CLASS 9 -Paralysis Definitions and Speech and Language Disorders Flashcards
Significant or full loss of movement or motor control 0 on oxford scale over intentional movement; term can be applied to different states, e.g., flaccid, spastic, rigid paralysis
Paralysis
Motor weakness as a result of a neurological cause. Results in milder versions of significant motor impairment. Is sometimes referred to as Partial Paralysis
Paresis
T/F Substantial motor dysfunctions with CNS origins, in addition to being named by their characteristics, e.g., spasticity, tremor, rigidity, involuntary movement, will also be named to indicate where they are affecting the body.
TRUE
One limb is affected.
Uniplegic/Monoplegic
Literally means any two limbs are affected but tends to be used in cases involving the two upper limbs or the upper limb on one side and the lower on the other.
Diplegic
The two lower limbs are affected, often the lower half of the body to varying degrees.
Paraplegic
The two limbs on the same side of the body are affected; often half of the body is affected, divided sagittally.
Hemiplegic
All four limbs are affected; can be an AKA for full body, but not necessarily. The body parts do not have to be affected to the same degree.
Quadriplegic / Tetraplegic
Refers to motor dysfunctions in the production of verbal output, in other words, problems with control of the structures of speech delivery.
Speech Disorders
speech is “slurred” because articulation is not precise.
Dysarthria
motor control issue is the result of spasticity
Spastic Dysarthria
motor control issue is the result of rigidity (basal ganglia dysfunction
Rigid Dysarthria
motor control issue is caused by damage to the cerebellum or its related afferentation (sometimes called sensorimotor
dysarthria)
Ataxic Dysarthria
(decomposition of speech): cerebellar dysfunction Person breaks words/sentences/paragraphs into syllables and delivers them in a slow, deliberate fashion, often requiring considerable focus to do; verbal output is mono-tonal, lacking inflection and normal punctuation breaks
Scanning Speech
AKA Bullfrog’s speech, Megaphone Speech
Dysphonia
Problems are with vocal quality and volume control; person’s verbal output is harsh, grating in tone, and usually delivered in a loud, penetrating manner
Dysphonia
Refers to dysfunctions in the verbal output process itself, in other words, problems with cognition, with converting thoughts/concepts into words (encoding language), with producing enough words, using correct words, etc. This is a complex area of dysfunction with many disorder sub-types. These disorders typically involve writing, signing and mathematical dysfunctions as well as verbal ones.
Language Disorders
non-fluent aphasias
Broca’s Aphasias
Group of dysfunctions related to limited language output. Person usually (not always) has normal, or close-to-normal, cognition but has limited or no capacity to produce language – result may be production of sounds but not words, or the capacity to produce only a small number of words or a brief few sentences.
Broca’s Aphasias
fluent aphasias
Wernicke’s Aphasias
Group of dysfunctions where verbal output is not limited or constrained, however there are major problems with conveying meaning. Person usually (not always) has cognitive impairment that seriously affects the capacity to create language communication understandable to the listener – ranges from word-finding and word-association errors to producing “jibberish”
Wernicke’s Aphasias