Anatomy, Neuroanatomy, and Physiology of the Speech Mechanism Flashcards
Respiration
Exchange of gas between an organism and its environment that is made up of inhalation and exhalation.
Inhalation
Responsible for drawing air into the lungs, where the exchange of oxygen and carbon dioxide takes place. Thoracic cavity expands to allow air flow inwards.
Process of Respiration
Upon inhalation the diaphragm lowers allowing for lung expansion. As the lungs expand though air flowing thought the nose and mouth the pressure within the lungs is less than compared to outside. Air moves thought the open larynx into the lungs equalizing the pressure. Muscles then contract and the diaphragm raises to reduce the volume of the chest cavity. The reduction in space causes a positive pressure (pressure in the lungs is greater than that in in the environment) and air flows out of the lungs thought the open larynx (atoms move from areas of high pressure/concentration to areas of low pressure/concentration.
Exhalation
The portion of breathing in which air exits the lungs due to increased pressure. Speech is typically produced upon exhalation. Exhalation during speech tends to be longer than during a silent/rest period. Longer utterances require a larger breath support for this reason.
Right Lung
Is shorter, broader, and bigger than the left lung because of the liver underneath it. This is why aspiration pneumonia is more common in the right lung.
Bronchi
Tubes that extend from the lungs upward to the trachea. They are comprised of cartilaginous rings bound together by fibroelastic tissue.
Bronchoiles
When bronchi subdivide. This happens many times until they become very thin. Communicate with alveolar ducts.
Alveolar Ducts
Tiny air sacs in the lungs.
Trachea
Located inferior of the larynx and extends from it at C-6. Is formed by about 20 rings of cartilage that are incomplete in the back. The superior ring of the trachea is connected to the inferior border to the cricoid cartilage. The trachea bifricates into the left and right bronci at T-5.
Spinal Colum
32-33 vertebrate that are divided into five segments. Cervical (7), thoracic (12), lumbar (5), sacral (5) , cocygeal (3-4).
Rib Cage
Consists of 12 pairs of ribs and the thorasic vertebrate that house and protect the heart and lungs,
Muscles of Respiration
Includes the thorasic muscles of inspiration and the abdominal muscles of expiration.
Thoracic Muscles of Inspiration
Diaphragm, abdomen, intercostal muslces, sternocleidomastoid, trapexius, pectoralis major, pectoralis minor, serratus anterior, levator scapule, serratus posterior superior, levator costaurm brevis, levator costarum longis.
Diaphgram
Distends abdomen, enlargers vertical dimension of the thorax.
Abdomen
Contains various muscles needed to provide support for breathing.
erratus anterior, levator scapule, serratus posterior superior, levator costaurm brevis, levator costarum longis.
Muscles that help elevate the rib cage.
Interal Intercostal Muscles
Responsible for pulling the ribs downward do decrease size of the thoracic cavity.
External Intercostals
Responsible for raising the ribs up and out to increase the size of the thoracic cavity.
Sternocleidomastoid
Neck muscle used in respiration to elevate the sterum and thus the rib cage.
Trapexius
Contracts the neck and elongates it, and indirectly influences respiration.
Pectoralis Major, Pectoralis minor, serratus anterior, and levator scapula.
Muscles of the shoulder or arm that act to move the rib cage and increase or decrease its size.
Abdominal Muscles of Expiration
Usually the same muscles used for inhalation. However, there are additional muscles such as latissmus dorsi, rectus abdominis, transversus abdominis, interal oblique abdominis, and quadratus lumborum.
Latissmus Dorsi
Stabilizes the posterior abdominal wall for exhalation.
Rectus Abdominis
Flexes the vertebral column and important in forceful exhalation.
Transverse Abdominis
Compresses abdomen and ribs.
Internal Oblique Abdominis
Reduce volume in thoracic cavity.
Quadratus Lumborum
Supports abdominal wall compression, reducing thoracic cavity size.
Larynx
Lies superior to trachea in the anterior portion of the lungs.
Hyoid Bone
U shaped bone that is under the mandible. Superior bone of the larynx. olttis
Epilgiottis
A leaf shaped piece of cartilage medial to the thyroid cartilage and hyoid bone. During swallowing epiglottis drops to cover the opening of the larynx.
Thyroid Cartilage
Forms anterior and lateral wall of the larynx and helps protect the larynx.
Cricoid Cartilage
Sometimes viewed as the upper most trachieal ring. Is linked with the thyroid cartilage and the arytenoid cartilages. It completely surrounds the trachea.
Arytenoid Cartilages
Small, pyramid shaped cartilages connected to the cricoid through the cricoarytenoid joins, permitting circular and sliding movements.
Corniculate Cartilages
Sit on the apex of the of the arytenoids. Assists in reducing the laryngeal opening when a person is swallowing. The are located under the mucous membrane that covers the aryepiglottic folds. Help tense or stiffen the aryepiglottic folds.
Intrinsic Laryngeal Muscles
Responsible for controlling sounterd production. Include thyroarytenoid, lateral cricoarytenoid, transverse arytenoid, oblique arytenoid, cricothyroid, and posterior cricoarytenoid.
Thyroarytenoid
Attached to thyroid and arytenoid cartilage. Is divided into two different muscle masses; internal and external.
Internal Thyroarytenoid
The primary portion of the thyroarytenoid that vibrates and produces sounds. Is vocalis muscle or vocal fold.
Adductor Muscles of the Larynx
Lateral cricoarytenoid, transverse arytenoid, oblique arytenoid. Responsible for bringing the vocal fold together.
Lateral Cricoarytenoid
Responsible for increasing medial compression.
Cricothyroid Muscle
Attached to crycoid and thyroid cartilages. Lengthens and tenses the vocal folds.
Recurrent Laryngeal Nerve Branch
Branch of cranial nerve x (vagus) that is responsible for all motor inervation of the inerarytenoid, posterior cricoarytenoid, thyroarytenoid, and lateral cricoarytenoid muscles. It supplies all sesnory information below the vocal folds.
External Branch of the Superior Laryngeal Nerve
Branch of cranial nerve x that is responsible for innervation of the cricothyroid muscle.
Glottis
A small opening created when the vocal folds are abducted.
Extrinsic Laryngeal Muscles
Responsible for supporting the larynx and fixing its position. Have one attachment to structure within the larynx and one to a structure outside of the larynx. Are all attached to the hyoid bone and raise of lower the position of the larynx within in the neck. Include elevators and depressors.
Elevators of Larynx/ Suprahyoid Muscles
Located superior to the hyoid bone. Primary function is elevation of the larynx. Digastic, geniohyoid, mylohyoid, stylohyoid, hyoglossus, genioglossus.
Depressors of Larynx/ Infrahyoid Muscles
Located inferior to the hyoid bone. Primary function is depression of the larynx. Thyrohyoid, omohyoid, sternothyroid, sternohyoid.
Vocal Folds
Comprised of three layers. Epithelium, Lamina Propria, vocalis muslce.
Epithelium
Outer most layer of the vocal folds.
Lamina Propria
Middle layer of vocal folds that is comprised of three layers.
Vocalis Muscle
The body of the vocal fold that provides stability and muscle mass to the vocal folds.
Aryepiglottic Folds
Comprised of a ring of connective tissue and muscles extending from the arytenoids to the larynx. The separate the larynx from the pharynx and help preserve the airway.
Ventricular or False Vocal Folds
Vibrate at very low fundamental frequencies and are not usually used during phontation. Are compressed during activities such as coughing and lifting heavy items.
Myoelastic Areodynamic Theory
Vocal folds vibrate because of the forces and pressure of air and the elasticity of the vocal folds. The air flowing out of the lungs is temporarily stopped by the closed vocal folds. Pressure builds and the vocal folds are eventually forced apart and set into vibration. Air then forcefully move though the opening. This causes a decrease in pressure forcing the vocal folds back together. This occurs more than 100 times per second.
Bernoulli Effect
The increased speed of air passing though the vocal folds causes the sucking motion of the vocal folds toward one another. The supglottal air pressure builds up and sets the folds in motion.