Fluency Disorders & Stuttering Flashcards

According to the ASHA Practice Portal, which population demonstrates the highest prevalence of stuttering?

Answer: Preschool-age children aged 2-5 years

Stuttering prevalence peaks in preschool-age children (approximately 5-8%), then declines due to high rates of natural recovery throughout childhood.

A client describes deliberately avoiding telephone calls, job interviews, and public speaking due to stuttering. This pattern reflects which dimension of the ICF framework?

Answer: Participation restrictions

Avoiding meaningful life situations such as job interviews and phone calls constitutes participation restrictions under the WHO International Classification of Functioning framework.

Pull-out (also called in-block modification) requires the client to:

Answer: Ease out of a stuttering block while it is occurring by reducing tension and sliding through the sound

Pull-out involves modifying the stuttering moment in real time by easing the articulatory tension and smoothly transitioning through the sound rather than forcing it.

Which finding would most support a diagnosis of psychogenic stuttering rather than developmental or neurogenic stuttering?

Answer: Sudden onset following a significant psychological stressor with atypical disfluency patterns that are inconsistent across contexts

Psychogenic stuttering typically presents with sudden onset after a psychological stressor, unusual disfluency patterns, and variability that does not follow expected patterns of developmental or neurogenic stuttering.

Group therapy for adults who stutter is particularly effective for addressing:

Answer: Social stigma, avoidance behaviors, and peer support in real-life speaking situations

Group therapy provides a supportive community for practicing fluency and stuttering modification skills, reducing social stigma, and confronting avoidance in real communicative interactions.

An SLP working with a bilingual child who stutters should be aware that:

Answer: Stuttering may vary in frequency and severity across languages and should be assessed in both languages

Stuttering in bilingual speakers can differ across languages in severity and type, making assessment in both languages essential for an accurate clinical picture.

The term 'covert stuttering' (also called interiorized stuttering) describes a person who:

Answer: Hides stuttering through extensive word substitution and avoidance, appearing fluent to observers

Covert stutterers use avoidance strategies such as word substitution, circumlocution, and situation avoidance to conceal stuttering, making their disorder invisible to listeners.