Flaccid Dysarthria to Mixed Dysarthria
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| What is Flaccid Dysarthria? | A weakness/paralysis with reduced muscle tone. Lesion is in the lower motor neuron system
🗑
|
||||
| What causes Flaccid Dysarthria (medical terms)? | A break in communication between he muscle and nerve synapses
🗑
|
||||
| What are 2 salient features of Flaccid Dysarthria? | Weakness & Hypotonia
🗑
|
||||
| What are the 4 confirmatory features of Flaccid Dysarthria? | Reduced or absent reflexes, fasciculations,fibrillations & atrophy
🗑
|
||||
| Name some causes of Flaccidity | Polio, tumors, trauma, muscular dystrophy, myasthenia gravis, toxins, drugs, infections
🗑
|
||||
| What is Bulbar Palsy? | (Only in Flaccid Dysarthria) Occurs when multiple cranial nerves are damaged
🗑
|
||||
| Describe respiration in Flaccid Dysarthria | Reduced vital capacity to sustain running speech, not enough air
🗑
|
||||
| Describe what is happening at the laryngeal level in Flaccid Dysarthria | Breathiness if VF don't full adduct, stridor due to incomplete abduction, aperiodicity(VF don't vibrate at the same time), mono pitch, poor loudness
🗑
|
||||
| What is happening at the velopharyngeal level in Flaccid Dysarthria? | Hypernasality, lack of air pressure (can't make plosives, fricatives or affricates)--> causes articulation problem
🗑
|
||||
| Describe the articulation of a patient with Flaccid Dysarthria? | Incomplete contact of articulators, distorted and imprecise articulation
🗑
|
||||
| What are the 3 distinguishing features of Flaccid Dysarthria? | Hypernasality, breathiness, stridor
🗑
|
||||
| What are some treatment options for a patient with Flaccid Dysarthria? | Establish respiratory control, increase velopharyngeal closure, strengthening exercises (non speech oral motor), pneumatic exercises(blowing exercises), teach them to prolong exhalation
🗑
|
||||
| What causes Spastic Dysarthria? | Bilateral damage to the upper motor neurons; lesion in indirect motor pathway
🗑
|
||||
| What is the salient feature of Spastic Dysarthria? | Spasticity: a resistance to stretch; muscles are stiff move sluggishly in a limited range. They are perceived as weak. Speech is slow and often seems strained but may have bursts of quick speech.
🗑
|
||||
| What is it called when the muscle is over stimulated? | Hypertonicity
🗑
|
||||
| What are the 4 confirmatory features of Spastic Dysarthria? | Hyper-reflexive, perception of weakness, limitation of range of movement, movements are slow
🗑
|
||||
| What is PseudoBulbar Palsy? | Similar to Bulbar palsy, but not the same. Highlighted by slow effortful speech, hypernasality due to a timing issue with velopharyngeal port & lability(inability to control emotional displays)
🗑
|
||||
| Describe a patients Respiration with Spastic Dysarthria | Reduced inhalation and exhalation volumes
🗑
|
||||
| Describe the laryngeal level in a patient with spastic dysarthria? | Difficulty abducting VF, no smooth movement-->inhalatory stridor, strained/strangled voice(cookie monster) due to hyper adduction
🗑
|
||||
| What velopharyngeal feature is seen in patients with Spastic Dysarthria? | Hypernasality due to timing issue/VF closure problems
🗑
|
||||
| Describe articulation in a patient with spastic dysarthria | Incomplete articulatory contacts, slow rate, silent dead spots in speech, perception of reduced strength, prolonged words/syllables
🗑
|
||||
| What are some therapy techniques for spastic dysarthria? | Facilitate airflow using breathy sigh, prolonged CV-->prolonged CVC
🗑
|
||||
| What is the overall goal for therapy of spastic dysarthria? | Functional intelligible speech and to avoid stimulating a spastic reaction
🗑
|
||||
| What causes upper motor neuron unilateral dysarthria? | Occurs due to small stroke or tumor; complicated by high occurrence of aphasia
🗑
|
||||
| What are some deviant symptoms of a patient with unilateral upper motor neuron dysarthria? | Complaints of slurred speech, trouble controlling saliva, weak tongue/tongue feels heavy, increased muscle tone, spasticity, hypertonia on one side of the body
🗑
|
||||
| Describe the phonation of a person with unilateral UMN dysarthria? | Mild hoarseness and decrease in volume, possible hypernasality, slow AMR's, unpredictable articulation breakdown, slow rate
🗑
|
||||
| What are some confirmatory signs of unilateral UMN dysarthria? | Hemiparesis,hemiplegia,
🗑
|
||||
| What is another name for Ataxic Dysarthria? | Cerebellar Dysarthria
🗑
|
||||
| Where is the site of lesion for Ataxic Dysarthria? | Always have damage in cerebellum or cerebellar pathways
🗑
|
||||
| What is the cerebellum responsible for? | Modulates and coordinates activities between the upper motor neuron and lower motor neuron system
🗑
|
||||
| What is one salient feature of Ataxic Dysarthria? | People think they are drunk
🗑
|
||||
| What does cerebellar damage also effect? | Balanace, equillibruim, limb coordination, classic ataxic gait(wider when walking)
🗑
|
||||
| What are some symptoms of Ataxic Dysarthria? | Innacuracy in movement, slowness(trying to compensate), hypotonic sometimes, disturbed diadokokinesis, dysmetria(overshoot/undershoot), nystagmus(uncontrollable beating of the eyes)
🗑
|
||||
| What is dysmetria? | When a person doesn't have a proper way to measure out distance (i.e.:knock over a cup)
🗑
|
||||
| What is nystagmus? | Uncontrollable beating of the eyes
🗑
|
||||
| What are some issues in the phonation of patients with ataxic dysarthria? |
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
superpuza
Popular Speech Therapy sets