Flaccid dysarthria

Question 0

Myasthenia Gravis

Answer 0

• autoimmune response to acetylcholine receptors
• weakens voluntary muscles w/ use, improves w/ rest or Tensilon
• reduced tongue endurance, inspiratory stridor, worsening of dysarthria during stress testing

Question 1

Causes

Answer 1

• damage to one+ cranial or spinal nerves
• lesion btwn brainstem and spinal cord
• Chiari malformations, Guillain-Barré syndrome, ALS, Myasthenia Gravis

Question 2

Primary characteristics

Answer 2

• muscle weakness
• reduced muscle tone
• reduced ROM

Question 3

OME observations

Answer 3

• fasciculations/atrophy of tongue
• unilat poor elevation of soft palate
• weak cough & coup
• nasal regurg
• dysphagia, drooling
• hypoactive gag

Question 4

Speech Observations

Answer 4

• hypernasality
• imprecise consonants
• breathiness
  monopitch/monoloudness
• harsh/hoarse VQ
• short phrases
• diplophonia
• vocal flutter
• increased breaths per minute