Advanced Articulation Disorders Chapter 17

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Katie719405
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Advanced Articulation Disorders Chapter 17
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2012-12-12 15:01:40
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Advanced Articulation Disorders Chapter 17
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Advanced Articulation Disorders Chapter 17
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  1. What type of treatment will we use most often one-on-one or across the table?
    Speaker-Oriented treatment
  2. True or false: As a general rule, if a patient has adequate loudness and demonstrates flexible breath patterning during speech, then respiration does NOT require attention.
    True
  3. True or false: respiratory demands for speech are NOT great.
    True
  4. True or false: improving function in the phonatory, resonatory, and articulatory valves generally does NOT promote efficient use of the airstream,
    False-it does promote efficient use of the airstream.
  5. True or false: the presence of abnormal respiratory function does NOT necessarily mean that respiration is not adequate for speech.
    True
  6. When the need exists, management efforts for respiration are primarily what? (two blanks)
    behavioral and prosthetic
  7. What objective do the following tasks target? blowing into a water glass, maximum vowel prolongation, keeping utterances within the optimal breath group, pushing, pulling and bearing down during speech or nonspeech tasks, controlled exhalation tasks, and postural adjustments?
    Increasing respiratory support.
  8. What is the number of syllables that a patient can comfortably produce on one breath called?
    optimal breath group
  9. Pushing, pulling, and bearing down during speech or nonspeech tasks increase tension, and are not used for treating which type of dysarthria?
    spastic
  10. Postural adjustments are used a lot with which disease?
    Parkinson's Disease
  11. What type of assistance uses abdominal trussing (binders or corsets) to enhance posture, support weak abdominal muscles and improve respiratory support and air flow?
    Prosthetic assistance-medical approval and supervisions is important when binding is used because it can restrict inspiration and increase the risk of pneumonia.
  12. Which type of treatment uses biofeedback to improve respiratory control in some dysarthric speakers?
    Instrumental feedback
  13. Which type of treatment has patients inhale more deeply or use more force when exhaling, initiate speech at appropriate points in the cycle, terminate speech at appropriate points in the cycle, and eliminate maladaptive compensatory breathing strategies?
    Behavioral compensation
  14. What type of laryngeal surgery is performed to improve phonation in people with vocal fold paralysis or weakness?
    Thyroplasty
  15. Which laryngeal surgery is performed to induce unilateral vocal fold paralysis, to prevent hyperadduction in spasmodic dysphonia?
    Recurrent laryngeal nerve resection.
  16. What type of injection is given to manage vocal fold paralysis?
    Teflon injection
  17. What type of injection is given to treat spasmodic dysphonia?
    Botox injection
  18. What are four types of prosthetic management that help with phonation?
    • 1) a portable amplification system to increase loudness
    • 2) artificial larynx to increase loudness
    • 3) neck braces or cervical collars to stabilize the head and neck during speech
    • 4) a vocal intensity controller to provide feedback about excessive or inadequate loudness
  19. The primary goal of THIS TYPE of management of phonation is to increase utterance length per breath group and obtain loudness levels that are sufficient for the social context.
    Behavioral management
  20. Effort closure techniques, learning to initiate phonation at the beginning of exhalation, turning the head to the left or right when speaking to increase tension, and lateral digital manipulation of the thyroid cartilage to increase tension are all What TYPE of management for phonation?
    Behavioral management
  21. Are surgical interventions recommended for the treatment of resonance?
    There is insufficient evidence to permit recommendations about surgical interventionsn for velopharyngeal dysfunction is dysarthria.
  22. What prosthetic is used to treat issues of resonance in dysarthria?
    palatal lift prosthesis-consists of a palatal portion that is attached to the teeth and a lift portion that extends posteriorly to lift the palate in the direction of velopharyngeal closures. Fitting it requires adequate dentition to retain the device.
  23. Do dysarthric people with severe and chronic velopharyngeal impairments benefit from behavioral intervention?
    It is felt that they do not benefit from behavioral therapy alone. Prosthetic or surgical intervention should be considered in such cases.
  24. True or false: botox injections can be used to treat hemifacial spasms and oral mandibular dystonia.
    True
  25. True or false: drugs that faciliate or improve movement in the extremities often do NOT have a significant impact on the bulbar speech muscles (refers to pharmacologic management of articulation)
    True
  26. What type of prosthetic management is used to help improve jaw control in patients with hypokinetic, hyperkinetic and spastic dysarthrias?
    a bite block
  27. True or false: a behavioral focus on articulation has traditionally been viewed as a major part of dysarthria treatment for many patients.
    True. HOWEVER, this is probably less frequently the case for many patients today, especially if efforts to improve articulation by slowing rate and modifying prosody are placed outside the realm of articulation activities.
  28. True or false: articulation sometimes improves when respiratory support is optimized.
    True
  29. What is included in the behavioral management of articulation?
    strength training, relaxation, stretching, biofeedback, and traditional articulation methods.
  30. True or false: If the goal is to improve the accuracy and precision of sound production, it can often be accomplished by focusing on functions other than those directly related to place and manner of articulation.
    True
  31. What is the most powerful, single, behaviorally modifiable variable for improving intelligibility?
    Rate
  32. What frequently facilities articulatory precision and intelligibility by allowing time for a full range of movement, increased time for coordination, and improved linguistic phrasing?
    Rate modification, most often rate reduction
  33. What are three types of prosthetic management that can be used to address rate?
    • 1) delayed auditory feedback
    • 2) pacing board
    • 3) alphabet board
  34. What are two nonprosthetic rate reduction strategies?
    • 1) hand or finger tapping
    • 2) visual feedback from a computer
  35. What is the goal of prosody and naturalness treatment?
    to maximize the naturalness of prosodic patterns
  36. Is work on prosody appropriate at all severity levels?
    Yes. There are potential benefits to intelligibility when impairment is severe and benefits to naturalness when impairment is mild.
  37. When treating flaccid dysarthria, it is best to increase strength, but if you can't do that, then you should focus on WHAT?
    compensating for weakness
  38. What is the speaker-oriented treatment for spastic dysarthria?
    Relaxation exercises
  39. What is the speaker-oriented treatment for ataxic dysarthria?
    compensating for problems with motor control and coordination
  40. What is the surgical intervention for hypokinetic dysarthria?
    Thalamotomy. To reduce symptoms of Parkinsons Disease
  41. What is the pharmacologic treatment of hypkinetic dysarthria?
    Dopamine agonist medications such as levodopa
  42. What does the behavioral management treatment of hypokinetic dysarthria focus on?
    rate control, reduced loudness
  43. What is the speaker oriented treatment for hyperkinetic dysarthria?
    Primarily surgical and pharmacologic treatments (e.g. Botox)
  44. What does the speaker-oriented treatment for unilateral upper motor neuron dysarthria focus on?
    rate, prosody, and articulation
  45. In communication-oriented treatment, what type of strategy is "Preparing listeners with alerting signals"?
    Speaker strategy
  46. In communication-oriented treatment, what type of strategy is "Convey how much communication should occur"?
    Speaker strategy
  47. In communication-oriented treatment, what type of strategy is "Set the context and identify the topic"?
    Speaker strategy
  48. In communication-oriented treatment, what type of strategy is "Modify sentence content, structure, and length"?
    Speaker strategy
  49. In communication-oriented treatment, what type of strategy is "Gestures may help"?
    Speaker strategy
  50. In communication-oriented treatment, what type of strategy is "Monitor listener comprehension"?
    Speaker strategy
  51. In communication-oriented treatment, what type of strategy is "Alphabet board supplementation"?
    Speaker strategy
  52. In communication-oriented treatment, what type of strategy is "maintain eye contact"?
    Listener strategies
  53. In communication-oriented treatment, what type of strategy is "Listen attentively and actively, and work at comprehension"?
    listener strategies
  54. In communication-oriented treatment, what type of strategy is "modify the physical environment"?
    listener strategies
  55. In communication-oriented treatment, what type of strategy is "maximize listener hearing and visual acuity"?
    listener strategies
  56. In communication-oriented treatment, what type of strategy is "time important interactions"?
    interaction strategies
  57. In communication-oriented treatment, what type of strategy is "select a conducive speaking environment"?
    interaction strategies
  58. In communication-oriented treatment, what type of strategy is "maintain eye contact between listener and speaker"?
    interaction strategies
  59. In communication-oriented treatment, what type of strategy is "identify breakdowns and establish methods for feedback"?
    interaction strategies
  60. In communication-oriented treatment, what type of strategy is "repair breakdowns"?
    interaction strategies
  61. In communication-oriented treatment, what type of strategy is "establish what works best when"?
    interaction strategies

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