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TSM 65
Phonation
20
Medical
Undergraduate 2
12/30/2012

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Term
How is speech produced?
Definition
1) Air driven out of the lungs
2) Phonation created when driven through closed glottis
3) Vocal note amplified and moderated in resonating chanmbers (pharyngeal+oral cavity)
4) Constrictions and closures by tongue and lips further modify note to give what we hear as speech sounds.
Term
How is the vocal note produced in the larynx?
Definition
Through the approximation of vocal cords. The arytenoid cartilages are brought together by the vocalis and thyroarytenoids muscles.
Term
How do the vocal cords vibrate?
Definition
Air blown through the constriction causes the vocal cords to open and close due to the rising-falling pressure cycle.
Term
Which nerve innervates the muscles governing the vocal cords?
Definition
CN X. Recurrent branch and external branch of superior laryngeal nerve.
Term
At what sites are constrictions made to modify the vocal note?
Definition
1) Velum: lowering-raising produces nasal or oral resonance
2) Tongue: extrinsic muscles give the overall platform whilst intrinsic muscles provide finer patterns of approximation
3) Lips: contacts (lip-lip or teeth) and open or closed
4) Mandible: not actively involved but provides platform for the lips and tongue.
Term
How is intensity determined?
Definition
Subglottal driving pressure x tightness of approximation of vocal cords.
Term
How is frequency determined?
Definition
1) Tension in vocal cords (intrinsic tension)
2) Stretching by cricothyroid muscle
3) Rate of airflow
Term
What studies demonstrate that the vocal tract acts as a concerted whole?
Definition
1) Voice onset time
2) Pertubation studies
Term
What is motor equivalence?
Definition
There is no relationship between absolute positions and given sounds.
Term
How does the brain send signals to produce given letters?
Definition
Each sound has a target region with a critical boundary line where the sound becomes different. There can, however, be variation in producting the same sound.
Term
What is the function of the superior and posterior temporal lobes?
Definition
They link speech perception to planning.
Term
What is the function of the parietal lobe?
Definition
It links sounds to their meanings.
Term
What is the function or the arcuate and uncinate fasciculi?
Definition
Link anterior to posterior systems.
Term
Which areas are responsible for speech motor control?
Definition
1) Left anterior insula
2) Frontal operculum
3) Left posterior-inferior frontal gyrus.
Term
What conditions concern 'planning'speech?
Definition
1) Apraxia of speech
2) Phonemic paraphasia.
Term
What symptoms are associated with phonemic paraphasia?
Definition
Difficulty finding words. Neologisms.
Term
What symptoms are associated with apraxia of speech?
Definition
Difficulty constructing programme for movements to realise strings of sounds. Repeated attempts at sound/word.
Term
What is dysarthria?
Definition
Alteration of neuromuscular functioning.
Term
What are the symptoms of dysarthria?
Definition
1) Alterations of tone power and coordination
2)Breathy voice
3)Nasal
4) Effect on stress, intonation, rate and length of utterance.
Term
What kind of dysarthrias can you have?
Definition
1) Ataxic (cerebellum)
2) Flaccid (LMN)
3) Spastic (UMN)
4) Hyper/hypokinetic (basal ganglia).
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