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
lee silverman voice treatment
improves speech production in those with hypokinetic dysarthria due to parkinson’s disease
- primary focus on increasing loudness
- intensive treatment and high levels of respiratory and phonatory effort
prompts for restructuring oral and muscular phonetic targets (PROMPT)
uses intricate set of auditory, visual, tactile, and kinesthetic cues via structured finger placement on the face and neck to provide information regarding place, manner, jaw movement, voicing and sound duration for targeted sounds
