General Flashcards
Right CVA clinical correlates
Compromised pharyngeal phase and aspiration
Often silent dysphagia
TBI and clinical correlates
Expect improvement in the first 6 months
Tracheostomy and ventilator dependency
Dementia and clinical correlates
Interferes with food prep, self feeding, and voluntary bolus preparation
Oral stage dysfunction
Progressive
Parkinson’s disease clinical correlates
Tongue pumping
Involves all stages
Progressive
Above level of decussation
Contralateral
Below level of decussation
Ipsilateral effects
Characteristic of cognitive/lingusitic deficits with dysphagia
Deficient attention skills Impaired short term memory Impulsivity Faulty verbal reasoning Poor abstract thinking skills
Flaccid dysarthria
Weakness, hyponasality, fasciculations, reduced tone, nasal emissions, breathiness, respiratory weakness
VF paralysis, monotone
Spastic dysarthria
Spasticity, weakness, hyperactive relives, slow tiring and effort full speech
Strained vocal quality
Bursts of loudness
UMN
Ataxic dysarthria
irregular articulation between breakdowns, vowel distortions, dysprosody, arctic and prosody most affected, most slurred speech of all dysarthrias
Patient complains of slurred drunken speech
Hypokenitic dysarthria
Rigidity, short rushes of speech, rapid/blurred AMRs, reduced loudness/pitch, hoarseness, roughness, strained voice
Associated with Parkinson’s disease
Hyperkinetic dysarthria
Involuntary movements, strangled loudness variation, rate and prosody effects most prominent, chorea
Patient complains that its effort full and can’t get out, sensory tricks may help
Mixed dysarthria
Any of them
More than one lesion
Most common - spastic/flaccid (ALS) or spastic/ataxic
Mixed is more common than any single diagnosis
Penetration
Entry of food or liquid in the trachea above level of VF
Aspiration
Entry of food or liquid below level of true VF
