Hypokinetic dysarthria Flashcards
0
Q
Damage to Basal Ganglia control circuit
A
- reduces movement
- failure to inhibit involuntary movement
- dopamine production affected
- dopamine supply to striatum depleted
1
Q
Causes
A
- reduction in the effect of dopamine in the basal ganglia
- Parkinson’s disease
- drugs (anxiolytics, street drugs) can cause symptoms
- progressive supranuclear palsy
- Parkinson’s Plus
- Parkinsonism (when symptoms not responsive to PD meds)
2
Q
Nonspeech Clinical Characteristics of parkinson’s
A
- tremor at rest
- pill rolling behaviour
- rigidity
3
Q
Nonspeech characteristics of Hypokinetic Dys
A
- akinesia-bradykinesia
- masked facies
- freezing gait
- micrographic writing
- involuntary flexion of head, trunk, arms
- instability
4
Q
OME Observations
A
- masked/expressionless face
- unblinking eyes
- infrequent swallowing
- tremulous jaw, lips, tongue
- lips may appear tight/rigid
- normal size, strength, symmetry of jaw, lips, tongue
- nonspeech AMRs (slowly initiated, or rapid and restricted ROM)
5
Q
Speech characteristics of Hypokinetic
A
- imprecise consonants
- inappropriate silences
- vowel prolongation
- breathiness, reduced loudness
- dysphonia
- blurred AMRs
6
Q
Patient perceptions
A
- quiet, weak speech
- often deny changes
- hard to get speech started
- affected by fatigue
- upper lip feels stiff
