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Motor Speech Treatment Hierarchy: a systems approach
1Children's Centre, Speech Foundation of Ontario, Toronto.
Clinics in Communication Disorders
|September 1, 1994
Summary
The Motor Speech Treatment Hierarchy provides a framework for evaluating and treating children with motor speech disorders. Clinicians should prioritize mastering lower-level motor control for better long-term speech production outcomes.
Area of Science:
- Speech-Language Pathology
- Neurorehabilitation
- Pediatric Therapy
Background:
- Motor speech disorders require structured intervention approaches.
- The Motor Speech Treatment Hierarchy offers a theoretical framework for bottom-up motor speech treatments.
- Evaluating neuromotor system integrity is crucial before initiating therapy.
Purpose of the Study:
- To present the Motor Speech Treatment Hierarchy as a guide for PROMPT intervention.
- To highlight the hierarchy's utility in assessing neuromotor function.
- To emphasize the importance of integrated motor speech control for successful treatment.
Main Methods:
- Utilizing the Motor Speech Treatment Hierarchy to assess neuromotor function.
- Applying a bottom-up approach to motor speech therapy.
- Determining the appropriate starting level of intervention based on individual client needs.
Main Results:
- The hierarchy aids in identifying intact and impaired aspects of the neuromotor system.
- Focusing on lower-level control mastery is essential for complex speech interactions.
- Compensatory actions may limit future functional gains.
Conclusions:
- Clinicians must carefully assess clients to determine the optimal intervention starting point on the hierarchy.
- Mastery of lower stages of the hierarchy is critical for achieving voluntary control of speech motor function.
- This framework aims to enhance clinical effectiveness in treating motor speech disorders.