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CD: Neurogenic Speech Disorders
Week 9: Ch 12
40
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Undergraduate 3
12/03/2009

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Term
Motor speech disorders is another term for this.
Definition
Neurogenic speech disorders.
Term
Nuerogenic speech disorders are related to problems of movement which can affect these aspects of speech.
Definition
planning, coordination, timing, execution.
Term
These processes can be affected by Neurogenic speech disorders.
Definition
respiration, phonation, resonation, and articulation.
Term
This is the leading cause of neurogenic speech disorders.
Definition
Stroke
Term
Besides a stroke what are the causes of neurogenic speech disorders.
Definition
TBI, anoxia, brain tumors, infections (meningitis, fungus, HIV), neurotoxins (lead, mercury, drug use, pollution, alcohol), degenerative diseases (MS, Amyotrophic lateral Sclerosis, Parkinson's, Huntingtons, myasthenia gravis)
Term
Cerebral palsy is due to this.
Definition
brain inujry in fetal/infant development
Term
What is affected b cerebral palsy?
Definition
motor movement, communication, growth/development, locomotion, learning, sensation.
Term
CP affects aprox. how many in the U.S.?
Definition
500,000 most under 21.
Term
Paraplegia affects...
Definition
the legs
Term
Quadriplegia affects...
Definition
All four extremities.
Term
Hemiplegia affects...
Definition
the extremities on one side of the body
Term
Monoplegia affects...
Definition
One limb.
Term
Type of cerebral palsy in which there is too much muscle tone in opposing muscles and an exaggerated stretch reflex.
Definition
Hypertonic
Term
Hypertonic cerebral palsy occurs in what percentage of the CP population?
Definition
60%
Term
Type of cerebral palsy in which there is slow involuntary writhing during voluntary movement.
Definition
Dyskinetic or Athetoid
Term
Type of CP caused by damage to the CNS.
Definition
Hypertonic
Term
What percentage of the CP population is affected by dyskinetic CP.
Definition
30%
Term
What type of CP is caused by damage to the extrapyramidal tract/or basil ganglia.
Definition
Dyskinetic
Term
What type of CP is characterized by, uncoordinated movement, disturbed balance, lack of motor control.
Definition
Ataxic
Term
Ataxic CP affects what percentage of the CP population.
Definition
10%
Term
What type of CP is caused by damage to the cerebellum.
Definition
Ataxic
Term
Define: Dysarthria
Definition
difficulty articulating words due to impairment in the muscles used for speech.
Term
What are the motor speech problems associated with CP?
Definition
Dysarthria, rapid and shallow breathing, hypertonic voicing, hypernasality, articulatory difficulties, prosodic difficulties (nonrhythmic, nonfluent).
Term
What are the most common causes of CP?
Definition
Anoxia and brain hemorrhages, bacterial and viral infections, toxins (metal, mercury, lead alcohol drugs) Accidents during pregnancy
Term
Who is at the highest risk for CP?
Definition
extremely low and high weight newborns, nonwhite in U.S., older mothers, multiple births, males
Term
What is involved with intervention for CP?
Definition
Correct or compensate for faulty in efficient motor patterns (usually targeted within process of speech production, Bobath method (inhibit reflexive uncontrolled movement)
Term
Dysarthria's may affect...
Definition
speed, range, direction, strength, timing of motor speech movement, respiration phonation, resonation
Term
Dysarthria may have these affects on motor coordination.
Definition
excessively slow or rapid, decreased range or strength, poor directionality or coordination.
Term
Different types of dysarthrias result from...
Definition
lesions in different parts of the CNS and/or PNS
Term
Bulbar palsy, myasthenia, and muscular dystrophy result in this type of dysarthria.
Definition
Flaccid Dysarthria
Term
Psuedobulbular Palsy results in this type of dysarthria.
Definition
Spastic Dysarthria.
Term
Dystonia & Chorea result in this type of dysarthria.
Definition
Hyperkinetic
Term
Parkinsons disease results in this type of dysarthria.
Definition
Hypokinetic.
Term
Amyotrophic lateral Sclerosis results in this type of dysarthria.
Definition
Mixed
Term
These are the goals in the assessment of dysarthrias.
Definition
Determine if a long term problem exists, describe impaired functions, identify functions not impaired, establish intervention goals, form prognosis.
Term
Intervention for Dysarthria.
Definition
Compensatory Strategies, Automatic Volitional Shift, Motivation, get an early start.
Term
Define: Apraxia
Definition
Acquired neurological impairment of the ability to program --organize and plan--and execute movements of the speech muscles for volitional speech.
Term
Articulation difficulties associated with apraxia.
Definition
High level of self awareness: repeated attempts, great variability in errors, may have periods of error free speech; Errors: speech sound substitutions, omissions and sound sequencing, distortions and additions, consonants/consonant clusters, long unfamiliar words.
Term
Assessment of apraxia involves...
Definition
imitation of single words, imitation of sentences, reading aloud, spontaneous speech, puh/tuh/kuh repetition, testing
Term
Intervention for apraxia.
Definition
Increase muscle strength and tone, practice nonspeech movements then speech movements, then production of increasingly long speech units; decrease speaking rate; carrier phrases; frequently used phrases, AAC
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