Modules 5 and 6: Assessment of Speech Sound Disorders
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Questions and Answers

What is a key factor in determining the intelligibility of an utterance?

  • Consistency of errors in the speech (correct)
  • Frequency of speech production
  • Number of speech sounds in the inventory
  • Type of errors in the speech

What is the purpose of the Oral Motor Examination?

  • To determine the phonological inventory of a language
  • To evaluate the speech sounds of a language
  • To determine if oral motor structure and function are adequate for speech sound production (correct)
  • To assess the cognitive abilities of a speaker

What is a phonological disorder characterized by?

  • Lack of phonemic contrasts (correct)
  • Inconsistent errors in speech production
  • Preservation of phonemic contrasts
  • Consistent errors in speech production

What is the significance of phonological contrasts in speech production?

<p>They indicate a difference in meaning (A)</p> Signup and view all the answers

What is the goal of phonological process analysis?

<p>To identify phonological processes in a child's speech (C)</p> Signup and view all the answers

What is an example of a syllable structure process?

<p>Final consonant deletion (D)</p> Signup and view all the answers

What is the significance of minimal pairs in phonological assessment?

<p>They test phonological contrasts (C)</p> Signup and view all the answers

What is the clinical implication of phonological processes in speech production?

<p>It has a huge impact on present day evaluation and treatment of phonological disorders (C)</p> Signup and view all the answers

What is the purpose of a speech sound inventory?

<p>To determine what sounds a client produces and in what contexts (B)</p> Signup and view all the answers

What is a characteristic of consistent errors in speech production?

<p>They occur consistently in all productions (A)</p> Signup and view all the answers

What is the primary purpose of articulation and phonological evaluation?

<p>To describe articulatory or phonological development and determine if an individual's speech deviates from typical expectations (D)</p> Signup and view all the answers

What is stimulability in the context of speech sound disorders?

<p>A client's ability to produce a correct or improved production of an errored sound after receiving specific instructions (B)</p> Signup and view all the answers

What is the importance of viewing age ranges of consonant development?

<p>To provide important information about developmental variations (D)</p> Signup and view all the answers

What is the purpose of collecting a sound inventory in a speech sound disorder assessment?

<p>To describe the nature of the speech sound disorder and identify areas of strength and weakness (C)</p> Signup and view all the answers

What is the main difference between a standardized test and an informal assessment in a speech sound disorder assessment?

<p>A standardized test is more reliable and valid than an informal assessment (D)</p> Signup and view all the answers

What is the purpose of the Goldman Fristoe Test of Articulation (GFTA)?

<p>To identify articulation errors (A)</p> Signup and view all the answers

What is the importance of considering the consistency of errors between a speech sample and an articulation test?

<p>To determine the severity of a speech sound disorder (A)</p> Signup and view all the answers

What is the purpose of obtaining an intelligibility rating in a speech sound disorder assessment?

<p>To determine the impact of the speech sound disorder on communication (B)</p> Signup and view all the answers

What is the importance of considering the client's ability to repeat a sound after hearing it in a speech sound disorder assessment?

<p>To determine the client's ability to learn new sounds (C)</p> Signup and view all the answers

What is the main goal of assessment in speech sound disorders?

<p>To render a diagnosis, fully describe the nature of the problem, and determine the need for services (C)</p> Signup and view all the answers

Vocabulary knowledge involves only citing the definition of a word.

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

Crystallized intelligence involves innate abilities and talents.

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

Poor phonemic awareness is a characteristic of reading disability behaviors.

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

A restricted vocabulary is a reading risk factor in preschool children.

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

Assessing individual aspects of language can provide a holistic impression of an individual's functional communication skills.

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

Vocabulary knowledge is negatively associated with social success.

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

A language assessment that solely focuses on individual aspects of language can provide an accurate picture of an individual’s functional communication skills.

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

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.

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

A language disordered individual typically exhibits frequent deletion of initial and final consonants and numerous vowel errors.

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

The PPVT-5 is an instrument that assesses expressive vocabulary and word retrieval of children and adults.

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

A late talker typically exhibits limited and simplified syllable structures and frequent deletion of initial and final consonants.

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

The EVT-3 and the PPVT-5 are both individually administered, norm-referenced instruments that can be completed in 30 minutes or more.

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

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:
    1. Syllable structure processes
    2. Substitution processes
    3. 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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