9.2 - Distinguishing the Dysarthrias Flashcards

1
Q

What 4 characteristics can we use to distinguish the dysarthrias?

A

Start with anatomy and vascular supply

Etiology

Oral mechansis findings

Speech characteristics

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2
Q

Do MSDs commonly occur with Wernicke’s Aphasia?

A

No

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3
Q

What is the defining characteristic of Flaccid Dysarthria?

A

Weakness

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4
Q

What are the 2 common distinguishing features of Flaccid Dysarthria?

A

Phonotory

Resonatory

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5
Q

What are 5 symptoms of Flaccid Dysarthria caused by a disruption to the Vagus Nerve?

A

Continuous breathiness

Diplophonia

Audible inspiration

Short phrases

Reflecting vocal fold or laryngeal-respiratory weakness

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6
Q

In which dysarthria does Hypernasality occur most often?

A

Flaccid Dysarthria

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7
Q

What is Flaccid Dysarthria the only disorder to have?

A

Rapid deteriation of speech during continuous
speaking

(Myasthenia gravis)

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8
Q

What is the defining characteristic of Spastic Dysarthria?

A

Spasticity

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9
Q

What are the 3 common distinguishing features of Spastic Dysarthria that are not common in other dysarthrias?

A

Slow rate

Slow but regular AMS

Strain strangled voice quality

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10
Q

What characteristic does Spastic Dysarthria share with Ataxic Dysarthria?

A

Slow rate

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11
Q

What trait of Spastic Dysarthria is not seen in other dysarthrias?

A

Strained-strangled voice

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12
Q

What is the defining characteristic of Ataxic Dysarthria?

A

Incoordination

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13
Q

What are the 3 common distinguishing features of Ataxic Dysarthria?

A

Irregular articulatory breakdown in
connected speech

Irregular AMRs

Dysprosody

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14
Q

What 2 things is Ataxic Dysarthria not associated with?

A

Asymmetric facial

Lingual weakness

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15
Q

What is the defining feature of Hypokinetic Dysarthria?

A

Rigidity

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16
Q

What are the 5 common distinguishing features of Hypokinetic Dysarthria?

A

Monopitch

Monoloudness

Reduced stress

Rapid or accelerated speech

Blurred AMRs

17
Q

What trait is seen in Hypokinetic Dysarthria but not other dysarthrias?

A

Rapid rate of speech not seen in other MSDs

18
Q

In what disorder is Hypokinetic Dysarthria most common seen?

A

Parkinson’s Disease

19
Q

Will Hypokinetic Dysarthria be seen in a cortical stroke?

A

No

20
Q

What is the defining characteristic of Hyperkinetic Dysarthria?

A

Involuntary movements

21
Q

What is a common distinguishing feature of Hyperkinetic Dysarthria?

A

Visual involuntary movements

22
Q

What are issues in Hyperkinetic Dysarthria primarily related to?

A

Communication

i.e. pragmatics

23
Q

Will Hyperkinetic Dysarthria be seen in a cortical stroke?

A

No

24
Q

What are the 2 common distinguishing features of Unilateral UMN Dysarthria?

A

Mild impact on speech

Imprecise consonants

25
Q

Is Unilateral UMN Dysarthria commonly associated with voice issues?

A

No

26
Q

What characteristics of AMRs are seen in Unilateral UMN Dysarthria?

A

They are usually regular

27
Q

What are deviant characteristics of dysarthria are secondary to?

(1+4)

A

Deficits in…

  • Strength
  • Tone
  • Range
  • Steadiness of movement
28
Q

What is the difference between Apraxia of Speech and Dysarthria?

A

AOS = predominately an articulatory and prosodic disorder

Dysarthria = affects components of speech (respiration, phonation, resonance, articulation, prosody)

29
Q

Which is more commonly associated with aphasia: AOS or dysarthria?

A

AOS

30
Q

How are deviant speech characteristics different in AOS and Dysarthria?

A

They are consistent in dysarthria but not AOS

31
Q

Do Dysarthric Speakers demonstrate groping behaviors during speech?

A

No but these are common in AOS

32
Q

Apraxia is a disorder of ______.

A

Planning

33
Q

Aphasia is a disorder of __________ and/or __________.

A

Language functioning

Language comprehension

34
Q

Dysarthria is a disorder of ______.

A

Execution