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Voice and Speech KCA > Duffy Motor Speech > Flashcards

Duffy Motor Speech Flashcards

1
Q

Combined processes of speech motor planning, programming, control and execution

A

Motor Speech Processes

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2
Q

Speech disorders resulting from neurological impairments affecting the planning, programming, control or execution of speech.

A

Motor speech disorders

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3
Q

Collective name for neurological speech disorders that reflect abnormalities in speech, speed, range, steadiness, tone or accuracy of movements required for breathing, phonatory, resonatory, articulatory or prosodic aspects of speech production

A

Dysarthria

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4
Q

A neurological speech disorder that reflects impaired capacity to plan or program sensorimotor commands necessary for during movements that result in phonetically and prosodically normal speech

A

Apraxia of speech

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5
Q

Rely primarily on auditory perceptual attributions of speech

A

Perceptual

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6
Q

The three instrumental analsysis of speech

A

Acoustic, physiological and visual imaging

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7
Q

Methods that can visually display and numerically quantify frequency, intensity, temporal component of speech

A

Acoustic

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8
Q

Measurement that focuses on muscles contractions that generate movements

A

Physiologic

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9
Q

What are the the factors of categorising motor speech disorders?

A

Age at onset, course, site of lesion, neurological diagnosis, pathophysiology

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10
Q

What are the variables relevant to speech disorders?

A

Speech components involved, severity and perceptual characeristics

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11
Q

What is the localisation of flaccid dysarthria and neuromotor bases specific?

A

Lower motor neuron and weakness

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12
Q

What is the localisation of spastic dysarthria and neuromotor bases specific?

A

Bilateral upper motor neuron and spasticity

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13
Q

What is the localisation of ataxic dysarthira and neuromotor bases specific?

A

Cerebellum and incoordination

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14
Q

What is the localisation of hypokinetic dysarthria and neuromotor bases specific?

A

Basal ganglia and rigidity

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15
Q

What is the localisation of hyperkinetic dysarthria and neuromotor bases specific?

A

Basal gangalia and involuntary movements

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16
Q

What is the localisation of apraxia and neuromotor bases specific?

A

Left hemisphere and programming

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17
Q

What do the final common pathways of speech include that supply muscles involving phonation, resonance, articulation and prosody as well as involved in speech breathing and prosody.

A

Paired cranial nerves and paired spinal nerves

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18
Q

What is the trigeminal nerve responsible for?

A

sensation of the face and anterior tongue, jaw motor movement, motor movement trigeminal nerve,

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19
Q

What is the facial nerve responsible for?

A

Motor muscles of the face and lip

20
Q

What is the glosso pharyngeal nerve responsible for?

A

Raise and dilate of pharynx, taste sensation of the tongue, gag reflex

21
Q

What is the vagus nerve for?

A

Motor muscles of the larynx, sensory of the lower larynx

22
Q

What is the tongue nerve for?

A

Motor muscles of the tongue

23
Q

Speech is manifested through movements triggered by what which innervate breathing, phonatory, resonatory and articulatory muscles

A

Spinal nerves and cranial nerves

24
Q

What are the 3 essential components of motor speech examination

A

Case history, salient speech features and identify confirmatory signs

25
Q

Salient features

A

Features that contribute most directly and influentially to diagnosis

26
Q

What are examples of salient features in motor speech?

A

strength, speed, range, steadiness, tone, accuracy

27
Q

What are two things you can do to examine the larynx?

A

Look at the integrity of the vocal fold adduction, ask the client to produce a glottal coup

28
Q

How do you assess gross integrity of vocal fold adduction?

A

Ask the patient to cough or ask the patient to produce a glottal coup

29
Q

What does a weak cough but sharp glottal coup mean

A

Respiratory weakness

30
Q

What does a weak coup but normal cough indicate

A

Laryngeal weakness and respiratory weakness

31
Q

What is involved in the MSD rating scale?

A

Pitch, loudness, voice quality, resonance respiration, prosody, articulation, other

32
Q

What is the assessment for dysarthria?

A

Frenchay dysarthria assessment

33
Q

What is the assessment for apraxia?

A

Apraxia battery for adults

34
Q

What is the primary goal of management of dysarthria?

A

To maximise effectiveness, efficiency or naturalness of communication

35
Q

What is the first component of speech that should be treated?

A

Greatest functional benefit

36
Q

What are 5 distinguishable methods of dysarthria management?

A

medical intervention, prosthetic management, behavioural management, AAC, counselling and support

37
Q

What is the dysarthria management that involved directly modifying what happened in the vocal tract during speech and helping to decrease abnormality including a palatal lit prosthesis that may help decrease hypernasality.

A

Prosthetic Management

38
Q

What are some prosthetic management methods that help alter the rate of prosody?

A

Pacing boards, metronomes, delayed auditory feedback

39
Q

What are the two forms of behavioural management for motor speech disorders?

A

Speech oriented and communication oriented

40
Q

Behavioural management approach that involved improving speech intelligibility and improving efficiency and naturalness of communication.

A

Speech oriented

41
Q

Treatments to decrease impairments by increasing physiological support attempt to remediate deficits in…?

A

Posture, strength and control

42
Q

Increasing naturalness of speech primary involves attention to prosody which includes?

A

Rate, rhythm, intonation and stress

43
Q

What two things form underpinnings for assertion behaviour management that can decrease the speech impairment and increase physiological capacity of speech?

A

Nervous system plasticity and motor skill learning

44
Q

Learning occurs from muscle use and changes in patterns of behaviour

A

Neuroplasticity

45
Q

The acquisition of new, relatively permanent patterns of movement through active practice

A

Motor learning

Voice and Speech KCA (7 decks)

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