O7 Neurologic Disorders, Final

Question 1

voice tx is not likely to change ___________ etiologies. remember pushing exercises for ___________ only

Answer 1

voice tx is not likely to change neurologic etiologies. remember pushing exercises for hypofunction only

Question 2

clients with ___________ diseases need to get prepared to abandon _________ and begin to be familiarized with _____ to extend communication abilities as long as possible

Answer 2

clients with progressive diseases need to get prepared to abandon speech and begin to be familiarized with AAC to extend communication abilities as long as possible

Question 3

for clients with neurologic disorders, you want to help them ___________ as much as possible

Answer 3

for clients with neurologic disorders, you want to help them compensate as much as possible

Question 4

7 Important points to remember

1) __________ dx is physicians judgement based on observation
2) examine multiple _________ tasks
3) gold standard of assessment is __________
4) neurologic disease is usually _________
5) EMG and sensory testing are __________ tests
6) is there a __________ origin or component?
7) _______ care

Answer 4

7 Important points to remember

1) neurologic dx is physicians judgement based on observation
2) examine multiple laryngeal tasks
3) gold standard of assessment is endoscopy
4) neurologic disease is usually systemic
5) EMG and sensory testing are nonspecific tests
6) is there a psychogenic origin or component?
7) team care

Question 5

Hypokinetic dx’s

________/paresis

___________ joint disorders

___________ diseases (muscle fibers don’t function)

progressive __________ diseases

Answer 5

Hypokinetic dx’s

paralysis/paresis

neuromuscular joint disorders

myopathic diseases (muscle fibers don’t function)

progressive neurologic diseases

Question 6

Hyperkinetic dx’s

_________ (involuntary muscle contractions resulting in slow repetitive movements, cramps, abnormal posture)

tremor (shaking)

____ (habitual contractions of muscles, usually face)

_________ (rhythmic spasm, usually result of brain injury)

non-neurologic disorders

_________ (writhing movement. huntingtons disease, inheritable)

___________ (psychological etiology)

Answer 6

Hyperkinetic dx’s

dystonia (involuntary muscle contractions resulting in slow repetitive movements, cramps, abnormal posture)

tremor (shaking)

tic (habitual contractions of muscles, usually face)

myoclonus (rhythmic spasm, usually result of brain injury)

non-neurologic disorders

choreas (writhing movement. huntingtons disease, inheritable)

psychogenic (psychological etiology)

Question 7

Mixed Disorders

___________ (very difficult to initiate, then tension tremor leads to explosive reaction that is hard to control)

___ (demyleninating disease)

__________ (may have physical and psychological component)

Answer 7

Mixed Disorders

Parkinsons (very difficult to initiate, then tension tremor leads to explosive reaction that is hard to control)

MS (demyleninating disease)

psychogenic (may have physical and psychological component)

Question 8

Hypofunctional Voice charactristics

breathiness

decreased __________

monopitch

breath at word _______

weak ______

potential __________ issues

Answer 8

Hypofunctional Voice charactristics

breathiness

decreased loudness

monopitch

breath at word medial

weak artic

potential cognitive issues

Question 9

tx for hypokinetic disorders

____% effort ____% of the time

_______ training

_________ awareness

speech ______ training

Answer 9

tx for hypokinetic disorders

100% effort 100% of the time

breath training

prosodic awareness

speech rate training

Question 10

hyperfunctional voice characteristics

spasms

cessation of __________

s-s

__________ (unplanned, extraneous movement)

_________ is generally not effective and tx is primarily ___________

Answer 10

hyperfunctional voice characteristics

spasms

cessation of phonation

s-s

dyskinesia (unplanned, extraneous movement)

therapy is generally not effective and tx is primarily medication