Professional Documents
Culture Documents
2222
NAME:
BIRTHDATE:
ADDRESS:
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.
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
________________________________
Mary Q. Contrary
Student Clinician
______________________________
Ima Teacher, Ph.D., CCC-SLP
Diagnostic Supervisor