Motor Speech Disorders

Question 1

What is the broad process of motor speech (6)

Answer 1

1. Cortex
2. Inner brain
3. Brainstem
4. Signal to motor neurons
5. Firing of motor neurons
6. Interpretations of motor movements

Question 2

the 3 big roles in motor speech neuroanatomy (think PeaCE)

Answer 2

1. Planning/programming
2. Control
3. Execution

Question 3

In motor speech, what are some examples of the causation of strokes

Answer 3

blood clots and brain bleeds

Question 4

How are clots and brain bleeds created?

Answer 4

by ANY neuron malfunction

Question 5

apraxia

Answer 5

a motor planning/programming issue which causes difficulty in the expression of producing speech as language

Question 6

dysarthria

Answer 6

motor control and/or execution issue

Question 7

T/F : Apraxia and aphasia can only occur independently, because they involve radically different problems

Answer 7

False, they are niche but are both still involved in language

Question 8

Difference between apraxia of speech and oral apraxia

Answer 8

1. refers to a difficulty in speaking through motor movements at a steady rhythm but 2. refers to the impairment of non-speech volitional movement (can impact feeding too)

Question 9

T/F : apraxia of speech causes the difficulty to properly exhibit consonant clusters

Answer 9

True, they sound distorted

Question 10

T/F : In apraxia of speech, although at an irregular rhythm, people are able to maintain regular stress patterns

Answer 10

False, they are impaired there too

Question 11

People with apraxia of speech are ____ with volitional/purposeful speech and are ____ with reactive speech (yeah, no, ok!)

Answer 11

worse; better

Question 12

in dysarthria, hypokinesia is too _____ movement and hyperkinesia is too _____ movement

Answer 12

little; much

Question 13

the two types of EXECUTION problems in dysarthria (think SPACE and FLAQUE D’EAU) + what do they mean??

Answer 13

Spasticity - problems with discrete, voluntary movement + supporting (clenched fist)
Flaccidity - prob with stimulating muscle contraction (avoiding the flaque d’eau by contracting)

Question 14

T/F : TYPE of dysarthria isn’t necessarily characterized by the location of the damage in the motor pathway

Answer 14

false

Question 15

Dysarthria speech subsystems (5) - rats phone rats and pandas

Answer 15

1. Respiration
2. Phonation
3. Resonance
4. Articulation
5. Prosody

Question 16

_____ fry is one of the phonation difficulties resulting from dysarthria

Answer 16

Glottal

Question 17

in speech assessments, which of the following are general/universal requirements for a patient-SLP relationship

1. Chart review
2. Proper standardized test
3. General conversation to build rapport
4. The perspective of the clinician to provide further support
5. Case history

Answer 17

1, 2, 5