Fluency Assessment Across the Life Span
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Fluency AssessmentFree preview
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Identify the Behavior, Then Its Impact
Fluency includes continuity, smoothness, rate, and effort. A useful assessment describes both observable speech and the speaker's experience. Low frequency does not mean low impact: a person may conceal stuttering through substitutions, circumlocution, avoidance, or silence.
| More typical disfluencies | Stuttering-like disfluencies |
|---|---|
| Interjections and fillers | Sound or syllable repetitions |
| Phrase repetitions | Monosyllabic whole-word repetitions, especially with tension or rapid units |
| Revisions or abandoned utterances | Audible or inaudible prolongations |
| Multisyllabic whole-word repetitions | Blocks and tense pauses |
The type, number of repetition units, duration, tension, rhythm, and associated behaviors matter. No single behavior or frequency cutoff establishes the diagnosis by itself.
The rest of this outline 6
- Comprehensive Sample Plan
- Go Beyond Overt Severity
- Preschool Decision-Making
- Stuttering vs. Cluttering
- Common Traps
- Sources to Know
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