Site of lesion
ataxic
cerebellum
Ataxic (4)
normal oral mech
gag reflex ok
generally halting movements
wide based gait
Hypokinetic (3)
too fast speech rate
too quiet
hard to start speech
hypo and hyper
basal ganglia control circuit
UUMN (3)
hemiparesis/hemiparalysis
sensory deficitys
central lingual and facial weakness
UUMN (4)
thick tongue
slurred speech
PBA
difficulty swallowing/chewing
Spastic (2)
brainstem (unilateral)
CNS (bilateral)
Spastic (5)
weakness
slow movements
reduced ROM
dysphagia PBA
increased gag
Ataxic (3)
Can't coordinate speech and breathing
slurred speech
bite their cheek
IAP or DAP (unilateral)
mixed (2)
dysphagia
limb weakness
Spastic (3)
drooling
dysphagia
slow, effortful speech
Depends on etiology
Hyperkinetic (4)
earclicks (pplm)
tics
problems with chewing and swallowing
can't keep still (dystonia, tremors, myoclonus, ballism, etc)
Hyper (2)
can't stay still
chewing and swallowing difficulties