exam 3 slhs Flashcards
what percent of adults report dysphagia?
4%, 1 in 25
apraxia
speech disorder that results from an impairment in motor planning and programming for speech
dysarthria
speech disorder resulting from weakness, paralysis, or incoordination of the speech production muscles
role of respiratory system in speech production
energy source
role of laryngeal system in speech production
voicing/phonation
role of articulatory/resonance system in speech production
manipulate sounds to produce specific phonemes (articulation)
direct activation pathway
one synapse between UMN and LMN. facilitates motor program (STARTS movement)
indirect activation pathway
multiple synapse between UMN and LMN. inhibits motor programs (STOPS movement)
role of basal ganglia in speech production
direct activation pathway and indirect activatin pathway
role of cerebellum control circuit in speech production
fine tuning of movements
aids in timing/force of movements
is apraxia always consistent in errors?
NO
trigeminal V cranial nerve
pain and touch sensation of the face
anterior 2/3 tongue
motor and sensory
facial VII nerve
motor to muscles of facial expression
taste in anteror 2/3 tongue
motor and sensory
glossopharyngeal IX
sensation from palate
posterior 1/3 tongue
motor to stylopharyngeus muscle
motor and sensory
vagus X
sensation from pharynx, larynx
taste from epiglottis and pharynx
motor to larynx, pharynx, soft palate
motor and sensory
spinal accessory XI
motor to strap muscles of the neck
motor
hypoglossal
motor to tongue
motor
how many typically developing children report dysphagia?
25-50%
how many children with developmental disorders have dysphagia?
33-80%
four stages of swallowing
oral preparatory
oral transport
pharyngeal
esophageal
bolus
a cohesive mass of food that has been chewed and ready to be swallowed
penetration
food/liquids fall into the larynx, but remain above the vocal folds
aspiration
food/liquids fall below the level of the vocal folds
residue
food/liquid left in the oral cavity or pharynx after the swallow is completed