Misarticulation

Articulation and misarticulation

1. MISARTICULATION TYPE DIAGNOSIS TREATMENT PRESENTED BY PARDEEP KUMAR BANSAL

2. MISARTICULATION Misarticulation is a speech disorder in which patient cannot able to produced some specific speech phoneme in correct way

3. AETIOLOGY There are of mainly 2 type of causes of misarticualtion Organic Functional Organic causes - some anatomical deficits in articulators ( shape , size of arti ., mild hearing loss) Functional causes – abnormal fxn of articulator by patient due to lack of awareness .

4. Type Mainly 4 type of misarticulation seen in patients.. Reminds as SODA . S- Substitution O- Omission D- Distortion A- Addition

5. SUBTITUTION In this type of misarticulation child subsititute phoneme with another phoneme. For eg word kuutta -- tuutta /k/--/t/

6. OMISSION In this type of misarticulation child omit phoneme for e g /pen/--/ en / /p/ is omitted ommision can be at any phoneme position. I m f position . Mostly seen at final position

7. Distortion In this type child distort the whole word .. That most of time word that distort difficult to understand . e g - /cat/ --- /***/ distorted word

8. Addition In this type the child add the phoneme on that are not actually part of the target word. Some time it a part of accent of language and sometime is a misarticulation Judgement depend on the experience of SLP (CASE HISTORY etc.) For e g /school/-- / eschool / /station/--/ estation /

9. Diagnosis Assessment of misarticulation disorder varies patient to patient Commonly the assessment procedure as follow ; General case history Test administration

10. General case history Demographic data Birth history Family history Medical history OPME Developmental history Educational history Social history

11. Diagnostic test There are various types of test for the assessment of misarticulation : Most commonly there are two tests administer for provisional diagnosis 1.Hindi A rticulation Test(HAT) Age 3 to adult 2.Picture A rticulation T est (PAT ) Age below 4

12. Treatment Treatment is based on the patients problem. Treatment plan varies patient to patient General treatment procedure are as follow The basic step of treatment procedure are 1.Establishment 2.Maintance 3.Generalization

13. Treatment approaches Commonly there are two approaches used for misarticulation 1.Phonetic P lacement A pproach 2.Minimal P air A pproach

14. Phonetic Placement A pproach This is commonly used approach for treating misarticulation . This approach includes : Teaching : 1. place of articulation 2. manner of articulation by using behavior modification approach in BMA using mirror for behavior analysis

15. Minimal pair approach In MPA we have to search for exact target spoken phoneme in word … and after that make minimal pair to correct target phoneme. for example … if child pronounce /k/ sound in word /cat/ we have to practice minimal pair like /can/, /cap/,/cow/.

16. Treatment Plan Sound are chosen for treatment in order as follow 1 Bilabial 2 Alveolar 3 Dental 4 Palatal 5 Velar This order will helps SLP to achieve target in session as soon as possible.

17. Thank you