Podcast
Questions and Answers
What is a key factor in determining the intelligibility of an utterance?
What is a key factor in determining the intelligibility of an utterance?
What is the purpose of the Oral Motor Examination?
What is the purpose of the Oral Motor Examination?
What is a phonological disorder characterized by?
What is a phonological disorder characterized by?
What is the significance of phonological contrasts in speech production?
What is the significance of phonological contrasts in speech production?
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What is the goal of phonological process analysis?
What is the goal of phonological process analysis?
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What is an example of a syllable structure process?
What is an example of a syllable structure process?
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What is the significance of minimal pairs in phonological assessment?
What is the significance of minimal pairs in phonological assessment?
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What is the clinical implication of phonological processes in speech production?
What is the clinical implication of phonological processes in speech production?
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What is the purpose of a speech sound inventory?
What is the purpose of a speech sound inventory?
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What is a characteristic of consistent errors in speech production?
What is a characteristic of consistent errors in speech production?
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What is the primary purpose of articulation and phonological evaluation?
What is the primary purpose of articulation and phonological evaluation?
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What is stimulability in the context of speech sound disorders?
What is stimulability in the context of speech sound disorders?
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What is the importance of viewing age ranges of consonant development?
What is the importance of viewing age ranges of consonant development?
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What is the purpose of collecting a sound inventory in a speech sound disorder assessment?
What is the purpose of collecting a sound inventory in a speech sound disorder assessment?
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What is the main difference between a standardized test and an informal assessment in a speech sound disorder assessment?
What is the main difference between a standardized test and an informal assessment in a speech sound disorder assessment?
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What is the purpose of the Goldman Fristoe Test of Articulation (GFTA)?
What is the purpose of the Goldman Fristoe Test of Articulation (GFTA)?
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What is the importance of considering the consistency of errors between a speech sample and an articulation test?
What is the importance of considering the consistency of errors between a speech sample and an articulation test?
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What is the purpose of obtaining an intelligibility rating in a speech sound disorder assessment?
What is the purpose of obtaining an intelligibility rating in a speech sound disorder assessment?
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What is the importance of considering the client's ability to repeat a sound after hearing it in a speech sound disorder assessment?
What is the importance of considering the client's ability to repeat a sound after hearing it in a speech sound disorder assessment?
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What is the main goal of assessment in speech sound disorders?
What is the main goal of assessment in speech sound disorders?
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Vocabulary knowledge involves only citing the definition of a word.
Vocabulary knowledge involves only citing the definition of a word.
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Crystallized intelligence involves innate abilities and talents.
Crystallized intelligence involves innate abilities and talents.
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Poor phonemic awareness is a characteristic of reading disability behaviors.
Poor phonemic awareness is a characteristic of reading disability behaviors.
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A restricted vocabulary is a reading risk factor in preschool children.
A restricted vocabulary is a reading risk factor in preschool children.
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Assessing individual aspects of language can provide a holistic impression of an individual's functional communication skills.
Assessing individual aspects of language can provide a holistic impression of an individual's functional communication skills.
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Vocabulary knowledge is negatively associated with social success.
Vocabulary knowledge is negatively associated with social success.
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A language assessment that solely focuses on individual aspects of language can provide an accurate picture of an individual’s functional communication skills.
A language assessment that solely focuses on individual aspects of language can provide an accurate picture of an individual’s functional communication skills.
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Differential diagnosis is a process of identifying the cause of a problem, but it does not involve a systematic process of distinguishing one diagnosis from another.
Differential diagnosis is a process of identifying the cause of a problem, but it does not involve a systematic process of distinguishing one diagnosis from another.
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A language disordered individual typically exhibits frequent deletion of initial and final consonants and numerous vowel errors.
A language disordered individual typically exhibits frequent deletion of initial and final consonants and numerous vowel errors.
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The PPVT-5 is an instrument that assesses expressive vocabulary and word retrieval of children and adults.
The PPVT-5 is an instrument that assesses expressive vocabulary and word retrieval of children and adults.
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A late talker typically exhibits limited and simplified syllable structures and frequent deletion of initial and final consonants.
A late talker typically exhibits limited and simplified syllable structures and frequent deletion of initial and final consonants.
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The EVT-3 and the PPVT-5 are both individually administered, norm-referenced instruments that can be completed in 30 minutes or more.
The EVT-3 and the PPVT-5 are both individually administered, norm-referenced instruments that can be completed in 30 minutes or more.
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Study Notes
Factors Affecting Intelligibility
- The phonemic inventory of one language can affect another language
- Predictability and consistency of errors affect intelligibility
- Utterance understanding is influenced by subjective measurement, type and number of errors, and consistency of errors
Measuring Intelligibility
- Collect a speech sample and calculate a percentage of words understood
- Use an established index of intelligibility, such as Fudala & Reynolds (2000)
- Intelligibility levels:
- Level 6: sound errors occasionally noticed in speech
- Level 5: speech is intelligible, noticeable errors
- Level 4: speech is intelligible, with careful listening
- Level 3: speech intelligibility is difficult
- Level 2: speech is usually unintelligible
- Level 1: speech is unintelligible
Oral Motor Examination
- Purpose: determine if oral motor structure and function are adequate for speech sound production
- Examination includes:
- Head and facial structures
- Breathing
- Oral and pharyngeal cavities
- Teeth
- Tongue
- Hard palate
- Soft palate
Obtaining a Diagnosis
- Collect and analyze data
- Look at:
- Inventory of speech sounds
- Syllable shapes
- Phonological contrasts
- Phonological patterns
Speech Sound Inventory
- What sounds does the client produce?
- In what contexts?
- Do inconsistencies exist?
- Where do normal and abnormal productions occur within the word?
- Initial, medial, final
- Prevocalic, intervocalic, postvocalic
Syllable Shapes
- What syllable shapes do they produce?
- What syllable shapes are they unable to produce?
- Do they produce:
- One syllable?
- Two syllables?
- Open syllables?
- Closed syllables?
Phonetic or Phonemic Disorder
- Differentiate between phonetic and phonemic disorders
- A child can show both
- Consistent errors = same production (substitution, deletion, distortion) in all productions
- Inconsistent errors = substitution or deletion that only occur in certain contexts
Phonological Assessment
- Use a phonological assessment, such as KLPA
- Test using minimal pairs (containing errors and substitutions)
Phonological Processes
- Three categories of phonological processes:
- Syllable structure processes
- Substitution processes
- Assimilatory processes
- Can a child demonstrate more than one process in one word? Yes
Assessment of Speech Sound Disorders
- Identification of phonological processes
- Tally number of times child uses this process
- Target specific processes in treatment
Formal Assessment
- Standardized tests for articulation errors:
- Goldman Fristoe Test of Articulation (GFTA)
- Arizona Articulation Proficiency Scale (Arizona)
- Diagnostic Evaluation of Articulation and Phonology (DEAP)
- Standardized tests for phonological errors:
- Khan-Lewis Phonological Analysis (KLPA)
- Clinical Assessment of Articulation and Phonology (CAAP)
- Hodson Assessment of Phonological Patterns (HAPP)
- Bankson-Bernthal Test of Phonology (BTOP)
Informal Assessment
- Structured:
- Reading passages
- Picture/object description
- Story re-tell
- Spontaneous:
- Conversation
- Story generation
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