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Hypokinetic Dysarthria
n/a
29
Other
Graduate
05/02/2011

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Cards

Term
Cerebellum vs Basal Ganglia
Definition
C - to coordinate movements
BG - smoothing out or refining movements
Term
What is the site of damage in Parkinson's
Definition
Basal Ganglia
Term
a stroke occurring in the basal ganglia is called ....
Definition
a subcortical stroke
Term
What is the collection of subcortical gray matter structures?
Definition
basal ganglia
Term
three structures of the basal ganglia
Definition
- caudate nucleus
- globus pallidus
- putamen
Term
the caudate nucleus and putamen are functionally related and are know as the _________ together
Definition
striatum
Term
What is the gray matter structure located behind the basal ganglia?
Definition
thalamus
Term
what is the function of the thalamus?
Definition
the doorway through which the subcortical systems communicate with the cerebral cortex
Term
What does the thalamus do for movements?
Definition
it further refines them
Term
Steps of the basal ganglia control circuit
Definition
1. Association cortex make a rough plan of movement
2. basal ganglia smooths and refines that movement
2. thalamus makes further refinements
- primary motor cortex sends the refined movements to the muscles
Term
two most important neurotransmitters
Definition
- dopamine
- acetylcholine
Term
dopamine is largely an ___________ neurotransmitter
Definition
inhibitory
Term
an imbalance of dopamine causes....
Definition
Hypokinetic disorders
Term
Acetylcholine is an ___________ neurotransmitter
Definition
excitatory
Term
an imbalance in acetylcholine causes...
Definition
hyerkinetic disorders
Term
hypokinetic dysarthria is NOT ....
Definition
a decrease in muscle tone
Term
hypokinetic dysarthria demonstrates ___________ in muscle tone, sometimes rigidity
Definition
an increases
Term
hyperkinetic dysarthria means....
Definition
too much movement
Term
symptoms of hypokinetic disorders (parkinson's)
Definition
- tremor
- bradykinesia
- muscular rigidity
- akinesia (delay in initiation)
- balance issues
Term
causes of parkinson's disease
Definition
- idiopathic (most common)
- neuroleptic induced (side-affect from drugs)
- post-encephalitic
- TBI
- toxic metal poisoning
- stroke
Term
speech characteristics of hypokinetic dysarthria
Definition
- monopitch
- reduced stress
- monoloudness
- imprecise consonants
- inappropriate silences
- short rushes
- harsh voice quality
- breathy voice
- pitch level
- variable rate
Term
monopitch and monoloudness due to....
Definition
limited ROM in the laryngeal musculature
Term
inappropriate silences due to....
Definition
difficulty initiating speech motor respones
Term
evaluation tasks for HypoD
Definition
- conversational speech and reading
- Diadochokinesis
- vowel prolongations
- dysphasia (can be first sign of parkinsons)
Term
Treatment for HypoD
Definition
- pharmocological
- artic
- phonation
- respiration
- prosody
Term
Types of artic tx for hypoD
Definition
- pacing boards
- finger tapping
- delayed auditory feedback
- reciting syllables to a metronome
- stretching exercises
- traditional artic tx
Term
Phonation tx for HypoD
Definition
- pushing and pulling (not excessive)
- hard glottal attack
- voice amplifiers
- instrumental biofeedback (visipitch)
Term
Respiration Tx for HypoD
Definition
- speak immediately on exhalation
- cues to inhale completely
- slow and controlled exhalation
- stop phonation early
- optimal breath group
Term
Prosody Tx for HypoD
Definition
- slowing rate
- intonation profiles
- contrastive stress drills
- chunking utterances
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