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SPEECH & LANGUAGE EVALUATION.pptx
- 1. SPEECH & LANGUAGE EVALUATION ANSHITASINGH (ASLP)
- 2. CASE HISTORY Alldetails from the starting of the problem till the case came in front of you….. Demographic details Family history Prenatal/natal/Postnatal history Medical history
- 3. CONT… Developmental history/milestones (Physical/social-emotional/speech& Language/cognitive) Educational history Complaint Recommendations
- 4. DEMOGRAPHIC DETAILS Name: Age/sex: Informant: Complaint: Case no: Date: Clinician:
- 5. SPEECH & LANGUAGE DVELOPMENTHISTORY Vocalization: Babbling: First word: First sentence:
- 6. MODE OF COMMUNICATION Verbal ( ) Nonverbal ( ) Both ( )
- 7. VERBAL COMMUNICATION Comprehension Expression Words Phrases Simple sentences Complex sentences Vocalization Words Phrases Simple sentences Complex sentences
- 8. NONVERBAL COMMUNICATION Comprehension Expression Signs Gestures Facial expression Signs Gestures Pointing Dragging
- 9. LANGUAGE BACKGROUND Languageexposure at home: Language used by the child:
- 10. SPEECH STIMULATION AT HOME Adequate ( ) Inadequate ( )
- 11. ORAL PERIPHERAL MECHANISM Appearance Function Lips Tongue Teeth Hard Palate Soft Palate Mandible
- 12. ARTICULATION AT PHONOLOGICAL LEVEL Vowels: Consonants: Blends:
- 13. VOICE Pitch: Loudness: Quality: Breath control & Phonation Duration: Trial 1- Trial 2- Trial 3-
- 14. SUPRASEGMENTAL ASPECTS Accent: Emphasis: Intonation: Phrasing: Rate of speech:
- 15. SPEECH INTELLIGIBILITY Intelligibility RatingScale 1. No noticeable differences from normal. 2. Intelligible though some differences occasionally noticeable. 3. Intelligible although noticeably different. 4. Intelligible with careful listening although some words unintelligible 5. Speech is difficult to understand with many words unintelligible 6. Usually is unintelligible. 7. Unintelligible.
- 16. CONT… Choose theitem which best describes the client's running speech in an unknown context; do not use half intervals. When determining the intelligibility rating, assume the listener is unaware of context or topic. In the report refer to this scale in the following way: "His intelligibility was rated a "5" (speech is difficult to understand with many words unintelligible on a 7 point rating scale where "1" = no noticeable differences from normal, "7" = unintelligible).
- 17. FORMAL TESTING ONREELS ON RELT ON GESTURAL SCALE ON 3D LAT ON SECS
- 18. REELS Ages: Birththrough 36 months Testing Time: 20 minutes The Receptive–Expressive Emergent Language Test– Fourth Edition (REEL-4) was designed to help you identify infants and toddlers who have language impairments or who have other disabilities that affect language development. It is especially useful as an assessment and planning instrument in Early Childhood Intervention programs mandated under P.L. 99-457. The REEL-4 has two subtests that make up the Language Ability composite, Receptive Language and Expressive Language, as well as a supplementary Vocabulary Inventory test, composed of the Nouns and Expanded subtests. Results are obtained from a caregiver interview.
- 19. READING & WRITINGSKILLS Reading Writing Letter recognition Word recognition Reading comprehension Copying Writing to dictation Spontaneous writing
- 20. DIAGNOSTIC FORMULATION Summaryof all speech and language evaluation
- 21. PROVISIONAL DIAGNOSIS DelayedReceptive & Expressive Speech & Language Development/ Skills Phonological /Articulation Disorder Voice Disorder Fluency Disorder Dysarthria Aphasia Apraxia
- 22. RECOMMENDATIONS Audiological evaluation Psychological evaluation Physical evaluation Educational Guidance Vocational Guidance Intensive speech & language stimulation at home
- 23. CONT… Speech andlanguage therapy Articulation /Voice/Fluency therapy at nearest center Oral motor exercises Vocal hygiene Psychological counseling Audiological habilitation