Lecture 5: Assessment Flashcards
1
Q
What type of dysarthria is associated with:
PD
A
hypokinetic
2
Q
What type of dysarthria is associated with:
PSP
A
Mixed: spastic-hypokinetic-ataxic
3
Q
What type of dysarthria is associated with:
HD
A
Quick-hyperkinetic
4
Q
What type of dysarthria is associated with:
ALS
A
Mixed: spastic-flaccid
5
Q
What type of dysarthria is associated with:
Wilson’s Disease
A
Mixed: predominant ataxic-spastic-hypokinetic
6
Q
What type of dysarthria is associated with:
MS
A
Mixed: ataxic-spastic
7
Q
What type of dysarthria is associated with:
dystonia
A
Slow hyperkinetic
8
Q
Hyperkinetic dysarthria
- What does it mean
- Where is the damage
- What are the 2 different types and what are they like?
A
- = too much movement
- basal ganglia
Quick:
- sudden forced inspiration/expiration=bursts of loudness, excessive pitch elevation
- irregular articulatory breakdowns
- harsh voice, strained-strangled
Slow:
- voice stoppages, distorted phonation/articulation/prosody
- harsh, strained/strangled voice
- excessive loudness, slow speaking rate, short phrases, imprecise consonants
9
Q
Hypokinetic dysarthria
- Where is it originate
- What are the characteristics?
A
- Basal Ganglia
- decreased variability in pitch and loudness
- decreased overall loudness, stress, emphasis
- markedly imprecise articulation
- variable rates in speech
- sometimes short bursts of speech with illogical pauses/inappropriate silences
10
Q
Describe:
Spasticity
Rigidity
Flaccidity
Ataxic
Dystonias
A
- Spasticity=increased muscle tone
- Rigidity=increased tone of the flexors
- Flaccidity=decreased muscle tone
- Ataxic=difficulty coordinating the muscle movements of speech. Irregular articulation breakdowns. Usually wide-based gate
- Dystonias: movement disorders. Sustained muscle contractions which result in twisting/abnormal movements or abnormal postures
