Exam 2 Definitions Deck 2 Flashcards
Hyperkinetic Dysarthria
Often associated with diseases of basal ganglia circuit
Deviant characteristics caused by abnormal, involuntary movements
Most frequent Etiologies: toxic-metabolic, idiopathic
Herpes zoster
Shingles
Viral infection most often affecting ganglia of CN V and VII
Producing pain
Hypokinetic Dysarthria
Too little movement
Damage to basal ganglia circuit
Rigidity, limited ROM, bradykinesia, hesitations/false starts, fast/slow repetitive movements, resting tremor, masked facies, festinating gait
Fast rate*, reduced stress, monopitch/monoloudness, inappropriate silences, breathiness
Locked-in Syndrome
Anarthria plus total Immobility of body except for vertical eye movements and blinking
Etiology: basilar artery occlusion
Malingering
Deliberate faking of physical or psychological symptoms for consciously motivated external purposes
Minimally conscious state
Degree of awareness and responsiveness
Respond to stimuli, but not consistently
Typically bedbound, incontinent, require tube feeding
May occasionally produce two words
Mixed Dysarthrias
Any combo of two or more Dysarthrias
Common associated disorders: ALS, MS, Wilson’s Disease, Shy-Drager Syndrome, PSP
Mutism
Absence of speech
Neurogenic, organic, psychogenic, elective
Multiple Sclerosis
Demyelinating disease
Spastic-ataxic dysarthria
Muscular Dystrophy
Degeneration of muscle fibers and proliferation of connective tissue
Neurogenic dysfluency
Disrupted speech fluency, with onset coinciding with brain insult
Spasmodic Dysphonia
Group of relatively isolated voice disorders characterized by strained or breathy voice quality resulting from adductor or abductor laryngospasm
Neurogenic variety considered hyperkinetic dysarthria