Treatment planArticle:Objective: In 6 weeks, with a treatment frequency of 5 hours per week, Ms. K. pronounces words with velar sounds (/ng/ /g/ /k/) in an individual conversation with an acquaintance in an understandable way.Methods: First we will check what velar sounds the lady. K. knows how to produce better than the others. Next we will do articulation exercises. We will train syllables in CV order and words in CVC order, but soon we will train syllables and clustered words to make it more difficult. Mrs. K. has moderate flaccid dysarthria, so we think she can cope with training with complex words initially. This way, it will also have a better chance of transferring to CVC words (Maas et al., 2008, p. 2). The words we will use in therapy are extracted from the book “The Gruffalo” (Donaldson, 1999). If she can pronounce the words correctly at word level, we will try to produce small sentences with these words, so Ms. K. will be able to read this book to his grandchildren after six weeks. We will also train other words regarding his environment; names of her loved ones and things she likes to do. Every week we will give to mrs. K. some homework and try to involve the family. In this way we hope for a transfer, so Mrs. K. knows how to apply the linguistic movements learned in therapy in daily life. Rating: We will create a scoring system, containing a scale from 0 to 5 (0 means bad pronunciation, 5 means good pronunciation). Before starting the treatment we had recorded Mrs.'s voice. K while reading a text. After the treatment we will record your voice again and judge whether your pronunciation has improved or not. We will also ask his family and Mrs. K itself. In this way, we consult the family and Mrs. K which objective... in the center of the paper... is correct. She will practice the words practiced in the therapeutic session together with her husband in front of a mirror. Conrad was present during the therapy session, so he is familiar with the suggestions and principles of feedback. Word List1. Gruffalo 18. Fox2. Claws 19. Fangs3. Plugs 20. Black4. Dungeon 21. Snake5. Good 22. Walk6. Trunk 23. Dark7. Watch 24. Rocks8. Goodbye 25. Come9. Frog 26. Cream10. Type 27. Lake11. Going 28. Crumbled12. Gray 29. Mushroom13. May 30. Cards14. Corrado 31. Gardener15. Poker 32. Ken16. Becky 33. Gordon17. Canasta 34. KarenReferencesDonaldson, J. & Scheffler, A. (1999). The Gruffalo. New York: Dial Books for Young Readers. Schneider, S. L., & Frens, R. A. (2005). Formation of four-syllable CV patterns in individuals with acquired apraxia of speech. Theoretical implications. Aphasiology, 19, 451-471.
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