I. CEREBRAL PALSY**
• A. Introduction-definition
• Youtube—Charrise’s Story: My Life Journey with Cerebral Palsy (first few minutes)

– 1. Spastic
– 2. Athetoid
– 3. Ataxic
– 4. Rigid
– 5. Mixed
Types of CP:

B. Speech Problems and Their
Assessment
• Oral motor
• Feeding
• Slow DDK rates, discoordination of tongue
• Resonance

• Prosody
• Respiration
• Phonation
• Articulation

II. DYSARTHRIA**
• A. Introduction
• Neuromotor disorder affecting all systems: respiration, phonation, articulation, resonance, prosody
• Due to: CP, degenerative diseases, stroke

B. Characteristics to Look for in
Assessment

III. CHILDHOOD APRAXIA OF
SPEECH**
• Youtube—childhood apraxia of speech 3 year old (UrbanKowboy)
• Youtube Severe Apraxia and Possible
ASD (Julian)

A. Introduction**
• Inconsistent errors
• Flat prosody
• Difficulty sequencing sounds and syllables
• Moderately to severely unintelligible

(Owens, Farinella, & Metz 2015)

B. Associated Problems

C. Assessment —Evaluate:

• CAS Assessment (continued)

CAS Assessment (continued)

One of my very favorites**:
• 12. Production of polysyllabic words—have them say the words several times, check for consistency. E.g.: (words are not on test)
• Expensive
• Refrigerator
• Buzz Lightyear’s Zurgotronic Ionblaster (ha  )
• Congratulations
• Cafeteria
• Computer

IV. CLEFT PALATE (cleft is an opening in a normally closed structure)**

Youtube
• LT 5 1/2 years old with cleft palate

A. Introduction-major categories** :
• Isolated cleft lip

Cleft uvula alone**

Cleft of the hard palate**

**

Adult cleft of soft palate and part of hard palate**

Cleft of soft and hard palate**

Combined Cleft Palate and Lip**
• This can be unilateral or bilateral
• Here is a unilateral cleft

Unilateral cleft of the lip and palate**

Unilateral cleft palate and lip**

Example of a bilateral combined cleft lip and palate:**

Bilateral combined**

Bilateral combined**

Fortunately, surgical repair is excellent in the 21 st century**

Surgical repair “after”**

Surgical repair “after”**
• He had 5-6 surgeries, the last of which was in 6 th grade
• He is now a model and actor

B. Assessment of Cleft Palate
Patients

C. Assessment Strategies**
• 1. Work with team of professionals
• 2. Help plan surgical interventions
• 3. Assess intelligibility in connected speech
• 4. Esp. assess production of pressure consonants in words and sentences
• 5. Determine presence of hypernasality on vowels and nasal emission on consonants

Hold a mirror under the child’s nose…