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Motor Speech Disorders > Week 9 > Flashcards

Week 9 Flashcards

1
Q

What system is the cerebellum part of?

A

Indirect

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2
Q

What is the purpose of the cerebellum?

A
  • Receives info from and projects info to all levels of the brain
  • Inhibits extra movements sent by cortex
  • Coordination of voluntary movement
  • Balance, coordination, tone, equilibrium control
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3
Q

What are the etiolgies of Ataxic Dysarthria?

A 
Idiopathic
CVA in cerebellum
TBI (boxing - "punch drunk"
Cerebellar tumor
Infection (encephalitis)
Toxicity
Genetics
Demyelinating disease
Cerebellar degeneration/atrophy
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4
Q

What are some global changes of ataxic dysarthria?

A 
Intention/terminal tremor
Decreased motor steadiness - clumsy, fumbling
Slow movement
Decreased coordination
Inaccurate movement - over/undershoot
Ineffective movement
Hypotonic
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5
Q

What is the chest/respiration like in ataxic dysarthria?

A 
Rapid shallow breathing
reduced VC
Difficulty taking deep breaths
Lack of checking action
Decreased air flow rate
Bursts of loudness
Short breath groups
Fading at the end of sentences
Speaking on residual air
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6
Q

What is the larynx/phonation like in ataxic dysarthria?

A

No laryngeal pathology

limited ROM of VFs
Hyperadduction of VFs
Slow vibration
Prosodic changes
excess/equal stress
monopitch/monoloud
Roughness
High pitch
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7
Q

What are the changes in resonance and the velopharynx in ataxic dysarthria?

A

No changes in VP or resonance

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8
Q

What are the lips/jaw/tongue and articulation like in ataxic dysarthria?

A 
Lack of coordination of subsystems
Imprecise
Inaccurate
Slow
Reduced resistance/strength
Changes in place/manner/voicing
Distorted vowels/imprecise consonants
Prolonged phonemes and intervals b/t phonemes
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9
Q

What are AMR/SMR and MPT like in ataxic dysarthria?

A

Dysrhythmic
Slow
Voiceless –> voiced

short MPT duration, breathy, tremors

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10
Q

What is the primary speech deviation in ataxic dysarthria?

A

dysprosody

Prosodic abnormalities:

  • pitch
  • loudness
  • strain
  • duration
  • rhythm
  • rate

Unnatural speech
LACK OF CONSISTENCY OF ERRORS

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11
Q

What are the etiologies of MS?

A
  • Idiopathic degenerative disease

- Genetic (DRB1)

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12
Q

What nervous system is affected in MS?

A

CNS

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13
Q

What age is the usual onset of MS?

A

30s and 40s

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14
Q

Who is most effected by MS?

A

women

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15
Q

What are the types of MS?

A

Relapsing-remitting
Secondary-progressive
Primary-progressive
Progressive-relapsing

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16
Q

What are global changes of MS?

A 
Pervasive weakness
Decreased coordination
Ataxic gait
Intention tremor
Visual loss
Diplopia (double vision)
17
Q

What is the chest/respiration like in MS?

A 
Rapid shallow breathing
Reduced VC
Issues taking a breath
Lack of checking action
Decreased air flow
Reduced loudness
Bursts of loudness
Short breath
Speak on residual air
18
Q

What is the larynx/phonation like in MS?

A 
No laryngeal pathology
Limited ROM of VFs
Hyperadduction of Vfs
Slow vibrations
Roughness
Reduced pitch
19
Q

What are the changes in resonance and the velopharynx in MS?

A

Mild VP air leakage

Hypernasal (mild)

20
Q

What are the lips/jaw/tongue and articulation like in MS?

A

Slow
Imprecise
Inaccurate
Reduced resistance and strength

21
Q

What are AMR/SMR and MPT like in MS?

A

Maybe imprecise

Rough, short duration MPT
Variable loudness

22
Q

What are the etiologies of Friedreich’s ataxia?

A

Autosomal recessive gene FXN

23
Q

What are the global changes of Friedreich’s ataxia?

A 
Dementia
SN deafness
Gait ataxia
Slowly spreads to arms and trunk
Loss of sensation in the extremities
Scoliosis
24
Q

What is the chest/respiration like in Friedreich’s ataxia?

A 
Abnormal respiratory synchrony
Reduced loudness
Bursts of loudness
Short breath groups
Fading at end of the sentence 
Speaking on residual air
25
Q

What is the larynx/phonation like in Friedreich’s ataxia?

A 
No laryngeal pathology
Hypperaddduction of VFs
Slow vibration
Roughness
Breathiness
Strain strangled
Stridor
Fluctuating Pitch
monopitch/loud
pitch breaks
Excess/equal stress
26
Q

What are the changes in resonance and the velopharynx in Friedreich’s ataxia?

A

Mild air leakage

Mild hypernasality

27
Q

What are the lips/jaw/tongue and articulation like in Friedreich’s ataxia?

A 
Lack of coordination
Slow
Imprecise
Inaccurate
Irregular rate
28
Q

What are AMR/SMR and MPT like in Friedreich’s ataxia?

A

Reduced distintion b/t voiced and voiceless
Slow, irregular rate

Irregular changes in pitch and loudness
Roughness
Breathy
Strain-strangled

Motor Speech Disorders (11 decks)

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