Treatment Planning & Therapeutic Interventions Flashcards

A client with chronic moderate stuttering wants to use speech restructuring techniques. Which technique involves speaking with a prolonged, easy onset on the first syllable?

Answer: Prolonged speech / smooth speech

Prolonged speech involves extending vowel duration and using easy onset to reduce stuttering frequency and establish fluent speech patterns.

When treating a child with childhood apraxia of speech (CAS), which practice schedule principle is MOST supported by motor learning research?

Answer: High frequency of practice with random ordering of targets

High-intensity practice with random target ordering promotes the motor learning and generalization needed to treat CAS effectively.

A patient is using the Mendelsohn maneuver during swallowing therapy. What physiological effect does this technique produce?

Answer: Prolonged laryngeal elevation to extend UES opening duration

The Mendelsohn maneuver prolongs laryngeal elevation, which mechanically extends UES opening and reduces aspiration risk.

Which treatment approach targets semantic processing deficits in aphasia by having clients identify features associated with a target word across multiple categories?

Answer: Semantic feature analysis (SFA)

Semantic feature analysis strengthens lexical retrieval by activating semantic networks through systematic feature identification.

A school SLP is writing annual IEP goals for a 7-year-old with language disorder. Which goal format best meets IDEA requirements?

Answer: By annual review, student will produce grammatically correct sentences with irregular past tense verbs in 4 out of 5 opportunities across 3 sessions

IDEA-compliant IEP goals must be measurable and include the skill, condition, criterion, and timeframe.

A clinician is using PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets) with a child with motor speech disorder. What type of cue does PROMPT primarily use?

Answer: Tactile-kinesthetic cues to guide articulatory placement

PROMPT uses tactile-kinesthetic hand cues applied to the face and jaw to shape articulatory movements.

A client with moderate dysarthria secondary to MS is working on speech intelligibility. Which compensatory strategy has the strongest evidence for dysarthria?

Answer: Rate reduction combined with increased articulatory precision

Rate reduction allows listeners more processing time and enables the speaker to produce more precise articulatory contacts, improving intelligibility.