Chapter 10

Question 1

T/F Mixed dysarthrias are uncommon

Answer 1

false

Question 2

When would a mixed dysarthria occur?

Answer 2

when there is a neurological damage to two or more parts of the motor system

Question 3

As a clinician, what would you see in mixed dysarthria?

Answer 3

you may see/hear characteristics of different combinations of pure dysarthrias

Question 4

T/F prominence of each dysarthria type varies

Answer 4

true

Question 5

T/F prominence of dysarthria type that is most evident doesn’t change over time

Answer 5

false; it can change over time

Ex: in ALS can evolve from first just flaccid dysarthria to spastic flaccid dysarthria

Question 6

What are the most common types of mixed dysarthrias?

Answer 6

Flaccid-spastic Dysarthria

Spastic-ataxic Dysarthria

Question 7

What type of disease would you see flaccid-spastic dysarthria?

Answer 7

ALS

Question 8

What type of disease would you see spastic-ataxic dysarthria?

Answer 8

MS

Question 9

T/F mixed dysarthrias occur more frequently than single dysarthria types

Answer 9

true– dysarthria often reflects damage to more than one component of speech motor system

Question 10

T/F mixed dysarthrias can be caused by many conditions, Degenerative diseases are the 3rd most common

Answer 10

false; degenerative disease are the most frequent cause

Question 11

T/F certain types of mixed dysarthrias are somewhat predictable

Answer 11

true; some diseases are associated with involvement to specific parts of the nervous system

Question 12

T/F cognitive ability is often affected in mixed dysarthrias

Answer 12

true; individuals with mixed dysarthrias (excluding ALS) often have associated cognitive deficits

Question 13

T/F mixed dysarthrias are rarely the earliest manifestation of neurologic disease

Answer 13

false; mixed dsyarthrias are often the first signs of neurologic involvement

Question 14

What is the most common example of a motor neuron disease?

Answer 14

ALS

Question 15

______ is most common dysarthria type for Friedrich’s ataxia

Answer 15

ataxic

Question 16

What are the early signs of Progressive supranuclear palsy (PSP)?

Answer 16

dysarthria and dysphagia

Question 17

T/F lots of MS patients will have speech issues

Answer 17

false

Question 18

list 5 speech productions errors for pts with dysarthria

Answer 18

1. impaired loudness control
2. harsh voice quality
3. imprecise articulation
4. breathiness
5. hypernasality

Question 19

list the type of dysarthria for ALS if there is…

1. LMN involvement
2. UMN involvement
3. both UMN and LMN

Answer 19

1. flaccid
2. spastic
3. mixed spastic/flaccid

Question 20

What is one way you can approach mixed dysarthrias during treatment?

Answer 20

focus on most severe area first, then anther area

Question 21

How would you order the components of speech so they would support each other?

Answer 21

respiration
resonance
phonation
articulation
prosody
*if one component of speech has 2 major issues, treat the most severe issue first