quiz 8 Flashcards
difference between apraxia and dysarthria
- apraxia= issue with motor speech planning/programming
- dysarthria= issue with neuromuscular execution of motor speech
flaccid dysarthria
communication profile
- breathy, nasal voice
- imprecise consonants
spastic dysarthria
communication profile
- strained-strangled, harsh vocal quality
- slow rate
- imprecise consonants
ataxic dysarthria
communication profile
- irregular articulatory breakdowns
- excessive and equal stress
hypokinetic dystarthria
communication profile
- rapid rate
- reduced loudness
- monopitch & monoloudness
hyperkinetic dysarthria
communication profile
- prolonged phonemes
- variable rate
- inappropriate silences
- voice stoppages
unilateral upper motor neuron dysarthria
communication profile
- thick and slow speech (deteriorates iwth fatigue and stress)
- harsh vocal quality
- consonant imprecision, slow rate
3 types of assessment of speech during nonspeech activities
- the oral mechanism
- the larynx & respirration
- reflexes
assessment of…
4 specific tasks used in an auditory-perceptual speech evaluation
- speech tasks
- simplified speech tasks
- citation tasks
- language formulation tasks
speech tasks
designed to isolate respiratory, phonatory, articulatory, and velopharyngeal systems
- vowel prolongation, alternating motion rate, sequential motion rate
- contextual speech, stress testing, assessment of motor speech programming
used in an auditory-perceptual speech evaluation
simplified speech tasks
vowel prolongation; alternating motion rate; sequential motion rate
used in an auditory-perceptual speech evaluation
citation tasks
repetition of sounds, syllables, words, and sentences, & the production of automatic speech stimuli
used in an auditory-perceptual speech evaluation
language formulation tasks
require patient to generate ideas and concepts and communicate them using semantic, phonological, and syntactic processes
- conversation, narrative discourse, and oral reading tasks
used in an auditory-perceptual speech evaluation
postural mangagement
poor posture may result in decreased respiratory support
- have patient sit in upright position to decrease pressure on and restriciton of abdomen
prosthetic management for velopharyngeal function
- palatal lift: dental appliance including a plate that covers majority of the hard palatae and more narrow, posterior extension fo the palate that lifts the soft palate to improve velopharyngeal closure
- used with stable recovering or progressive dysarthria