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Fluency

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Fluency Evaluations

A fluency disorder is when grammar, pronunciation, and/or speaking rates are not up to a normal standard. There are many different types of dysfluency; such as, within word, part-word repetitions, sound prolongations, and blocks. Within word dysfluencies are when part of the word is being repeated. Sound prolongations are when one sound is getting dragged out, and a block is when there is a stop either within a word, before, or after. Dr. Felsenfeld states, “stuttering is an ‘iceberg’ disorder.” This means that there are different aspects to the disorder and many are not noticed right away. You see the core behaviors, but there are many underlining factors that come into play; just like an iceberg, you only see some of it and the rest is under water. Accompanying behaviors and affective features can have a huge impact on the persons life. They use these to help them cope and escape from stuttering moments, however most of the time are no longer effective. Some of the accompanying movements include head jerks, forehead tension, eyes closed or squinting, facial contortions, body swaying, irregular breathing, ect. In addition to body movements, some people will try to postpone the use of the word they have trouble with by substituting the word, avoiding it completely, or interjections, such as ‘um, uh, and like’. Most people with fluency disorders suffer from speech-related anxiety and avoid contact with people. This can have a huge impact of their social life and daily living. To identify someone with a fluency disorder, you need to identify the core behaviors. You will start by counting the number of words or syllables spoken during your interaction. Then identify the stuttered syllables or words, and for each stuttered event, identify the type of core behavior observed. Finally, count the percentage of syllables or words stuttered. Another way to help evaluate dysfluent speech is with the Automatic Speech Recognition (ASR) system output. They have two major components, the Acoustic Model (AM) and the Language Model (LM). According to Audhkhasi, the AM models the statistics of the spectral characteristics of the speech signal, and the LM models the structure of the language by capturing the probabilities of various word sequences. There are many red flags for children that should be taken account for. If the child's family has a history of stuttering, if stuttering has been present for at least six months, more than one type of core behavior present, if it is occurring in nouns, verbs, and adjectives, or if pitch rises, abnormal speech breathing. Children should be taken in for an evaluation if any of these are beginning to be seen.
Works Cited

Audhkhasi, Kartik. "Automatic Evaluation of Fluency in Spoken Language." IETE Technical Review 26.2 (2009): 108. Academic OneFile. Web. 1 Dec. 2014.

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