Chapter 9 UUMN Dysarthria

Question 1

UUMN Dysarthria primarily affects which subsystem?

Answer 1

articulation

Question 2

UUMN Dysarthria problems are due mainly to

Answer 2

weakness of the face and tongue and may have spasticity and incoordination

Question 3

Patient Complaints

Answer 3

• Patient is usually aware of a problem
• Thick tongue or thick. slurred speech
• Speech deteriorates with fatigue
• Words don’t come out right
• Drooling or mild dysphagia
• Occasionally some inappropriate crying and laughing

Question 4

Non Speech Clinical Findings

Answer 4

Often have hemiplegia or hemiparesis and sensory deficits

Question 5

Oral Mechanism Findings

Answer 5

• Unilateral lower facial weakness both at rest and movement
• Unilateral tongue weaness
• Normal jaw strength or some contralateral jaw weakness
• Unilateral palatal weakness
• May have dysphagia

Question 6

Speech Clinical Findings

Answer 6

• Imprecise consonants
• Slow rate
• Irregular AMRs
• Slow AMRs
• Hoarseness/Harshness
• Reduced loudness
• Intelligibility mildly affected

Question 7

Etiologies

Answer 7

Degenerative, inflammatory, and toxic-metabolic diseases, strokes

Question 8

CVA Etiologies

Answer 8

• Left Carotid/ left middle cerebral artery blockages
• Right Carotid/ right middle cerebral artery blockages
• Unilateral strokes
• Lacunar infarcts