General Flashcards
dysarthria
speech disorder characterized by neurologic damage, not same as artic disorder because not all artic disorders are neurogenic
Apraxia of speech
-neurologically based motor programming disorder, difficulty producing correct sound sequences
cortical motor areas
-goal-oriented, new movements
subcortical pathways
-program the details, automatic, set routine movements,
modify movements
-BG and cerebellum
pyramidal pathways
- direct
- corticobulbar and corticospinal tract
- 1 synapse
- 85-90% of fibers cross to opposite side of brainstem
- generally excitatory, executives discrete, fine smovements
- stimulates increased tone, facilitates reflexes
extrapyramidal pathway
- indirect
- generally inhibatory
- maintains background posture, tone, automatic movements
- SUPPRESSES TOO MUCH MOVEMENT
- multiple synapses: bg and cerebellum
basal ganglia
- part of extrapyramidal pathway
- modulates background movements, tone, self-mnitoring, inititaiton of movement
cerebellum
- extrapyramidal pathway
- 80% sensory info, 20% motor output
- fine tunes movements, sequences movements
-normal speaking rate
150-250 wpm
normal reading rate
160-190 wpm
motor paramaters to evaluate
7
- symmetry
- tone
- steadiness
- strength
- range/amplitude
- rate
- coordination/accuracy/precision
speech paramaters to consider
4
- phonation
- resonance
- articulation
- prosody
speech motor subsystems
4
- respiratory (primarily loudness)
- velopharyngeal (primary resonance)
- orofacial (primary artic))
- laryngeal (primary phonation/voice quality)
How to classify type of dysarthria
- DAB distinguishing features
- (year?)