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博士生日常
This is my pleasure to share my research and clinical interests to the new generation of speech therapists in Hong Kong. #廣東話 #兒童 #言語...
eddychwong
Dec 1, 20201 min read
20 views
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![[CAS — R027]「兒童言語失用症」與「感覺統合」](https://static.wixstatic.com/media/9c5094_6bb89bd9e2a6437697e77718dbc864bc~mv2.jpg/v1/fill/w_1206,h_906,fp_0.50_0.50,q_30,blur_30,enc_avif,quality_auto/9c5094_6bb89bd9e2a6437697e77718dbc864bc~mv2.jpg)
![[CAS — R027]「兒童言語失用症」與「感覺統合」](https://static.wixstatic.com/media/9c5094_6bb89bd9e2a6437697e77718dbc864bc~mv2.jpg/v1/fill/w_1206,h_906,fp_0.50_0.50,q_90,enc_avif,quality_auto/9c5094_6bb89bd9e2a6437697e77718dbc864bc~mv2.jpg)
[CAS — R027]「兒童言語失用症」與「感覺統合」
感覺統合障礙(Sensory integration disorder) 或 感覺訊息處理問題 (Sensory-processing deficits) 對於從事幼兒工作的言語治療師一定不會陌生。訓練言語治療師的專業課程中通常都不會涵蓋感覺統合的知識，原因在於有關感覺統合...
eddychwong
Nov 13, 20202 min read
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![[CAS -- C020] DTTC #4 - Block and random practice](https://static.wixstatic.com/media/9c5094_949c554a66d24d8aa3e2f17cf4ff1ec2~mv2.png/v1/fill/w_873,h_656,fp_0.50_0.50,q_35,blur_30,enc_avif,quality_auto/9c5094_949c554a66d24d8aa3e2f17cf4ff1ec2~mv2.png)
![[CAS -- C020] DTTC #4 - Block and random practice](https://static.wixstatic.com/media/9c5094_949c554a66d24d8aa3e2f17cf4ff1ec2~mv2.png/v1/fill/w_873,h_656,fp_0.50_0.50,q_95,enc_avif,quality_auto/9c5094_949c554a66d24d8aa3e2f17cf4ff1ec2~mv2.png)
[CAS -- C020] DTTC #4 - Block and random practice
每一節治療課，字詞練習是十分重要的。但在一節治療課中，應如何安排練習呢？研究指出block practice (重覆練習同一個字詞)有助習得動作，而random practice (同一個字詞不會連續地讀出)有助長時間維持已習得的技巧。DTTC的設計是modified...
eddychwong
Aug 21, 20202 min read
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![[CAS -- C019] DTTC #3 - Temporal Hierarchy and Cueing Strategies](https://static.wixstatic.com/media/9c5094_4201087d9e074661b7df92c3f1625233~mv2.png/v1/fill/w_1331,h_1000,fp_0.50_0.50,q_35,blur_30,enc_avif,quality_auto/9c5094_4201087d9e074661b7df92c3f1625233~mv2.png)
![[CAS -- C019] DTTC #3 - Temporal Hierarchy and Cueing Strategies](https://static.wixstatic.com/media/9c5094_4201087d9e074661b7df92c3f1625233~mv2.png/v1/fill/w_1478,h_1110,fp_0.50_0.50,q_95,enc_avif,quality_auto/9c5094_4201087d9e074661b7df92c3f1625233~mv2.png)
[CAS -- C019] DTTC #3 - Temporal Hierarchy and Cueing Strategies
Strand (2019) 詳細介紹DTTC的等級：同步 —> 模仿 —> 延遲模仿 —> 自發。 在每一個等級中，治療師都應用以下的策略引導兒童練習發音。策略：減慢速度 —> 回復至正常說話速度 —> 加入語調變化 (不同聲量及不同情感語調）。在練習的過程中，兒童會有正確...
eddychwong
Aug 7, 20202 min read
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![[CAS -- C018] DTTC #2 - Target selection (揀選訓練目標字詞)](https://static.wixstatic.com/media/9c5094_05a87c4f373d4610a8d8dffec1aa893c~mv2.png/v1/fill/w_770,h_578,fp_0.50_0.50,q_35,blur_30,enc_avif,quality_auto/9c5094_05a87c4f373d4610a8d8dffec1aa893c~mv2.png)
![[CAS -- C018] DTTC #2 - Target selection (揀選訓練目標字詞)](https://static.wixstatic.com/media/9c5094_05a87c4f373d4610a8d8dffec1aa893c~mv2.png/v1/fill/w_770,h_578,fp_0.50_0.50,q_95,enc_avif,quality_auto/9c5094_05a87c4f373d4610a8d8dffec1aa893c~mv2.png)
[CAS -- C018] DTTC #2 - Target selection (揀選訓練目標字詞)
DTTC 揀選訓練目標字詞的最重要原則，是字詞需為日常生活常用的字詞。Strand (2019) 提及了幾項細節： 1. 目標字的數目 視乎個別個案的嚴重程度而訂。嚴重程度個案，在初期，每堂練習數目約為5-6個 （以45-60分鐘一堂計算）。這個數目考慮了每個字詞有足夠的練...
eddychwong
Jul 24, 20202 min read
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![[CAS -- C016] Dynamic Temporal and Tactile Cueing (DTTC) — 擁有實證支持，專為兒童言語失用症而設計的治療方法](https://static.wixstatic.com/media/9c5094_1f4383e9170f42fa9bdb4d2c666b0602~mv2.png/v1/fill/w_885,h_665,fp_0.50_0.50,q_35,blur_30,enc_avif,quality_auto/9c5094_1f4383e9170f42fa9bdb4d2c666b0602~mv2.png)
![[CAS -- C016] Dynamic Temporal and Tactile Cueing (DTTC) — 擁有實證支持，專為兒童言語失用症而設計的治療方法](https://static.wixstatic.com/media/9c5094_1f4383e9170f42fa9bdb4d2c666b0602~mv2.png/v1/fill/w_885,h_665,fp_0.50_0.50,q_95,enc_avif,quality_auto/9c5094_1f4383e9170f42fa9bdb4d2c666b0602~mv2.png)
[CAS -- C016] Dynamic Temporal and Tactile Cueing (DTTC) — 擁有實證支持，專為兒童言語失用症而設計的治療方法
為了令言語治療師及家長更認識不同的治療方法，我將會為大家深入詳細介紹不同的治療方法。第一個想介紹的，是我本人十分常用的Dynamic Temporal and Tactile Cueing (DTTC; Strand, 2019)。我將會分開多個post，逐一詳細介紹有關D...
eddychwong
Jul 12, 20201 min read
178 views
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![[CAS - C014] 回饋](https://static.wixstatic.com/media/9c5094_862967026e104a5cb3be0b7838e751c3~mv2.png/v1/fill/w_547,h_477,fp_0.50_0.50,lg_1,q_35,blur_30,enc_avif,quality_auto/9c5094_862967026e104a5cb3be0b7838e751c3~mv2.png)
![[CAS - C014] 回饋](https://static.wixstatic.com/media/9c5094_862967026e104a5cb3be0b7838e751c3~mv2.png/v1/fill/w_547,h_477,fp_0.50_0.50,lg_1,q_95,enc_avif,quality_auto/9c5094_862967026e104a5cb3be0b7838e751c3~mv2.png)
[CAS - C014] 回饋
兒童言語失用症的治療課程，都根據運動學習原理 (Principle of Motor Learning, PML)而設計，當中有一項很容易被忽略, 就是回饋。回饋是兒童說出字詞後得到的回應，是由言語治療師給予的。回饋的發放，有以下重點： 1. 回饋類別 Knowledge...
eddychwong
Dec 27, 20192 min read
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![[CAS -- C013] 如何選擇治療課程](https://static.wixstatic.com/media/9c5094_d899cfe8863444e8b89f15b489831ab4~mv2.png/v1/fill/w_545,h_394,fp_0.50_0.50,lg_1,q_35,blur_30,enc_avif,quality_auto/9c5094_d899cfe8863444e8b89f15b489831ab4~mv2.png)
![[CAS -- C013] 如何選擇治療課程](https://static.wixstatic.com/media/9c5094_d899cfe8863444e8b89f15b489831ab4~mv2.png/v1/fill/w_545,h_394,fp_0.50_0.50,lg_1,q_95,enc_avif,quality_auto/9c5094_d899cfe8863444e8b89f15b489831ab4~mv2.png)
[CAS -- C013] 如何選擇治療課程
兒童言語失用症的治療課程有很多，在選擇合適的課程時，有什麼要注意呢？ 1. 是否有研究數據支持。 在證據為本的原則下，言語治療師應該選擇有研究數據支持的課程。以下是數款得到循證的治療課程。 1) Dynamic Temporal Tactile Cueing (DTTC;...
eddychwong
Dec 20, 20192 min read
40 views
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![[CAS – C009] 構音障礙鑑別診斷](https://static.wixstatic.com/media/9c5094_58238486865241779a3af9629892f42b~mv2.jpg/v1/fill/w_821,h_617,fp_0.50_0.50,q_30,blur_30,enc_avif,quality_auto/9c5094_58238486865241779a3af9629892f42b~mv2.jpg)
![[CAS – C009] 構音障礙鑑別診斷](https://static.wixstatic.com/media/9c5094_58238486865241779a3af9629892f42b~mv2.jpg/v1/fill/w_821,h_617,fp_0.50_0.50,q_90,enc_avif,quality_auto/9c5094_58238486865241779a3af9629892f42b~mv2.jpg)
[CAS – C009] 構音障礙鑑別診斷
構音障礙可分為不同類別，主要是根據已知的成因分類，包括因聽力問題或結構異常而造成的構音問題，亦因運動性問題而產生的構音問題 (運動性構音障礙, motor speech disorders、兒童言語失用症, childhood apraxia of...
eddychwong
Oct 28, 20191 min read
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![[CAS – R021] Efficacy of treatment for Mandarin-speaking children with CAS](https://static.wixstatic.com/media/9c5094_615493c0b151495f974276cf3e4b88aa~mv2.png/v1/fill/w_510,h_477,fp_0.50_0.50,lg_1,q_35,blur_30,enc_avif,quality_auto/9c5094_615493c0b151495f974276cf3e4b88aa~mv2.png)
![[CAS – R021] Efficacy of treatment for Mandarin-speaking children with CAS](https://static.wixstatic.com/media/9c5094_615493c0b151495f974276cf3e4b88aa~mv2.png/v1/fill/w_510,h_477,fp_0.50_0.50,lg_1,q_95,enc_avif,quality_auto/9c5094_615493c0b151495f974276cf3e4b88aa~mv2.png)
[CAS – R021] Efficacy of treatment for Mandarin-speaking children with CAS
一份華語CAS treatment study最近發布了: 研究人員把 integral stimulation 及 minimal contrast 結合, 為6位有CAS 的小朋友, 提供每星期一節, 共40星期的治療。結果顯示結合兩種方法的治療能為CAS...
eddychwong
Oct 23, 20192 min read
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![[CAS – S008] DEMSS [Dynamic Evaluation of Motor Speech Skill -- 為診斷CAS 而設計嘅standardized test]](https://static.wixstatic.com/media/9c5094_7353455a25004f07860b922d7e2ab451~mv2.jpg/v1/fill/w_720,h_541,fp_0.50_0.50,q_30,blur_30,enc_avif,quality_auto/9c5094_7353455a25004f07860b922d7e2ab451~mv2.jpg)
![[CAS – S008] DEMSS [Dynamic Evaluation of Motor Speech Skill -- 為診斷CAS 而設計嘅standardized test]](https://static.wixstatic.com/media/9c5094_7353455a25004f07860b922d7e2ab451~mv2.jpg/v1/fill/w_720,h_541,fp_0.50_0.50,q_90,enc_avif,quality_auto/9c5094_7353455a25004f07860b922d7e2ab451~mv2.jpg)
[CAS – S008] DEMSS [Dynamic Evaluation of Motor Speech Skill -- 為診斷CAS 而設計嘅standardized test]
2013 年，Journal of Speech, Language, and Hearing Research 發表咗一份文章報告Dynamic Evaluation of Motor Speech Skill (DEMSS)嘅reliability 同...
eddychwong
Dec 23, 20183 min read
20 views
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![[CAS - S007] Moving across syllables](https://static.wixstatic.com/media/9c5094_68e5d5b474be4b91bef460b3a64b47fd~mv2.jpg/v1/fill/w_959,h_720,fp_0.50_0.50,q_30,blur_30,enc_avif,quality_auto/9c5094_68e5d5b474be4b91bef460b3a64b47fd~mv2.jpg)
![[CAS - S007] Moving across syllables](https://static.wixstatic.com/media/9c5094_68e5d5b474be4b91bef460b3a64b47fd~mv2.jpg/v1/fill/w_959,h_720,fp_0.50_0.50,q_90,enc_avif,quality_auto/9c5094_68e5d5b474be4b91bef460b3a64b47fd~mv2.jpg)
[CAS - S007] Moving across syllables
最近喺網上訂咗呢本書返嚟（等咗成個月，終於到咗）。其實佢唔單只係一本書，仲係一套有assessment 同 treatment 嘅approach。要提一提, 呢個approach未有report 任何scientific data，唔算係一個evidence-based...
eddychwong
Dec 29, 20171 min read
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[CAS - S006] Rapid Syllable Transition (ReST)
一套來自澳洲的CAS treatment approach (Ballard, Robin, McCabe, & McDonald, 2010)。2010年第一次見到呢個approach 發佈research paper 。當時係打正旗號 ‘a novel...
eddychwong
Dec 18, 20171 min read
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![[CAS — C005] Selection of treatment stimuli](https://static.wixstatic.com/media/9c5094_0bda86c33b8446d888059808f26e13dc~mv2.png/v1/fill/w_472,h_477,fp_0.50_0.50,lg_1,q_35,blur_30,enc_avif,quality_auto/9c5094_0bda86c33b8446d888059808f26e13dc~mv2.png)
![[CAS — C005] Selection of treatment stimuli](https://static.wixstatic.com/media/9c5094_0bda86c33b8446d888059808f26e13dc~mv2.png/v1/fill/w_472,h_477,fp_0.50_0.50,lg_1,q_95,enc_avif,quality_auto/9c5094_0bda86c33b8446d888059808f26e13dc~mv2.png)
[CAS — C005] Selection of treatment stimuli
上次分享過treatment 嘅structure，有興趣可以碌返去C004睇下。今次想講下點揀stimuli。 揀stimuli 比CAS 仔係一件好重要嘅事，亦係一門學問。揀得太易，就challenge 唔到個小朋友；揀得太難，就學極都學唔到。唔同嘅treatment...
eddychwong
Dec 6, 20172 min read
4 views
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![[CAS – C004 treatment intensity]](https://static.wixstatic.com/media/9c5094_83222dafb7a2498b9f58b6257d4b4d1b~mv2.png/v1/fill/w_724,h_544,fp_0.50_0.50,q_35,blur_30,enc_avif,quality_auto/9c5094_83222dafb7a2498b9f58b6257d4b4d1b~mv2.png)
![[CAS – C004 treatment intensity]](https://static.wixstatic.com/media/9c5094_83222dafb7a2498b9f58b6257d4b4d1b~mv2.png/v1/fill/w_724,h_544,fp_0.50_0.50,q_95,enc_avif,quality_auto/9c5094_83222dafb7a2498b9f58b6257d4b4d1b~mv2.png)
[CAS – C004 treatment intensity]
之前講過呢幾年開始討論得好多嘅Principle of Motor Learning (PML)，入面有一個重點係practice amount，今日想再深入啲咁去講下。 Kaipa & Peterson (2016) 做左一個systematic...
eddychwong
Nov 16, 20173 min read
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![[CAS - C003] Principle of motor learning](https://static.wixstatic.com/media/9c5094_33edeca7d68d4e8a9dd8119d64c8ed65~mv2.jpg/v1/fill/w_719,h_540,fp_0.50_0.50,q_30,blur_30,enc_avif,quality_auto/9c5094_33edeca7d68d4e8a9dd8119d64c8ed65~mv2.jpg)
![[CAS - C003] Principle of motor learning](https://static.wixstatic.com/media/9c5094_33edeca7d68d4e8a9dd8119d64c8ed65~mv2.jpg/v1/fill/w_719,h_540,fp_0.50_0.50,q_90,enc_avif,quality_auto/9c5094_33edeca7d68d4e8a9dd8119d64c8ed65~mv2.jpg)
[CAS - C003] Principle of motor learning
記得有一次，同同屆同學食晚飯，有以下對話： 小弟：「有冇聽過principle of motor learning?」 同學們：「係咩嚟架？」 小弟：「即係motor learning principle。」 同學們：「嘩哈哈哈哈哈，咁即係咩！！！！！！！」...
eddychwong
Oct 30, 20173 min read
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