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SpTh4CA&cleft
Orofacial anomalies
| Question | Answer |
|---|---|
| How long should trial therapy for VPI last? | 8 weeks |
| Children may sound hypernasal if inventory limited to ____ _____ and _____. | glottals, glides, and nasals |
| How do you treat weak consonant production? | Increase volume and oral activity, visual feedback (air paddle), tactile feedback (feel pressure with hands) |
| May have to teach some compensatory strategies as a last resort, if ____ interferes with speech. | dental |
| What kind of words do you work on to get away from glottal stops? | /h/ words |
| What types of sounds are best place to start for eliminating glottal stops? | fricatives and voiceless fricatives |
| At least ___% children with cleft palate require SLP services at some point in their life. | 50% |
| What can VPD cause? (5) | hypernasality, NE, weak artic, short utterances, CA's |
| When is speech thearpy not appropriate? | when problem is purely structural |
| Children with hypernasality, weak cons, and NE are candidates for therapy when…? (5) | characteristic is mild & child stimulable; characteristic inconsistent or only present when child is tired; caused by faulty artic; post-surg therapy to learn new system; associated with oral motor dysfunction |
| For artic tx, determine if errors are ____, ____, or ____. | obligatory, developmental, or compensatory |
| What is the first goal for direct artic/phon tx? | phonetic placement |
| Do children with cleft palate and severe speech problems need more than 20 min once/week that may occur in schools? | yes; need intense therapy |
| What does typical direct artic/phon therapy involve? (4) | auditory/visual stim, imitation, practice, reinforcement |
| Therapy for consonant development should address ____ and decrease ____ | oral articulations; nasal and glide substitutions |
| Why should you do trial therapy with all kids with dental malocclusions/distortions? | can't predict who will/won't benefit; some kids benefit from placement therapy while others must have ortho/dental tx first |
| What should we do to avoid development of CA's? | don't reinforce CA error, model correct artic |
| Why will a child still sound hypernasal after surgery? | if child still producing CA's |
| Why target oral fricatives before stops for eliminating glottal stops? | may facillitate the idea of oral frication & aspiration |
| Technique for eliminating glottal stops. | whisper target sound and produce /h/ immediately after to stop glottal prod /pa/=/p-ha/ |
| Adolescents may have persistent speech problems due to what causes? | CF anomalies, dental defects, or poor therapy in the past |
| Do palatal elevators and stimulator to cue velum to elevate have good results? | no |
| What is electropalatography? | custom acrylic plate with electrodes placed on palate; electrodes send signal when touched by tongue to give real-time visual feedback about timing and location of tongue placement |
| What is electropalatography good for? | good for biofeedback, ppl who not benefited from conventional tx, expensive but cheaper than extended unsuccessful speech tx |
| Tx for hypernasality should only last _____ and then cease if no improvements. | 6 to 8 weeks; no improvement indicates child needs surgical or prosthetic management |
| Tx of hypernasality involves what 9 techniques? | increase mouth opening, auditory discrim training, visual feedback, tactile-kinesthetic, light artic contacts, decrease speech rate, tactile feedback, lower back of tongue, increase oral activity |
| What does surgery not correct? | CA's or nasal substitutions |
| What children specifically will still have some hypernasality post-surgery? | children with no velar movement prior to surgery |
| How long after surgery should you wait for the elimination of hypernasality before recommending additional surgery? | 6 to 12 months |
| Which 2 resonance problems are most often due to a nasal blockage and always need to be treated surgically? | hyponasality & cul-de-sac resonance (speech therapy won't work if blockage) |
| What kind of exercises were used in the past but no longer accepted now as tx for VP function? | muscle training and oral motor exercises |
| What is an effective exercise tx for VP function? | CPAP mask; involves resistance of VP b/c muscles work against the CPAP positive pressure to close the port |
| When is CPAP exercise not appropriate? | for VP insufficiency or mislearning; CPAP is treating muscle weakness |
| What techniques can be used during speech attempts as biofeedback? (8) | verbal info from SLP, cold mirrors, water manometers, stethoscopes, nasoendoscopes, nasometer, photodetection, and listening tube |
| What is a nasometer especially good for? | nasal rustle; b/c caused by small, inconsistent VP opening |
| Nasometer has ___ and ____ to use for therapy. | games, stimuli |
Created by:
imbatgirl
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