9.2 - Distinguishing the Dysarthrias Flashcards
What 4 characteristics can we use to distinguish the dysarthrias?
Start with anatomy and vascular supply
Etiology
Oral mechansis findings
Speech characteristics
Do MSDs commonly occur with Wernicke’s Aphasia?
No
What is the defining characteristic of Flaccid Dysarthria?
Weakness
What are the 2 common distinguishing features of Flaccid Dysarthria?
Phonotory
Resonatory
What are 5 symptoms of Flaccid Dysarthria caused by a disruption to the Vagus Nerve?
Continuous breathiness
Diplophonia
Audible inspiration
Short phrases
Reflecting vocal fold or laryngeal-respiratory weakness
In which dysarthria does Hypernasality occur most often?
Flaccid Dysarthria
What is Flaccid Dysarthria the only disorder to have?
Rapid deteriation of speech during continuous
speaking
(Myasthenia gravis)
What is the defining characteristic of Spastic Dysarthria?
Spasticity
What are the 3 common distinguishing features of Spastic Dysarthria that are not common in other dysarthrias?
Slow rate
Slow but regular AMS
Strain strangled voice quality
What characteristic does Spastic Dysarthria share with Ataxic Dysarthria?
Slow rate
What trait of Spastic Dysarthria is not seen in other dysarthrias?
Strained-strangled voice
What is the defining characteristic of Ataxic Dysarthria?
Incoordination
What are the 3 common distinguishing features of Ataxic Dysarthria?
Irregular articulatory breakdown in
connected speech
Irregular AMRs
Dysprosody
What 2 things is Ataxic Dysarthria not associated with?
Asymmetric facial
Lingual weakness
What is the defining feature of Hypokinetic Dysarthria?
Rigidity
What are the 5 common distinguishing features of Hypokinetic Dysarthria?
Monopitch
Monoloudness
Reduced stress
Rapid or accelerated speech
Blurred AMRs
What trait is seen in Hypokinetic Dysarthria but not other dysarthrias?
Rapid rate of speech not seen in other MSDs
In what disorder is Hypokinetic Dysarthria most common seen?
Parkinson’s Disease
Will Hypokinetic Dysarthria be seen in a cortical stroke?
No
What is the defining characteristic of Hyperkinetic Dysarthria?
Involuntary movements
What is a common distinguishing feature of Hyperkinetic Dysarthria?
Visual involuntary movements
What are issues in Hyperkinetic Dysarthria primarily related to?
Communication
i.e. pragmatics
Will Hyperkinetic Dysarthria be seen in a cortical stroke?
No
What are the 2 common distinguishing features of Unilateral UMN Dysarthria?
Mild impact on speech
Imprecise consonants
Is Unilateral UMN Dysarthria commonly associated with voice issues?
No
What characteristics of AMRs are seen in Unilateral UMN Dysarthria?
They are usually regular
What are deviant characteristics of dysarthria are secondary to?
(1+4)
Deficits in…
- Strength
- Tone
- Range
- Steadiness of movement
What is the difference between Apraxia of Speech and Dysarthria?
AOS = predominately an articulatory and prosodic disorder
Dysarthria = affects components of speech (respiration, phonation, resonance, articulation, prosody)
Which is more commonly associated with aphasia: AOS or dysarthria?
AOS
How are deviant speech characteristics different in AOS and Dysarthria?
They are consistent in dysarthria but not AOS
Do Dysarthric Speakers demonstrate groping behaviors during speech?
No but these are common in AOS
Apraxia is a disorder of ______.
Planning
Aphasia is a disorder of __________ and/or __________.
Language functioning
Language comprehension
Dysarthria is a disorder of ______.
Execution
