Motor Speech
AOS and dysarthria is difficulty at what level: speech, language, or cognition?
What is the difference between hypertonia and hypotonia?
Hypertonia = increased tone; hypotonia = lack of tone
What are 2 characteristics of spastic dysarthria?
increased muscle tone, hyperreflexia, spasticity
True or False: Cranial nerves decussate and are paired.
False
Name two roles of the SLP with dysphagia patients.
Keep patients hydrated/nourished, keep patients on safest/least restrictive diet, maintain QoL
Whats one normal attention change with aging?
Selective attention slower, more distracted, compromised ability on divided attention
Name two ways apraxia and dysarthria differ.
Varied.
What is the lesion location of UUMN vs. spastic dysarthria?
What would unilateral damage to the facial nerve impact?
articulation, oral motor, ipsilateral "weakness"
Name one symptom of oral dysphagia.
What is one decline in memory with normal age related change?
Short term recall, episodic memory, declarative, working memory
Name 3 cranial nerves important for speech.
Vagus, Trigeminal, Facial, Hypoglossal
UMNs live in the ________; LMN live in the __________
CNS, PNS
True or False: All lesions innervated below the structure would be impacted.
bilateral vocal fold paralysis
What are 3 signs and symptoms of dysphagia?
Coughing, throat clearing, wet vocals, sneezing, runny nose, watery eyes, desaturated O2.
Name 3 aspects of an assessment you would complete for adult language/cognition.
Case hx, OME, Interview, Formal assessment
Name one way an AOS assessment would be different from a dysarthria assessment.
DDK, increasingly complex words with AOS
UMNs decussate where?
Medulla
Spastic dysarthria results in what type of damage (contralateral/ipsilateral)?
Contralateral
Flaccid dysarthria results in (ipsilateral/contralateral) damage?
Ipsilateral
Name one type of standardized assessment for dysphagia.
MBS, FEES
How are STG different from LTG?
LTG is what you want them to complete overall by end of tx; STG are objectives to reach LTG
What is one compensatory strategy for dysarthria and one restorative strategy for AOS?
Compensatory dysarthria - AAC
Restorative AOS - PROMPT, MIT, Intersystemic Reorganization
The DAP is for ________ and IAP is for ________
DAP = volitional movement; IAP = autonomic
How does the stretch reflex impact spastic dysarthria?
What is one type of compensatory strategy and one type of restorative strategy?
Varies
Name two types of compensatory strategies for dysphagia.
Diet modification, postural changes, etc
What are 3 negative emotions a client might encounter during tx?
depression, anxiety, avoidance, repression, loss, etc