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13 Cards in this Set

  • Front
  • Back
*
Oral Physical Exam
a. mouth
b. tongue
c. velopharynx
d. larynx
**
Speech Exam
a. phonation
b.resonation
c. articulation
d. apraxia screening
e. stress test
***
Mouth
a. rest
b. smiling
c. rounding
d. puffing
e. jaw mvmt (deviation and resistance)
f. sucking reflex
****
Tongue
a. rest - just over lower teeth
b. protrusion - turn to left then right to look for fasciculations, look for symmetry
c. wiggle - look for normal rate and range of mvmt
d. anterior strength - press against with tongue blade
e. lateral strength - press against cheek
*****
Velopharynx
a. rest
b. phonation
c. pharynx, phonation
d. nasal emission
e. gag reflex (ask)
f. bite lower lip, lick lips, cough
a
Larynx
a. quiet breathing
b. vowel prolongation
c. coup de glotte
d. contextual speech
aa
Phonation
a. vowel prolongation: steadiness, loudness, and quality
b. produce glottal: normal sharpness
aaa
Resonation
a. non-nasal sentences: we see three geese, the big black dog caught the stick
b. nasal sentences: mother makes money
aaaa
Articulation
a. amr - alternate motion rate
b. smr - sequential motor rate
c. contextual speech
aaaaa
Apraxia Screening
a. multi-syllabic words: snowman, gingerbread, impossibility, statistical analysis
b. contextual speech: standard passage reading or spontaneous speech about something they're interested in/excited about
b
Stress Test
a. testing for Myasthenia Gravis (count starting at 1)
bb
Patient One - Mild ALS
a. mixed dysarthria
b. speech: slow, ok artic, ok resonance, poor voice quality (raspy), strong coup de glotte, slow/uneven/poor artic amr
c. oral: could see teeth, poor range of mvmt for tongue, and resist depressor
bbb
Patient Two - Advanced ALS
a. speech: slow, imprecise artic, hoarse phonation, hypernasal, slow and reg amr, /a/ tremor, fasciculation of tongue at rest, atrophy, bilateral mouth weakness, no distinction in sentences with grandfather passage