Spastic Dysarthria

Question 1

Spastic Dysarthria is a perceptually distinctive MSD produced by ______ damage.

Answer 1

bilateral UMN

Question 2

Where does damage occur to cause spastic dysarthria?

Answer 2

damage to the direct and indirect activation pathways of the CNS

Question 3

Characteristics reflect the combined effects of _____ and _____ in a manner that slows movement and recudes range and force.

Answer 3

weakness and spasticity

Question 4

Speech characteristics of spastic dysarthria are not associated w/ weakness of individual muscles bu _____.

Answer 4

impaired movement patterns

Question 5

Speech of an individual with spastic dysarthria is ____, _____, and has a ____ voice quality.

Answer 5

slow
effortful
harsh

Question 6

Spastic Dysarthria is AKA

Answer 6

pseudobulbar pasly

Question 7

Spastic Dysarthria is a diesease of the ?

Answer 7

Corticobulbar tracts

Question 8

Increased muscle tone of spasticity in various muscles of the vocal tract

Answer 8

s/s distincitive from other MSD

Question 9

weakness, reduced range of motion and decreased fine motor control

Answer 9

s/s distinctive from other MSD

Question 10

Direct activation pathways are responsible for _____ motor control for face and body.

Answer 10

voluntary

Question 11

Indirect activation pathways are responsible (mostly) for _____ control.

Answer 11

involuntary/automatic

Question 12

If damaged, pyramidal system can cause …

Answer 12

weakness, slowness in speech musculature

Question 13

If damaged, extrapyramidal system can cause …

Answer 13

increased muscle tone, abnormal reflexes

Question 14

T or F? Selective damage to only the pyramidal or extrapyramidal system is commong.

Answer 14

False; it is NOT common

UMN lesions to both pathways

Question 15

Which is more serious, UUUM or Spastic?

Answer 15

Spastic, b/c bulbar tracts are bilaterally innervated

Question 16

Spastic Dysarthria can be accompanied by what cognitive disturbances?

Answer 16

Dementia, cognitive-communication deficits associated w/ RHD, TB or apahsia.

Question 17

What are causes of spastic dysarthria?

Answer 17

CP, single stroke to brainstem or multiple strokes to other areas, ALS, TBI, and MS. Tumors.

Question 18

Uncontrollable crying or laughing that can accompany damage to UMN of brainstem.

Answer 18

Pseudobulbar affect

Question 19

Speech errors in spastic dysarthria are a result of?

Answer 19

Spasticiy
Slowness
Weakness

Question 20

Articulation erros in spastic dysarthria are …

Answer 20

very common

imprecise consonant production and vowel distortions

Question 21

What is the most common artic error in spastic dysarthria?

Answer 21

imprecise consonant production

Question 22

What is the most common phonatory error?

Answer 22

harsh vocal quality

Question 23

What kind of vocal quality is characteristic of spastic dhysphonia?

Answer 23

strained-strangled vocal quality

Question 24

strained-strangled vocal qualty : ?

Answer 24

tight hyperadduction of VFs

Question 25

Hypersnaslity is present in spastic dysarthria but with no ?

Answer 25

nasal emission

Question 26

What prosody speech characteristics are present in SD?

Answer 26

monopitch
monoloudness
short phrases
slow AMRS w/ reduced ROM

Question 27

T or F? Problems of respiration play a great role in SD?

Answer 27

False; they do NOT

Question 28

What are phonation/prosody problems more likely a result of?

Answer 28

hyperadduction of vocal folds

Question 29

What distintive features does SD have?

Answer 29

strained harsh voice quality, accompanied by monopitch/monoloudness and slow speech

Question 30

Pt complaints of SD

Answer 30

• slow/effortful speech
• drooling
• swallowing difficulty
• difficulty controlling emotions
• increased nasality
• reduced intelligibility
• fatigue associated w/ speaking