Speech and Language Disorders Overview

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Questions and Answers

A child who says things like kek/tek shows that she is using the pattern of:

  • Alveolar assimilation
  • Coalescence
  • Velar assimilation (correct)
  • Segmentation

The malleus, incus, and stapes form the:

  • Tensor tympani
  • Stapedius muscle
  • Ossicular chain (correct)
  • Tympanic membrane

Which of the following is a middle ear disorder?

  • Presbycusis
  • Meniere's disease
  • Tinnitus
  • Otitis media (correct)

If you were to treat Justin, a highly unintelligible 4-year-old boy with difficulties producing /w/, /t/, /d/, and /th/, your first target sound in therapy would be:

<p>/th/ (D)</p> Signup and view all the answers

When a child says things like /ko/ instead of /so/, she is demonstrating the pattern of:

<p>Backing (C)</p> Signup and view all the answers

When carcinoma affects the cricoid and trachea, the damage is:

<p>Subglottic (A)</p> Signup and view all the answers

In the early stages of Alzheimer's disease, the patient has more:

<p>Cognition problems than language problems (B)</p> Signup and view all the answers

A regionally or socially distinct variety of a language identified by a distinct set of words and structures is called:

<p>A dialect (A)</p> Signup and view all the answers

Damage to the cerebellum may cause a movement disorder called:

<p>Ataxia (C)</p> Signup and view all the answers

You are working with a 72-year-old patient, Grace, who has difficulty paying attention and responding accurately. She most likely has:

<p>Cognitive communication disorder (B)</p> Signup and view all the answers

A girl named Suzanne displays symptoms of hypotonia and excessive eating. She likely has:

<p>Prader-Willi Syndrome (D)</p> Signup and view all the answers

When the stapes is permanently removed and replaced with a prosthesis, the procedure is called a:

<p>Stapedectomy (A)</p> Signup and view all the answers

For some persons who stutter, disfluencies tend to occur in clusters more often than would be expected by chance. This phenomenon is called the:

<p>adjacency effect</p> Signup and view all the answers

What are glides?

<p>/w/ and /j/</p> Signup and view all the answers

You are working with a client who has Parkinson's and is trying to help her intonation become more varied. You are employing the technique of:

<p>Negative practice (A)</p> Signup and view all the answers

Patients who exhibit __________ have difficulty making nonspeech sounds, and cannot move the muscles of the throat, soft palate, and tongue for nonspeech purposes:

<p>Oral apraxia (C)</p> Signup and view all the answers

Examples of secondary stuttering include:

<p>Quivering of the nostrils (C)</p> Signup and view all the answers

In therapy, you decide to use minimal pairs to increase a child's intelligibility. Which one of the following is NOT a minimal pair?

<p>Mud-moon (A)</p> Signup and view all the answers

Soua and his family have immigrated to the U.S. from Laos; he is 7 years old and speaks Hmong. Soua will qualify for language therapy if he:

<p>Has delays in both Hmong and English, evidencing problems using both languages (A)</p> Signup and view all the answers

In the early stages of Alzheimer's disease, the patient has more:

<p>Cognition problems than language problems (B)</p> Signup and view all the answers

Disorders of the _______________ result in rigidity, jerky and purposeless movements (chorea), and slow writhing, snakelike movements (athetosis):

<p>Basal ganglia (B)</p> Signup and view all the answers

You are working in an early intervention program, doing language therapy with Noah, a nonverbal 2-year-old. What will you prioritize when you select target vocabulary words for him?

<p>Words that have ecological validity for him (A)</p> Signup and view all the answers

A 10-year-old with specific language impairment would most likely show which characteristic?

<p>Difficulty with figurative language (B)</p> Signup and view all the answers

A father brings his 4-year-old daughter, Danielle, to you, and is concerned about her speech. A 4-year-old child should be:

<p>90-100% intelligible (A)</p> Signup and view all the answers

Children do not combine words until they have at least ____ words in their expressive vocabulary.

<p>50 (D)</p> Signup and view all the answers

Contact ulcers may be caused by all of the following except:

<p>Psychogenic problems (D)</p> Signup and view all the answers

You hear Luis, a kindergartener from Mexico, saying various phrases in both Spanish and English. It is clear that Luis:

<p>Is codeswitching, a typical linguistic behavior for persons who are bilingual. (B)</p> Signup and view all the answers

Flashcards

Velar Assimilation

A phonological process where a child replaces sounds with a velar consonant (like "k" or "g") to match the preceding sound, resulting in examples like "kek" for "tek".

Ossicular Chain

The chain of three tiny bones in the middle ear - the malleus, incus, and stapes - that transmit sound vibrations from the eardrum to the inner ear.

Otitis Media

A common middle ear infection, often causing pain and hearing loss.

Least Phonological Knowledge Approach

Treating the /th/ sound first for a child with multiple speech errors, focusing on the most challenging sound for the child.

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Backing

A phonological process where a child substitutes a sound with a more posterior one, like saying /ko/ instead of /so/.

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Coalescence

A phonological process where a child merges two sounds into one, often simplifying complex sounds.

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Epenthesis

A phonological process where a child adds an extra sound to words, often simplifying the articulation process.

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Minimal Pairs

Pairs of words that differ by only one sound, essential for teaching sound distinctions in phonological therapy.

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Subglottic Carcinoma

Cancer affecting the cricoid cartilage and trachea (windpipe), impacting breathing due to its location near the airway.

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Early Alzheimer's

The initial stage of Alzheimer's disease often characterized by more noticeable cognitive difficulties than language problems, impacting communication abilities.

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Cognitive Communication Disorders

Communication disorders impacting social communication and memory, often affecting patients with conditions like dementia.

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Prader-Willi Syndrome

A genetic disorder characterized by hypotonia (low muscle tone), intellectual disabilities, and an insatiable appetite, leading to obesity.

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Oral Apraxia

A motor speech disorder affecting the ability to plan and execute voluntary movements, impacting speech and actions like swallowing.

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Basal Ganglia Conditions

A group of neurological conditions affecting the basal ganglia in the brain, leading to involuntary movements like chorea and athetosis.

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Codeswitching

A common behavior in bilingual children involving switching between languages during conversation.

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Specific Language Impairment (SLI)

A language disorder characterized by difficulties with language comprehension and use, despite typical social skills.

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Ecological Validity

Words selected for therapy that are relevant and meaningful to the child's experiences, making learning more effective.

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90-100% Intelligibility

A milestone achieved by children around the age of 4, demonstrating clear and understandable speech.

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Two-Word Combinations

The ability to combine two words, a significant milestone in language development, usually occurring after a child has learned at least 50 words.

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Negative Practice

A speech therapy technique where clients are asked to repeat undesirable speech patterns to increase awareness and improve correct articulation.

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Bilingual Language Assessment

Evaluating language skills in children who speak two languages requires considering their proficiency in both languages to determine if therapy is needed.

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Study Notes

Speech and Language Disorders

  • Velar assimilation occurs when children replace sounds to more closely match the velar consonants, shown by examples like kek/tek.
  • The ossicular chain consists of three tiny bones in the middle ear: malleus, incus, and stapes, which play a vital role in hearing.
  • Otitis media is the most common middle ear disorder, often leading to pain and hearing loss.
  • In speech therapy, targeting /th/ as the first sound for a child with multiple articulation difficulties follows the least phonological knowledge approach.

Phonological Patterns

  • Backing is demonstrated when a child substitutes sounds, such as /ko/ instead of /so/.
  • Coalescence occurs when a child merges two phonemes into one sound.
  • Epenthesis involves adding an extra sound, often simplifying the articulation process.
  • Understanding minimal pairs is essential in phonological therapy to discern sound changes; for example, "mud-moon" does not form a minimal pair.

Neurological and Cognitive Conditions

  • Subglottic carcinoma affects the cricoid and tracheal areas, indicating a specific location of cancer.
  • Early Alzheimer's patients often show more cognitive than language problems, impacting communication abilities.
  • Cognitive communication disorders are characterized by difficulties in conversation and memory impacts, evident in patients like Grace.

Syndromes and Conditions

  • Prader-Willi Syndrome presents with hypotonia, intellectual disabilities, and excessive eating habits, leading to weight concerns.
  • Oral apraxia affects the ability to perform nonspeech movements, restricting muscle function for actions like swallowing and speaking.
  • Conditions of the basal ganglia cause involuntary movements like chorea and athetosis, affecting motor control.

Language Acquisition and Bilingualism

  • Bilingual children may demonstrate codeswitching, a normal behavior switching between languages, as seen in Luis's playground interactions.
  • Specific language impairment in a 10-year-old may manifest as difficulties with figurative language despite acceptable social skills.
  • To facilitate language development, select target vocabulary with ecological validity, resonating with the child’s experiences.

Developmental Milestones

  • A 4-year-old child should be 90-100% intelligible, a critical factor for social integration and communication effectiveness.
  • Children typically begin using two-word combinations once they have at least 50 words in their expressive vocabulary, highlighting a significant milestone in language development.

Therapy Techniques and Assessment

  • Negative practice involves clients repeating undesirable speech patterns to increase awareness, aiding in speech therapy.
  • Evaluating language skills in bilingual children requires understanding their proficiency in both languages to determine the need for therapy.

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