What are the Motor Speech Disorders? Flashcards

1
Q

Selecting/organizing motor programs for correctly executing speech motor movement

A

Motor planning/ “motor programming”

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2
Q

Articulation of motor neurons providing neural outputs to muscles of articulators (involves speech subsystems)

A

Execution

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3
Q

What is a motor speech disorder?

A

A (nonsymbolic) neurogenic communication disorder

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4
Q

symbolic impairments : ______ :: non-symbolic impairments : non-linguistic

A

linguistic

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5
Q

An impairment of speech production caused by defects of the neuromuscular system, the motor control system or both

A

Definition of MSD

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6
Q

What underlying systems may have defects in an MSD?

A

planning, programming, & executing speech

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7
Q

processes that define and sequence articulatory goals (before initiation of movement)

A

Motor planning

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8
Q

motor-planning : structure specific :: motor-programming : ________

A

muscle-specific

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9
Q

processes that establish and prepare the flow of motor info across muscles, as well as control timing and force movement (before initiation of movement)

A

motor programming

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10
Q

processes that activate relevant muscles (during and after initiation of movement)

A

motor execution

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11
Q

What are the 2 broad categories of motor speech disorders? (for adults)

A

Apraxia of Speech (AOS) and Dysarthria(DAS)

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12
Q

A neurologic speech disorder that reflects an impaired capacity to plan or program sensorimotor commands for the positioning and movement of muscles for the volitional production of speech

A

Apraxia of Speech

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13
Q

AOS can occur without significant ________ or ______, and in the absence of disturbances of concious thought or language.

A

muscular weakness or slowness

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14
Q

A collective name for a group of neurologic speech disorders resulting from disturbances in muscular control.

A

Dysarthria

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15
Q

impaired capacity to plan/program sensorimotor commands : ______ :: disturbances in muscular control : ______

A

Apraxia of Speech

Dysarthria

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16
Q

Dysarthria can be either acquired or developmental/congenital. T or F?

17
Q

How can dysarthria be acquired?

A

Damage to a previously intact nervous system

e.g., strokes, degenerative disease, brain tumor, or TBI

18
Q

How can dysarthria be congenital?

A

it can result from abnormal development of the nervous system

(e.g., cerbebral palsy)

19
Q

A disorder that affects salient movement characteristics such as speech and physical movements

A

Dysarthria

20
Q

How can dysarthrias be sub-categorized?

A

by patterns of deviant speech characteristics

21
Q

Types of Dysarthria

A
Flaccid
Spastic 
Hypokinetic 
Hyperkinetic 
Ataxic
Mixed
Unilateral Upper Motor Neuron
22
Q

Flaccid

A

Lesion Locus: LMN

Deficit: Weakness

23
Q

Spastic:

A

Lesion Locus: UMN

Deficit: Spasticity

24
Q

Ataxic

A

Lesion Locus: Cerebellum

Deficit: Incoordination

25
Hypokinetic
Lesion Locus: Basal Ganglia Control Circuit | Deficit: rigidity, reduced range of movement
26
Hyperkinetic
Lesion Locus: Basal Ganglia control circuit | Deficit: involuntary movements
27
Unilateral upper motor neuron
Lesion Locus: UMN (unilateral) | Deficit: Weakness, incoordination, spasticity
28
Mixed
Lesion Locus: 2 or more from others | Deficit: 2 or more from others
29
MSDs are not...
- Cognitive-linguistic impairments - Other neurologic speech disorders - Sensory deficits - Musculoskeletal defects - Non-neurologica/non-psychogenic voice disorders - Psychogenic and related non-organic speech disorders
30
MSDs account for _____ of communication disorders (according to Mayo clinic)
60%
31
How are MSDs identified?
Medical referral Screening Comp. motor speech eval Diagnosis/Differential Diagnosis
32
What are the 2 methods of observation/measurements?
Perceptual and Instrumental methods
33
Instrumental Methods
Acoustic Physiologic (aero dynamic and kinematic)
34
DAB approach
Auditory perceptual analysis of 30 sec speech samply of oral reading or conversational speech ; 38 speech characteristics rated on 7 pt scale
35
Acoustics
analysis of the acoustic energy of a speech sample
36
Aerodynamics
study of airflow and pressure generated during speech (including nasal pressure) *vital capacity and subglottal pressure
37
Kinematics
Analysis of the movements of the muscle activation patterns