1.1 - Introduction to Motor Speech Flashcards

1
Q

What are the 4 components of communication?

A

Language

Cognition

Pragmatics

Speech

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2
Q

What component of communication is affected in Motor Speech Disorders?

A

Speech

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3
Q

What causes motor speech disorders?

1+4

A

Neurologic impairments affecting the following stages of speech:

  • Planning
  • Programming
  • Control
  • Execution
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4
Q

What Abnormalities are seen in Dysarthria?

6

A

Strength of Movement

Speed of Movement

Range of Movement

Steadiness of Movement

Muscle Tone

Accuracy of Movement

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5
Q

What Systems are affected in Dysarthria?

5

A

Breathing

Phonation

Resonance

Articulation

Prosody

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6
Q

What Sensorimotor Abnormalities can be seen in Dysarthria?

5

A

Weakness

Spasticity

Incoordination

Involuntary movements

Excessive, reduced or variable muscle tone

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7
Q

What is Apraxia of Speech?

3

A

A motor speech disorder

Impaired capacity to plan or program sensorimotor commands

Results in phonetically and prosodically impaired speech

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8
Q

What kinds of errors are seen with Apraxia?

A

Inconsistent

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9
Q

Which is more common: Apraxia or Dysarthria?

A

Apraxia

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10
Q

What are the Key Variables that affect whether or not someone will have a motor speech disorder?

(5)

A

Age of onset

Course of illness/injury

Site of Lesion

Neurologic diagnosis

Pathophysiology

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11
Q

How can Ages of Onset influence the acquisition of motor speech disorders?

A

Congenital vs Acquired

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12
Q

Why are Sites of Lesion important to the diagnosis of motor speech disorders?

A

Primary goal of neurologic exam to distinguish MSDs

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13
Q

What different Neurologic Diagnosises can influence the acquisition of motor speech disorders?

(6)

A

Degenerative

Inflammatory

Toxic-metabolic

Neoplastic

Traumatic

Vascular

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14
Q

What are the two types of Assessment Approaches for MSDs?

A

Perceptual Methods

Instrumental Methods

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15
Q

What are the 3 Perceptual Methods used to assess MSDs?

A

Auditory-perceptual classification

Gold standard for clinical differential diagnosis

Mayo/DAB approach (Darley, Aronson, Brown 1969, 1975)

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16
Q

When are Perceptual Methods primarily used for MSDs?

A

Assessment

17
Q

What are the 3 Instrumental Methods used to assess MSDs?

A

Acoustic

Physiologic

Visual imaging

18
Q

When are Instrumental Methods primarily used for MSDs?

A

Research

19
Q

What does Duffy say is the foundation of differential diagnosis and management of motor speech disorders (MSDs)?

(2)

A

Knowledge of neuroanatomy

Knowledge of neurophysiology

20
Q

What are the two types of Motor Neurons?

A

Upper Motor Neurons (UMNs)

Lower Motor Neurons (LMNs)

21
Q

Name 4 disorders than can affect UMNs?

A

Stroke

Dementia

TBI

Late-stage AIDS