STEPS:

1. symmetry

   1. normal

   2. droops on right

   3. droops on left

2. abnormal movements

   1. grimaces

   2. spasms

3. mouth breathing

Open & Close Mouth

• range of motion

• symmetry

• movement

  • normal

  • jerky

  • groping

  • slow

  • asymmetrical

• TMJ nosies

Dentition/Teeth

• all present

• dentures

• teeth missing

• arrangement of teeth

• hygiene

pucker

• range of motion

• symmetry

• straight (IOPI)

• normal/weak

smile

• range of motion

• symmetry

puff cheeks & hold air

• lip strength

• nasal emission

• surface color

• abnormal movements

• size

• frenum

protrude tongue

• excursion

• range of motion

• speed of motion

• strength (IOPI is best)

retract

• excursion

• range of motion

• speed of motion

lateral movement

• range of motion

• strength

• opposing pressure

elevation/depression

• movement

• range of motion

rapid side to side movements

• rate

• range of motion

• color

• tonsils

• color

• rugae

• arch height

• arch width

• growths

• fistula

• clefting

• symmetry

• gag reflex

Phonate /a/

• symmetry of movement

• posterior movement

• lateral movement

• uvula

• naslity

Diadochokinetic (DDK) syllable rate is the measure of a client’s ability to make rapidly alternating speech movements.

WHY:

• assess motor and speech planning abilities

Measured in 2 ways:

• count the syllables produced within a predetermined number of seconds

• measure the seconds it takes to produce a predetermined number of syllables

How To:

1. Repeat the target syllable (e.g., /pa/, /ta/, /ka/) as quickly as possible until told to stop

2. “GO” & start stopwatch

3. STOP after 20 reps

4. 10 repetitions of /ptk/.

   1. also can use pattycake or buttercup