Term
|
Definition
| lower face, lips, and tongue on opposite side of lesion |
|
|
Term
| often present with ______ and _______ with a left hemisphere lesion |
|
Definition
| aphasia, apraxia of speech |
|
|
Term
|
Definition
| lower face and lips weakness on AFFECTED side |
|
|
Term
| physical aspects affecting speech |
|
Definition
| - weakness of tongue and lower face - slow movement and reduced ROM - tongue deviation to affected side - lower facial droop |
|
|
Term
| Why are the velum, pharynx, and larynx typically ok? |
|
Definition
| because the better side can make up for the weak side's loss |
|
|
Term
| Type of brain damage (focal or diffuse) |
|
Definition
|
|
Term
|
Definition
| stoke (one sided), tumor, traumatic brain injury |
|
|
Term
| Most frequent cause of UUMN dysarthria |
|
Definition
|
|
Term
| Most frequent area of stroke causing UUMND |
|
Definition
|
|
Term
| what is the internal capsule |
|
Definition
| sub-cortical area between the thalamus, basal ganglia |
|
|
Term
| not a very common cause of UUMND |
|
Definition
|
|
Term
|
Definition
- destruction of nearby UMNs
- squeezes and displaces UMNs
- compresses arteries and veins that serve UMNs
- |
|
|
Term
| Speech Characteristics of UUMND |
|
Definition
- imprecise consonants
- slow diadochokinetic rate (AMR)
- harsh voice quality
- imprecise AMR
- Irregular AMR
- slow rate
- irregular artic breakdowns
- mild hypernasality
- reduced loudness
- strained voice quality
- excess and equal stress |
|
|
Term
| This dysarthria is a __________ disorder for milder pts. |
|
Definition
|
|
Term
| Only mild to moderate deficits because... |
|
Definition
| the good side can compensate |
|
|
Term
| Co-morbidies (aphasia and apraxia) make the dysarthria appear .... |
|
Definition
|
|
Term
| Primary speech disorder = |
|
Definition
|
|
Term
|
Definition
- weakness
- reduced ROM
- decreased fine motor control of tongue and lips |
|
|
Term
|
Definition
| - VF weakness OR spasticity |
|
|
Term
| Prevalence of hypernasality in UUMND |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| some abnormal intercostal muscle movement |
|
|
Term
| Tx of UUMND may be low priority due to co-morbid factors because |
|
Definition
| we are more likely to deal with apraxia or aphasia early on |
|
|
Term
|
Definition
| oral phase of dysphasia (chewing, controlling foods and liquids) |
|
|
Term
|
Definition
- intelligibility drills
- phonetic placement
- exaggerating consonants
- minimal contrast drills
- oral motor exercises |
|
|
Term
| Oral motor exercises will be more for __________ |
|
Definition
|
|
