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Original Question
Sarah is a 33-year-old female who had an ischemic attack secondary to embolization 2 years ago. A CT scan indicated a large infarction in the posterior-lateral margins of the frontal lobe and temporal-parietal lobes on the left. A speech therapy examination revealed some right-side facial asymmetry. She followed one-step commands. Orientation was difficult to determine due to limited language output. Her attempts at speech were characterized by groping and off-target sound selection. She was intelligible when she produced single-word monosyllabic words. However, beyond this, her speech was characterized by errors such as sound and syllable transpositions, articulatory groping, and sound additions. Her presentation is consistent with Broca’s aphasia and moderate-severe apraxia. She is married with three girls and worked in insurance sales until she had the CVA 2 years ago. Her husband is very involved with her care but often gets frustrated with not being able to communicate with her. She has been receiving speech/language therapy ever since the incident. However, her doctor recently told her that she is unlikely to make any further improvements in her communication skills. QUESTION: If you decided to continue SLP services, which of the following practice and feedback conditions would you apply, based on the motor speech principles reviewed in Maas et al. 2008? Select exactly 6 that apply. If you select more than 6, points will be deducted. A. Large practice amount: high number of practice trials or sessions B. Small practice amount: low number of practice trials or sessions C.Distributed practice: practice a given number of trials or sessions over longer period of time D. Massed practice: practice a given number of trials or sessions in small period of time E..Constant practice: practice on the same target, in the same context (e.g., syllable-initial /f/ ) F.. Variable practice: practice on different targets, in different contexts (e.g., syllable-initial and final /f/, /z/, /b/ ) G.. Random practice schedule: different targets practiced in intermixed fashion (e.g., practice on /f/ and /z/ in each session) H. Blocked practice schedule: different targets practiced in separate, successive blocks or treatment phases (e.g., treatment on /f/ before initiating treatment on /z/ ) I. Internal attentional focus: focus on bodily movements (e.g., articulatory placement) J. External attentional focus: focus on effects of movements (e.g., acoustic signal) K. Immediate feedback: feedback immediately following attempt at production L.Delayed feedback: feedback provided with a delay (e.g., 5 s)
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