Podcast
Questions and Answers
What is the primary focus of treatment for motor speech disorders?
What is the primary focus of treatment for motor speech disorders?
Which of the following best describes the concept of generalization in motor speech disorder treatment?
Which of the following best describes the concept of generalization in motor speech disorder treatment?
Which approach to treatment strategies focuses on specific functions in relevant speech tasks?
Which approach to treatment strategies focuses on specific functions in relevant speech tasks?
What is an important indicator of treatment effectiveness according to the text?
What is an important indicator of treatment effectiveness according to the text?
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Why does the text caution against using nonspeech tasks in treatment?
Why does the text caution against using nonspeech tasks in treatment?
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What should be included in the routine reassessment process for speech production?
What should be included in the routine reassessment process for speech production?
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Which of the following is NOT a crucial consideration before initiating treatment?
Which of the following is NOT a crucial consideration before initiating treatment?
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What is an effective technique to establish respiratory support before working on other speech areas?
What is an effective technique to establish respiratory support before working on other speech areas?
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Which treatment is underutilized but effective in improving subglottic air pressure?
Which treatment is underutilized but effective in improving subglottic air pressure?
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Why is it important to make postural adjustments in patients with kyphotic posture before other treatments?
Why is it important to make postural adjustments in patients with kyphotic posture before other treatments?
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What role does the velo-pharyngeal port play in speech improvement?
What role does the velo-pharyngeal port play in speech improvement?
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How can the patient be cued to begin phonation in relation to exhalation?
How can the patient be cued to begin phonation in relation to exhalation?
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What is the result of increasing the amount of jaw excursion in relation to the phonatory system?
What is the result of increasing the amount of jaw excursion in relation to the phonatory system?
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What is the primary focus of LVST program concept 1?
What is the primary focus of LVST program concept 1?
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Why is intensive treatment a key component in the LVST program?
Why is intensive treatment a key component in the LVST program?
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What is the role of calibration in the LVST program?
What is the role of calibration in the LVST program?
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Why is low cognition a benefit in participating in the LSVT program?
Why is low cognition a benefit in participating in the LSVT program?
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Which speech production task is typically introduced in week 3 of the LVST program?
Which speech production task is typically introduced in week 3 of the LVST program?
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How does incorporating sensory awareness training contribute to the success of the LSVT program?
How does incorporating sensory awareness training contribute to the success of the LSVT program?
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What can excessive airflow through the nose due to improper velum closure lead to?
What can excessive airflow through the nose due to improper velum closure lead to?
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Which device might be necessary to use depending on the severity of subsystem impairment related to velum closure?
Which device might be necessary to use depending on the severity of subsystem impairment related to velum closure?
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Which factor is NOT part of the prosody manipulation during treatment?
Which factor is NOT part of the prosody manipulation during treatment?
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Which technique involves reading cued material where slash marks indicate where to pause?
Which technique involves reading cued material where slash marks indicate where to pause?
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'Thinking in Boxes' involves chunking utterances into syntactic units to improve what aspect of speech?
'Thinking in Boxes' involves chunking utterances into syntactic units to improve what aspect of speech?
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"One word per tap" and "Finger or hand tapping" are associated with which technique used for controlling speech rate?
"One word per tap" and "Finger or hand tapping" are associated with which technique used for controlling speech rate?
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Which aspect is a key component of Lee Silverman Voice Treatment (LVST)?
Which aspect is a key component of Lee Silverman Voice Treatment (LVST)?
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'Breath Cycle' awareness is targeted for improvement using which device?
'Breath Cycle' awareness is targeted for improvement using which device?
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'Thinking in Boxes' technique can help individuals with dysarthria in improving which aspect of speech?
'Thinking in Boxes' technique can help individuals with dysarthria in improving which aspect of speech?
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'Stress, annunciation, and accuracy of communication' are improved through which approach during treatment of dysarthria?
'Stress, annunciation, and accuracy of communication' are improved through which approach during treatment of dysarthria?
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What should a speaker do to improve comprehensibility based on York's recommendations?
What should a speaker do to improve comprehensibility based on York's recommendations?
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Which strategy is recommended for listeners to enhance communication effectiveness?
Which strategy is recommended for listeners to enhance communication effectiveness?
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How can a speaker facilitate communication based on the text?
How can a speaker facilitate communication based on the text?
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What is a recommended method for reducing background noise during speaking situations?
What is a recommended method for reducing background noise during speaking situations?
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Which of the following is suggested to optimize hearing for frequent listeners?
Which of the following is suggested to optimize hearing for frequent listeners?
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What is a key recommendation for listeners based on York's insights?
What is a key recommendation for listeners based on York's insights?
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What percentage of the maximum forces do the tongue and lips use for speech production?
What percentage of the maximum forces do the tongue and lips use for speech production?
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Which medication is successful for spasmodic torticollis and spasmodic dysphonia?
Which medication is successful for spasmodic torticollis and spasmodic dysphonia?
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What technique is used to bring a paralyzed vocal fold to midline?
What technique is used to bring a paralyzed vocal fold to midline?
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Which type of treatment focuses on reducing fatigue and conserving energy for communication?
Which type of treatment focuses on reducing fatigue and conserving energy for communication?
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What is the primary focus of treatment for Ataxic Dysarthria related to respiration?
What is the primary focus of treatment for Ataxic Dysarthria related to respiration?
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Which pharmaceutical treatment is used to suppress choreic movements?
Which pharmaceutical treatment is used to suppress choreic movements?
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What kind of intervention aims to modify the communication context?
What kind of intervention aims to modify the communication context?
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What benefits are associated with speaking slow according to the text?
What benefits are associated with speaking slow according to the text?
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What aspect of speech does the LSVT program primarily focus on improving?
What aspect of speech does the LSVT program primarily focus on improving?
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What is a common feature among commercial products for dysarthria treatment?
What is a common feature among commercial products for dysarthria treatment?
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What is the key aspect of dysarthria rehabilitation addressed in the Dysarthria Rehabilitation Program?
What is the key aspect of dysarthria rehabilitation addressed in the Dysarthria Rehabilitation Program?
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What is the main outcome associated with outpatient speech-language pathology services based on data from ASHA's NOMS?
What is the main outcome associated with outpatient speech-language pathology services based on data from ASHA's NOMS?
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Which neurological conditions have been studied and applied the LSVT program according to the text?
Which neurological conditions have been studied and applied the LSVT program according to the text?
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What is the primary purpose of the Dysarthria Rehabilitation Program?
What is the primary purpose of the Dysarthria Rehabilitation Program?
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What is a common feature of the LSVT program that helps in addressing voice symptoms in Parkinson's disease?
What is a common feature of the LSVT program that helps in addressing voice symptoms in Parkinson's disease?
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Nonspeech tasks should be used in treatment to improve speech production.
Nonspeech tasks should be used in treatment to improve speech production.
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Focusing on simpler targets in motor speech disorder treatment results in greater learning.
Focusing on simpler targets in motor speech disorder treatment results in greater learning.
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Improving intercostals and the system of respiration is not related to addressing low vocal volume in speech treatment.
Improving intercostals and the system of respiration is not related to addressing low vocal volume in speech treatment.
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Treatment for motor speech disorders involves two approaches: improving subsystem function and using compensatory strategies.
Treatment for motor speech disorders involves two approaches: improving subsystem function and using compensatory strategies.
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Carryover of improved communication into naturalistic environments is not an important indicator of treatment effectiveness.
Carryover of improved communication into naturalistic environments is not an important indicator of treatment effectiveness.
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Generalization involves lasting performance enhancements in targeted behaviors in different contexts, tasks, or settings.
Generalization involves lasting performance enhancements in targeted behaviors in different contexts, tasks, or settings.
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The LVST program concept 2 focuses on pushing patients to new effort levels by putting the 'load on the larynx'.
The LVST program concept 2 focuses on pushing patients to new effort levels by putting the 'load on the larynx'.
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LVST therapy sessions are 1 hour long, 5 times a week, for 4 weeks.
LVST therapy sessions are 1 hour long, 5 times a week, for 4 weeks.
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Calibration in the LVST program ensures that the patient knows and accepts the amount of effort needed to consistently decrease loudness within normal limits.
Calibration in the LVST program ensures that the patient knows and accepts the amount of effort needed to consistently decrease loudness within normal limits.
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In the LVST program, the patient needs to have 'knowledge of results' to automatically use a quieter voice.
In the LVST program, the patient needs to have 'knowledge of results' to automatically use a quieter voice.
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The LVST Program focuses on improving fundamental frequency range through sensory processing retraining.
The LVST Program focuses on improving fundamental frequency range through sensory processing retraining.
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LVST therapy includes hierarchy activities like reading aloud in week 2 and phrases in week 4.
LVST therapy includes hierarchy activities like reading aloud in week 2 and phrases in week 4.
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Making postural adjustments in kyphotic patients is the most challenging aspect of treating the Respiratory System first.
Making postural adjustments in kyphotic patients is the most challenging aspect of treating the Respiratory System first.
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One of the conditions to consider before treatment is the patient's previous degree of occupation.
One of the conditions to consider before treatment is the patient's previous degree of occupation.
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It is recommended to take quick and short breaths during therapy sessions to enhance expressive communication.
It is recommended to take quick and short breaths during therapy sessions to enhance expressive communication.
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The use of spirometer and EMST is highly recommended to build vocal capacity in patients with speech disorders.
The use of spirometer and EMST is highly recommended to build vocal capacity in patients with speech disorders.
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Improving voice quality involves changing tone, texture, and movement of speech musculature to reduce naturalness in speech.
Improving voice quality involves changing tone, texture, and movement of speech musculature to reduce naturalness in speech.
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Controlling vocal folds is essential to enhance the naturalness of speech production.
Controlling vocal folds is essential to enhance the naturalness of speech production.
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One of the aspects to improve in speech therapy is the strength and control of the velo-pharyngeal port.
One of the aspects to improve in speech therapy is the strength and control of the velo-pharyngeal port.
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Phonation should start before exhalation to optimize breath group during speech therapy.
Phonation should start before exhalation to optimize breath group during speech therapy.
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Improving inhalation/exhalation relationship is not necessary for appropriate speech production in respiratory therapy.
Improving inhalation/exhalation relationship is not necessary for appropriate speech production in respiratory therapy.
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'Stress patterns' refer to words that are produced with different levels of emphasis during communication tasks.
'Stress patterns' refer to words that are produced with different levels of emphasis during communication tasks.
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The velum is responsible for closing off the nasal cavity from the oral cavity.
The velum is responsible for closing off the nasal cavity from the oral cavity.
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A palatal lift is used to lower the velum in cases of hypernasality.
A palatal lift is used to lower the velum in cases of hypernasality.
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Prosody involves manipulation of four factors: loudness, pitch, duration, and quality.
Prosody involves manipulation of four factors: loudness, pitch, duration, and quality.
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Rigid control techniques are recommended to increase the rate of speech in individuals undergoing treatment.
Rigid control techniques are recommended to increase the rate of speech in individuals undergoing treatment.
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The LVST program primarily focuses on improving articulation in individuals with motor speech disorders.
The LVST program primarily focuses on improving articulation in individuals with motor speech disorders.
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Spirometer is used to increase awareness of the 'Breath Cycle' in individuals with dysarthria.
Spirometer is used to increase awareness of the 'Breath Cycle' in individuals with dysarthria.
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Cued reading material can be helpful in improving overall control of speech and stress and intonation.
Cued reading material can be helpful in improving overall control of speech and stress and intonation.
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'Thinking in Boxes' involves chunking utterances into syntactic units to enhance breath support in speech.
'Thinking in Boxes' involves chunking utterances into syntactic units to enhance breath support in speech.
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Articulatory placement cues involve the use of ultrasound for biofeedback in speech production.
Articulatory placement cues involve the use of ultrasound for biofeedback in speech production.
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'One word per tap' technique is associated with using a metronome to control the rate of speech.
'One word per tap' technique is associated with using a metronome to control the rate of speech.
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Optimizing hearing for frequent listeners includes reducing background noise.
Optimizing hearing for frequent listeners includes reducing background noise.
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Using alphabet supplementation is a recommended strategy for improving comprehensibility for both the speaker and the listener.
Using alphabet supplementation is a recommended strategy for improving comprehensibility for both the speaker and the listener.
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It is advised to avoid communication over long distances to enhance speech comprehension.
It is advised to avoid communication over long distances to enhance speech comprehension.
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In meetings and group settings, amplifying the speaker's voice is not suggested as a method to enhance communication.
In meetings and group settings, amplifying the speaker's voice is not suggested as a method to enhance communication.
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Using predictable types of sentences and wording is not a recommended technique for improving speech comprehensibility.
Using predictable types of sentences and wording is not a recommended technique for improving speech comprehensibility.
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Gestural supplementation is solely recommended as a speaker's strategy and not for enhancing listener comprehension.
Gestural supplementation is solely recommended as a speaker's strategy and not for enhancing listener comprehension.
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LSVT® was originally created for individuals with hyperkinetic dysarthria.
LSVT® was originally created for individuals with hyperkinetic dysarthria.
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Approximately half of the adults with diseases of the central nervous system who received outpatient speech-language pathology services became intelligible to all listeners following treatment.
Approximately half of the adults with diseases of the central nervous system who received outpatient speech-language pathology services became intelligible to all listeners following treatment.
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The Dysarthria Rehabilitation Program focuses on improving speech intelligibility through visual aids only.
The Dysarthria Rehabilitation Program focuses on improving speech intelligibility through visual aids only.
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Voice Therapy for Parkinson's disease involves significant respiratory difficulties as causes of voice symptoms.
Voice Therapy for Parkinson's disease involves significant respiratory difficulties as causes of voice symptoms.
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The LSVT Program is primarily focused on improving articulation and phonation.
The LSVT Program is primarily focused on improving articulation and phonation.
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Outpatient speech-language pathology services have been shown to have no impact on the intelligibility and communication functioning of patients with central nervous system diseases.
Outpatient speech-language pathology services have been shown to have no impact on the intelligibility and communication functioning of patients with central nervous system diseases.
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The jaw uses 2% of its maximal forces during speech production.
The jaw uses 2% of its maximal forces during speech production.
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Phonetic placement is a treatment approach used for Respiratory Weakness.
Phonetic placement is a treatment approach used for Respiratory Weakness.
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Botox is not an effective treatment for spasmodic torticollis.
Botox is not an effective treatment for spasmodic torticollis.
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Medical cannabis is primarily used to treat myoclonic movements.
Medical cannabis is primarily used to treat myoclonic movements.
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Behavior-Based Treatment primarily focuses on sensory tricks to suppress involuntary movements.
Behavior-Based Treatment primarily focuses on sensory tricks to suppress involuntary movements.
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Relaxation therapy has consistently positive results in treating motor speech disorders.
Relaxation therapy has consistently positive results in treating motor speech disorders.
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Pitch range exercises are not part of Prosody treatment.
Pitch range exercises are not part of Prosody treatment.
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Complete inhalation is cued to begin phonation in relation to exhalation.
Complete inhalation is cued to begin phonation in relation to exhalation.
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Articulation drills are suggested for patients with UUMN Dysarthria.
Articulation drills are suggested for patients with UUMN Dysarthria.
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EMST primarily focuses on correcting posture for patients with Respiratory Weakness.
EMST primarily focuses on correcting posture for patients with Respiratory Weakness.
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Define: acquisition, retention, and generalization
Define: acquisition, retention, and generalization
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How is inhalation modified?
How is inhalation modified?
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How is exhalation modified?
How is exhalation modified?
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How is respiratory support established?
How is respiratory support established?
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How can respiratory flexibility be increased?
How can respiratory flexibility be increased?
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How can forced vital lung capacity be increased?
How can forced vital lung capacity be increased?
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Which of the following is not an approach to treating prosody, specifically in regards to rate control?
Which of the following is not an approach to treating prosody, specifically in regards to rate control?
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How can voice quality be improved?
How can voice quality be improved?
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How can the naturalness of speech be enhanced?
How can the naturalness of speech be enhanced?
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How can you improve the strength and control of the velopharyngeal port?
How can you improve the strength and control of the velopharyngeal port?
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You are a clinician treating a patient with dysarthria. You focus the patient’s attention to the accuracy, range of motion , and direction of articulators movement during speech. You provide feedback on articulatory placement cues, and vocal postural cues. What subsystem are you treating?
You are a clinician treating a patient with dysarthria. You focus the patient’s attention to the accuracy, range of motion , and direction of articulators movement during speech. You provide feedback on articulatory placement cues, and vocal postural cues. What subsystem are you treating?
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You are clincian working with a patient with dysarthria. You are working on improving voice quality, overall speech naturalness, and strength and control of the velopharyngeal port. What subsystem are you targeting?
You are clincian working with a patient with dysarthria. You are working on improving voice quality, overall speech naturalness, and strength and control of the velopharyngeal port. What subsystem are you targeting?
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You are the clinician assigned to provide treatment to a patient with dysarthria. You work on postural adjustments, increasing the duration of air intake, vowel prolongations, and producing words with a variety of stress patterns. What speech subsystem are you targeting?
You are the clinician assigned to provide treatment to a patient with dysarthria. You work on postural adjustments, increasing the duration of air intake, vowel prolongations, and producing words with a variety of stress patterns. What speech subsystem are you targeting?
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Which of the following is an example of feedback the clinician can provide during treatment of the articulatory system?
Which of the following is an example of feedback the clinician can provide during treatment of the articulatory system?
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You are the clinician assigned to treat a patient with a dysarthria. In the session, you target the manipulation of loudness, pitch, and duration. What speech subsystem are you treating?
You are the clinician assigned to treat a patient with a dysarthria. In the session, you target the manipulation of loudness, pitch, and duration. What speech subsystem are you treating?
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Rate control-intelligibility generally improves with rate and to communication
Rate control-intelligibility generally improves with rate and to communication
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What do contrastive stress drills target?
What do contrastive stress drills target?
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What is a benefit of pitch range exercises?
What is a benefit of pitch range exercises?
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"Thinking in Boxes" targets many aspects of speech production. Which of the following does it NOT target?
"Thinking in Boxes" targets many aspects of speech production. Which of the following does it NOT target?
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Reciting syllables to a metronome, "tap it out", and cued reading materials target which speech subsystem?
Reciting syllables to a metronome, "tap it out", and cued reading materials target which speech subsystem?
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Which speech subsystem is targeted through the use of constrastive stress drills, pitch range exercises, and intonation profiles?
Which speech subsystem is targeted through the use of constrastive stress drills, pitch range exercises, and intonation profiles?
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The goal making process is soley the responsible of the clinician. The client is not responsible for creating or owning goals.
The goal making process is soley the responsible of the clinician. The client is not responsible for creating or owning goals.
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In severe cases, implementation of alternative and augmentative communication strategies (e.g., simple gestures, alphabet boards, or electronic or computer-based equipment). What clinical population is this most relevant for?
In severe cases, implementation of alternative and augmentative communication strategies (e.g., simple gestures, alphabet boards, or electronic or computer-based equipment). What clinical population is this most relevant for?
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If you want to make speech clearer, you should work on improving _________.
If you want to make speech clearer, you should work on improving _________.
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One treatment approach available for individuals with dysarthria involves teaching caregivers and family members strategies to better communicate with the person with dysarthria.
One treatment approach available for individuals with dysarthria involves teaching caregivers and family members strategies to better communicate with the person with dysarthria.
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What does Dr.B do?
Think ______
Think ______
Think ______
What does Dr.B do? Think ______ Think ______ Think ______
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What has been reported as the cause of voice symptoms in individuals with Parkinson's disease?
What has been reported as the cause of voice symptoms in individuals with Parkinson's disease?
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What 3 things does LVST incorporate?
What 3 things does LVST incorporate?
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Match the essential concepts of the LVST program to its description
Match the essential concepts of the LVST program to its description
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Match the hierarchy activities of LVST to their designated week
Match the hierarchy activities of LVST to their designated week
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Which of the following is not a way to collect data in LVST?
Which of the following is not a way to collect data in LVST?
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Which of the following is one way we can treat phonation deficits in flaccid dysarthria?
Which of the following is one way we can treat phonation deficits in flaccid dysarthria?
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Which of the following is not an example of treatment approaches for phonatory deficits in flaccid dysarthria?
Which of the following is not an example of treatment approaches for phonatory deficits in flaccid dysarthria?
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Which of the following is not an example of treatment approaches for prosody deficits in flaccid dysarthria?
Which of the following is not an example of treatment approaches for prosody deficits in flaccid dysarthria?
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Which of the following is not an example of treatment approaches for articulation deficits in flaccid dysarthria?
Which of the following is not an example of treatment approaches for articulation deficits in flaccid dysarthria?
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Which of the following medications treat myoclonic movements?
Which of the following medications treat myoclonic movements?
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Which of the following not a general approach to treating respiratory weakness in hyperkinetic dysarthria?
Which of the following not a general approach to treating respiratory weakness in hyperkinetic dysarthria?
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What neurological base do patients with ataxic dysarthria need to work on>
What neurological base do patients with ataxic dysarthria need to work on>
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In general, ____________ treatments are suggested for patients with UUMN dysarthria
In general, ____________ treatments are suggested for patients with UUMN dysarthria
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The clincian is working with a patient with dysarthria. Their treatment strategy includes behavior-based treatment, and treatment of the respiratory system. They utilize expiratory muscle strength training in their sessions. Additionally, they coordinate with doctors who are treating the condition with medication. What type of dysarthria are you likely treating?
The clincian is working with a patient with dysarthria. Their treatment strategy includes behavior-based treatment, and treatment of the respiratory system. They utilize expiratory muscle strength training in their sessions. Additionally, they coordinate with doctors who are treating the condition with medication. What type of dysarthria are you likely treating?
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You are the clinician assigned to treat a patient with dysarthria. Your supervisor instrcuts you to work on coordination rather than strengthening. She suggests the patient engage in slow and controlled exhalation. She reminds you that it is your responsibility to work on increasing length and steadiness of the airstream. The patient likely has ______ dysarthria.
You are the clinician assigned to treat a patient with dysarthria. Your supervisor instrcuts you to work on coordination rather than strengthening. She suggests the patient engage in slow and controlled exhalation. She reminds you that it is your responsibility to work on increasing length and steadiness of the airstream. The patient likely has ______ dysarthria.
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What is the most effective motor speech disorder treatment?
What is the most effective motor speech disorder treatment?
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Match the LVST concept to its name
Match the LVST concept to its name
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Match the treatment approach to the targeted subsystem
Match the treatment approach to the targeted subsystem
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Match the treatment approach to the targeted subsystem
Match the treatment approach to the targeted subsystem
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Match the type of treatment to its subsystem.
Match the type of treatment to its subsystem.
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Match the type of medication to what it treats
Match the type of medication to what it treats
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________ sensory tricks that suppress involuntary movements
________ sensory tricks that suppress involuntary movements
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You are clinician working with a client that has dysarthria. You work on modifiying the communication context by optimize hearing of frequent listeners, optimize adverse speaking situations, and reducing background noise. What treatment approach are you using?
You are clinician working with a client that has dysarthria. You work on modifiying the communication context by optimize hearing of frequent listeners, optimize adverse speaking situations, and reducing background noise. What treatment approach are you using?
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Which of the following is not a supplemental speech intervention?
Which of the following is not a supplemental speech intervention?
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You are treating the subtype of dysarthria not the impaired subsystem.
You are treating the subtype of dysarthria not the impaired subsystem.
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Which of the following is not an approach to reduce rate of speech?
Which of the following is not an approach to reduce rate of speech?
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Overall how can we improve intelligibility?
Overall how can we improve intelligibility?
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How can we improve clarity and volume
How can we improve clarity and volume
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How can we build forced vital lung capacity?
How can we build forced vital lung capacity?
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How can we establish respiratory support?
How can we establish respiratory support?
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Which of the following is one of the most efficacious and underutilized treatment to improve subglottic air pressure, the intercostal muscles?
Which of the following is one of the most efficacious and underutilized treatment to improve subglottic air pressure, the intercostal muscles?
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How can we increase respiratory flexibility?
How can we increase respiratory flexibility?
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How can we enhance the naturalness of speech?
How can we enhance the naturalness of speech?
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How can we enhance clarity and volume?
How can we enhance clarity and volume?
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Which of the following helps reduce unwanted hypernasality?
Which of the following helps reduce unwanted hypernasality?
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Study Notes
Optimize Hearing and Speaking
- Optimize hearing of frequent listeners
- Optimize adverse speaking situations
- Reduce background noise
- Mute TV
- Amplify speaker in meetings, groups, and noise
- Create a "private conference room" environment
Supplemental Speech Interventions
- Alphabet supplementation
- Topic supplementation
- Gestural supplementation
Improving Comprehensibility (Speaker)
- Provide listener with context
- Don't shift topics abruptly
- Use turn-taking signals
- Get your listener's attention
- Use complete sentences
- Use predictable types of sentences
- Use predictable wording
- Rephrase your message
- Accompany speech with simple gestures
- Take advantage of situational cues
- Make environment as friendly as possible
- Avoid communication over long distances
- Use alphabet board supplementation
- Have a handy backup system
Improving Comprehensibility (Listener)
- Know the topic of conversation
- Watch for turn-taking signals
- Give your undivided attention
- Choose time and place to talk
- Watch the speaker
- Piece together the cues
- Make the environment work for you
- Avoid communicating over long distances
- Make sure your hearing is as good as possible
- Decide on and incorporate strategies for resolving communication breakdowns
- Establish some rules of the game
- Facilitate communication with others
Treatment of Phonation Deficits
- Pushing and pulling-effortful closure techniques
- Improves glottal closure
- Minimizes vocal cord bowing
- Holding breath
- Hard glottal attack
- Head turning toward the affected side
- Sideways pressure on larynx
Treatment of Prosody
- Pitch range exercises
- Intonation profiles
- Contrastive stress drills
- Chunking utterances into syntactic units
Articulation Treatment
- Intelligibility drills
- Phonetic placement
- Exaggerating consonants
- Minimal contrast drills
Treatment for Hyperkinetic Dysarthria
- Medical treatment: pharmaceuticals to suppress involuntary movements
- Medical cannabis
- Haloperidol (for choreic movements)
- Clonazepam or Valproic acid (for myoclonic movements)
- Botox for spasmodic torticollis, spasmodic dysphonia, and other dystonias
- Behavior-based treatment: sensory tricks, relaxation therapy, and supportive psychotherapy
Treatment for Respiratory Weakness
- General approaches: correct posture
- Expiratory muscle strength training (EMST)
- Speaking immediately on exhalation
- Cueing for complete inhalation
Treatment for Ataxic Dysarthria
- Respiration: patients need to work on coordination rather than strengthening
- Slow and controlled exhalation
- Inhale fully and exhale slowly and steadily
- Clinician works on increasing length and steadiness of airstream
- Increase difficulty of task by having patient exhale for 3 seconds, stop for 1 second, then continue to exhale
Treatment for UUMN Dysarthria
- Traditional articulation treatment
- Intelligibility drills
- Phonetic placement
- Exaggerating consonants
- Minimal contrast drills
Behavioral Interventions
- Speaking rate modification
- Speakers usually reduce rate with intervention
- Maintain coordinated respiratory patterns
- Coordinated thoracic and abdominal breath
- Reduce fatigue
- Conserve energy for communication
Environmental Interventions
- How can the communication context be modified?### Treatment of Dysarthria
- Speech therapy approaches for dysarthria focus on improving motor aspects of speech production, including acquisition, retention, and generalization.
- Treatment targets include respiration, phonation, articulation, prosody, and rate control.
Principles of Treatment
- Treat the mechanism of dysfunction, rather than just the symptoms.
- Focus on more complex targets, such as over articulation and improved breath support, rather than simpler targets.
- Use compensatory strategies to improve communication, including environmental modifications and strategies for communication partners.
LSVT Program
- Founded by Lorraine Olson Ramig, Ph.D., CCC-SLP, the LSVT program is a 1st speech treatment with short and long-term efficacy data documenting increased functional communication.
- The program focuses on improving vocal fold adduction, high effort, and intensive treatment.
- Key concepts include:
- "THINK LOUD" to improve vocal fold adduction and maximum impact on intelligibility.
- High effort to override rigidity and hypokinesia.
- Intensive treatment to increase daily increments of vocal effort and maintain motivation and accountability.
- Calibration to ensure patient knows and accepts the amount of effort needed to consistently increase loudness.
Speech Production Tasks
- Hierarchy activities include:
- Week 1: Words
- Week 2: Phrases
- Week 3: Reading aloud
- Week 4: Conversation
- Data collection is key, including measuring vocal output, amplitude, length, and pitch.
Treatment of Flaccid Dysarthria
- Do not use oral strengthening exercises.
- Focus on improving respiratory support, including postural adjustments, modifying inhalation, and modifying exhalation.
Respiratory System
- Establishing respiratory support, including making postural adjustments and increasing respiratory flexibility.
- Modifying inhalation and exhalation, including increasing duration of air intake and controlled exhalation.
- Improving inhalation/exhalation relationship and increasing respiratory flexibility.
Phonatory System
- Improving voice quality, including postural adjustments, relaxation therapy, and controlling vocal folds.
- Increasing jaw excursion to gain clarity and volume.
Articulatory System
- Focus on accuracy, range of motion, and direction of articulators movement during speech.
- Feedback from the clinician can include articulatory placement cues, modeling speech production, and use of ultrasound for biofeedback.
Prosody and Rate Control
- Manipulation of loudness, pitch, and duration.
- Approaches to reducing rate of speech, including rigid control techniques, pacing, and metronome.
- Improving stress and intonation, including contrastive stress drills and pitch range exercises.
Clinical Applications
- Treatment approaches for individuals with dysarthria include:
- Improving breath support to improve loudness.
- Improving articulation to improve clarity.
- Strengthening muscles.
- Increasing awareness of the "Breath Cycle".
- Teaching caregivers and family members strategies to better communicate with the person with dysarthria.
- Implementing alternative and augmentative communication strategies in severe cases.
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Description
Learn about the treatment for Motor Speech Disorders (MSD), focusing on relearning motor aspects of speech production through acquisition, retention, and generalization. Understand the targets of treatment, including the use of nonspeech tasks.