Chapter 10 Flashcards
(21 cards)
T/F Mixed dysarthrias are uncommon
false
When would a mixed dysarthria occur?
when there is a neurological damage to two or more parts of the motor system
As a clinician, what would you see in mixed dysarthria?
you may see/hear characteristics of different combinations of pure dysarthrias
T/F prominence of each dysarthria type varies
true
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
What are the most common types of mixed dysarthrias?
Flaccid-spastic Dysarthria
Spastic-ataxic Dysarthria
What type of disease would you see flaccid-spastic dysarthria?
ALS
What type of disease would you see spastic-ataxic dysarthria?
MS
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
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
T/F certain types of mixed dysarthrias are somewhat predictable
true; some diseases are associated with involvement to specific parts of the nervous system
T/F cognitive ability is often affected in mixed dysarthrias
true; individuals with mixed dysarthrias (excluding ALS) often have associated cognitive deficits
T/F mixed dysarthrias are rarely the earliest manifestation of neurologic disease
false; mixed dsyarthrias are often the first signs of neurologic involvement
What is the most common example of a motor neuron disease?
ALS
______ is most common dysarthria type for Friedrich’s ataxia
ataxic
What are the early signs of Progressive supranuclear palsy (PSP)?
dysarthria and dysphagia
T/F lots of MS patients will have speech issues
false
list 5 speech productions errors for pts with dysarthria
- impaired loudness control
- harsh voice quality
- imprecise articulation
- breathiness
- hypernasality
list the type of dysarthria for ALS if there is…
- LMN involvement
- UMN involvement
- both UMN and LMN
- flaccid
- spastic
- mixed spastic/flaccid
What is one way you can approach mixed dysarthrias during treatment?
focus on most severe area first, then anther area
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
