1. ASSESSMENT OF ORGANIC AND NEUROGENIC SPEECH DISORDERS

2. I. CEREBRAL PALSY** A. Introduction-definition Youtube—Charrise’s Story: My Life Journey with Cerebral Palsy (first few minutes)

3. Types of CP: –1. Spastic –2. Athetoid –3. Ataxic –4. Rigid –5. Mixed

4. B. Speech Problems and Their Assessment Oral motor Feeding Slow DDK rates, discoordination of tongue Resonance

5. Prosody Respiration Phonation Articulation

6. II. DYSARTHRIA** A. Introduction Neuromotor disorder affecting all systems: respiration, phonation, articulation, resonance, prosody Due to: CP, degenerative diseases, stroke

7. B. Characteristics to Look for in Assessment

9. III. CHILDHOOD APRAXIA OF SPEECH** Youtube—childhood apraxia of speech 3 year old (UrbanKowboy) Youtube Severe Apraxia and Possible ASD (Julian)

10. A. Introduction** Inconsistent errors Flat prosody Difficulty sequencing sounds and syllables Moderately to severely unintelligible

11. (Owens, Farinella, & Metz 2015)

12. B. Associated Problems

13. C. Assessment—Evaluate:

14. CAS Assessment (continued)

16. One of my very favorites**: 12. Production of polysyllabic words—have them say the words several times, check for consistency. E.g.: (words are not on test) Expensive Refrigerator Buzz Lightyear’s Zurgotronic Ionblaster (ha ) Congratulations Cafeteria Computer

17. IV. CLEFT PALATE (cleft is an opening in a normally closed structure)**

18. Youtube LT 5 1/2 years old with cleft palate

19. A. Introduction-major categories** : Isolated cleft lip

20. Cleft uvula alone**

21. Cleft of the hard palate**

22. **

23. Adult cleft of soft palate and part of hard palate**

24. Cleft of soft and hard palate**

25. Combined Cleft Palate and Lip** This can be unilateral or bilateral Here is a unilateral cleft

26. Unilateral cleft of the lip and palate**

27. Unilateral cleft palate and lip**

28. Example of a bilateral combined cleft lip and palate:**

29. Bilateral combined**

31. Fortunately, surgical repair is excellent in the 21 st century**

32. Surgical repair “after”**

33. He had 5-6 surgeries, the last of which was in 6 th grade He is now a model and actor

34. B. Assessment of Cleft Palate Patients

36. C. Assessment Strategies** 1. Work with team of professionals 2. Help plan surgical interventions 3. Assess intelligibility in connected speech 4. Esp. assess production of pressure consonants in words and sentences 5. Determine presence of hypernasality on vowels and nasal emission on consonants

37. Hold a mirror under the child’s nose…