Types of Dysarthria and Dysarthria Assessment Flashcards
What should a report from a SLP tell us? (4)
- history of disorder
- physical impairments
- evaluation
- goals
What should be considered in the history section of the report? (2)
- cause
- how much it impacts the persons everyday life
What should be considered in the physical examination section of the report? (4)
- range or motion
- strength
- rate of movement
- coordinate movements
abnormal muscle tension
What are different ways that a motor speech examination can be done?
- through and assessment tool (Frenchay Dysarthria test)
- listening for and describing deviant speech characteristics (perceptual analysis)
- using instruments to measure speech characteristics (instrumental analysis)
The motor speech assessment will tell you which subsystems are affected, name 6 of them?
- respiration
- phonation
- resonance
- artic
- rate of speech
- prosody
What will the goals tell you for motor speech therapy?
- determine what you will work on
- what level you are working on
What is a sample assessment tool used?
Frenchay Dysarthria Assessment
Name the 7 deviant speech characteristics?
- Articulation
- Prosody
- Vocal Quality
- Resonance
- Respiration
- Loudness
- Pitch
What are we looking for in terms of articulation?
- imprecise consonants
- distorted vowels
What are we looking for in terms of prosody?
- rate (fast or slow)
- stress (excess or equal)
- inappropriate pauses
What are we looking for in terms of vocal quality?
- hoarse
- breathy
- strained
What are we looking for in terms of resonance?
- nasal air emission
- hypernasality
What are we looking for in terms of loudness?
- overall loudness
- monoloudness
- excess variation
What are we looking for in terms of pitch?
- monopitch
- overall pitch level
List the different types of dysarthria (6)
- flaccid
- spastic
- hypokinetic
- hyperkinetic
- ataxic
- mixed
What are the clinical characteristics of flaccid dysarthria?
- breathy voice
- imprecise consonants
- hypernasality/nasal air emission
- short phrases
- audible inspiration
OVERALL: weakness
What are the clinical characteristics of spastic dysarthria?
- strained voice
- monopitch
- monoloudness
- slow rate
OVERALL: effortfull; spasticity
What are the clinical characteristics of hypokinetic dysarthria?
- reduced loudness and utterance length
- monopitch
- reduced stress
- short rushes of speech
- increased rate of speech
OVERALL: rigidity, scaling problems
What are the clinical characteristics of hyperkinetic dysarthria?
- prolonged intervals
- variable rate
- inappropriate silences
- excess loudness variations
- sudden forced inspiration or expiration
- voice stoppages
- transient breathiness
OVERALL: irregular, involuntary movements
What are the clinical characteristics of ataxic dysarthria?
- excess or equal stress
- irregular artic breakdowns
- distorted vowels
- prolonged phonemes
- excess loudness variations
OVERALL: discoordination
What diseases is mixed dysarthria common in?
ALS, multiple systems atrophy, etc.
