Dysarthria Flashcards

1
Q

What are the 7 types of dysarthria?

A

flaccid
spastic
ataxic
mixed
unilateral UMN
hypokinetic
hyperkinetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the 8 common causes of dysarthria?

A

stroke
TBI
cerebral palsy
Parkinson’s
Huntington’s
brain tumour
MS
ALS/MND

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the five speech systems?

A

respiration
phonation
articulation
resonance
prosod

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what does respiration therapy target?

A

improving respiration to gain better control during speech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what does phonation therapy target?

A

improving vocal fold adduction during phonation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what does resonance therapy target?

A

nasal airflow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what does articulation therapy target?

A

consonant precision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what does prosody therapy target?

A

naturalness of speech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is an example of a respiration treatment? (2)

A

adjusting posture
establishing abdominal breathing patterns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is an example of a phonation treatment? (1)

A

LSVT therapy for increasing phonatory effort

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is an example of a resonance treatment? (1)

A

velar strengthening exercises

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is an example of an articulation treatment? (2)

A

increased awareness of errors
minimal contrast/pairs drills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is an example of a prosody treatment? (2)

A

increased awareness
intonation drills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are three dysarthria assessment tools?

A

Frenchay Dysarthria Assessment (FDA-2)
Dysarthria Impact Profile (DIP)
Newcastle Dysarthria Assessment Tool (N-DAT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are restorative treatments for dysarthria? (3)

A

speech intelligibility
prosody and naturalness
efficiency of speech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are compensatory treatments for dysarthria? (4)

A

improve listener skills
AAC
change communication environment
increase communication strategies

17
Q

What is the goal of dysarthria treatment? (3 key words)

A

To maximise the effectiveness, efficiency, or naturalness of communication.

18
Q

Where is a lesion localized for flaccid dysarthria?

A

Lower motor neuron (Powerlines to the house)

19
Q

Where is a lesion localized for spastic dysarthria?

A

bilateral UMN

20
Q

Where is a lesion localized for unilateral UMN dysarthria?

A

Unilateral UMN

21
Q

Where is a lesion localized for ataxic dysarthria?

A

cerebellum (music conductor - adjusting motor and sensory)

22
Q

Where is a lesion localized for hypokinetic dysarthria?

A

Basal Ganglia control circuit (extrapyramidal)

23
Q

Where is a lesion localized for hypekinetic dysarthria?

A

Basal Ganglia control circuit (extrapyramidal)

24
Q

How does flaccid dysarthria affect speech? (7)

A

breathy voice
low volume
monopitch
stridor
slurred speech
hypernasality
imprecise articulation

25
Q

How does spastic dysarthria affect speech? (4)
Think: CP Siri girl

A

Increased tone
slow and effortful
imprecise articulation
strained phonation

26
Q

How does hypokinetic dysarthria affect speech? (7)
Think: interview with ex-surgeon

A

reduced movement of the articulators
MUMBLING
lack of awareness
reduced volume
dysphonia (breathy and rough)
reduced articulation
monotone

27
Q

How does hyperkinetic dysarthria affect speech? (1)
Think: Greg - Nebraska Huntington’s

A

Excess movement of the articulators
dystonia (man in hospital - open jaw)

28
Q

How does unilateral UMN dysarthria affect speech? (3)
Think: typical single stroke presentation / lady in the car

A

slurred speech
imprecise articulation
slow rate

29
Q

How does ataxic dysarthria affect speech? (4)
Think: Joanna - 4 years later video

A

IRREGULAR ERRORS
slurred speech (sounds like they’re drunk)
excessive and equal stress on syllables
timing and force are off

30
Q

What disease/disorder is a hyperactive gag reflex a clinical presentation of?

A

Spastic Dysarthria

31
Q

What is the role of the Speech Pathologist during the assessment stage? (5)

A

Case History
Observations
OME (oral motor exam) to assess oral mechanism and cranial nerve function
Speech and Language assessments
ICF - activity and participation, environmental factors

32
Q

What is Parkinson’s Disease and it’s impact on speech and language?

A

Brain disorder that causes unintended and uncontrollable movements
Think hypokinetic dysarthria: reduced movement of the articulator muscles

33
Q

What is ALS/MND and it’s impact on speech and language?

A

Disease that affects motor neurons (voluntary movement)
ALS/MND attacks bulbar neurons (lips, tongue, soft palate, jaw, and vocal folds