Speech characteristics Flashcards
What are the most common distinguishing characteristics for flaccid dysarthria?
phonatory and resonatory characteristics
What are the primary features of spastic dysarthria?
slow rate, irregular AMRs, strained/strangled voice
common features for ataxic dysarthria?
irreg AMRs, dysprosody
hypokinetic dysarthria features
rapid blurred speech and AMRs *palilalia
Hyperkinetic
abnormal movements
UUMN
Mild and transient. mildly irregular AMRs, mildly spastic voice
***rare hypernasality
What is the best way to assess for speech in AOS?
- Use volentary speech tasks convo/narratives/reading
- Use tasks (reading/repition) that require sequencing sounds and syllables (SMRs&multisyllabic words/long sentences/bulding words up morphologically)
What should you do with a pt with AOS and aphasia to zero in on the AOS
Tasks should be imitation based. This eliminates word finding, which brocas is known to be problematic for.
Where is a agood place to start to test severity of AOS?
Overlearned tasks (counting/days of the week/familiar phrases)
What are major speech problems with AOS?
Rate and prosody
Primary articulation error is __________ NOT _________
It is DISTORTION…. NOT Substitution!!
If a pt is not able to produced overlearned tasks, what should we do?
Start with imitative tasks (CVC and building up complexity)
What are HUGE indicators of AOS?
Groping, False artic starts (Consistant-predictable Disortions), Irregular (slow between syllables)Rate and irregular Prosody
This all results in dysfulency (false starts and stops) since they are attempting self correction, and groping
How to differenciate between paraphasias and AOS errors
paraphasias no articulatory deficits — with AOS the artic component degrades as the complexity increases (clusters)
What can happen with severe AOS?
May not be able to phonate at first (mute) after 2 weeks this subsides
If it does not subside it could be severe aphasia anarthria or psychogniec mutism
