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53 Cards in this Set

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Table 15-1
GOOD LUCK!
Which dysarthria is characterized by:
-hypernasality
-breathiness
-nasal emission
-short phrases
-speaking on inhalation
-rapid deterioration with recovery at rest
FLACCID DYSARTHRIA
Which dysarthria is characterized by:
-harshness
-low pitch
-slow rate
-strained-strangled quality
-pitch breaks
-slow and regular AMRs
SPASTIC DYSARTHRIA
Which dysarthria is characterized by:
-excess and equal stress
-irregular articulatory break downs
-irregular AMR's
-distorted vowels
-excess loudness variation
-prolonged phonemes
-telescoping syllables
ATAXIC DYSARTHRIA
Which dysarthria is characterized by:
-monopitch
-reduced stress
-mono loudness
-inappropriate silences
-short rushes of speech
-variable rate
-increased overall rate
-rapid "blurred" AMRs
-repeated phonemes
-palilalia
HYPOKINETIC DYSARTHIA
Which dysarthria is characterized by:
-irregular AMR's
-distorted vowels
-excess loudness variation
-prolonged intervals
-sudden forced inspiration/expiration
-voice stoppages/arrests
-transient breathiness
-voice tremor
-slow and regular AMR's
-marked deterioration with increased rate
-inappropriate vocal noises
(I didn't include them all on this slide, I think you should be able to get it from these characteristics...)
HYPERKINETIC DYSARTHRIA
Which dysarthria is characterized by:
-markedly variable characteristics
-slow rate,
-irregular articulatory breakdowns
-irregular AMR's
-reduced loudness
UNILATERAL UMN DYSARTHRIA
Main Symptom: FLACCID DYSARTHRIA
weakness
Main Symptom: HYPERKINETIC DYSARTHRIA
unwanted movements that can affect all of the speech characteristics
Main Symptom: ATAXIC DYSARTHRIA
Incoordination and reduced muscle tone
Main Symptom: SPASTIC DYSARTHRIA
strained quality and slow and regular AMR
(weakness and spacisiticy)
Main Symptom: HYPOKINETIC DYSARTHRIA
Rigidity and reduced ROM
Main Symptom: UUMN DYSARTHRIA
Weakness and incoordination; slurred speech
Confirmatory Signs: FLACCID
atrophy and fasiculations
Confirmatory Signs: SPASTIC
presence of reflexes and psudobulbar affect
Confirmatory Signs: HYPOKINETIC
masked facial expression, jaw, lip tongue, low amp tremors, reduced ROM on AMR tasks
Chapter 15 Distinguishing among the Dysarthrias
:)
Which dysarthrias are NOT associated with supratentorial lesions or lesions in the distribution of the ant, mid, or post, cerebral arteries?
FLACCID and ATAXIC
Which dysarthria is associated only with supratentorial lesions?
Hypokinetic
Posterior fossa lesions and lesions in distribution of the verterbrobasilar system may cause ____ type of dysarthria except______.
any type of dysarthria except hypokinetic
Which dysarthria type is associated with lesions at the spinal and peripheral levels of the nervous system and their associated vascular supply?
FLACCID
ALS causes what type of dysarthria?
FLACCID or SPASTIC
Parkinson's causes what type of dysarthria?
HYPOKINETIC
T/F Traumatic brain injury can cause any type of dysarthria.
T
T/F Surgical Trauma causes HYPOKINETIC dysarthria.
F- it causes all types EXCEPT HYPOKINETIC
What type of surgeries are associated with flaccid dysarthrias?
Ear, nose, throat, cardiac/chest surgeries
Do infections and inflammatory conditions cause dyarthrias?
It is possible but it is not common.
Which type of dysarthria is associated with Anatomic Malformation?
FLACCID
Multiple Sclerosis causes which type of dysarthria most frequently?
ATAXIC
These are the Oral Mech Findings of which Dysarthria?
-Atrophy/fasciculations
-Hypotonia and Hypoactive gag relex
-Rapid deterioration in strength of speech muscles during nonspeech tasks
-Nasal regurgitation (possible)
FLACCID
These are the Oral Mech Findings of which Dysarthria?
-pathologic reflexes
-hyperactive gag reflex
-pseudobulbar affect
-dysphagia and drooling
SPASTIC
These are the Oral Mech Findings of which dysarthria?
-normal oral mech is not uncommon
-the movements of the jaw, face, and tongue might be dysmetric
ATAXIC
These are the Oral Mech Findings of which dysarthria?
-Facial masking
-tremulousness of orofacial structures
-reduced range of movement or nonspeech AMRs
HYPORKINETIC
These are the Oral Mech Findings of which dysarthria?
-quick/slow patterned/unpatterned adventitous movements
-presence of abnormal, involuntary movements in orofacial muscles
HYPERKINETIC
These are the Oral Mech Findings of which dysarthria?
-unilateral right or left cranial or lingual weakness without atrophy and fasiculations
UNILATERAL UPPER MOTOR NEURON
FLACCID
These are the Oral Mech Findings of which Dysarthria?
-Atrophy/fasciculations
-Hypotonia and Hypoactive gag relex
-Rapid deterioration in strength of speech muscles during nonspeech tasks
-Nasal regurgitation (possible)
What are the Oral Mech Findings of SPASTIC dysarthria?
These are the Oral Mech Findings of which Dysarthria?
-pathologic reflexes
-hyperactive gag reflex
-pseudobulbar affect
-dysphagia and drooling
What are the Oral Mech Findings of ATAXIC dysarthria?
These are the Oral Mech Findings of which dysarthria?
-normal oral mech is not uncommon
-the movements of the jaw, face, and tongue might be dysmetric
What are the Oral Mech Findings of HYPOKINETIC dysarthria?
These are the Oral Mech Findings of which dysarthria?
-Facial masking
-tremulousness of orofacial structures
-reduced range of movement or nonspeech AMRs
What are the Oral Mech Findings of HYPERKINETIC dysarthria?
These are the Oral Mech Findings of which dysarthria?
-quick/slow patterned/unpatterned adventitous movements
-presence of abnormal, involuntary movements in orofacial muscles
What are the Oral Mech Findings of UUMN dysarthria?
These are the Oral Mech Findings of which dysarthria?
-unilateral right or left cranial or lingual weakness without atrophy and fasciculations
What are the speech characteristics of FLACCID Dysarthria?
1. Phonatory and resonatory abnormalities
2. Continuous breathiness, diplophonia, audible inspiration, nad short phrases-due to vocal fold or laryngeal-respiratory weakness (CN X-Vagus)
3. Hypernasality
4. Audible nasal emission and nasal snorting
5. Only one with rapid deterioration of speech (recovery with rest) in MG
What are the speech characteristics of SPASTIC Dysarthria?
1. Slow rate, slow and regular speech AMRs, and strained, strangeled voice quality (together =spastic)
2. Slow rate and excess and equal stress can make spastic look like ataxic but ataxic does NOT have strained-strangled voice
What are the speech characteristics of ATAXIC Dysarthria?
1. Irregular articulatory breakdowns during connected speech
2. Irregular speech AMRs
3. dysprosody
What are the speech characteristics of HYPOKINETIC Dysarthria?
1. Monopitch, monoloudness, reduced stress, and loudness
2. Rapid or accelerated rate
3. Rapid or blurred AMRs
What are the speech characteristics of HYPERKINETIC Dysarthria?
1. Involuntary movements of jaw, face, and tongue during speech
2. Tremor or palatophayrngeal myoclonus
3. Unpredictable and variable speech abnormalities, such as chorea & dystonia
4. Abnormal noises interrupt speech or produced when pt not speaking
What are the speech characteristics of UUMN dysarthria?
1. Mildness
2. Rarely accompanied by resonance or voice abnormalities
3. Never associated with atrophy or fasciculations
4. AMRs may be regular despite irregular articulatory breakdowns during contextual speech.
These are the speech characteristics of which type of dysarthria?

1. Phonatory and resonatory abnormalities
2. Continuous breathiness, diplophonia, audible inspiration, nad short phrases-due to vocal fold or laryngeal-respiratory weakness (CN X-Vagus)
3. Hypernasality
4. Audible nasal emission and nasal snorting
5. Only one with rapid deterioration of speech (recovery with rest) in MG
FLACCID
These are the speech characteristics of which type of dysarthria?
1. Slow rate, slow and regular speech AMRs, and strained, strangeled voice quality (together =spastic)
2. Slow rate and excess and equal stress can make spastic look like ataxic but ataxic does NOT have strained-strangled voice
SPASTIC
These are the speech characteristics of which type of dysarthria?
1. Irregular articulatory breakdowns during connected speech
2. Irregular speech AMRs
3. dysprosody
ATAXIC
These are the speech characteristics of which type of dysarthria?
1. Monopitch, monoloudness, reduced stress, and loudness
2. Rapid or accelerated rate
3. Rapid or blurred AMRs
HYPOKINETIC
These are the speech characteristics of which type of dysarthria?
1. Involuntary movements of jaw, face, and tongue during speech
2. Tremor or palatophayrngeal myoclonus
3. Unpredictable and variable speech abnormalities, such as chorea & dystonia
4. Abnormal noises interrupt speech or produced when pt not speaking
HYPERKINETC
These are the speech characteristics of which type of dysarthria?
1. Mildness
2. Rarely accompanied by resonance or voice abnormalities
3. Never associated with atrophy or fasciculations
4. AMRs may be regular despite irregular articulatory breakdowns during contextual speech.
UUMN