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occurs when VLP fails to decouple the oral nasal cavity all sounds produced appear nasally
What is hypernasality
100
nasal turbulence person tries to make high pressure sound when they have a cleft palate
What is audible nasal emission
100
behavioral voice intervention, surgical intervention, psychological intervention, psychiatric counseling, drug treatments restores the vocal tissue to a healthy condition regain clear and full vocal function improve vocal habits
What is Voice therapy for misuse or abuse
100
Location: precentral gyrus of frontal lobe of each hemisphere Function: controls skeletal muscle movement
What is Primary Motor Cortex
100
made up of corticospinal & corticobulbar tracts; refers to the part of the motor system arising from specific areas of the cerebral cortex and descending through the pyramids to end of alpha motor neurons
What is Pyramidal tract
200
target neurons in the spinal cord involved in reflexes, locomotion, complex movements, and postural control.
What is extrapyramidal tracts
200
12 pairs of cranial nerves 31 pairs of spinal nerves
What is Peripheral nervous system
200
Characteristics: Hypotonia: weak, soft, low, muscle tone Lesions in the cranial and spinal nerves or muscle unit Reduced respiratory drive for speech. breathing, reduced pitch and loudness, hyper nasality, imprecise articulation
What is Flaccid Dysarthria
200
Characteristic's *Spastic paralysis reflex's the combined effects of weakness and loss of inhibitory motor control *Reflexes become hyperactive, muscle tone is increased at rest, and individuals exhibit increased resistance to passive stretch *Movements to the articulators are slowed and reduced in forced and range of movement * Splacsticity at the larynx results in a strained quality to the voice *Results from Bilateral lesion in the cerebellum hemisphere or as a single lesion in the brain stem
What is Spastic Dysarthria's
300
Characteristic's *Damage to the cerebellum results in in-coordination and reduced muscle tone called ataxia *Reflects the effects of in-coordination and the improper timing of movements, causing irregular breakdowns in articulation and abnormalities of prosody *Movements are inaccurate jerky, and lacking smoothness
What is Ataxia Dysarthria
300
Characteristic's *Movements are slow and reduced in range of motion due to rigidity *Feels stiff and find it hard to get movements started *Degeneration of dopaminergic neurons in the brain stem prevents proper functioning of the basal ganglia *Once started it is hard to stop *Parkinson's disease is the most common *Speech is fast and disfluecies are common *Loudness levels gradually decrease
What is Hypokinetic Dysarthria
300
*Common idiopathic degenerative neurological disorder that affects 1-2% of individuals over the age of 50 *Genetic and environmental factors *Hypokinetic dysarthria is present in 90% of cases *Reduced loudness, accelerated rate, disfluencies, imprecise articulation *Voice quality may be breathy and harsh, and pitch/loudness variability is reduced resulting in monotone and monoloudness.
What is Parkinson's Disease
300
Characteristic's * Damage to BG *Tremor: rhythmic movement of a body part *Tics: rapid, patterned movements that can be suppressed for short periods *Dystonia: Slow hyperkinetic *Chorea: rapid and unpredictable movements of the limbs, tongue, face **Variable speech rate **irregular articulatory breakdown **prosodic abnormalities ***Huntington's Chorea
What is Hyperkinetic Dysarthria
300
Inherited progressive disease that results in degeneration of structures of the BG Symptoms: *involuntary chorea behaviors and changes in behaviors *later these movements worsen and generalize *changes in mood accompanied with depression and dementia
What is Huntington's Chorea
400
*Two or more dysarthria are present in an individual *can occur in neurological diseases that cause damage to the multiple areas of the CNS **Amyotrophic later sclerosis (ALS) **both UMN'S and LMS'S degenerative causing flaccid and spastic dysarthria **75% of those affected will die without the ability to speak **TBI also causes mixed dementia **Axonal Shearing in TBI causes diffuse damage
What is Mixed Dysarthria
400
Idiopathic unilateral damage to the facial nerve *Mild articulatory imprecision
What is Bell's Palsy
400
Neurological disease that causes degenerative of LMN's **Fasciculation's ***in response to nerve damage ***speech is weak, hypernasility, monopitch, and impercise articulation
What is Progressive Bulbar Palsy
400
A group of genetic diseases that cause progressive degeneration of muscles **all aspects of speech production may eventually be affected
What is Myasthenia Gravis
400
Neurological speech disorder that impairs the ability to plan or program the sensory and motor commands needed for speech production **results in disordered articulation of vowels and consonants, lower rate and prosodic disturbances *follows left hemisphere damage *Speech errors
What is Apraxia
500
appear stuttering like consonant clusters and blends are difficult speech is slowed with equal stress and spacing
What is Speech Errors
500
Can result from oxygen deprivation Causes Dysthria in children Can result from oxygen deprivation , infections, hemorrhages, malnutrition, and drugs causes abnormal muscle tone, lots of selective motor control, muscle weakness, and impaired speech
What is Cerebral Palsy
500
60% of people with CP Splasticity and increased muscle tone Exaggerative stretch reflex Limbs may rotate inwards Damaged UMN's are unable to inhibit signals that increase muscle tone
What is Spastic Cerebral Palsy
500
30%of individuals with CP have athetosis Movement is disorganized and uncoordinated speech and breathing problems are more severe than other types Damage to BG structures and pathways that inhibit involuntary movements Causes feet to turn in
What is Athetoid Cerebral Palsy
500
Uncoordinated movements with disturbed balance Walking with a wide stance, bird like Injury to the cerebellum impairs monitoring of information about balance from the inner ears as well as propioceptive information from the muscles
What is Ataxic Cerebral Palsy