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Flashcards in this deck (32)
  • What kind of quality is associated with spastic dysarthria?

    Strained-strangled quality, Harsh voice, Imprecise consonants

    speech disorders
  • What are common causes of spastic dysarthria?

    • UMN damage
    • Degenerative diseases (e.g., MND – ALS)
    • Stroke (bilateral or brainstem)
    • TBI
    • Progressive supranuclear palsy
    • CNS tumor
    • Congenital (e.g., CP)
    speech causes disorders
  • What are the characteristics of spastic dysarthria?

    • Increased muscle tone
    • Limitation of range
    • Slow movement
    • Hyperactive gag reflex
    • Dysphagia
    • Saliva escape
    speech characteristics
  • What changes in speech are typical in spastic dysarthria?

    • Slow rate
    • Pitch breaks
    • Distorted vowels
    • Excess and equal stress
    speech features
  • What term is sometimes used interchangeably with bulbar palsy?

    • Pseudobulbar affect
    • Corticobulbar dysfunction
    speech terminology
  • In spastic dysarthria, muscle tone is increased, and speech may exhibit a strained quality.

    speech dysarthria
  • Which of the following is NOT a symptom of spastic dysarthria?

    Harsh voice

    Imprecise consonants

    Clear, fluid articulation

    Slow rate of speech

    speech symptoms
  • Which condition can lead to spastic dysarthria?

    Bilateral stroke

    Major depressive disorder

    Schizophrenia

    Huntington's disease

    speech causes disorders
  • What type of damage results in unilateral upper motor neuron (UMN) speech issues?

    Damage from: - CVA (stroke) - Trauma - Tumour

    neurology speech
  • What speech characteristics are associated with unilateral UMN damage?

    • Imprecise articulation
    • Dysdiadochokinesis
    • Slow rate
    speech disorders
  • What physical sign indicates unilateral UMN involvement?

    • Unilateral tongue weakness (deviates to weaker side)
    • Orofacial weakness
    anatomy speech
  • What is the primary cause of ataxic speech?

    Damage to the cerebellum.

    neurology speech
  • What are common causes of ataxic speech?

    • Degenerative diseases
    • Cerebellar lesions
    • Stroke
    • Tumours
    • MS
    • Trauma
    neurology diagnosis
  • What are the characteristics of ataxic speech?

    • Irregular articulatory breakdown
    • Excess stress
    • Harsh voice quality
    • Slow rate
    speech disorders
  • What might indicate slow and irregular movements in ataxic speech?

    • Slow to start and stop
    • Intention tremor
    • Hypotonic affected muscles
    neurology motor_skills
  • What damage leads to hypokinetic dysarthria?

    Damage to the control circuit of basal ganglia.

    neurology dysarthria
  • What are some characteristics of hypokinetic dysarthria?

    • Monopitch
    • Reduced stress
    • Inappropriate silences
    • Breathy voice
    • Imprecise consonants
    symptoms dysarthria
  • Which disease is associated with hypokinetic dysarthria?

    Parkinson's Disease (87% prevalence).

    neurology disease
  • What are the speech characteristics of hypokinetic dysarthria?

    • Monoloudness
    • Short rushes of speech
    • Variable rate
    • Harsh voice quality
    symptoms speech
  • What are some motor symptoms of hypokinetic dysarthria?

    • Rigidity
    • Bradykinesia
    • Difficulties starting/stopping movements
    symptoms motor
  • What leads to hyperkinetic dysarthria?

    Damage to the basal ganglia, resulting in failure to inhibit.

    neurology dysarthria
  • Name three conditions associated with hyperkinetic dysarthria.

    • Huntington's disease
    • Cerebral palsy
    • Tourette's
    neurology disease
  • What are the speech characteristics of hyperkinetic dysarthria?

    • Distorted vowels
    • Excess loudness variations
    • Harsh voice quality
    symptoms speech
  • What symptoms characterize hyperkinetic movement disorders?

    • Quick tics
    • Slow athetosis
    • Dystonia
    symptoms motor
  • What types of dyskinesias are associated with hyperkinetic dysarthria?

    • Abnormal movements
    • Irregular, fast or slow movements
    symptoms motor
  • What are the characteristics of involuntary movement?

    • Prolonged phonemes
    • Variable rate
    • Stress alterations
    • Audible inspiration
    neurology involuntary_movement
  • What can involuntary movements occur in?

    • Face
    • Extremities
    • Whole body
    • At rest or during voluntary movement
    neurology dysarthria
  • In mixed dysarthria, there is a combo of any 2 (or more) types of dysarthria.

    neurology dysarthria
  • Which conditions can cause mixed dysarthria?

    • Neurodegenerative diseases (e.g., ALS, MS)
    • Progressive supranuclear palsy
    • Friedreich's ataxia
    • Stroke
    neurology dysarthria
  • What happens to movement with damage to the basal ganglia?

    • Reduction of movement (hypokinetic)
    • Failure to inhibit involuntary movement (hyperkinetic)
    neurology basal_ganglia
  • What can happen after a brainstem stroke?

    It can cause mixed dysarthrias, often resulting in a mix of spastic, ataxic, and flaccid features.

    neurology stroke dysarthria
  • What are common types of mixed dysarthria?

    Hypokinetic

    Hypertonic

    Ataxic

    Spastic

    Atonic

    Flaccid

    neurology dysarthria
Study Notes

Types of Dysarthria

Dysarthria is categorized based on neurological damage affecting speech. Key types include:

1. Spastic Dysarthria

  • Cause: Upper motor neuron (UMN) damage, unilateral or bilateral.
  • Characteristics:
  • Strained, harsh voice quality
  • Imprecise consonants
  • Slow rate
  • Increased muscle tone
  • Dysphagia common
  • Associated Conditions:
  • MND (ALS), bilateral stroke, brainstem stroke, TBI.

2. Ataxic Dysarthria

  • Cause: Damage to the cerebellum.
  • Characteristics:
  • Irregular articulatory breakdown
  • Excess loudness variations
  • Monopitch
  • Associated Conditions:
  • Degenerative diseases, cerebellar lesions, stroke.

3. Hyokinetic Dysarthria

  • Cause: Damage to basal ganglia control circuit.
  • Characteristics:
  • Monopitch and reduced stress
  • Breathy voice
  • Impaired coordination
  • Bradykinesia (slowness of movement)
  • Associated Conditions:
  • Parkinson's disease.

4. Hyperkinetic Dysarthria

  • Cause: Damage to the basal ganglia resulting in failure to inhibit movements.
  • Characteristics:
  • Distorted vowels and harsh voice quality
  • Irregular articulatory breakdowns
  • Associated Conditions:
  • Huntington's disease, Tourette's.

5. Mixed Dysarthria

  • Characteristics: Combination of two or more types of dysarthria.
  • Associated Conditions:
  • ALS, MS, progressive supranuclear palsy, stroke.

Neurological Impact on Speech

Key Points:

  • Involuntary Movement: Prolonged phonemes and variable rates are common traits.
  • Speech Characteristics: Stress alterations, and audible inspirations along with involuntary movements can affect the entire body.

Important Considerations:

  • Damage to critical brain structures can lead to a mix of dysarthric types (e.g., spastic/ataxic/flaccid from one brainstem stroke).
  • Dysarthria types provide insight into the underlying neurological issues, guiding treatment approaches.