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Apraxia
N/A
20
Pathology
Graduate
03/22/2011

Additional Pathology Flashcards

 


 

Cards

Term

Dysarthria VS Apraxia

Definition

Dysarthria Apraxia

consistent errors inconsistent errors

muscle weakness       inability to sequence movements

abnormal muscle tone muscles are fine

 

Term
apraxia defined
Definition
neurological disorder in the production speech sounds, and in the ability to sequence the movements needed to produce speech
Term
the 2 types of apraxia
Definition
- ideational
- ideomotor
Term
ideational apraxia
Definition
- inability to make use of an object or gesture
- disturbance in conception
- uncommon
Term
ideomotor apraxia
Definition
- disturbance in the performance of the movements needed to use an object
- affect voluntary movements
Term
Apraxia of speech is which of the two types?
Definition
ideomotor
Term
Apraxia co-occurs with which neurological problem
Definition
Aphasia (broca's)
Term
Motor speech programmer
Definition
neural network that sequences the motor movements for accurate speech
Term
Etiologies of Apraxia of Speech (AOS)
Definition
- damage to the left perisylvian area
- stroke
- degenerative disease
- trauma
- tumor in left frontal lobe
Term
Speech characteristics of AOS
Definition
- primarily articulation AND prosody
- labored an halting
- artic groping
- usually severe to profound
Term
Artic errors in AOS
Definition
- substitution
- fricatives and affricates more common
- consonant clusters
- initial position more likely
- inconsistent errors
Term
prosody errors in AOS
Definition
- slower rate of speech
- equal stress of all syllables
- silent pauses (due to groping)
- normal variations of pitch and loudness reduced
Term
Respiration and AOS
Definition
- may not be able to take a deep breath on command
Term
Resonance and AOS
Definition
- some velar movements may be inconsistent on repetitive movements
- can be an intermittent problem
Term
Phonation and AOS
Definition
- difficulty initiating sound (laryngeal apraxia)
- difficulty prolonging vowel
Term

 

 

 

 

Apraxia VS Aphasia

Definition

Apraxia Aphasia

anterior damage posterior damage

disturbed prosody normal prosody

difficulty initiating no initiation problems

close substitutions substitutions way off

Term
Treatment of AOS
Definition
- intensive one-on-one
- time-intensive
- repetitive
- highly structured
* to help regain control
Term
Who wouldn't be good candidates for AOS treatment?
Definition
someone with too much aphasia (not good at following commands)
Term
General Tx Princples of AOS
Definition
- repetitive and intensive drill work is essential (no time for games)
- tx sequenced to maintain high success rate
- teach pt to monitor own speech
- functional words
Term
Role of oral-motor "exercises" with AOS
Definition
not a strengthening task, but a coordination/sequencing task
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