Flaccid Dysarthria

Question 1

LMN Disorders –>

Answer 1

flaccid dysarthria

Question 2

UMN Disorders –>

Answer 2

spastic dysarthria; UUMN dysarthria

Question 3

Basal Ganglia Disorders –>

Answer 3

Hypokinetic/hyperkinetic dysarthria

Question 4

Cerebellar Disorders –>

Answer 4

ataxic dysarthria

Question 5

Multiple lesion sites –>

Answer 5

mixed dysarthria

Question 6

Flaccid Dysarthria is also known as ?

Answer 6

Bulbar Palsy

Question 7

Flaccid Dysarthria is caused by ?

Answer 7

Impairments of LMN in cranial or spinal nerves

Question 8

Slow labored artic, hypernasal resonance and hoarse breathy phonation are characteristics of _______.

Answer 8

Flaccid Dysarthria

Question 9

Flaccid dysarthria has a negative impact on what aspects of speech?

Answer 9

Respiration, phonation, artic, prosody and resonance (to different extents)

Question 10

Flaccid Dysarthria is primarily due to _______ and ______.

Answer 10

muscular weakenss and reduced tone

Question 11

Flaccid Dysarthria is often _____ UNLESS there is _____ LMN damage.

Answer 11

Mild

bilateral

Question 12

Flaccid Dysarthria weakness affects ____, ____, and ____.

Answer 12

ROM
Speed
Accuracy

Question 13

T or F? Speaking on residual volume is typically a characteristic of flaccid syarthria.

Answer 13

False; it is not.

Question 14

T or F? Breathiness may be unique to flaccid dysarthria.

Answer 14

True

Question 15

T or F? Audible inhalations/inspiratory stridor may be unique to flaccid dysarthria.

Answer 15

True

Question 16

T or F? Diplophonia is not characteristic of flaccid dysarthria.

Answer 16

False; it may be unique to flaccid dysarthria.

Question 17

What are 2 strong confirmatory signs of flaccid dysarthria?

Answer 17

hypernasality and phonatory incompetence

Question 18

What are 2 strong confirmatory PHYSICAL signs of flaccid dysarthria?

Answer 18

Atrophy and Fasciculations

Question 19

Caused by anything that disrupts flow of LMN along cranial or spinal nerves that innervate muscles of speech production.

Answer 19

Flaccid Dysarthria

Question 20

What are the most common causes of flaccid dysarthria?

Answer 20

ALS
Progressive bulbar palsy (PBP)

(brainstem stroke)

Question 21

What are pt complaints re CN V?

Answer 21

difficulty moving/closing jaw, chewing, arctic, drooling and decreased sensationg to face, cheeks, tongue, teeth or palate

Question 22

Upper face is bilaterally innervated by what CN?

Answer 22

CN VII

Question 23

Lower face is contralaterally innervated by what CN?

Answer 23

CN VII

Question 24

Pt complaints of CN VII ?

Answer 24

Unilateral: Biting cheeks or lips when chewing/speaking, drooling, difficulty keept food/liquid in mouth & artic difficulty.

Bilateral: Face or lips dont move well during speech, drooling, difficulty keeping food/liquid in mouth.

Question 25

What is one of the most important CNs for speech production?

Answer 25

CN X

Question 26

Pharyngeal branch of CN X innervates –>

Answer 26

muscles of soft palate for resonance

Question 27

Superior laryngeal branch of CN X innervates –>

Answer 27

cricothyroid muscles for pitch change

Question 28

Recurrent laryngeal branch of CN X innervates –>

Answer 28

motor to all intrinsic laryngeal muscles except cricothyroid for phonation

Question 29

What is the function of CN X?

Answer 29

voice production, VP closure (resonance) and swallowing

Question 30

Pt complaints of CN X?

Answer 30

loss of pitch range, voice changes, shortness of breath, noise on inspiration, reduced loudness and increased nasality

Question 31

CN XII _____ innervates the ____.

Answer 31

contralaterally

tongue

Question 32

Pt complaints of CN X?

Answer 32

Difficulty w/ artic, moving food around in pouth, pocketing, drooling and tongue feels heavy/thick