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Motor Speech Disorders and Dysphagia
CH.9
34
Speech-Language Pathology
Graduate
08/12/2021

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Cards

Term
What is characterized bey slower rate of speech, distorted speech, sound substitutions/additions, syllable segmentation, groping, false starts and restarts, prosodic impairments, and longer utterances causing more errors than shorter utterances?
Definition
Apraxia of Speech
Term
Is AOS caused by muscle weakness or slowness?
Definition
NO! It's cause by the brain not being able to generate signal to the speech muscles for appropriate timing, range, and force of contraction.
Term
What impacts the motor plans for producing speech?
Definition
Apraxia of Speech
Term
Where is the damage to AOS?
Definition
speech-motor programming areas in the dominant hemisphere such as Broca's area.
Term
How many dysarthrias are there?
Definition
7
Term
Name the 7 dysarthrias
Definition
Spastic
Ataxic
Hyperkinetic
Hypokinetic
Flaccid
Mixed
Unilateral Upper Motor Neurons
Term
What is a neurologically based speech disorder characterized by abnormal strength, speed, range, steadiness, tone, and accuracy of movement involved in speech production?
Definition
Dysarthria
Term
What diseases can result in flaccid and spastic dysarthria?
Definition
degenerative diseases such as ALS
Term
What diseases can result in hypokinetic dysarthria?
Definition
Parkinsons disease
Term
What communicative disorders are associated with dysarthria?
Definition
respiratory problems, phonatory, articulation, prosodic, and resonance disorders
Term
What dysarthria results from damage to the cerebellar system?
Definition
Ataxic
Term
What characterizes Ataxic dysarthria?
Definition
articulatory and prosodic problems
Term
What dysarthria demonstrates incoordination?
Definition
Ataxic
Term
What dysarthria demonstrates weakness?
Definition
Flaccid
Term
What dysarthria demonstrates spasticity?
Definition
Spastic
Term
What dysarthria demonstrates rigidity and decreased range of motion?
Definition
Hypokinetic
Term
What dysarthria demonstrates involuntary movements?
Definition
Hyperkinetic
Term
What dysarthria demonstrates weakness, incoordination, and spasticity?
Definition
Unilateral UMN
Term
Motor plans are intact in dysarthria
Definition
True
Term
What mixed dysarthria is most associated with MS?
Definition
ataxia-spastic dysarthria
Term
Name the stages of swallowing
Definition
oral prepatory
oral
pharyngeal
esophageal
Term
What phase is this:
difficulty forming a bolus
Definition
Oral prepatory
Term
What phase is this:
tongue moves forward to start swallow, food residue remains on tongue
Definition
oral phase
Term
What phase is this:
penetration before/after swallow
delayed/absent mastication
Definition
pharyngeal
Term
What phase is this:
GERD
food into pockets
back flow of blood
Definition
esophageal
Term
Treatment for which phase?

keeping the head tilted to a stronger side
pressing the tongue against the hard palate
tilting head back to promote swallowing
Definition
oral prepatory phase
Term
Treatment for which phase?

placing food on the back of throat and then initiating swallow
use tongue to clear lateral sulk (lingual sweep)
Definition
oral phase
Term
Treatment for which phase?

chin tuck
tilting head forward while swallowing
tilting head toward stronger side if there's unilateral paralysis
Definition
pharyngeal phase
Term
Treatment for which phase?

avoiding certain foods
stop smoking
eat small portions
Definition
esophageal phase
Term
Oral-motor control exercises do not increase ROM of tongue and jaw and buccal tension,
Definition
False
Term
Name the maneuver:

helps close the airway at the level of the vocal folds to prevent aspiration.
Definition
supraglottic swallow
Term
Name the maneuver:

helps close the airway before and during swallowing; promotes false vocal fold closure
Definition
super-supraglottic swallow
Term
Name the maneuver:

helps increase the posterior motion of the tongue and increase pharyngeal pressure
Definition
effortful swallow
Term
Name the maneuver:

helps elevate the larynx and widen the cricopharyngeal opening
Definition
mendelsohn maneuver
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