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Ataxic Dysarthria
n/a
38
Other
Graduate
05/01/2011

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