Hyperkinetic dysarthria Flashcards

1
Q

Symptoms of damage to the basal ganglia are

A

hyperkinesia, dystonia, chorea, rigidity, hypokinesia, athetosis

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2
Q

The problem with hyperkinetic dysarthria is_______ and can be _____________ .

A

motor control (involuntary movements); focal or multifocal

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3
Q

The most distinctive speech features associated with hyperkinetic dysarthria - chorea are

A

excess loudness variation, variable rate, prolonged intervals, distortions of consonants and vowels that are rapid and unpredictable

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4
Q

The most distinctive speech features associated with hyperkinetic dysarthria - spasmodic dysphonia are

A

voice stoppage, pitch breaks, harsh voice, strained voice, vocal tremor

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5
Q

The most distinctive speech features associated with hyperkinetic dysarthria - dystonia are

A

consonants and vowels are distorted for a long time or vary slowly; these distortions impact a specific articulator fairly often; voice stoppages, voice tremor, and alternating loudness

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6
Q

The most distinctive speech features associated with hyperkinetic dysarthria - essential tremor are

A

rhythmic voice tremors; rhythmic changes in pitch and intensity

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7
Q

The major function of the basal ganglia is

A

to control the start and stop of movements and control the intensity of movements

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8
Q

What are the 4 major hyperkinetic disorders?

A

spasmodic dysphonia; voice tremor; chorea; and oromandibular dystonia

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9
Q

What is chorea?

A

fast, unpredictable, and arrhythmic muscle movements that occur at rest and when you move on purpose

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10
Q

What is adductor spasmodic dysphonia?

A

spasms of the vocal folds which hyperadduct them and caused strained and effortful phonation

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11
Q

What is abductor spasmodic dysphonia?

A

larynx abducts or opens involuntarily, causes irregular periods of breathiness or intermittent voice stoppages often with bursts of aspiration noise.

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12
Q

What is oromandibular dystonia?

A

slow involuntary movements of the face, lips, jaw, tongue, and soft palate

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13
Q

What is dystonia?

A

slow and sustained involuntary movements that last about 1 - 30 seconds; most dystonia is idiopathic

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14
Q

The tone of muscle in hyperkinetic dysarthria fast is _______.

A

Often excessive (biased)

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15
Q

The tone of muscle in hyperkinetic dysarthria, slow is _______

A

Excessive (biased)

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16
Q

The rate of individual and repetitive movements in hyperkinetic dysarthria, slow, and hyperkinetic dysarthria, fast is _______

A

slow

17
Q

The direction of individual movements in hyperkinetic dysarthria, slow, and hyperkinetic dysarthria fast is _______

A

inaccurate

18
Q

The rhythm of individual movements in hyperkinetic dysarthria, slow, and hyperkinetic dysarthria fast is __________

A

irregular

19
Q

The etiology for hyperkinetic dysarthria is mostly

A

unknown

20
Q

Other etiologies for hyperkinetic dysarthria include

A

tourette’s syndrome, oromandibular dystonia, spasmodic dysphonia and essential voice tremor, and tardive dyskinesia

21
Q

What are four major hyperkinetic movement disorders?

A

tremor, chorea, hemiballismus, facial spasms, tics, myofacial clonus,

22
Q

What is a tremor described as?

A

rhythmic involuntary movements that involve the agonist/antagonist muscle of a joint

23
Q

What is chorea described as?

A

lots of spontaneous movements that are timed irregularly and are not repetitve

24
Q

What is hemiballismus described as?

A

limbs swinging wildly on one side of the body; it’s very similar to chorea

25
Q

What is dystonia described as?

A

sustained muscle contractions that cause slow twisting movements or abnormal postures; it can be focal, multifocal, or affect other parts of the body

26
Q

What are facial spasms?

A

twitches of the facial muscles