp. in relation to lexical or phrasal stress

Question 11

Is there a validated list of features for diagnosis?

Answer 11

no (ASHA, 2007)

Question 12

Weakness/ incoordination in speeh musculature

Answer 12

dysarthria

Question 13

problems with involuntary motor control (e.g. chewing)

Answer 13

dysarthria

Question 14

inconsistent articulatory errors

Answer 14

CAS

Question 15

Errors increase with complexity and length

Answer 15

CAS

Question 16

disrupted rate, rythm and stress

Answer 16

CAS and Dysarthria

Question 17

Impaired control of pitch and loudness

Answer 17

Dysarthria

Question 18

Atypical voice quality

Answer 18

dysarthria

Question 19

CAS and difficulty with ddk

Answer 19

only with pataka

Question 20

Dysarthria and difficulty with ddk

Answer 20

papapa and pataka

Question 21

Treatment goals of CAS

Answer 21

• increase consistency
• increase accuracy
• expand phonemic inventory

Question 22

Systems approach (Pennington)

Answer 22

• for kids w/ dysarthria secondary to cerebral palsy
• intensive
• stabilizing phonatory and respiratory effort and control, speech rate and phrase length, or syllables/breath
• efficacy in kids w/ dysarthria 5-11 and 12-18

Question 23

LSVT Loud

Answer 23

• intensive
• neuroplasticity-prinicipled
• adults w/ parkinsons, extended to kids with CP
• targets healthy vocal loudness and how loudness feels

Question 24

Speech systems intelligibility treatment (SSIT)

Answer 24

• motor learning principles
• targets improved function and coordination of speech subsystems
• from sustained vowels to spoken language
• shown to improve loudness and intelligibility for kids with CP`

Question 25

start with small stimulus for high performance, then increase, varying rate, intonation, loudness

Answer 25

CAS

Question 26

Core vocabulary treatment

Answer 26

- CAS - increased consistentcy - goal is child's best production from list of 50 functional words developed by family - no focus on expanding phonemic inventory

Question 27

Modified core vocab treatment

Answer 27

- adds stimulability training - presents sounds in isolation with an associated gesture - parent word list includes target sounds

Question 28

Dynamic Temporal and Tactile Cueing (DTTC)

Answer 28

- CAS - integral stimulation method - sequences of sounds rather than a single sound - increases complexity up to phrases - clinician constantly adds or fades auditorry, visual, tactile cues

Question 29

Prompts for restructuring oral muscular phonetic targets (PROMPT)

Answer 29

- Tactile facilitation method - motor programming skills - physical input about place, manner, degree, etc - various clinical populations, but only emerging evidence

Question 30

Linguistic approaches

Answer 30

- CAS - linguistic and phonological components of speech and flexible, functional communication - speech sounds and groups of sounds with similar patterns of error - intended to complement motoric approaches

Question 31

Biofeedback

Answer 31

- knowledge of performance | - mirror, webcams, ultrasounds, etc