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Motor Speech > quiz 3 > Flashcards

quiz 3 Flashcards

1
Q

management may consist of these 3 components

A

restoring
compensation
adjusting

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2
Q

decisions for treatment are based on these factors

A
  • medical dx and prognosis
  • disability and societal limits
  • environment in which communication will occurs
  • characteristics of communication partners
  • patients motivation and need for communication
  • presence and nature of additional problems affecting communication
  • ongoing changes in health care
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3
Q

treatment should be terminated when

A
  • goal are met
  • true plateauing occurs
  • patient decides they no longer want treatment
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4
Q

medical management includes

A
  • pharmacologic
  • surgical
  • prosthetic (mechanical and electronic devices)
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5
Q

behavioral management can be

A
  • speech oriented

- communication oriented

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6
Q

speech oriented

A
  • focus is on improving INTELLIGIBILITY, efficiency, and naturalness of speech
  • reducing or compensating for underlying impairment
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7
Q

communication oriented

A

-emphasize environmental modification strategies for interacting and repairing breakdowns as they occur

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8
Q

describe the importance of counseling

A

-adults have LOST something
-children still need to DEVELOP
where do you want them to go?

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9
Q

general ideas treatment should focus on

A
  • need to make speech a CONSCIOUS act
  • motor learning principles
  • DRILLS
  • value of instruction, self-learning, and feedback
  • value of consistent and variable practice
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10
Q

what is consistent and variable practice

A
  • instructing patients family, nurse about counseling, intermittent practice throughout the day,
  • decrease frustration
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11
Q

general treatment of flaccid dysarthria

A

INCREASE STRENGTH or COMPENSATE FOR WEAKNESS

  • increase subglotta airpressire (effortful closure)
  • increase max vowel duration
  • increase loudness (LSVT)
  • increase breath group duration
  • teach pt when to take breaths
  • postural adjustments
  • prosthetic aids (mic, voice amp)
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12
Q

general treatment of spastic dysarthria

A

RELAXATION exercises

  • decrease tension
  • soft contacts
  • stretching exercises (oral motor)
  • reduce rate
  • antispasticity meds
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13
Q

general treatment of ataxic dysarthria

A
  • pharacological treatments
  • behavioral focus
  • improve motor control and coordination
  • modify rate and prosody
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14
Q

general treatment of hypokinetic

A

similar to flaccid

  • deep brain stimulation reduces excessive movements
  • pharmacological
  • LSVT
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15
Q

hyperkinetic

A

mostly surgical or pharmacological treatments

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16
Q

unilateral umn dysarthria

A

rate, prosody, and artic

17
Q

speaker oriented RESPIRATION

A
  • increase respiratory support
  • prosthetic assistance
  • behavioral control
  • instrumental biofeedback
18
Q

speaker oriented PHONATION

A

laryngeal surgeries

  • injectable substances for VFs (Botox)
  • pharmicological
  • portable voice amp
  • effortful closure
  • begin phonation after exhale
  • turn head to left or right to close off weaker side
  • lateral digital manipulation (massage)
  • lsvt
19
Q

speaker oriented RESONANCE

A
  • surgical management (pharyngeal flap)
  • prosthetic management (palatal lift, obturator)
  • behavioral management (modifying speech pattern, feedback, non speech VP movements-puff out cheeks-
20
Q

speaker oriented ARTIC

A
  • surgical managements (botox)
  • pharmacological
  • prosthetic
  • behavioral (strengthening, stretching, relaxation, biofeedback)
21
Q

speaker oriented RATE

A
  • -prosthetic (DAF)

- non prosthetic (finger tapping, rhythm cueing, visual feedback)

22
Q

speaker oriented PROSODY AND NATURALNES

A
  • breath groups
  • contrastive stress
  • referential tasks
23
Q

communication oriented SPEAKER

A
  • prepare listeners with alerting signals
  • set context and identify topic
  • modify content, length, structure of sentences
  • use gestures
  • monitor listener comprehension
24
Q

communication oriented LISTENER

A
  • maintain eye contact
  • listen attentively
  • modify physical environment
25
Q

communication oriented INTERACTION

A
  • schedule important interactions
  • choose conductive speaking and listening environment
  • identify breakdowns and establish methods for feedback
  • repair breakdowns
  • establish what words best and when
26
Q

communication oriented treatment of AOS

A

similar to CO treatment for dyarthrias

27
Q

speaker oriented treatment of AOD (behavioral)

A
  • articulation and prosody
  • systematic and intensive drills
  • repetitive motor planning
28
Q

medical intervention AOS

A
  • not directly correlated with treatment of AOS but can help underlying etiology
  • antibiotics for infection
  • anticoagulants to prevent seizures
  • tumor resection, pharyngeal flap
29
Q

prosthetic management AOS

A
  • prosthetics that modify the vocal tract during speech or modify the acoustic signal after is RARE
  • those that promote rate reduction are beneficial (metronome)

Motor Speech (4 decks)

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