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1

What is a motor speech disorder according to Dr. Fleck?

different diagnosis that have to do with neuro muscle control

2

What is a motor speech disorder according to the book?

Speech disorders resulting from neurologic impairments affecting: planning, programming, control, or execution of speech.

3

Speech disorder resulting from neurological impairments affect: __________, __________, ________, or _______ _________

planning, programming, control, or execution of speech

4

Motor speech disorders include what?

Dysarthiras and apraxia of speech

5

What is a group of neurologic speech disorders that reflect abnormalities in: strength, speed, range, steadiness, tone or accuracy of movements required for the breathing, phonatory, resonatory, articulatory, or prosodic aspects of speech production?

Dysarthrias

6

Dysarthrias is a group of speech disorders that reflect abnormalities in what?

strength, speed, range, steadiness, tone or accuracy of movements

7

What is the definition of dysarthria (according to Mayo clinic)?

occurs when the muscles you use for speech are weak or you have difficulty controlling them.

8

Name three things that describes dysarthria
1. Dysarthria is:
2. Dysarthria is:
3. Dysarthria is:

1. neurologic in nature
2. a disorder of movement
3. categorized into different types

9

What is a neurologic speech disorder that reflects an impaired capacity to plan or program sensorimotor commands necessary for directing movements that results in phonetically and prosodically normal speech?

apraxia of speech

10

T/F: Apraxia of speech is when the brain struggles to develop plans for speech movements. Muscles are NOT weak, but DO NOT perform normally normally-the brain has difficulty coordinating the movements. (Mayo Clinic)

True

11

T/F: Apraxia is well researched outside of speech pathology.

False, it is ignored outside speech pathology literature and is often buried within categories of aphasia or the generic heading dysarthria.

12

Motor speech exam, description: The description characterizes the features of _______ and _______ related to speech.

structures; functions

13

T/F: Motor speech exam: the description is obtained from the patient's history and description of the problem, oral mechanism examination, perceptual characteristics of speech , and results of standard clinical and instrumental tests?

True

14

Motor speech exam: Once the speech has been described the clinician decides if speech is _______ or __________.

normal; abnormal

15

What is the first step in a differential diagnosis?

The description

16

What part of the motor speech exam asks the following questions:
*Is the problem neurologic?
*If the problem is NOT neurologic, is it organic?
*If the problem IS or is NOT neurologic, is it recently acquired or long standing?
*If the problem is neurolgic, is it an MSD or some other neurologic communication disorder? If an MDS is present, it is dysarthria or apraxia of speech?
*If dysarthria is present, what type is it?

Establishing diagnostic possibilities

17

When establishing a diagnosis, as diagnosis can be confirmed or eliminated based on the __________________. (three words)

site of lesion

18

Establishing diagnosis: What happens once reasonable diagnostic possibilities have been recognized?

A single diagnosis may emerge or at least a list of possibilities from most likely to least likely.

19

When establishing implications of localization and disease diagnosis, what should SLPs do?

SLPs should address explicitly the implications for localization.

20

Establishing implications of localization and disease diagnosis:

SLPs need to address the compatibility of the speech diagnosis with the neurologic diagnosis.

1. If spastic dysarthria is the diagnosis, is it appropriate to say it is usually associated with bilateral upper motor neuron (UMN) involvement?

2. If the diagnosis is Parkinson's disease but the patient has mixed spastic-ataxia dysarthra, is it appropriate to say mixed dysarthria is compatible with Parkinson's disease?

1. yes
2. no, mixed dysarthria is NOT compatible with Parkinson's disease.

21

T/F: When specifying severity of an MSD the severity should be exact.

False: the severity of the MSD should be estimated.

22

Cranial Nerve (CN) V is called ________
a. Trigeminal
b. Facial
c. Glossopharyngeal
d. Vagus

a. Trigeminal
*hint Trigeminal =(T) 5 =(V) -> TV

23

Cranial Nerve (CN) VII is called ________
a. Trigeminal
b. Facial
c. Glossopharyngeal
d. Vagus

b. Facial
*hint Seven (VII) facial features... 2 eyes, 2 ears, 2 nostrils, 1 mouth=7

24

Cranial Nerve (CN) IX is called ________
a. Trigeminal
b. Vagus
c. Glossopharyngeal
d. Facial

c. Glossopharyngeal
*hint

25

Cranial Nerve (CN) X is called ________
a. Facial
b. Trigeminal
c. Glossopharyngeal
d. Vagus

d. Vagus
*hint people think Vegas is 10/10

26

Examination:
What are the 6 features of neuromuscular activity that influences speech production? (Hint: *****)

STARS:
S trength
T one
A ccuracy
R ange of motion
S peed of movement

27

Cranial Nerve (CN) XII is called ________
a. Facial
b. Vagus
c. Trigeminal
d. Hypoglossal

d. Hypoglossal
*hint 11 (letters) + 1= XII

28

Trigeminal is which Cranial Nerve?

V

29

Facial is which is which Cranial Nerve?

VII

30

Glossopharyngeal is which Cranial Nerve?

IX