John Shin's Speech: A Case Study

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Background Information: John Shin came for an initial speech evaluation on August 30th, 2017. He sought an evaluation due to his inability to control his speech rate and speak fluently when he wants to. During the evaluation Mr. Shin participated in motor speech testing, speech samples, and completed the OASES. Medical History: Mr. Shin’s medical history is reportedly unremarkable for previous hospitalizations, illnesses, and surgeries. Mr. Shin has seasonal allergies to pollen for which he takes medication. As well, he is allergic to Aspirin, and some fruits (peach and kiwi). There was no reported history of neurological conditions affecting the patient or his family. Additionally, a hearing examination within the month revealed normal …show more content…

Shin presented as polite, friendly, and engaged. The patient demonstrated reduced eye contact but otherwise showed appropriate social-pragmatic skills, and remained alert and attentive throughout all session tasks. Mr. Shin demonstrated high levels of motivation, as he consistently provided detailed and honest responses to all questions. Patient showed high levels of interest when topics involved mystery genre podcasts and fantasy baseball. Stuttering Description: According to Mr. Shin, his disfluencies occur in both English and Korean. Mr. Shin's speech fluency was characterized by moments of rapid speech where multisyllabic words were unclear. At times Mr. Shin exhibited part word and whole word repetitions. During the evaluation, Mr. Shin’s speech was fluent and at nearly 98% intelligible. Oral Peripheral Examination: An oral peripheral examination was conducted in order to assess the structural and functional integrity of the oral motor mechanism. The results of this examination revealed that the speech mechanism is intact and sufficient for speech production. Mr. Shin’s posture was within normal limits, and his head was held upright with adequate support from his neck. The range of motion, speed, and steadiness of the facial, labial, buccal, mandibular, and lingual structures were within functional limits. The strength and tone of the lingual, labial, buccal, and mandibular structures were also within functional limits. All of the speech structures demonstrated accurate movement. Although, it was noted that there was minor jaw assistance when moving the tongue in an upward

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