Flaccid Dysarthria Flashcards Preview

CD 660: Test 1 > Flaccid Dysarthria > Flashcards

Flashcards in Flaccid Dysarthria Deck (32):
1

LMN Disorders -->

flaccid dysarthria

2

UMN Disorders -->

spastic dysarthria; UUMN dysarthria

3

Basal Ganglia Disorders -->

Hypokinetic/hyperkinetic dysarthria

4

Cerebellar Disorders -->

ataxic dysarthria

5

Multiple lesion sites -->

mixed dysarthria

6

Flaccid Dysarthria is also known as ?

Bulbar Palsy

7

Flaccid Dysarthria is caused by ?

Impairments of LMN in cranial or spinal nerves

8

Slow labored artic, hypernasal resonance and hoarse breathy phonation are characteristics of _______.

Flaccid Dysarthria

9

Flaccid dysarthria has a negative impact on what aspects of speech?

Respiration, phonation, artic, prosody and resonance (to different extents)

10

Flaccid Dysarthria is primarily due to _______ and ______.

muscular weakenss and reduced tone

11

Flaccid Dysarthria is often _____ UNLESS there is _____ LMN damage.

Mild
bilateral

12

Flaccid Dysarthria weakness affects ____, ____, and ____.

ROM
Speed
Accuracy

13

T or F? Speaking on residual volume is typically a characteristic of flaccid syarthria.

False; it is not.

14

T or F? Breathiness may be unique to flaccid dysarthria.

True

15

T or F? Audible inhalations/inspiratory stridor may be unique to flaccid dysarthria.

True

16

T or F? Diplophonia is not characteristic of flaccid dysarthria.

False; it may be unique to flaccid dysarthria.

17

What are 2 strong confirmatory signs of flaccid dysarthria?

hypernasality and phonatory incompetence

18

What are 2 strong confirmatory PHYSICAL signs of flaccid dysarthria?

Atrophy and Fasciculations

19

Caused by anything that disrupts flow of LMN along cranial or spinal nerves that innervate muscles of speech production.

Flaccid Dysarthria

20

What are the most common causes of flaccid dysarthria?

ALS
Progressive bulbar palsy (PBP)

(brainstem stroke)

21

What are pt complaints re CN V?

difficulty moving/closing jaw, chewing, arctic, drooling and decreased sensationg to face, cheeks, tongue, teeth or palate

22

Upper face is bilaterally innervated by what CN?

CN VII

23

Lower face is contralaterally innervated by what CN?

CN VII

24

Pt complaints of CN VII ?

Unilateral: Biting cheeks or lips when chewing/speaking, drooling, difficulty keept food/liquid in mouth & artic difficulty.

Bilateral: Face or lips dont move well during speech, drooling, difficulty keeping food/liquid in mouth.

25

What is one of the most important CNs for speech production?

CN X

26

Pharyngeal branch of CN X innervates -->

muscles of soft palate for resonance

27

Superior laryngeal branch of CN X innervates -->

cricothyroid muscles for pitch change

28

Recurrent laryngeal branch of CN X innervates -->

motor to all intrinsic laryngeal muscles except cricothyroid for phonation

29

What is the function of CN X?

voice production, VP closure (resonance) and swallowing

30

Pt complaints of CN X?

loss of pitch range, voice changes, shortness of breath, noise on inspiration, reduced loudness and increased nasality

31

CN XII _____ innervates the ____.

contralaterally
tongue

32

Pt complaints of CN X?

Difficulty w/ artic, moving food around in pouth, pocketing, drooling and tongue feels heavy/thick