راهکارهای درمانی خاص در درمان لکنت زبان کلینیک تخصصی لکنت کرج کلاک بالا- خیابان زیتون- جنب خدمات شهری

راهکارهای درمانی خاص در درمان لکنت زبان کلینیک تخصصی لکنت کرج کلاک بالا- خیابان زیتون- جنب خدمات شهری

 

Problem           Example           What can be done

Inter-clinic variability in data collection criteria   Pause behaviour           Clearly specify measurement criteria used.

Intra-clinician variability A clinician’s analysis of the same passage of speech reveals very different fluency counts or rate calculations       As much practice as necessary to ensure that reliability is above 90%. Ensure consistent criteria are being applied for all analyses.

May be discrepancies between speech rate data depending on the type of disfluencies that are produced (see earlier example)          Comparing speaking rates for speakers who prolong or block vs those who repeat part words or words            Articulatory rate must be used for SPM calculations.

Problems with judging

stuttering/normal

disfluency         Clinician unsure as to whether single word repetition is stuttering or normal disfluency  Check: frequency of occurrence within the speech sample and concomitant signs of struggle or tension. Make mention of any uncertainty in the clinical notes.

Fluency count does not account for natural variability in fluctuation of severity  Person tells clinician that the stutter is usually much worse/ better than usual  Rather little, other than to recognize and acknowledge the problem. Note whether current fluency level is regarded as typical by speaker and/or caregivers. Undertake second assessment at different venue/ different time of day, if possible.

Does not measure severity of stuttered moments        Frequency of stutter does not always correlate with severity            Note severity of all stuttered moments, e.g., number of repetitions or length

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