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University of Arkansas

Program in Communication Disorders


Accredited by the ASHA Council on Academic Accreditation
Speech and Hearing Clinic, 410 Arkansas Avenue, Fayetteville, AR 72701
Telephone: (479) 575-4509
FAX: (479) 575-4507

SPEECH AND LANGUAGE DIAGNOSTIC REPORT


FOLDER:

2222

NAME:
BIRTHDATE:
ADDRESS:

SMITH, Abigail Claire


August 17, 2010
111 Grad School Blvd.
Fayetteville, AR 72701
479/555-8293
March 10, 2015

TELEPHONE:
EVALUATION DATE:

STATUS: On Tuesday, March 10, 2015 a speech evaluation was conducted on Abigail Smith, a
3 year old female, at the University of Arkansas Speech and Hearing Clinic. The client was
accompanied by her father and mother. The client was referred by her pediatrician, Dr. Benafield,
for a speech evaluation. The client can occasionally be understood by her family, but she is
unintelligible to strangers and easily frustrated when others cannot understand her.
BACKGROUND: The mother stated that she did not experience any complications throughout
her pregnancy, or while giving birth. It was also noted that no complications were observed after
birth. Abigail reached developmental milestones at a normal age, she was crawling by 9 months
and walking on her own by 12 months. However, the client did not use words meaningfully until
19 months and did not use two word sentences until 26 months. Abigail had a hearing test done
in 2014 and the results came back normal. The client has issues with allergies, but no other
illnesses were reported.
The client attends Little Wonders Preschool and the mother states, Abigail enjoys going
to preschool, but she gets frustrated when people cannot understand her. Her parents noted that
when Abigail started talking they knew there was something different about her speech.

SPEECH AND LANGUAGE


DIAGNOSTIC REPORT
SMITH, Abigail Claire
Page 2
EXAMINATION: The following test/procedures were administered:
1. Oral Peripheral Examination: Assesses adequacy of oral structures and functions for the
production of speech.
2. Hearing Screening: A hearing screening was conducted at 25 dB at 1000, 2000, and 4000 Hz
to rule out any hearing loss.
3. Goldman-Fristoe Test of Articulation-Second Edition (GFTA-2): Assess information about a
child's articulation ability by sampling both spontaneous and imitative sounds. Measures
articulation of consonant sounds and determines types of misarticulation. The Sounds-inWords section is norm-referenced. The Sounds-in-Sentences and Stimulability sections are
not norm-referenced.
4. Continuous Language Sample: Provides information on a childs language abilities and overall
conversational skills. Language areas: syntax, semantics, morphology, and pragmatics are
observed. A language sample consists of 75-100 utterances spoken by the client. Collection of a
language sample can take place in a variety of contexts with a variety of communication
partners.
RESULTS: Results of the oral peripheral exam revealed adequate function and structure of the
lips, teeth, and tongue. Some difficulty was noted during repetition of phonetically complex
words and sentences; however, diadochokinetic (rapid repetition of syllables) rates were within
normal limits. These results suggest that clients structures are adequate for good speech
production, and that she is moving toward integration of complex motor movement.
The GFTA has a standard score of 100 with a standard deviation of plus or minus 15. The
Goldman-Fristoe Test of Articulation 2 provides information about a childs articulation ability
by sampling both spontaneous and imitative sound production. Examinee responds to picture
cards and verbal cues from the examiner with single-word answers that demonstrate common
speech sounds. The GFTA contains three sections, which each provide different measures of
speech production. The Sounds-in-Words Section uses pictures to elicit articulation of the major
speech sounds when the examinee is prompted by a visual and/or verbal cue. The client's
standard score of 54, indicates that her speech is unintelligible and noticeably in error. A
percentile rank of 1 was also obtained, which indicates a severe level of phonological
impairment. All of the incorrect responses involved the sounds that are not currently in the
clients repertoire. The sounds not in her repertoire are: /r l k g z t /. A Continuous
Speech Language Sample Task was also administered, and the completed sample was obtained.
The results of the language sample indicate that the clients expressive language is poor in
conversation. The results from the language sample confirmed the results from the GoldmanFristoe Test of Articulation.

SPEECH AND LANGUAGE


DIAGNOSTIC REPORT
SMITH, Abigail Claire
Page 3
Speech Sound Errors from Goldman-Fristoe Test of Articulation
Initial

Medial

Final

Blends

d/g

d/g

d/g

b/bl

t/k

t/k

d/k

b/br

p/f

-/f

-/f

d/dr

-/

t/

t/

w/fl

t/t

t/t

t/t

f/fr

-/l

w/l

-/l

dw/gl

w/r

w/r

d/

dw/gr

d/

p/

p/

tw/kl

-/v

t/s

-/s

tw/kr

-/s

d/z

d/z

tw/kw

-/z

t/

d/

p/pl
w/sl
p/sp
s/st
w/sw
tw/tr

CONCLUSIONS: Abigail Smith, a 4-year-old female, was seen at the University of Arkansas
Speech and Hearing Clinic on March 10, 2015 for a speech and language evaluation. Results
from the Goldman-Fristoe Test of Articulation-2 indicates a severe phonological impairment
with the processes fronting, gliding, and stridency deletion having the most significant impact on
the intelligibility of speech. Fronting is the replacement of a back of the mouth sound with a
front of the mouth sound. Gliding is replacing of liquid consonants /l r/ with glides /w j/.
Stridency deletion is a sound change in which a strident consonant /f v s z t / is either
omitted or replaced with a nonstrident consonant. The oral peripheral examination and
previously obtained hearing screening had normal results. The prognosis for improving overall
speech intelligibility and increasing the production of developmentally appropriate phonemes (/r

SPEECH AND LANGUAGE


DIAGNOSTIC REPORT
SMITH, Abigail Claire
Page 4
l k g z t /) in all positions of words is good, due to the clients age-appropriate language
skills, hearing, parental support, and motivation.
RECOMMENDATIONS: Based on the reported results of the evaluation, at this time, it is
recommended that Abigail be enrolled in speech therapy for phonological remediation. The
concern of remediation should focus on the processes of fronting, gliding, and stridency deletion.
She would benefit from 45 minute sessions, two times per week.

________________________________
Mary Q. Contrary
Student Clinician

______________________________
Ima Teacher, Ph.D., CCC-SLP
Diagnostic Supervisor