Stack #56942
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| Dysarthria | Speech disorder resulting from paralysis, weakness, or incoordination of the speech musculature that is of neurologic origin
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| Encompasses motor distrubance of | respiration, phonation, resonance, articulation, prosody
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| Can be a disorder of | pryamidal system, extrapyramidal, cerebellar system
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| Pyramidal damage | prognosis is good (CVA)
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| Upper Motor Neuron Lesion | Corticobulbar tract spatic
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| Lower Motor Neuron Lesion | Medulla or Pons, Cranial nerves flaccid
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| UMN dysarthria | mild or transitory symptoms, damage usually unilateral
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| UMN Articulation | imprecise
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| UMN Prosody | slowed rate
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| UMN Resonation | Harshness, reduced loudness and hypernasality
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| Spastic Dysarthria voice | harsh strangle strained, lower pitch, monotone
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| Spastic Dysarthria respiration | breathiness
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| Spastic Dysarthria atriculation | imprecise consonants and vowel distortion
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| Spastic Dysarthria resonation | hypernasality velum doesn't elevate
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| Spastic Dysarthria prosody | Excess equal stress
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| Emotional labiality | tendency to cry or laugh at the slightes provocation although they do not feel all that sad or happy (spastic dysarthria)
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| Lower Motor Neuron Dysarthria | Flaccid
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| Flaccid Dysarthria voice | monotone
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| Flaccid Dysarthria respiration | nasal emissions, audible inspirations (strider)
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| Flaccid Dysarthria articulations | imprecise consonants especially plosives
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| Flaccid Dysarthria resonation | breathiness or harsh and loud, hypernasality
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| Flaccid Dysarthria other | diminished reflexes, fasciculations, atrophy
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| Disorders of the extrapyramidal system | basal ganglia dysarthria
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| basal ganglia dysarthria | hypokinetic, hyperkinetic
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| hypokinetic dysarthria voice | soft phonation, drops off at the end, can't hardly hear
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| hypokinetic dysarthria articulation | decreased range of movements, thus articulatory impresision "articulatroy undershoot"
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| hypokinetic dysarthria prosody | variable rate--rapid, indistict, normal, inappropriate pauses. Short utterances
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| hyperkinetic dysarthria articulation | involuntary movements break the force, timing or amplitude of speech movements (uneven, jerky artic)
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| hyperkinetic dysarthria voice | intensity and pitch fluctuations. (jerks)
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| hyperkinetic dysarthria prosody | abnormal silent intervals
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| hyperkinetic dysarthria voice | hoarse-strangled voice quality
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| hyperkinetic dysarthria Atriculation | prolonged phonemes
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| hyperkinetic dysarthria prosody | variable
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| Ataxic Dysarthria articulation | inconsistent consonant misarticulations
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| Ataxic Dysarthria articulation | coarse-loudness variations (inconsistent)
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| Ataxic Dysarthria resonance | normal or may fluctuate from nasal to non-nasal
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Created by:
dbrinker