Assessment Flashcards
Perceptual Ax
Ax of Intelligibility of Dysarthric speech
Parts of Frenchay
Rationale - estimated view of how intelligible the pateits speech if by unfamiliar listener - outcome measure too.
Oro-motor exam
Tells underlying neurophysiology, including; strengths, speed, range, accuracy, steadiness, tone and symmetry.
Acoustic Ax
PRATT
Rationale: break down aspects such as frequency and amplitude.
Frenchay Dysarthria Ax
Consists of eight sections, main aim is for dd of dysarthria - describe type of dysarthria, end up with bar chart of strengths and weaknesses, new edition incorporates new knowledge of MSDs.
Intelligibility section - reading aloud.
Key words at end of sentences - fatigue?
Robertson Dysarthria Profile
Provide profile of abilities/disabilities. Descriptive rather than classification. Treatment planning as priority. Areas covered: voice, respiration, articulation, prosody, rate, intelligibility, reflexes, ddk.
Ax of Activity and Participation
Communicative Effectiveness survey (CETI-M).
Dysarthria Impact Profile - understand wider impacts of dysarthria on the person.
Some specific ax tasks
Conversational speech and reading - observe resonance, articulation, prosody, respiration and phonation, AMR, Prolonged vowel (breathy), repetition of sentences - uncoordinated movements, observation of facial muscles during speech - unpredictable movements of face/mouth.
Assessment of alternating motion rates (AMRs) and sequential motion rates (SMRs) or diadochokinetic rates
to judge speed and regularity of jaw, lip, and tongue movement and, to a lesser extent, articulatory precision (see Kent, Kent, & Rosenbek, 1987)
Completion of a cranial nerve exam
(CN V, VII, IX, X, XI, XII)—to assess facial, oral, velopharyngeal, and laryngeal function and symmetry
Assessment of sustained vowel prolongation
to determine if there is adequate pulmonary support and sufficient laryngeal valving for phonation
