Childhood dysarthria Flashcards
If a child exhibits slow articulatory movements, drooling, and phonemic distortions, then those are signs of
childhood dysarthria
If a child exhibits decreased accuracy with repetitions with DDK, normal gag reflex, and no muscle tone disturbance, then those are signs of
Childhood apraxia of speech
What is the classification of the six category site-of lesion for childhood dysarthria?
muscle, LMN, UMN, Extrapyramidal/indirect activation pathway, cerebellar, and multiple
In a child, damage to the extrapyramidal/indirect activation pathway results in
dyskinetic dysarthria
A phonological impairment is due to an issue with
linguistics; word retrieval; syntactic/grammatical ordering
Dysarthria is due to an issue with __________. Apraxia is due to an issue with _________.
motor execution; motor planning and programming
Childhood dysarthria can be ________
congenital or acquired
The three courses of the neurologic condition associated with childhood dysarthria are
non-progressive congenital conditions; postnatal conditions; degenerative conditions
What characterizes the symptoms a child exhibits due to having a non progressive conidition like cereral palsy?
initial neurological damage does not change, but its impact grows as motor development continues, then it becomes stable in adulthood.
What considerations should you make for a child with a non-progressive condition like CP?
Demand for more complex speech with cognitive and linguistic development; the expansion of their sphere of communication
What characterizes the symptoms a child exhibits due to having a post natal condition like TBI, tumor, stroke, and infection?
sudden onset of neurological damage followed by a recovery period, then there is stabilization. Despite stabilization, the neurological damage impacts the development of later motor skills.
What are the primary characteristics of childhood dysarthria?
decrease in articulatory accuracy, overall speech quality, intelligibility, and speaking rate
What are the secondary conditions of childhood dysarthria?
impairments in language development, personal social development skills, and literacy
Childhood dysarthria is associated with
huge drops in frequency of vocalizations and speech
What characterizes the symptoms a child exhibits due to having a degenerative conidition like cerebellar ataxia, muscular dystrophy, metabolic disease, and dystonia,
period of normal development before an onset of progressive breakdown of neuromotor pathways.
What considerations should you make for a child with a degenerative condition?
if there’s no medical treatment available, plan treatment to meet communication needs while acknowledging that communication skills will decline
What are congenital conditions?
condition a baby gets before or at birth, such as CP, Duchenne’s disease, dysmorphogenesis, Moebius syndrome, and Huntington’s disease
What are post-natal/acquired conditions?
conditions a child experiences as a result of a TBI, infections, tumors, strokes, or infectious disease; prior to the condition, the child developed typically
What role do SLPs play in the management of a child with dysarthria?
counsel, educate, and suppor the family; stress to families they are involved in decision making, infuse therapy into natural environments.
