ASSESSMENT OF ORGANIC AND NEUROGENIC SPEECH DISORDERS

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

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

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

Prosody Respiration Phonation Articulation

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

B. Characteristics to Look for in Assessment

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

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

(Owens, Farinella, & Metz 2015)

B. Associated Problems

C. Assessment—Evaluate:

CAS Assessment (continued)

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

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

Youtube LT 5 1/2 years old with cleft palate

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

Cleft uvula alone**

Cleft of the hard palate**

**

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

Cleft of soft and hard palate**

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

Unilateral cleft of the lip and palate**

Unilateral cleft palate and lip**

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

Bilateral combined**

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

Surgical repair “after”**

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

B. Assessment of Cleft Palate Patients

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

Hold a mirror under the child’s nose…