Duffy Motor Speech

Question 1

Combined processes of speech motor planning, programming, control and execution

Answer 1

Motor Speech Processes

Question 2

Speech disorders resulting from neurological impairments affecting the planning, programming, control or execution of speech.

Answer 2

Motor speech disorders

Question 3

Collective name for neurological speech disorders that reflect abnormalities in speech, speed, range, steadiness, tone or accuracy of movements required for breathing, phonatory, resonatory, articulatory or prosodic aspects of speech production

Answer 3

Dysarthria

Question 4

A neurological speech disorder that reflects impaired capacity to plan or program sensorimotor commands necessary for during movements that result in phonetically and prosodically normal speech

Answer 4

Apraxia of speech

Question 5

Rely primarily on auditory perceptual attributions of speech

Answer 5

Perceptual

Question 6

The three instrumental analsysis of speech

Answer 6

Acoustic, physiological and visual imaging

Question 7

Methods that can visually display and numerically quantify frequency, intensity, temporal component of speech

Answer 7

Acoustic

Question 8

Measurement that focuses on muscles contractions that generate movements

Answer 8

Physiologic

Question 9

What are the the factors of categorising motor speech disorders?

Answer 9

Age at onset, course, site of lesion, neurological diagnosis, pathophysiology

Question 10

What are the variables relevant to speech disorders?

Answer 10

Speech components involved, severity and perceptual characeristics

Question 11

What is the localisation of flaccid dysarthria and neuromotor bases specific?

Answer 11

Lower motor neuron and weakness

Question 12

What is the localisation of spastic dysarthria and neuromotor bases specific?

Answer 12

Bilateral upper motor neuron and spasticity

Question 13

What is the localisation of ataxic dysarthira and neuromotor bases specific?

Answer 13

Cerebellum and incoordination

Question 14

What is the localisation of hypokinetic dysarthria and neuromotor bases specific?

Answer 14

Basal ganglia and rigidity

Question 15

What is the localisation of hyperkinetic dysarthria and neuromotor bases specific?

Answer 15

Basal gangalia and involuntary movements

Question 16

What is the localisation of apraxia and neuromotor bases specific?

Answer 16

Left hemisphere and programming

Question 17

What do the final common pathways of speech include that supply muscles involving phonation, resonance, articulation and prosody as well as involved in speech breathing and prosody.

Answer 17

Paired cranial nerves and paired spinal nerves

Question 18

What is the trigeminal nerve responsible for?

Answer 18

sensation of the face and anterior tongue, jaw motor movement, motor movement trigeminal nerve,

Question 19

What is the facial nerve responsible for?

Answer 19

Motor muscles of the face and lip

Question 20

What is the glosso pharyngeal nerve responsible for?

Answer 20

Raise and dilate of pharynx, taste sensation of the tongue, gag reflex

Question 21

What is the vagus nerve for?

Answer 21

Motor muscles of the larynx, sensory of the lower larynx

Question 22

What is the tongue nerve for?

Answer 22

Motor muscles of the tongue

Question 23

Speech is manifested through movements triggered by what which innervate breathing, phonatory, resonatory and articulatory muscles

Answer 23

Spinal nerves and cranial nerves

Question 24

What are the 3 essential components of motor speech examination

Answer 24

Case history, salient speech features and identify confirmatory signs

Question 25

Salient features

Answer 25

Features that contribute most directly and influentially to diagnosis

Question 26

What are examples of salient features in motor speech?

Answer 26

strength, speed, range, steadiness, tone, accuracy

Question 27

What are two things you can do to examine the larynx?

Answer 27

Look at the integrity of the vocal fold adduction, ask the client to produce a glottal coup

Question 28

How do you assess gross integrity of vocal fold adduction?

Answer 28

Ask the patient to cough or ask the patient to produce a glottal coup

Question 29

What does a weak cough but sharp glottal coup mean

Answer 29

Respiratory weakness

Question 30

What does a weak coup but normal cough indicate

Answer 30

Laryngeal weakness and respiratory weakness

Question 31

What is involved in the MSD rating scale?

Answer 31

Pitch, loudness, voice quality, resonance respiration, prosody, articulation, other

Question 32

What is the assessment for dysarthria?

Answer 32

Frenchay dysarthria assessment

Question 33

What is the assessment for apraxia?

Answer 33

Apraxia battery for adults

Question 34

What is the primary goal of management of dysarthria?

Answer 34

To maximise effectiveness, efficiency or naturalness of communication

Question 35

What is the first component of speech that should be treated?

Answer 35

Greatest functional benefit

Question 36

What are 5 distinguishable methods of dysarthria management?

Answer 36

medical intervention, prosthetic management, behavioural management, AAC, counselling and support

Question 37

What is the dysarthria management that involved directly modifying what happened in the vocal tract during speech and helping to decrease abnormality including a palatal lit prosthesis that may help decrease hypernasality.

Answer 37

Prosthetic Management

Question 38

What are some prosthetic management methods that help alter the rate of prosody?

Answer 38

Pacing boards, metronomes, delayed auditory feedback

Question 39

What are the two forms of behavioural management for motor speech disorders?

Answer 39

Speech oriented and communication oriented

Question 40

Behavioural management approach that involved improving speech intelligibility and improving efficiency and naturalness of communication.

Answer 40

Speech oriented

Question 41

Treatments to decrease impairments by increasing physiological support attempt to remediate deficits in...?

Answer 41

Posture, strength and control

Question 42

Increasing naturalness of speech primary involves attention to prosody which includes?

Answer 42

Rate, rhythm, intonation and stress

Question 43

What two things form underpinnings for assertion behaviour management that can decrease the speech impairment and increase physiological capacity of speech?

Answer 43

Nervous system plasticity and motor skill learning

Question 44

Learning occurs from muscle use and changes in patterns of behaviour

Answer 44

Neuroplasticity

Question 45

The acquisition of new, relatively permanent patterns of movement through active practice

Answer 45

Motor learning