Question 1

Zoe (8;3 years) is a monolingual English-speaking girl. She has an interdental lisp. You have decided to trial a period of traditional articulation intervention to improve the clarity of her production of /s, z/. During the first intervention session you start with:

Accepted Answer

Sensory-perceptual (ear) training is often the first step in traditional articulation therapy, helping the child to hear and discriminate the correct sounds before attempting production.

Question 2

You have begun pre-practice instruction with Zoe (8;3 years) to improve her production of /s, z/. During pre-practice instruction you:

Accepted Answer

The answer of You have begun pre-practice instruction with Zoe...

Question 3

As part of traditional articulation intervention, transfer and carryover would involve Zoe (8;3 years):

Accepted Answer

Transfer and carryover in articulation therapy involve using the target sounds in everyday conversational speech outside the clinical setting.

Question 4

The production practice sequence in Van Riper's traditional articulation intervention approach includes:

Accepted Answer

Van Riper's traditional articulation intervention approach follows a sequence that begins with sound production in isolation, then progresses to nonsense syllables, words, and finally sentences. This methodical progression helps individuals gradually master the articulation of challenging sounds in increasingly complex linguistic contexts.

Question 5

You are going to use Skelton's (2004) concurrent treatment approach with Susie (7;4 years), to address her lateralization of /s, z/. As part of your first session with Susie, you include:

Accepted Answer

Skelton's (2004) concurrent treatment approach involves starting with orientation training to ensure the client understands the goals and procedures, followed by a period of pre-practice to establish basic skills, and then moving on to randomized variable practice to promote generalization and retention of the learned skills.

Question 6

When preparing your picture resources for the practice phase of concurrent treatment with Susie (7;4 years) you could have your picture-based resources for the different exemplar types:

Accepted Answer

Randomly shuffling the picture-based resources allows for varied practice, which can help in generalizing skills across different contexts and positions, aligning with the principles of concurrent treatment.

Question 7

The focus of Dynamic Temporal and Tactile Cueing (DTTC) for children with childhood apraxia of speech is on:

Accepted Answer

Dynamic Temporal and Tactile Cueing (DTTC) is a speech therapy approach designed specifically for children with childhood apraxia of speech. The primary focus of DTTC is on improving the planning, sequencing, and coordination of muscle movements for speech, rather than on individual sounds or phonemes. This method emphasizes the importance of practicing and mastering movement sequences that are necessary for fluent speech, as apraxia of speech is a motor speech disorder that affects the ability to plan and sequence the movements needed for accurate speech production.

Question 8

Paige (2;11 years) is a monolingual English-speaking girl. She has a limited phonetic inventory and is struggling to sequence consonants and vowels in simple syllable shapes such as CV, VC and CVCV. You suspect she has childhood apraxia of speech. You have decided to use Dynamic Temporal and Tactile Cueing (DTTC), which means that you will:

Accepted Answer

Dynamic Temporal and Tactile Cueing (DTTC) is a therapy approach designed for children with apraxia of speech. It involves the use of imitation, a slowed speech rate, tactile-phonetic cues, motokinesthetic cues, gestural cues, and adjusting the timing between the therapist's model and the child's imitation to help improve the child's ability to plan and program movement sequences for speech.

Question 9

To encourage smooth transitions between syllables:

Accepted Answer

Avoiding pauses during a syllable and not segregating the movement helps in maintaining fluidity and smooth transitions between syllables.

Question 10

When conducting Rapid Syllable Transition Treatment (ReST), McCabe and Ballard (2015) recommend that clinicians use:

Accepted Answer

The answer of When conducting Rapid Syllable Transition Treatment (ReST),...

Question 11

When conducting Rapid Syllable Transition Treatment (ReST) instruction cues and feedback primarily focus on:

Accepted Answer

The answer of When conducting Rapid Syllable Transition Treatment (ReST)...

Question 12

Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT) is:

Accepted Answer

PROMPT is a tactile-kinesthetic approach that involves touch cues to a patient's articulators (jaw, tongue, lips) to manually guide them through a targeted word, phrase, or sentence. It is designed for children with motor speech disorders and requires specific training and certification for practitioners to implement it effectively.

Question 13

Integrated phonological awareness for CAS uses:

Accepted Answer

Integrated phonological awareness for CAS emphasizes metalinguistic instruction and feedback, encouraging children to develop their own phonological and motor plans rather than relying solely on imitation.

Question 14

Cody (7;7 years) is a monolingual English-speaking boy. He has moderate-severe childhood dysarthria. His speech intelligibility is better in single words than connected speech, partly because he has difficulty regulating breath control during speech. You have decided to use a systems approach to improve his speech intelligibility, by focusing on his:

Accepted Answer

The respiratory system is crucial for regulating breath control during speech, which is an area of difficulty for Cody. Improving his respiratory system can help enhance his speech intelligibility, especially in connected speech where breath control is vital.

Question 15

As part of your intervention with Cody (7;7 years) which of the following strategies would you not use, to improve his awareness of and ability to regulate breath control during speech:

Accepted Answer

EPG (Electropalatography) feedback for alveolar consonants [t, d, n, s] is not directly related to improving breath control during speech. EPG is a technique used to measure where and how the tongue contacts the hard palate during speech, which is more relevant for articulation and phonetic precision rather than breath control. The other options (A, B, C) are directly related to enhancing breath control and awareness, which are crucial for effective speech production.

Question 16

When used in conjunction with speech-language pathology intervention, the surgical technique that might reduce nasal air escape in children with reduced speech intelligibility associated with childhood dysarthria is:

Accepted Answer

Pharyngoplasty is a surgical procedure that can help reduce nasal air escape by altering the structure of the pharynx, which is beneficial for children with speech issues related to dysarthria.

Question 17

Samantha (8;8 years) has childhood dysarthria because of traumatic brain injury (TBI). Her speech is highly unintelligible. You have decided to trial an aided form of communication. A suitable aided form of communication for Samantha would be:

Accepted Answer

A simple digitized speech output device can provide Samantha with a means to communicate effectively despite her speech unintelligibility due to dysarthria from TBI. This device can allow her to express herself more clearly than she could through unintelligible speech, basic vocalizations, facial expressions, or sign language, which might not be as effective or feasible given her condition.

Question 18

Gillan (7;5 years) has an articulation impairment characterized by /?/ distortion. You have decided to help Gillan produce /?/ by successive approximation from another consonant. This would most likely involve:

Accepted Answer

The answer of Gillan (7;5 years) has an articulation impairment...

Question 19

A facilitating phonetic environment that would not be helpful for eliciting // with a school-aged child with // distortion would be:

Accepted Answer

The answer of A facilitating phonetic environment that would not...

Question 20

Compared with traditional articulation therapy, concurrent treatment uses:

Accepted Answer

Concurrent treatment often involves randomized-variable practice, which contrasts with the more structured and predictable approaches like blocked-constant practice typically used in traditional articulation therapy. This method is believed to enhance learning by varying the practice conditions and tasks, making it more challenging and engaging for the individual.

Quiz 14: Articulatory and Motor Speech Intervention Approaches