Treatment FAQ

what is phonomotor treatment

by Miss Virginie O'Kon I Published 3 years ago Updated 2 years ago
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Phonomotor Treatment is an intensive treatment program designed to improve phonologic processes of PWA by training speech sounds in isolation before progressing to sound combinations and single words (Kendall et al., 2015).Sep 4, 2018

Full Answer

Where can I find information about phonomotor treatment for aphasia?

More resources and information on phonomotor treatment can be found at the University of Washington Aphasia Research Lab site. Megan (Oelke) Moldestad, M.S., CCC-Med SLP, works in the University of Washington Aphasia Lab as a research speech-language pathologist.

How can PMT help with anomia?

Research into PMT shows that in order to best treat anomia, primarily non-word phonological sequences are best in order to isolate phonology, which later “spreads” to word level processing. 2 PMT is a multi-faceted therapy. Here are some of the essential components: An essential component of PMT is the pervasive use of Socratic Questioning (SQ).

What are PMT treatment tasks?

Treatment tasks involve a variety of stimuli to turn on phonological representations for clients: Treatment tasks begin with consonants (C) and vowels (V) in isolation, but the real goal of PMT is to train phonological sequence knowledge (because we speak in multi-syllabic utterances, not single sounds!).

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What is the Phonomotor approach?

Phonomotor Treatment (PMT) is a treatment for aphasia that is based in strengthening phonological skills. It is multi-faceted and complex, so this manual has been designed to help speech-language pathologists learn how to deliver PMT.

What is PMT in speech therapy?

What is Phonomotor Therapy (PMT)? Phonomotor Treatment is an approach for treating impairments of phonology in people with aphasia.

What is phonological components analysis?

Phonological Components Analysis (PCA) is a word-finding treatment that helps the person with aphasia learn to analyze the sounds in words.

What are Prelinguistic skills?

Prelinguistic skills, or pre-language skills, begin to develop as soon as your baby is born! This means that long before your baby says their first word, they are learning valuable non-verbal skills such as eye-contact, joint attention, motor imitation, facial expressions, gestures such as pointing, and more!

What is milieu teaching?

Milieu teaching is a practice that involves manipulating or arranging stimuli in a preschool child's natural environment to create a setting that encourages them to engage in a targeted behavior.

What is an example of phonology?

Phonology is defined as the study of sound patterns and their meanings, both within and across languages. An example of phonology is the study of different sounds and the way they come together to form speech and words - such as the comparison of the sounds of the two "p" sounds in "pop-up."

Is phonological awareness a cognitive skill?

Phonological awareness is a meta-cognitive skill (i.e., an awareness/ability to think about one's own thinking) for the sound structures of language. Phonological awareness allows one to attend to, discriminate, remember, and manipulate sounds at the sentence, word, syllable, and phoneme (sound) level.

What is PACE therapy for aphasia?

PACE therapy (Promoting Aphasics' Communicative Effectiveness): This procedure is a slight variation of the basic picture-naming drill, but the adjustments introduce elements of conversation into the interaction These adjustments include the person with aphasia and the therapist taking turns conveying messages, ...

What is a phonomotor treatment?

Phonomotor Treatment (PMT) is a treatment for aphasia that is based in strengthening phonological skills. It is multi-faceted and complex, so this manual has been designed to help speech-language pathologists learn how to deliver PMT. It provides detailed explanations and examples that you can use to learn the basics of the program, along with quiz modules to help you solidify and integrate your understanding of PMT.

How does PMT work?

EXPLANATION FOR Q3: The explanation for how and why PMT works is complex, and explaining it to someone with aphasia adds an extra level of difficulty that the clinician must anticipate. One way to manage this, and maximize, client understanding, is to build the explanatory drawing(s) gradually, adding each element as you talk about it. This helps to break down the ideas into manageable pieces, and in the process serves as multi-modality communication support for clients with impaired auditory comprehension.

What should be introduced once a phoneme has been well established in isolation?

Once a phoneme has been well established in isolation, across a variety of single-phoneme tasks, activities should be introduced that implement and reinforce that phoneme in progressively longer, more complex contexts, such as combining and manipulating phonemes in sequences.

Why does PMT work on phonemes?

Importantly for understanding why PMT works on phonemes, not real words, is that phonemes are fundamental to assembling word forms, and strengthening phoneme representations can influence multiple word forms because of each phonemes bidirectional connections with all related words.

What is PMT in language processing?

PMT, therefore, is designed to facilitate and strengthen phonological representations and the ability to manipulate them, in both production and perception, with the ultimate goal of improving the efficiency, effectiveness, and accuracy of language processing across language tasks.

Is it difficult to keep data for PMT?

Keeping data for PMT is critical but difficult, as could be expected for any complex treatment. There is not a single way that it must be done, but there are some general princip les that can guide your development of a data keeping system that works for you .

Can you practice PMT at home?

Because PMT is such a multi-layered, complex treatment, and it is not advisable to have clients practice things incorrectly, we do not recommend having clients practice specific PMT treatment tasks at home. You can, however, encourage them to do tasks that reinforce phonological awareness and processing. These could include:

What is the best way to treat anomia?

Research into PMT shows that in order to best treat anomia, primarily non-word phonological sequences are best in order to isolate phonology, which later “spreads” to word level processing. 2.

How long does PMT take to work?

Research into the efficacy of PMT has looked at an intense dosage – 60 hours of therapy over 6 weeks. 2 Research into more clinically-feasible doses is forthcoming, but not yet available. However, as a research clinician who has administered thousands of hours of PMT, I absolutely support its use in a clinical setting.

Meet Your Instructors

Dr. Kendall is a Full Professor at the University of Washington Department of Speech and Hearing Sciences. Her research program is focused on rehabilitation of aphasia. She, along with her colleagues, has created a treatment for linguistic deficits in aphasia called Phonomotor Treatment.

Chapters & Learning Objectives

This chapter, with Dr. Diane Kendall, will describe the evidence base behind phonomotor treatment, beginning from the ground up including relevant models of aphasia, and their theoretical applications to phonomotor treatment. Dr Kendall will then explore both the phase 1 and phase 2 evidence for phonomotor treatment.

Referring patients to the Aphasia Research Lab

Please give patients who may be interested in joining the Aphasia Registry our recruitment flyer.

Phonomotor Therapy Materials

A comprehensive guide to delivering Phonomotor Therapy, including Freqently Asked Questions and quiz modules.

Standardized Assessment of Phonology in Aphasia (SAPA)

Test for assessing phonological awareness skills in adults with aphasia

Other Online CEU Courses offered through Medbridge

Building Counseling Skills, presented by Rebecca Hunting Pompon, Ph.D. (link to course)

WSLHA 2016 Symposium: Fresh Perspectives on Aphasia Diagnosis and Treatment

Link to a Dropbox folder with our presentation and compiled resources.

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