Zoekresultaten

Differential diagnostics in cluttering and stuttering A test of speech motor control on word level productions: The SPA Test (Dutch: Screening Pittige Articulatie)

Tot op heden bestond er geen onderzoeksinstrument dat betrouwbaar differentieert tussen broddelende en stotterende clienten. Een door de eerste auteur ontwikkelde test voor spraakmotorische controle op woordniveau is genormeerd en gevalideerd voor broddelende, stotterende sprekers en controles. Dit unieke instrument heeft een differentiaal diagnostische waarde binnen de vloeiendheidsstoornissen.

Cluttering identified: differential diagnostics between cluttering, stuttering and speech impairment related to learning difficulties

Cluttering and learning disabilities

Het spreken van personen die broddelen of spreekproblemen ervaren ten gevolge van leermoeilijkheden vertonen overeenkomsten en verschillen die een indruk kunnen geven over de onderliggende linguistische processen

Differential diagnostics between cluttering and stuttering, part two: the Predictive Cluttering Inventory-revised

De checklist broddelkenmerken is toegepast op een populatie (n=354) niet-vloeiend sprekende kinderen, kinderen met leermoeilijkheden en controles in de leeftijd 10;6 -12;11 jaar. Een aangepaste versie inclusief normering met diagnostische waarde is het resultaat

Cluttering Treatment: Theoretical Considerations and Intervention Planning

This article presents a variety of treatment approaches based on an understanding of four components of communication, and describes cluttering intervention focusing on problem identification, speech rate reduction, appropriate pausing, appropriate monitoring, and addressing story narrating skills. Therapeutic considerations, taking into account the specific characteristics of cluttering, will also be presented. Finally, building clients’ confidence, emotional skills, and sense of accomplishment will turn the therapeutic process into awareness of realistic expectations and motivation to pursue challenging goals. Cluttering is a disorder of speech fluency in which people are not capable of adequately adjusting their speech rate to the syntactical or phonological demands of the moment (van Zaalen, 2009). When language production is relatively easy, people with cluttering (PWC) are capable of producing fluent and intelligible speech. When language production demands are more complex, the speech rate should be adjusted to the language complexity. PWC tend to have difficulties doing so. This reduced ability of PWC to control their speech rate results in either a higher than normal frequency of disfluencies or multiple speech errors. This article presents various intervention approaches based on an understanding of four components of communication: cognitive, emotional, verbal-motor, and communicative. The article focuses on problem identification, speech rate reduction, appropriate pausing, and addressing monitoring and story narrating skills. Therapeutic considerations, taking into account the specific characteristics of cluttering, will also be presented.

Differential diagnostic characteristics between cluttering and stuttering—Part one

Speech-language pathologists generally agree that cluttering and stuttering represent two different fluency disorders. Differential diagnostics between cluttering and stuttering is difficult because these disorders have similar characteristics and often occur in conjunction with each other. This paper presents an analysis of the differential diagnostic characteristics of the two disorders, and a proposal for distinguishing between the two in clinical settings. The main goal of this two-part article is to set objective norms for differential diagnostic assessment of cluttering and stuttering symptoms, based on the three main characteristics of cluttering indicated/identified by St. Louis, Raphael, Myers & Bakker [St. Louis, K. O., Raphael, L. J., Myers, F. L., & Bakker, K. (2003). Cluttering updated. The ASHA leader. ASHA, 4–5, 20–22]: a fast and/or irregular articulatory rate together with errors in syllable, word or sentence structure and or a high frequency of normal disfluencies (not being stuttering). In the first half of the article objective measures are compared to the subjective clinical judgement made by fluency experts. In other words, which characteristics can be found in the speech profiles of persons who were diagnosed as people who clutter or stutter? In the second part of the article results on the Predictive Cluttering Inventory [Daly, D. A., & Cantrell, R. P. (2006). Cluttering characteristics identified as diagnostically significant by 60 fluency experts. Proceedings of second world congress on fluency disorders] are discussed in relationship to the subjective and objective measurements studied in the first half of the article.