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Ataxic Dysarthria is caused by damage to the ________ |
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Cerebral damage that results in primarily _______ and _________ speech errors |
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Ataxic Dys. speech is often called ..... |
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what does the cerebellum do? |
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Definition
- helps time the components of movement - scale the size of muscle actions and coordinates sequences of muscle contractions for skilled motor behavior |
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the cerebellum is divided into.... |
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where is the cerebellum located |
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below the occipital lobe and attached to the back of the brainstem |
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how does the cerebellum communicate with the CNS? |
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Definition
through three bundles of neural tracts called the cerebellar peduncles (inferior, middle, superior) |
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inferior peduncle allows the cerebellum to monitor the __________ while they are being performed |
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timing and force of movements |
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the cerebellum receives info from ________ |
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the entire body (eyes, vestibular system, joints, tendons, and muscles) |
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the largest of the cerebellar peduncles |
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the middle peduncle connects the __________ with the ___________ |
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the middle peduncle receives ___________ from the cortex |
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The superior peduncle is the ___________ to the rest of the CNS |
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the super peduncle sends ___________________ to the motor areas of the cortex |
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neurons are called _____________ |
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cerebellar control circuits |
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ataxic dysarthria results from _________ or ________ cerebellar disease |
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two ways the cerebellum contributes to speech |
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Definition
- corticocerebellar control circuit - connections to the extrapyramidal system |
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Most common signs of cerebellar lesions and ataxia |
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Definition
- difficulty standing and walking |
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Etiologies of Ataxic Dysarthria |
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Definition
- Degenerative Disease - Stroke - Toxic conditions - Metabolic Conditions - Traumatic Head Injury - Tumors |
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Symptoms of Autosomal dominant cerebellar ataxia of late onset |
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Definition
- begins at middle age - progressive - retinal degeneration - muscle rigidity - Sensorineural deafness - balance deficits - dementia - Terminal (death within several years) |
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symptoms of idopathic sporadic late-onset cerebellar ataxia |
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- begins at middle age - progressive - ataxic dysarthria - balance deficits |
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Symptoms of Friedreich's ataxia |
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- rare - beginning in 20's - progressive - can affect spinal cord - gait and dexterity disturbances - dysarthria (mixed) - Sensorineural deafness - few survive past 40s |
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symptoms of olivopontocerebellar degeneration |
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Definition
- progressive and hereditary - cerebellar ataxia - parkinsonian-like symptoms |
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examples of toxic conditions causing AD |
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- lead and mercury poisoning - consumption of alcohol - exposure to chemicals |
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Examples of Metabolic conditions causing AD |
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Definition
- prolonged vitamin E or B12 deficiency - severe cases of hypothyroidism |
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Characteristics of Traumatic Brain injury causing AD |
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- diffuse damage - as a result of twisting and rotational forces - repeated cerebral injuries (boxers) |
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Characteristics of Tumors or Neoplasms causing AD |
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- tumors compress the tissue - Metastatic (secondary) tumors are the most common |
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Definition
- typhus, trichinosis, syphilis - viral infections - bacterial abscess that compresses the tissue |
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Speech characteristics of AD |
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Definition
- imprecise consonants - Excess and equal stress - Irregular artic breakdown - Distorted vowels - harsh voice quality - prolonged phonemes - prolonged intervals - mono-pitch - mono-loudness - slow rate |
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- artic - prosody - Phonation - respiration |
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- timing - force - range - direction of movements - imprecise consonants (most prevalent) - distorted vowels - irregular artic breakdowns (most other dysarthrias are consistent) - breakdown of complex movements |
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Definition
- equal and excess stress - prolonged phonemes - prolonged intervals - mono pitch - mono loudness - slow rate |
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- Harsh voice quality - voice tremor |
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Why the harsh voice quality in AD? |
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Definition
because of the decreased muscle tone in the laryngeal and respiratory structures |
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Respiration deficits in AD |
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- uncoordinated movements in respiratory muscles - exaggerated movements - paradoxical movements |
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What can exaggerated respiratory movements lead to in AD? |
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excessive loudness variations |
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Paradoxical respiratory movements in AD |
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Definition
- muscle groups working against each other - reducing vital capacity + therefore reduces subglottic air pressure - client speaking on residual air |
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