Intro to MSD Flashcards
dysarthria has ___________ etiology
neurological etiology
the most prevalent speech disorder in adults
dysarthria
most severe form of dysarthria
anarthria
dysarthria affects …
all movement (volitional, spontaneous, reflexive)
apraxia
neurogenic communication disorder affecting motor
apraxia is the difficulty of
translating conscious speech plans into motor plans
patients with apraxia know…
what they want to say but cannot get it out
assessment consists of these items (not exhaustive list)
referral
medical records
case history form
patient interview
patient interview can consist of
patients concern when was the disorder noticed? course of symptoms associated problems social and professional history communication requirements for individual's life family member history? history of treatment
relative variables to assessment
age age of onset course of symptoms site of lesion neurologic diagnosis pathophysiology -- distinctive pattern of movement disorder
in perceptual speech assessment we should listen to speech in
conversation reading out loud singing automatic speech waiting room vs. clinical room sustained vowels and alternate motion rates sequential motion rates
we should listen for changes in
respiration
phonation
resonation
articulation
assessment of three systems
- motor control
- sensation
- reflexes
motor physiology assessment (big 8)
- symmetry
- motor steadiness (tickers, wobbly voice)
- muscle tone (tightness, floppy)
- strength of muscles (range of motion)
- range of movement
- speed of movement
- accuracy of movement
- coordination (working all systems together)
observing speech mechanisms
- respiration
- phonation
- lips
- tongue
- jaw
- soft palate
