Spastic Dysarthria Flashcards Preview

CD 660: Test 1 > Spastic Dysarthria > Flashcards

Flashcards in Spastic Dysarthria Deck (30):
1

Spastic Dysarthria is a perceptually distinctive MSD produced by ______ damage.

bilateral UMN

2

Where does damage occur to cause spastic dysarthria?

damage to the direct and indirect activation pathways of the CNS

3

Characteristics reflect the combined effects of _____ and _____ in a manner that slows movement and recudes range and force.

weakness and spasticity

4

Speech characteristics of spastic dysarthria are not associated w/ weakness of individual muscles bu _____.

impaired movement patterns

5

Speech of an individual with spastic dysarthria is ____, _____, and has a ____ voice quality.

slow
effortful
harsh

6

Spastic Dysarthria is AKA

pseudobulbar pasly

7

Spastic Dysarthria is a diesease of the ?

Corticobulbar tracts

8

Increased muscle tone of spasticity in various muscles of the vocal tract

s/s distincitive from other MSD

9

weakness, reduced range of motion and decreased fine motor control

s/s distinctive from other MSD

10

Direct activation pathways are responsible for _____ motor control for face and body.

voluntary

11

Indirect activation pathways are responsible (mostly) for _____ control.

involuntary/automatic

12

If damaged, pyramidal system can cause ...

weakness, slowness in speech musculature

13

If damaged, extrapyramidal system can cause ...

increased muscle tone, abnormal reflexes

14

T or F? Selective damage to only the pyramidal or extrapyramidal system is commong.

False; it is NOT common

UMN lesions to both pathways

15

Which is more serious, UUUM or Spastic?

Spastic, b/c bulbar tracts are bilaterally innervated

16

Spastic Dysarthria can be accompanied by what cognitive disturbances?

Dementia, cognitive-communication deficits associated w/ RHD, TB or apahsia.

17

What are causes of spastic dysarthria?

CP, single stroke to brainstem or multiple strokes to other areas, ALS, TBI, and MS. Tumors.

18

Uncontrollable crying or laughing that can accompany damage to UMN of brainstem.

Pseudobulbar affect

19

Speech errors in spastic dysarthria are a result of?

Spasticiy
Slowness
Weakness

20

Articulation erros in spastic dysarthria are ...

very common

(imprecise consonant production and vowel distortions)

21

What is the most common artic error in spastic dysarthria?

imprecise consonant production

22

What is the most common phonatory error?

harsh vocal quality

23

What kind of vocal quality is characteristic of spastic dhysphonia?

strained-strangled vocal quality

24

strained-strangled vocal qualty : ?

tight hyperadduction of VFs

25

Hypersnaslity is present in spastic dysarthria but with no ?

nasal emission

26

What prosody speech characteristics are present in SD?

monopitch
monoloudness
short phrases
slow AMRS w/ reduced ROM

27

T or F? Problems of respiration play a great role in SD?

False; they do NOT

28

What are phonation/prosody problems more likely a result of?

hyperadduction of vocal folds

29

What distintive features does SD have?

strained harsh voice quality, accompanied by monopitch/monoloudness and slow speech

30

Pt complaints of SD

-slow/effortful speech
-drooling
-swallowing difficulty
-difficulty controlling emotions
-increased nasality
-reduced intelligibility
-fatigue associated w/ speaking