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Facial Nerve Sensory and Motor -Sensory fibers for taste; parasympathetic fibers to glands -Motor fibers to muscles of facial expression -Bell's Palsy is characteristic of damage -Upper nucleus provides bilateral innervation of the upper half of the face -Lower nucleus provides contralateral innervation of the lower half of the face -Motor nucleus located in the pons |
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Extrapyramidal Parkinson's
Short rushes of speech Monopitch, monoloudness Imprecise consonants Reduced overall loudness Inappropriate silences |
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Trigeminal Sensory and Motor -General sensation from face, mouth, tongue, and teeth -Motor for muscles of chewing (temporalis, masseter and pterygoid) -Damage may cause some loss of sensation on the same side -Difficulty with speech and chewing -Motor nucleus located in the pons |
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Multiple Motor Systems ALS = Severe harshness Marked hypernasality Extremely slow Labored Nearly complete disruption of prosody Grossly defective articulation
MS= Speech may be normal,ataxic,or spastic/ataxic Harshness Impaired control of loudness Defective articulation
Wilson's Disease= Reduced stress Monopitch, monoloudness Tremor Rigidity Similar to Parkinson’s but no short rushes of speech |
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Vagus Sensory and Motor -Extremely important as it also helps innervate the heart -Sensory fibers supply the base of the tongue and the supraglottic area -Superior and inferior (recurrent) laryngeal branches are motor for the larynx -Larynx is critical in protecting airway during swallowing, nucleus in the medulla |
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Glossopharyngeal Sensory and Motor -Predominantly sensory but some motor fibers -Taste to the posterior 1/3 of the tongue -Some motor supply to the pharyngeal musculature and velum -Nucleus located in the medulla |
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Lower Motor Neuron Bell's Palsy, Bulbar Palsy Myasthenia Gravis, Muscular Dystrophy, Poliomyelitis
Phonatory and resonatory weakness Imprecise consonants Nasal air emissions Continued breathiness Audible inspirations Marked hypernasality |
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Unilateral Upper Motor Neuron CVA
Imprecise consonants Irregular articulation breakdowns |
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Upper Motor Neuron Multiple CVAs, Pseudobulbar Palsy, Spastic Cerebral Palsy
Strained-strangled Harsh voice Reduced stress Imprecise consonants Low pitch Slow rate Some hypernasality |
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Acoustic Sensory Hearing, sense of balance |
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Extrapyramidal
Quick: Huntington's Disease, Tourettes Sudden variations in loudness Imprecise consonants Sudden tic-like barks, growls,coprolalia
Slow: Athetosis, Drug induced Dyskinesias, Dystonia Phoneme and interval prolongation Highly variable characteristics Articulatory inaccuracy Prosodic excess Unsteady loudness
Tremor: Organic voice tremor Involuntary, rhythmic alterations in pitch and loudness Some complete voice stoppages |
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Hypoglossal Motor Motor supply to muscles of the tongue Motor nucleus in the medulla |
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Cerebellum Cerebellar and Friedrich's Ataxia, Ataxic Cerebral Palsy, Toxic Effects, Cerebellar CVA
Phoneme and interval prolongation Harsh voice Excess and equal stress Excess loudness variation Dysrhythmia of speech Syllable repetition |
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Accessory (Spinal Accessory) Motor -Motor to trapezius and sternocleidomastoid muscles, however these muscles are alos supplied by spinal nerves -Difficulty shrugging shoulder on affected side and turning the head toward the other side, sometimes seen following laryngectomy -Motor nucleus located in the medulla |
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