bassich midterm (test two)
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Ataxia | show 🗑
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Dysmetria | show 🗑
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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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chorea | show 🗑
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show | very slow movements
(hyper)
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show | slow movements (faster than dystonia)
(hyper)
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Dyskinesia | show 🗑
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Myoclonus | show 🗑
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show | faster hyperkenetic movements
(hyper)
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Tremor | show 🗑
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rigidity | show 🗑
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bradykinesia | show 🗑
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resting tremor | show 🗑
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show | lack of movement, freezing
(hypo)
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spasticity | show 🗑
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pathological reflexes | show 🗑
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show | uninhibited cry or laugh-(spastic)
very small writing- (hypo)
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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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Spastic: place of lesion | show 🗑
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show | Bilateral cortical stroke
cerebral palsy
unilateral cortical stroke
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show | harsh or tight/strained-strangled
hypernasality
slow rate
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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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UUMN: Place of lesion | show 🗑
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UUMN: medical/Neurolofical conditions | show 🗑
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UUMN: Speech/Auditory perceptual characteristics | show 🗑
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UUMN:Non-speech movement deficits | show 🗑
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UUMN:Neurological signs/neuromuscular characteristics | show 🗑
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show | thick tongue
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show | Basal Ganglia: Substantia Nigra
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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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show | Hypertonia-Rigidity (cogwheel-jerks)
Hypomimia
Resting tremor
Micrographia
Shuffling Gait
Loss of Arm swing when walking
Bradykinesia
Hypokinesia
Akinesia
Postural Instability
TRAP: Tremor[resting],Rigidity,Akinesia,Postural Instability
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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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show | Basal Ganglia: Striatum
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Hyperkinetic:Medical/neurological conditions | show 🗑
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show | prolonged intervals
variable rate
inappropriate silences
excess loudness variations
prolonged phonemes
Sudden forced inspiration/expiration (audible inspiration)
Voice Stoppages (phonatory breaks)(phonatory instability)
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Hyperkinetic: DYSTONIA :Speech/Audiological perceptual characteristics | show 🗑
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Hyperkinetic: Non speech Movement deficits | show 🗑
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Hyperkinetic: Neurological signs/Neuro muscular characteristics | show 🗑
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Hyperkinetic: CHOREA :Speaker/Pt complaint | show 🗑
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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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Ataxic:Non speech Movement Deficits | show 🗑
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show | Hypotonia
Broad based gait- wide for balance
Dysmetria
Intention tremor
Nystagmus
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Ataxic:Speaker/Pt Complaint | show 🗑
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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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show | Rapid Counting 1-50
MG- if pt deteriorates after 10, then resumes normal function once rested
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Flaccid:Non Speech Movement Deficits | show 🗑
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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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show | ALS: Spastic-Flaccid
MS: Ataxic- Spastic
TBI: Spastic-Ataxic or Flaccid-Spastic
Stroke: Unilateral cortical
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Differentiation between resting tremor associated with PD and Benign Essential Tremor | show 🗑
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show | Jaw elevation
General face sensation
General tongue sensation (ant 2/3)
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CN V- Trigeminal: Tasks | show 🗑
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show | Upper and Lower Face
Taste to ant 2/3 tongue
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CN VII- Facial: Tasks | show 🗑
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CN IX- Glosspahryngeal: Function | show 🗑
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show | Test light touch
Test taste of something sour
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CN X- Vagus : Function | show 🗑
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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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CN XII - Hypoglossal : Function | show 🗑
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CN XII - Hypoglossal : Tasks | show 🗑
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show | those which are present during infancy but tend to disappear during nervous system maturation. as brain degenerates/normal again primitive reflexes return. "release phenomena"
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Snout Reflex | show 🗑
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sucking reflex | show 🗑
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Jaw refelx | show 🗑
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Test for Central Facial Weakness | show 🗑
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show | Because Upper face (eyebrows,eyelids,forehead) are 50:50/bilaterally innervated
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AMRs | show 🗑
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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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Created by:
catbait
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