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Flashcards in Chapter 10 Deck (21)
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1

T/F Mixed dysarthrias are uncommon

false

2

When would a mixed dysarthria occur?

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

3

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

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

4

T/F prominence of each dysarthria type varies

true

5

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

false; it can change over time
Ex: in ALS can evolve from first just flaccid dysarthria to spastic flaccid dysarthria

6

What are the most common types of mixed dysarthrias?

Flaccid-spastic Dysarthria
Spastic-ataxic Dysarthria

7

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

ALS

8

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

MS

9

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

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

10

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

false; degenerative disease are the most frequent cause

11

T/F certain types of mixed dysarthrias are somewhat predictable

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

12

T/F cognitive ability is often affected in mixed dysarthrias

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

13

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

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

14

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

ALS

15

______ is most common dysarthria type for Friedrich's ataxia

ataxic

16

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

dysarthria and dysphagia

17

T/F lots of MS patients will have speech issues

false

18

list 5 speech productions errors for pts with dysarthria

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

19

list the type of dysarthria for ALS if there is...
1. LMN involvement
2. UMN involvement
3. both UMN and LMN

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

20

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

focus on most severe area first, then anther area

21

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

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