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
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