Exam 1 - Review Flashcards
dysarthria
impaired production of speech due to disturbances in muscular control
apraxia
deficit in the ability to smoothly sequence the speech producing movements
aphasia
affects someone’s ability to understand or express language
CNS
brain and spinal cord
PNS
cranial and spinal nerves
autonomic
somatic
lateral fissure
supra marginal gyrus
Heschel’s gyrus is within
central sulcus
extends from top of hemisphere down to lateral sulcus
separates frontal and parietal lobes
precentral gyrus
motor
primary motor strip
post central gyrus
sensory
third frontal convolution
Broca’s
afferent nerves
Arrive
SENSORY
efferent nerves
Exit
MOTOR
cerebellum
dorsal to brainstem
coordinates movement
subdivisions of brainstem
midbrain
pons
medulla
contains cranial nerve nuclei
brainstem
pyramidal decussation
medulla
cortical lobes
frontal
parietal
occipital
temporal
frontal lobe
MOTOR cortex
parietal
SENSORY cortex
occipital
VISUAL cortex
temporal
primary AUDITORY cortex
structure associated with parkinson’s and huntington’s
basal ganglia
tracts
bundles of axons found in the CNS
nerves
bundles of axons found in the PNS
motor unit
single motor neuron and all the muscle fibers it innervates
myelin
covers axons
lipid protein membrane
2 major neurotransmitters important for movement
acetylcholine
dopamine
neurotransmitter important for basal ganglia
dopamine
neurotransmitter important for neuromuscular junction
acetylcholine
disease associated with neurotransmitter malfunction at the neuromuscular junction
myasthenia gravis
disease associated with damaged myelin
multiple sclerosis
UMN =
CNS
LMN =
PNS
major symptoms of UMN damage
flaccid dysarthria
major symptoms of LMN damage
spastic dysarthria
neuromuscular junction
point where axons of LMN make synaptic connections with muscle cells
pyramidal system
direct activation
conscious
voluntary movements
exta-pyramidal system
INdirect activation
unconscious
postural support
12 CNs
olfactory
optic
oculomotor
trochlear
trigeminal
abducens
facial
vestibulocochlear
glossopharyngeal
vagus
accessory
hypoglossal
sensory nerve for vision
CN 2
motor nerves for eyes
CN 3, 4, 6
bilateral UMN & LMN damage (jaw)
jaw hangs open
unilateral jaw damage
jaw moves to side of damage
cranial nerve VII (facial) damage (lips)
lips protrude to side of weakness
unilateral LMN damage (tongue)
tongue moves to side of damage
unilateral CN X damage (palate)
only healthy side raises
damage to CN X laryngeal branches produces
breathiness
reduced intensity
poor glottal closure
reduced frequency variation
possible stridor
palatal dysfunction
TWO goals of evaluation
understand the patient’s problem
determine beginning level of treatment
speech subsystems tested
respiration
phonation
resonance
articulation
prosody
non speech tasks
can observe isolated muscle groups
strength, ROM, coordination
test V & VIII
face
lips
jaw
test XII
tongue
lips
test X
velum elevation /a/
pharyngeal gag reflex
Plosive and/or fricative precision (e.g., do /t/ and /p/ become /n/ and /m/)
standardized tests for dysarthria
frenchay dysarthria Ax-2
Ax of intelligibility of dysarthric speech
speech intelligibility test for windows
standardized test for apraxia
apraxia battery for adults 2nd edition
intelligibility
Extent to which an acoustic signal can be recovered by a listener
comprehensability
Extent to which a listener understands a speaker in a communicative context