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?

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?

24
Q

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

A

Mild impact on speech

Imprecise consonants

25
Is Unilateral UMN Dysarthria commonly associated with voice issues?
No
26
What characteristics of AMRs are seen in Unilateral UMN Dysarthria?
They are usually regular
27
What are deviant characteristics of dysarthria are secondary to? (1+4)
Deficits in... - Strength - Tone - Range - Steadiness of movement
28
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)
29
Which is more commonly associated with aphasia: AOS or dysarthria?
AOS
30
How are deviant speech characteristics different in AOS and Dysarthria?
They are consistent in dysarthria but not AOS
31
Do Dysarthric Speakers demonstrate groping behaviors during speech?
No but these are common in AOS
32
Apraxia is a disorder of ______.
Planning
33
Aphasia is a disorder of __________ and/or __________.
Language functioning Language comprehension
34
Dysarthria is a disorder of ______.
Execution