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Speech Therapy 2
Cleft Palate Exam 3
Question | Answer |
---|---|
Ineffective therapy types | Non-speech oral motor exercises, play based therapy, vibratory stimuli, thermal stimuli, blowing, sucking, gagging, horns and straws, icing, brushing, and massage |
Why is play based not good for artic.? | Not at engaging as making the sound, need lots of repetition for arctic. |
Why is the phonological cycle not good for cleft? | Movement is the issue, it's not a phonological disorder, they are articulatory only |
What type of approaches are most beneficial for cleft kids? | Motor, repetitive to overcome negative behaviors, frequency and feedback are key |
What types of feedback are essential in motor therapy? | Auditory, tactile, and visual |
How to increase child awareness of errors? | Straw, toobaloo, nostril pinch, tactile feedback, see-scape, nanometer, hand in front of mouth for oral airflow |
What else should you do to avoid linguistic misrepresentation? | Give the sound a new name to avoid the child from associating with the old motor pattern |
What should you do if you are unsure if there is a velopharyngeal component? | Plug the nose |
What should you alway do when working with cleft kiddos? | Teach place of articulation, work from front of mouth to back, increase awareness |
Do you have to teach sounds in developmental order? | No |
What is the goal? | Establish a new motor plan |
What sounds should you defer? | /k/ and /g/ |
Teach from ________ with nose plugged | Similar place of arctic. |
What is a similar place of arctic for /p/ and /b/? | /m/ |
Teach from _____________when needed | Excessively anterior place of articulation |
Accurate ______________ of target sounds is critical | Repetition |
Foundational skills should always be carried to _______ | 100% accuracy |
How to motivate? | Use reinforcers top root number of productions |
________ are essential | Home assignments |
Success depends on ___________ of practice between sessions | Frequency and consistency |
When wean from nose plug? | After syllable level but reuse as complexity advances, clean when needed |
How to also target language? | Practice activities explore range of content, but don't use pictures or reading flash cards before phrase imitation, |
Why shouldn't you use pictures with phrase imitation? | Too much cognitive load, may delay articulation progress |