Michael's intelligibility is greatest at the single-word level. Articulation errors, especially metathesis of phones and syllables, increase as his utterance length increases. Michael has an age-appropriate vocabulary and produces utterances of up to five words. Michael's imitation of tongue, lip, and jaw movements is characterized by inconsistent groping and errors of sequencing not observed in his spontaneous oral movements. Michael's expressive-language skills have shown some progress since he began working with the speech-language pathologist, but he remains poorly intelligible. However, his receptive-language skills were found to be age appropriate and he showed no oral motor deficits during feeding. An open resting mouth position with slight tongue protrusion was sometimes noted. His parents described him as having been a "well-behaved and quiet baby." When Michael began receiving services, he communicated mainly through gestures and crude vocalizations. Although his birth was reportedly unremarkable, Michael does have a history of recurrent otitis media with effusion. Michael is a 32-month-old boy who has been receiving early intervention services over the past ten months for delayed speech and expressive-language development. This led the researchers to conclude that the treatment was highly effective.īased on the preceding description, which of the following appears to be a significant limitation of the design of the study?Ī.The use of a single-group pretest-posttest designĬ.The inability to rule out the possibility that the children's language scores improved for reasons other than the treatmentĭ.The use of random assignment to place the children into the treatment groupĮ.The number of participants in the study The children's posttreatment scores on the test were significantly higher than their pretreatment scores. The researchers administered a standardized language test to the children before and after the treatment program. The clinicians read an article documenting research on the effect of a novel treatment on the language performance of 30 children with specific language impairment. Which of the following is most appropriate for the SLP to do if Molly's speech fluency has remained the same since the previous evaluation?Ī.Recommend that Molly immediately begin fluency therapy, in which the focus is on reducing the frequency of repetitions and interjections in her conversational speechī.Recommend that Molly be released from the SLP's active caseloadĬ.Recommend that Molly be referred for psychological counseling, with a focus on on helping Molly improve speech fluency by learning how to manage anxiety more effectivelyĭ.Recommend monthly evaluations of Molly's speech fluency until she is five years oldĪ team of SLPs is evaluating whether a new language intervention is suitable for use with children who are on their caseload. A reevaluation is scheduled for next week. The SLP did not recommend speech-language intervention following the previous evaluation however, she did provide the parents with information about fluency development, symptoms of stuttering, and general suggestions for how to facilitate children's fluency. Molly reportedly began producing repetitions and interjections at age 24 months, and the frequency of these disfluency types reportedly has remained stable since then. Results from several formal tests suggested that her articulation and language development were within normal limits. She did not display any sound prolongations or facial grimaces she did not produce any pitch rises or phonatory breaks and she did not appear to avoid any sounds or words. At that time, she displayed physically relaxed repetitions of words and phrases (occurring at a frequency of 2 per 100 words), and interjections such as "um" (occurring at a frequency of 1 per 100 words). Six months ago, an SLP evaluated 4-year-old Molly's speech fluency during conversation.
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