bassich midterm (test two)
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| Ataxia | show 🗑
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| show | finger to nose test: Under or Overshoot (ataxia)
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| show | Decreased muscle tone
(ataxia,flaccid)
reduced phonation - (hypo)
masked face, reduced eye blink
decreased phonation/soft voice- (hypo)
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| Intention tremor | show 🗑
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| show | Involuntary eye-jerk movement
(ataxic)
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| show | muscle shrinkage. Ex:Jaw, tongue
(flaccid)
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| fasciculations | show 🗑
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| show | fast "dance like" uncontrollable/unpredictable movements
(hyper)
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| show | very slow movements
(hyper)
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| athetosis | show 🗑
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| show | not slow/not fast
(hyper)
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| Myoclonus | show 🗑
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| show | faster hyperkenetic movements
(hyper)
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| show | resting termor,
benign essential tremor,
(hyper-general tremor)
intention tremor
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| show | stiffness, cramping (cogwheel-little jerks)
(hypo)
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| show | slow movement (latency)
(hypo)
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| resting tremor | show 🗑
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| show | lack of movement, freezing
(hypo)
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| show | resistance to stretching (clasp knife-sudden give way)
(spastic)
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| pathological reflexes | show 🗑
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| pseudobulbar affect micrographia | show 🗑
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| show | Group of MSDs associated w/ disturbed muscular execution or control of the speech mechanism due to cns/pns
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| show | Bilateral chronic UMN
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| Spastic: Medical conditions/Neurological condition | show 🗑
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| Spastic:Speech characteristics/ Auditory perceptual signs | show 🗑
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| show | AMRs sound REGULAR, SLOW rate
reduced ROM
Reduced force
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| Spastic: Neurological signs/neuro muscular characteristics | show 🗑
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| Spastic:Speaker/Pt Complaint | show 🗑
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| show | unilateral acute cerebral hemispheres
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| UUMN: medical/Neurolofical conditions | show 🗑
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| show | Minimal effects
imprecise lingual consonants
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| UUMN:Non-speech movement deficits | show 🗑
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| show | Test for Central Facial Weakness: Facial Droop but CAN wrinkle forehead,raise eyebrow,blink eye
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| UUMN:Speaker/Pt complaints | show 🗑
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| Hypokinetic: Place of lesion | show 🗑
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| Hypokinetic:Medical/Neurological conditions | show 🗑
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| Hypokinetic:Speech/Auditory perceptual characteroistics | show 🗑
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| show | Very reduced ROM- non speech repetitive
Reduced ROM -individual movements
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| Hypokinetic:Neurologic signs/ Neurmuscular characteristic | show 🗑
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| show | Reduced Loudness (listener complaint)
Rapid rate
Mumbling or Stuttering
Difficulty initiating speech
Reports that "people tell them..."- not their perception
Stiff lip- also other stiffness and cramps
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| HYPERkinetic: Place of lesion | show 🗑
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| Hyperkinetic:Medical/neurological conditions | show 🗑
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| Hyperkinetic: CHOREA :Speech/Audiological perceptual characteristics | show 🗑
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| show | Distorted Vowels
Harsh
Irregular artic breakdowns
Inappropriate silences
voice stoppages (phonatory:breaks,instability)
Improves w/ sensory trick. Ex. Bite block
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| show | not important clues for dx
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| show | Adventitious Movements:
Chorea
Dystonia
Dyskinesia
Tics
Myoclonus
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| show | Effortful speech
Involuntary oral movements
chewing/swallowing difficulty
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| Hyperkinetic: DYSTONIA :Speaker/Pt complaint | show 🗑
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| show | Cerebellum
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| show | Damage to Cerebellum, TBI ?
Unilateral Cortical stroke
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| show | Irregular articulatory breakdowns
Scanning Speech: prolonged phonemes& excess/equal stress in ea syllable
Excessive loudness variation
hyponasality
Vowel distortions
Voiced for Voiceless errors
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| show | Irregular AMRs-Uncoordinated (SMR)
ROM for individual and repetitive movements can be excessive
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| Ataxic:Common Neurological Signs/ Neuromuscular characteristics | show 🗑
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| show | "Drunk" speech
Stumbling over words
Biting Tongue or cheek when speaking/eating
Deterioration of Speech w/ alcohol
Poor coordination of breathing w/ speech
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| show | PNS (CNs)
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| Flaccid: Medical/Neurological Conditions | show 🗑
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| show | Depends on CN or Nerves involved and if its bilater or unilateral lesion
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| show | Useful ti ID Myasthenia Gravis
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| What is Myasthenia Gravis | show 🗑
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| Stress Test:Task and performance? | show 🗑
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| show | Reduced: muscle TONE, RATE of individual movements, RANGE of repetitive movements
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| show | Atrophy
Fasciculations
Hypotonia
Decreased gag- if high vagal lesion
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| show | Variation depending on the specific CN involved. Specific compensation depending on site of weakness
Perceptual Features: HYpernasaility, Audible inhalation/exhalation, imprecise vowel/consonant production
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| Mixed: Medical/Neurological conditions | show 🗑
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| Differentiation between resting tremor associated with PD and Benign Essential Tremor | show 🗑
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| CN V- Trigeminal: Function | show 🗑
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| show | Jaw elevation against resistance
6 Light and deep touch to pt face, eyes closed
Right/Left light touch to tongue, eyes closed
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| show | Upper and Lower Face
Taste to ant 2/3 tongue
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| show | Facial Movement:Wrinkle forehead,blink,smile,pucker
Salt water/ Sugar water: what do you taste
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| show | General sensation to post 1/3 tongue
Taste to Post 1/3 tongue
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| show | Test light touch
Test taste of something sour
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| show | Pharynx- velum
Larynx- Vfs
no speech sensory
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| show | Velar elevation: ee-ee-ee
Phonation:say "ah" for as long as you can
Pitch glide: say ah, increase pitch
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| show | tongue
no sensory
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| show | tongue at rest
lateralization
elevation/depression
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| Primitive Reflexives: | show 🗑
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| Snout Reflex | show 🗑
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| sucking reflex | show 🗑
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| show | Test:pt relaxed lips parted, jaw open. Tap chin
Abnormal: quickly close jaw
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| Test for Central Facial Weakness | show 🗑
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| why? | show 🗑
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| show | Articulatory agility
"pa pa pa "ta" "ka"
rapid and precise
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| show | Sequencing /coordination
"Pataka" fast
suggests ataxia or apraxia
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| Additional observations to make during tasks | show 🗑
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| show | Branches 1-3
palatal muscles & Larynx
Hypernasality
Soft Breathy voice
Cant raise pitch
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| show | Spare palate
inability to raise pitch
soft breathy voice
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| Low vagal lesion (5) | show 🗑
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catbait
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