Types of Dysarthria and Dysarthria Assessment Flashcards

1
Q

What should a report from a SLP tell us? (4)

A
  • history of disorder
  • physical impairments
  • evaluation
  • goals
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2
Q

What should be considered in the history section of the report? (2)

A
  • cause

- how much it impacts the persons everyday life

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3
Q

What should be considered in the physical examination section of the report? (4)

A
  • range or motion
  • strength
  • rate of movement
  • coordinate movements
    abnormal muscle tension
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4
Q

What are different ways that a motor speech examination can be done?

A
  • through and assessment tool (Frenchay Dysarthria test)
  • listening for and describing deviant speech characteristics (perceptual analysis)
  • using instruments to measure speech characteristics (instrumental analysis)
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5
Q

The motor speech assessment will tell you which subsystems are affected, name 6 of them?

A
  • respiration
  • phonation
  • resonance
  • artic
  • rate of speech
  • prosody
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6
Q

What will the goals tell you for motor speech therapy?

A
  • determine what you will work on

- what level you are working on

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7
Q

What is a sample assessment tool used?

A

Frenchay Dysarthria Assessment

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8
Q

Name the 7 deviant speech characteristics?

A
  1. Articulation
  2. Prosody
  3. Vocal Quality
  4. Resonance
  5. Respiration
  6. Loudness
  7. Pitch
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9
Q

What are we looking for in terms of articulation?

A
  • imprecise consonants

- distorted vowels

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10
Q

What are we looking for in terms of prosody?

A
  • rate (fast or slow)
  • stress (excess or equal)
  • inappropriate pauses
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11
Q

What are we looking for in terms of vocal quality?

A
  • hoarse
  • breathy
  • strained
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12
Q

What are we looking for in terms of resonance?

A
  • nasal air emission

- hypernasality

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13
Q

What are we looking for in terms of loudness?

A
  • overall loudness
  • monoloudness
  • excess variation
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14
Q

What are we looking for in terms of pitch?

A
  • monopitch

- overall pitch level

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15
Q

List the different types of dysarthria (6)

A
  • flaccid
  • spastic
  • hypokinetic
  • hyperkinetic
  • ataxic
  • mixed
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16
Q

What are the clinical characteristics of flaccid dysarthria?

A
  • breathy voice
  • imprecise consonants
  • hypernasality/nasal air emission
  • short phrases
  • audible inspiration

OVERALL: weakness

17
Q

What are the clinical characteristics of spastic dysarthria?

A
  • strained voice
  • monopitch
  • monoloudness
  • slow rate

OVERALL: effortfull; spasticity

18
Q

What are the clinical characteristics of hypokinetic dysarthria?

A
  • reduced loudness and utterance length
  • monopitch
  • reduced stress
  • short rushes of speech
  • increased rate of speech

OVERALL: rigidity, scaling problems

19
Q

What are the clinical characteristics of hyperkinetic dysarthria?

A
  • prolonged intervals
  • variable rate
  • inappropriate silences
  • excess loudness variations
  • sudden forced inspiration or expiration
  • voice stoppages
  • transient breathiness

OVERALL: irregular, involuntary movements

20
Q

What are the clinical characteristics of ataxic dysarthria?

A
  • excess or equal stress
  • irregular artic breakdowns
  • distorted vowels
  • prolonged phonemes
  • excess loudness variations

OVERALL: discoordination

21
Q

What diseases is mixed dysarthria common in?

A

ALS, multiple systems atrophy, etc.