SHS 170 Lecture Notes - Lecture 9: Speech Disorder, Phoneme, Dysarthria

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(cid:862)pa(cid:374)e(cid:863) for pla(cid:374)e: first consonant deletion . Ability to produce sounds in different word positions. Ability to produce various types of words: closely linked to intelligibility of speech understandability of speech, mild. Usuall(cid:455) i(cid:374)(cid:448)ol(cid:448)es a fe(cid:449) of the (cid:862)late8(cid:863) sou(cid:374)ds. Generally intelligible to most speakers: moderate. Difficulty producing all the sounds within a single class. Intelligible to friends and family members, but not to unfamiliar listeners: severe. More than six sounds in error in all positions of words. Causes: functional disorder: no known cause, structural causes: cleft lip or cleft palate. 3: perceptual causes: hearing loss, neurological disorders: cerebral palsy, dysarthria, apraxia. Assessment: case history, hearing screening, oral peripheral examination/oral mechanism evaluation: Examine each articulator: exam structure (size, appearance, symmetry, exam functions (range of movement, rate of movement, strength, coordination, formal articulation test. Norm-referenced; standard scores, percentiles and age equivalents. Spontaneous speech sample ( with at least 50-100 words utterance)

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