Motor Speech Disorders

Question 1

Locus of ataxic dysarthria

Answer 1

-Cerebellar system

Question 2

Locus of Flaccid

Answer 2

• LMN
• ALS
• myasthenia gravis

Question 3

Locus of Hyperkinetic

Answer 3

-Extrapyramidal

Question 4

Locus of Hypokinetic

Answer 4

• Extrapyramidal

* Parkinson’s

Question 5

Locus of Spastic Dysarthria

Answer 5

UMN (bilateral)

Question 6

Locus of UUUMN

Answer 6

Unilateral UMN

Question 7

Dysarthria Speech systems/clusters:

R: audible inspiration, voice tremor, strained voice
A: imprecise consonant production, distorted vowels, prolongations
P: harsh,loudness variations, monoloudness
R: mild hypernasality

Answer 7

Hyperkinetic

• excess movement
• Involuntary movements
• Chorea
• orofacial dyskinesia
• myoclonus
• tics
• athetosis
• dystonia
• tremor

Question 8

Dysarthria Speech systems/clusters:

R: breathy, audible inspiration, respiratory weakness
A: imprecise consonants, weak pressure consonants
P: harsh, monopitch, monoloudness
R: hypernasality

Answer 8

Flaccid

• Weakness
• fasciculations
• contractions of muscles

Question 9

Dysarthria Speech systems/clusters:

A: imprecise consonants and distortion of vowels
P: monopitch, monoloudness, harsh
hyponasality

Answer 9

Ataxic

• Ataxia (incoordination)
• Drunken speech
• gait
• over or undershooting targets
• Uncoordinated halting movements

Question 10

Dysarthria Speech systems/clusters:

-swallowing
R: irregular breathing
A :imprecise, distorted consonants
P: monopitch, monoloudness, harsh, breathy

Answer 10

Hypokinetic

Dysarthria Deficit:s:

• Rigidity
• reduced ROM
• tremors
• mask like face
• shuffle walking
• shrunken moveent
• rgidity

Question 11

Dysarthria Speech systems/clusters:

A: imprecise production
P: slow, monopitch, monoloudness, reduced stress,breathy, harsh, strained, strangled
R:hypernasality

Answer 11

Spastic Dysarthria

Dysarthria Deficit:s:

• Spasticity
• weakness
• loss of fine motor

Question 12

Dysarthria Speech systems/clusters:

A: breakdowns, imprecise production of consonants, vowel distortions, sound or syllable repetition
P: slow, monopitch, monoloudness
R: hypernasality, nasal emission

Answer 12

Unilateral UMN

Dysarthria Deficit:s:

• lower facial weakness
• incoordination
• tongue deviation

Question 13

Most common mixtures

Answer 13

Flaccid-Spastic=ALS

Ataxic-Spastic=MS

Question 14

Apraxia commonly co-occurs with what?

Answer 14

Broca’s aphasia

UUMN

Question 15

What kind of exerscises would be appropariate for the following Dysaarthria type?

Spastic

Answer 15

• relaxation exercises.

- reduces muscle tone and increases flexibility.

Question 16

What kind of exerscises would be appropariate for the following Dysaarthria type?

Ataxic

Answer 16

• rhythmic or metered cueing

- adequately paces speech production

Question 17

What kind of exerscises would be appropariate for the following Dysaarthria type?

Flaccid

Answer 17

• push pull exercises

- helps strengthen muscles and increase tone.

Question 18

What kind of exerscises would be appropariate for the following Dysaarthria type?

Hyperkinteic-

Answer 18

• sensory tricks

- reduces involuntary movements.