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43 Cards in this Set
- Front
- Back
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Increasing Respiratory Support
May be indicated for.... |
pts who can sustain only <5 cm steady subglottic air pressure on water for 5 seconds;
pts unable to sustain consistent air pressure for 2 seconds; or pts who are unable to produce more than one word per breath group during speech |
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name two things you could use to help a client learn to sustain consistent air pressure
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glass manometer
visipitch |
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what is optimal breath group?
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The number of syllables spoken comfortable in 1 breath
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t/f client may have to be referred to respiratory medicine before therapy can begin
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true
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what are the 2 goals for maximum vowel prolongation?
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loudness and duration
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what is the purpose of pushing/pulling/bearing down exercises?
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may help increase respiratory support
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describe some examples of prosthetic assistance for respiration
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trussing (corset)
expiratory board/paddle mounted on wheel chair |
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What type benefits most from neck breathing, glossopharyngeal breathing, and pushing/pulling?
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flaccid
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what is inspiratory checking?
what type benefits most from it? |
Flaccid
use of inspiratory muscles to "check" or control exhaltory forces to maintain steady subglottal pressure |
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what is a goal of "speaking at onset of exhalation?
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reduces air wastage
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What types benefit from breathy onset
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spastic and hyperkinetic
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turn head during speech is best for which type
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flaccid
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effort closure techniques, best for what type?
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flaccid and hypokinetic
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artifical larynx best for which type?
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flaccid
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name some prosthetic devices for phonation
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amplifier
vocal intensity controller artificial larynx |
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botox best for which type
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hyperkinetic
(ADSD) *effect is not permanent |
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pallidotomy, thalamotomy, and deep brain stimulation are best for what type?
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hypokinetic
**these are not intended to improve speech....more for movement disorders |
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what are teh primary goals for phonation behavioral management?
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increase utterence length per breath group
increase loudness |
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what can you do to judge resonance?
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Compare speech with nares occluded vs unoccluded,
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resonance
1. surgical treatment____ 2. prosthetic treatment_______ which type? |
1. pharygeal flap
2. palatal lift FLACCID |
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Strength training is a resonance treatment for which type?
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flaccid
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bite block best for which type?
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hyperkinetic
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should myasthnia gravis patients have medical treatment or drill?
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medical
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which type would benefit from relaxation ?
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spastic
hyperkinetic |
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list the typical artic approaches
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integral stimulation
phonetic placement intelligibility drills exagerated artic phonetic derivation contrasts |
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are strengthening exercises controversial?
who may benefit from them? |
yes
flaccid |
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who benefits most from sensory tricks?
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hyperkinetic
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who does NOT benefit from traditional artic therapy?
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hyperkinetic
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who benefits most from botox injections?
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hyperkinetic
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what is typically the best variable for improving intelligibility?
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rate
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who should not use finer tapping?
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hyperkinetic and PD?
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what are some things you can do for rate (prosthetic adn non-prosthetic)
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finger tapping
rhythmic cueing visual feedback alphabet board pacing board DAF |
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what is the difference between contrastive stress tasks and referential stress tasks?
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contrastive: segmental info does not vary, but stress patterns do
referential: reads random phrases, contains prespecified stress targets that are unknown to listener |
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T/F: effort closure techniques and surgical procedures to medialize vfs are good for spastic
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FALSE
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relaxation exercises are recommended for___________
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spastic
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t/f: surgery is NOT recommened for ataxic
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TRUE
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what is most important for ataxic
modify ______and ___________ |
rate and prosody
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LSVT is recommended for _______
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flaccid
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surgical is recommend for which types?
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flaccid
hypo hyper (NOT spastic, ataxic, or uni) |
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what are some behavioral treatments for hypo?
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rate control: daf, pacing board, finger tapping
optimal posture voice amplifier |
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treatment for hyper is primarily_______
but also____________ |
surgical adn pharmolcologic
(movements that cause speech disturbance are not under voluntary control) bite block adn sensory tricks |
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ADSD benefits from what?
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botox
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UNI UMN is usually mild, so _____ is not recommened
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surgery
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