OME: Overview

  1. Purpose of OME
    • establish a speech diagnosis and its implication for localization and neurologic diagnosis
    • -formulating treatment recommendations
    • -description, establishing diagnostic possibilities, specifying severity
  2. OME history
    basic data, onset and course, associated deficits, patients perspectives, caregiver interview,
  3. OME interview suggestions
    • include open ended questions
    • ask important questions a few times
    • ask them to rate their speech
    • what is most important to the client
  4. OME: what to write down
    • info about size, shape, symmetry and range, tone and steadiness, speed and accuracy of orofacial movements
    • 1) at rest
    • 2) during sustained posture
    • 3)during movement
  5. OME: structures
    Face, jaw, lips, tongue, velopharynx, larynx, respiration, reflexes
  6. Assessment of Perceptual Speech characteristics: text reading
    deviant characteristics associated with each MSD. rate on severity
  7. Assessment of Perceptual Speech characteristics: vowel prolongation
    resp/phono system: look at duration and pitch, loudness, voice quality, motor impersistence
  8. Assessment of Perceptual Speech characteristics:AMR or DDK
    speed and regularity and artic precision, velo closure
  9. Assessment of Perceptual Speech characteristics: SMRs
    quickly and in proper sequence, heavy planning and programming demands
  10. Assessment of Perceptual Speech characteristics: stress test
    count or read aloud as fast as possible for 2-4 minutes, assess fatigue
  11. Assessment of Perceptual Speech characteristics: planning and programming
    look for groping, substitutions, omissions, deletions, repetitions or additions
  12. fasciculations
    • spontaneous motor discharges that are seen as brief localized twitches
    • can be benign
  13. myoclonus
    type of fasciculation. is a really fast movement of an entire body part, brief and unsustained. CNs, spontaneous, action induced or stimulus induced.
  14. primitive reflexes
    indicate CNS pathology
Author
Wesleypjones
ID
316262
Card Set
OME: Overview
Description
OME: Overview
Updated