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Disorders associated with articulation and phonological delay

Disorders associated with articulation and phonological delay. Neuromuscular disorder (CP) Cleft palate (the other CP) Apraxia of speech Organic disorders Ankyloglossia Glossectomy Tongue thrust Hearing loss. Cerebral palsy. Disorder of cerebral origin

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Disorders associated with articulation and phonological delay

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  1. Disorders associated with articulation and phonological delay

  2. Neuromuscular disorder (CP) • Cleft palate (the other CP) • Apraxia of speech • Organic disorders • Ankyloglossia • Glossectomy • Tongue thrust • Hearing loss

  3. Cerebral palsy • Disorder of cerebral origin • Pre-natal, peri-natal, post-natal causes • Characterized by weakness or paralysis • Not a disease entity • Not communicable • Common speech disorder is dysarthria

  4. Cleft palate • Opening (cleft) in the roof of the mouth affecting either the soft palate, hard palate, alveolar ridge (or combination) • Surgically repaired between 12-18 months • Secondary surgeries often necessary • Hypernasality often a primary characteristic if VPI • Other causes of VPI

  5. Apraxia of speech • Acquired apraxia • Childhood apraxia of speech (CAS) • Characteristics • Inconsistent errors • Groping, searching • Transpositions • Prosodic errors

  6. Organic Disorders • Glossectomy • Ankyloglossia (tongue-tie) • Reverse swallow (tongue thrust)

  7. Hearing loss • Articulation disorder affected by • Type of loss • Conductive loss vs. sensori-neural loss • Time of loss • Congenital or acquired • Pre-lingual or post-lingual • Degree of loss

  8. Assessment of articulation • Standardized assessment of articulation or phonology • Intelligibility calculation • Stimulability

  9. Intervention • Articulation or phonological approach? • Single phoneme/pattern or multiple-error approach?

  10. Articulation approaches • Ear training • Production training • Establishment • Stabilization • Transfer & Carryover • Maintenance

  11. Phonological approaches • Cycles Approach • Minimal pair therapy

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