Dysarthria Flashcards
1
Q
Dysarthria
A
- A neurogenic motor speech impairment which is characterised by slow, weak, imprecise and/or uncoordinated movements of the speech musculature.
Acquired - develop due to brain injury/declining neuro condition like motor neurone disease
Developmental - born with it
2
Q
General (SCH)
A
- Social impact is the degree to which it generates TS in talk
- These TS overwhelmingly displayed by recipient of dysarthria speech and characterised by OISR
- understanding how ps resolve dysarthria speech is just as important as understanding the nature of TS themselves
- Not all repairs are resolved with one effort/attempt
3
Q
Repair
A
- Ps can find nature of TS more complex than it appears (BW)
- SWD may focus efforts on one problematic part, may be easier than repeating whole turn and may make TS more intelligible second time they say it
- Recipients understanding may involve several TS making it more complex
- If neither P realise what TS is then makes it more difficult to understand and resolution can be long and complex
- Silence - treated as withholding an OI of repair to offer SWD chance to SR - opportunity not often taken up
- Rare for TS to be abounded once intimated - so here we see how repair is complete despite trouble and overlap
4
Q
Topic transition
A
- Site for problems
- Complaining about this reveals potential vulnerability to judgements of linguistic competence
- Problematic when used by SWD cos of speech intelligibility and reduced use of transition markers and because of sequential disjunctive between dysarthric turn and what ever topic comes prior
5
Q
Other
A
- Gaze to signal utterance is complete
- Problems get resolved on the whole through coordinated work of both ps
- May adapt turn design to minimise repairs
6
Q
Implications
A
- Show insight into atypical talk, interventions, new understandings
- Topic transition suitable target for intervention
- What works for each dyad? What causes problems?