Neuro & motor speech Flashcards

Question

Treatment for AOS

Answer 1

Articulatory accuracy Slower rate Systematic practice Gradual increase in the rate Normal prosody Self monitoring and self correction

Answer 2

Auditory comprehension single words spoken sentences yes/no & following directions ``` Verbal expression- naming use functional words use modeling to evoke incomplete sentences phonetic cues syllabic cues ``` Verbal expression- expanded utterances Reading skills survival reading skills reading newspapers reading and comprehending words, phrases, sentences and paragraphs Writing skills egocentric functional words

Answer 3

flaccid spastic dysarthria hypokinetic dysarthria hyperkinetic dysarthria ataxia UUMN

Answer 4

hyper nasality deficits in automatic (reading, swallowing), reflexive (coughing), and voluntary (speech) movements imprecise consonant productions breathiness of voice decreased loudness monotone and slow rate of speech common etiology: myasthenia graves, guillain-barre, ALS

Answer 5

Harsh Strain-strangled Low pitch Slow rate Pitch breaks Slow and regular AMRs

Answer 6

Irregular articulatory breakdowns (inconsistent) Irregular AMRs Excess and equal stress Slow and inaccurate Distorted vowels “Drunken speech” Poorly coordinate movement pattern Scanning or staccato pattern of speech Ataxic Gait Friedrich’s Ataxia

Answer 7

Decreased ROM Affects aspects of motor control (preparation, maintenance, switching of motor programs) Increased rate of speech with reduced intelligibility Monopitch and monoloudness Palilalia Associated with basal ganglia pathology (Parkinson’s)

Answer 8

Apraxia of speech. A motor planning disorder, that primarily affects prosody and articulation

Answer 9

Left hemisphere, motor strip and Broca's area. Frequently co-exists with Broca's aphasia

Answer 10

Slow rate Excess and equal stress Groping Inconsistent errors

Answer 11

Imitative speech tasks, phonemes, syllables, and progressively longer words DDK (they won't be able to do these) Automatic speech tasks Picture descriptions Limb movement to rule out limb apraxia WAB or apraxia battery for adults

Answer 12

Repetition Articulating accuracy slower rate Modification of prosody Encourage client to communicate in whichever mode is best for them (writing, a communication book, gestures, or speech)

Answer 13

It is a neurological speech disorder

Answer 14

Impaired muscle control In addition, it may impact all systems of language

Answer 15

Phonation: mono pitch, monoloud, harsh quality Articulation:imprecise consonants, distorted vowels. Drunken speech Prosody: prolonged phonemes and word junction, slow rate of speech, excess and even stress Other: gait disturbances and uncoordinated, slow, halting movements

Answer 16

Results from bilateral damage to the UMN Respiration: short phrases, reduced AMEs/DDK Phonation: mono pitch, monoloud, harsh, strained-strangled Articulation: imprecise consonants, distorted vowels Prosody: reduced stress, slow rate Other: muscle spasticity and weakness, hyperactive gag reflex, reduced range and slowness of movement

Answer 17

Damage to CN that I control LMN Respiration: weakness linked to CN weakness, short phrases Phonation: breathy quality, audible inspiration, monoloudness Articulation: imprecise consonants Resonance: hypernasality Other: muscle twitches and other muscular disorders

Answer 18

Huntington's Basal ganglia Respiration: audible inspiration and forced or sudden inspiration or expedition Phonation: voice tremor, intermittent strained voice, harsh voice, voice stopping, dystonia Articulation: imprecise consonants, distorted vowels Prosody: slower rate, excess loudness, equal stress Resonance: hypernasality Other: trimmers and ticks, movement disorders including facial and in movements, involuntary movements, abrupt and the severe contractions of extremities, and neck spasms.

Answer 19

Basil ganglia Respiration: irregular, rapid rate of breathing, reduced to vital capacity Phonation: mono pitch mono loud, breathy or harsh quality Articulation: imprecise confidence, "stuttering like" repetitions Prosody: reduced stress, short bursts, inappropriate silences Other: "masked" face, resting tremor, rigidity and increased muscle tone, micrographic writing, decreased swelling

Answer 20

Obtain medical history Obtain a conversational speech sample and a reading sample to evaluate connected speech Assess DDKs OME Determine the speech intelligibility rating Frenchay dysarthria assessment

Answer 21

Dysarthria is very unique, intervention varies Postural adjustments for adequate respiration Slow rate Over articulation AAC biofeedback fur resonance and phonation SLOP

Answer 22

Respiration, phonation, resonance, articulation and prosody

Answer 23

Left hemisphere, frontal lobe More cortical than sub cortical

Answer 24

Thrombosis and embolism