1. Perceptual Speech Evaluation Goal:
    To determine
    the impact, on artculatory performance and resonance, of velopharyngeal function problems, fistulas, dental and occlusal deviations and other structural deviations such as large tonsils, large adenoid, nasal obstruction...
  2. To accomplish perceptual eval goal we mus
    Carefully ?
    _____ perceptual speech data with orofacial exam findings?
    ____ the clinical data?
    • an adeqquate speech sample
    • analyze that speech sample
    • Correlate
    • Interpret
  3. Protocol for assessment of CLeft Palate Speech Errors:

    Obtain an adequate speech sample need: (4)?
    • Connected speech
    • published sound inventories
    • special sampling contexts
    • stimulability
  4. Connected speech is?
    conversation, oral reading of sentences or paragraphs, picture description, automatic speech, word sentence repetition
  5. Published sound inventories are?
    articulation tests
  6. Special sampling contexts are:?
    sensitive to cleft type speech errors
  7. Special Sampling Context single words?
    high pressure consonants
  8. Special Sampling Context sentences looking for?
    • high pressure consonants (1 target/sentence)
    • nasal consonants (loaded)
    • low pressure consonants /r,l,j,w/
  9. Special Sampling Context "zoo passage" looking for?
    • no nasal consonants
    • assess for hypernasality
  10. High pressure consonants in UPS?
    /p/ /f/ "sh" /g/
  11. Low pressure consonants in UPS?
  12. Special Sampling Context also checks?
    • CV syllables
    • serial counting (60-66, 50-56)
    • high vowels (isolation and words with HPCs for hypernaslity)
    • Words with nasal consonants (for hyponasality)
  13. 4 types of cleft palate speech deviations?
    • Resonance-hypernasality
    • airflow-nasal air emission
    • air pressure-weak or absent oral pressures
    • articulation-maladaptive compensatory misarticulations
  14. Airlfow and Air pressure assessment- nasal air emission:
    distinguish between potential sources of NAE:
    constant/pervasive: most likely___?
    due to fistuala: relates ___?
    phoneme specific: ___?
    • true VP closure problem
    • to place of production; place of production will be at or anterior to the fistula
    • learned; affects only selected phonemes
  15. Sources of nasal air emission (NAE)?
    fistula and/or VP port
  16. Sources of nasal air emission (NAE):
    Fistula can be located?
    • anterior
    • posterior
    • nasolabial
  17. Sources of nasal air emission (NAE):
    VP port
    is due to?
    • true VP problem
    • PSNE
    • persisting post-op
Card Set
Perceptual Speech Evaluation Mod 18