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QuestionAnswer
apraxia muscle strength normal, can't coordinate movements of tongue, lip, jaw
limb apraxia can't move limbs when asked
apraxia of speech can't start and do movement patterns when needed to make speech
apraxia of speech no paralysis, weakness, discordination
apraxia causes? lesions in Broca's area
apraxia causes? stroke
apraxia causes? injury to front and parietal regions
cause of apraxia? seizure
speech problem with apraxia put articulators in right places
speech problem with apraxia more errors with consonants
speech problem with apraxia words most said are pronounced the best
functional words useful for everyday social interactions with medical staff, caregivers, and family
treatment of apraxia raises speech production and intelligibility
treatment of apraxia careful assessment
treatment of apraxia focuses on getting functional communication
dysarthia set of speech disorders due to paralysis, weakness or incoordination of speech muscles
cause of dysarthia parkinson's
cause of dysarthia cva
cause of dysarthia tbi
respiratory problem of dysarthia affect loudness, phrases and variations
respiratory problem of dysarthia forced inspiration and expiration
respiratory problem of dysarthia irregular breathing rate
respiratory problem of dysarthia shallow, rapid, effortful breathing
respiratory problem of dysarthia run out of air when talking
phonatory problem of dysarthia monopitch, weak voice
phonatory problem of dysarthia high pitch and low pitch for pitch breaks
phonatory problem of dysarthia short variations in loudness
phonatory problem of dysarthia breathy, harsh, hoarse voice
resonance problem for dysarthia hypernasality, hyponasality
articulation problem for dysarthia sounds made weakly
articulation problem for dysarthia left out, hanged, imprecise
articulation problem for dysarthia both consonants and vowels
prosodic problem for dysarthia inappropriate rate
prosodic problem for dysarthia pausing
prosodic problem for dysarthia inappropriate stress on syllables
prosodic problem for dysarthia no intonation
ataxic dysarthia damage to cerebellum by stroke or tumor
ataxia disturbed balance and sequenced movement due to damage to cerebellar system
flaccid dysarthia cranial nerves that gives muscles in speech
spastic dysarthia lesions in pyramidal and extrapyramidal system
hyperkinetic dysarthria damage to basal ganglia
hypokinetic dysarthria damage to basal ganglia
unilateral upper motor neuron dysarthria damage limited to motor neurons in one hemisphere
mixed dysarthria more than one form
specific treatment goals to raise intervention
dysarthria treatment through assessment of neuromuscular
dysarthria treatment depends on many factors but mainly nature and severity
respiratory problems enough loudness, longer sentences and continuous speech
phonatory problems more voice production, more speech, more utterances
resonance problems lower hypernasality
articulation problems more breath support, phonation
prosody both voice and fluency
prosody variations in rate, pitch, loudness, stress, intonation, and rhythm of speech
prosody problems change pitch, loudness, rate, stress
prosody problems may have to model or imitate
right hemisphere syndrome attention and orientation
right hemisphere syndrome visual perception
right hemisphere syndrome spatial awareness
right hemisphere syndrome emotional experiences and expressions
right hemisphere syndrome certain parts of communication
certain aspects of communication talk comprehension and production
certain aspects of communication understand implied meaning
certain aspects of communication understand emotional tone
certain aspects of communication understand prosody
certain aspects of communication understand context
certain aspects of communication pragmatic skills
what causes right hemisphere syndrome? stroke, tumor, head trauma, Alzheimer's
spatial disorientation common, last awhile
spatial disorientation can't find a way home and a map is pointless
geographic disorientation think in different city or hospital than actually are
reduplicative paramnesia existence more places and people that are exactly the same
prosopagnosia facial recognition deficits
prosopagnosia don't recognize familiar faces only when hear voice
affective deficits don't express emotion well and understand
affective deficits tone of voice and facial expression
reasoning and planning deficits plan, organize, problem solving
communicative deficits humor at wrong times, ramble
communicative deficits by attention deficits, disorientation and left neglect
communicative deficits don't put apart important info
communicative deficits don't get abstract meanings such as idioms
communicative deficits don't stay on topic or take turns
treatment of right hemisphere syndrome systematic observation, do given activities, standardized test and skills
treatment of right hemisphere syndrome impaired skills of attention and left neglect
treatment of right hemisphere syndrome design procedures to raise attention
dementia normally occurs in? older people
dementia intellectual deterioration and bad behavior changes
intellectual and behavioral problems with dementia Alzhemier's
intellectual and behavioral problems with dementia slow onset
intellectual and behavioral problems with dementia subtle memory problems
communication problems with dementia evolve and deteriorate over time
communication problems with dementia mild naming problems get worse
communication problems with dementia understanding to describing
communication problems with dementia don't stay on topic and clarification
treatment and rehab of people with dementia multidisciplinary
treatment and rehab of people with dementia comprehensive assessment with autsopy
rehab of people with dementia clinical management
rehab with dementia work with maintenance
rehab with dementia memory book
rehab with dementia written schedule
communication problem with TBI dysarthria
communication problem with TBI question language
communication problem with TBI anomia
communication problem with TBI perseverative verbal response
communication problem with TBI hard language comprehension
communication problem with TBI pragmatic problems
communication problem with TBI rambling
treatment of TBI orientation, memory, narrative skills, turn taking, topic maintenance, topic initiation, no irrelevant responses, speech intelligibility
treatment targets for TBI must be functional
treatment targets for TBI start with effective communication then articulation, grammar, etc
cause of dysphagia stroke
cause of dysphagia neurological and degenerative disorder
cause of dysphagia tumor
cause of dysphagia surgery
cause of dysphagia chemo
cause of dysphagia brain injury
cause of dysphagia HIV/AIDS
assessment of dysphagia bedside swallow exam
assessment of dysphagia videoflouroscopy/modified Barium swallow study
indirect treatment of dysphagia tongue exercises, no food or liquid used
direct treatment of dysphagia food and liquid used to promote safe swallowing
medical management tube feeding and surgery
voice can? hide messages or give messages different than that by words
voice can? unique
voice can? how pleasant/unpleasant speaker sounds
organic voice disorders structural deviation or change in phonatory part
organic voice disorders physical disease
functional voice disorders not with tissue changes in vocal folds and related structures
organic disorders thought to be made by problem in neurophysiological part of speech
functional disorders idiopathic
functional disorders no demonstrable organic or neurologic cause
functional disorders faulty learning, environment, habits, emotions, unknown
thinner, shorter pitch higher frequency and higher pitch
longer, thicker fold lower frequency and lower pitch
the greater the frequency of vocal fold is what pitch? higher
pitch variations in frequency in which folds vibrate
fundamental frequency average rate at which folds tend to vibrate
fundamental frequency habitual for each individual
harshness irregular vibration of folds
harsh voice unpleasant, rough, gravelly
harsh voice higher tension in folds
hoarse voice both harsh and breathy
resonance gives additional characteristics change of sound by structures where sound passes
loudness found by intensity of sound signal
loudness depends on extent to which vibrating object moves air particles
the higher the sound the higher the what? amplitude
breathiness may be due to vocal nodules
breathiness folds not completely close
breathy voice produced with less than optimum amount
interview and history birth, physical, social, behavioral change, education and communication
interview and history meet parents
interview and history find out how they see problem
disorders of loudness loudness varies on people and times rarely seek help
disorders of loudness with other voice disorders
disorders of loudness believe psychological problems
disorders of loudness keep air pressure as speaking
what is the typical pitch disorder? either too high or too low pitch
typical pitch disorder considers speaker's age and gender
high pitch in the female rare
high pitch in the female does not change as dramatically as the male
high pitch in the female noticeable
pitch disorders due to hormonal changes more frequent in females
pitch disorders due to hormonal changes pitch changes
quality complexity of sound waves
what are three main problems with quality? breathiness, harshness, and hoarseness
breathiness air leak and the resulting noise
breathiness vocal folds slightly open in phonation
breathiness sounds like a whisper
breathiness may be habitual
breathiness cause is neurological, nodule swelling, cancer growth
harsh voice unpleasant, rough, strident, grating sound
harsh voice more muscular tension
harsh voice vocal folds are too tight
harsh voice caused by neurological disease or structural alteration
harsh voice go to voice therapy
hoarse both harsh and breathy
hoarse show serious laryngeal pathology cold
hoarse irregular vocal fold vibrations
hoarse caused by laryngitis, neurological diseases or abnormal fold growth
how do you cure hoarse voice? go to voice therapy
resonance low resonance is bad
resonance when structures of throat, mouth and nose change sound larynx makes
disorders of oral resonance shape and size of the cavity
disorders of oral resonance by place of tongue during phonation and jaw movement
disorders of oral resonance tongue is in the front to make immature voice
cul-de-sac resonance oral cavity partially closed at back and open in front
cul-de-sac resonance distorted voice and resonance
cul-de-sac resonance no organic deviations
disorders of nasal resonance velopharyngeal mechanism
disorders of nasal resonance oral and nasal cavities
disorders of nasal resonance soft palate and throat
disorders of nasal resonance vowel sounds
velopharyngeal inadequacy hypernasality
velopharyngeal inadequacy muscle of soft palate reduced
velopharyngeal inadequacy do not get closure
adenoidectomy/ tonsillectomy hypernasality
adenoidectomy/ tonsillectomy initially do not have enough muscle mass
paralysis of velum hyper nasality organic cause
paralysis of velum complete or partial, does not help in closure
paralysis of velum cerebral palsy or stroke
deafness hypernasality
deafness have good velopharyngeal mechanism but do not use it well for speech
deafness cannot monitor nasality
functional hypernasality not a defect
functional hypernasality hallmark of voice
if functional hyper nasality gets too excessive? get therapy
functional hypernasality in cleft palate? surgically treated
biofeedback is a good treatment for? hypernasality
what is biofeedback? electronic instruments show amount of oral and nasal resonance as a person talks
what does vocal fold paralysis cause? aphonia
vocal fold paralysis does not sound normal
vocal fold paralysis is a concern for? breathing and swallowing
carcinoma laryngeal cancer
carcinoma affects what gender the most? men
a malignant tumor affects one or both folds
a sign of carcinoma is? hoarseness, hard to swallow, throat pain
to solve carcinoma? surgery, chemo therapy or irradiation
when you get a laryngectomy the valve and structures are removed
who gets a laryngectomy? patient without normal part of sound making
with a laryngectomy how does a patient breathe? through a trachea
after someone gets a laryngectomy? speech treatment and see a pathologist for retraining without help of vocal folds
vocally abusive behavior problems can cause? physical damage
vocal folds are sensitive
what are some vocally abusive behaviors? more shouting, screaming, cheering, coughing or clearing throat
vocally abusive behaviors deal with? inappropriate loudness or pitch
what are vocal nodules? small nodes form on folds and come from surrounding cells
what color are vocal nodules? white or gray
vocal nodules are formed from hoarseness
vocal nodules are seen in? children who scream and yell
how do you get rid of vocal nodules? voice therapy to remove and rest
what are polyps? masses that grow and bulge out of surrounding tissue
polyps are unilateral
polyps are more found adults more than children
how do you remove polyps? remove by surgery
what are contact ulcers? sores from one or both sides of back of folds
who is affected by contact ulcers? adult males mostly
contact ulcers need medical attention
vocal fold thickening is caused by? vocally abusive behaviors
vocal fold thickening excessive effort, coughing, throat-clearing, prolonged abuse
laryngitis inflammation of membranes of larynx
laryngitis swelling of membrane
traumatic laryngitis vocally abusive behaviors
traumatic laryngitis continuous yelling. crying more laughing
how do you solve voice therapy? vocal therapy with rest
spasmodic dysphonia neurological, behavioral, unknown
spasmodic dysphonia is seen more in? adults over the age of forty
if you have spasmodic dysphonia to treat it you will voice therapy
medical evaluation by an ENT
medical evaluation determines what? if there is a laryngeal disease
medical evaluations use a endoscope
what is the first step of a voice evaluation patient history
second step interview
third step oral-periphel exam
fourth step hearing screening
fifth speech and language sample
sixth measure and test behaviors
seventh recommendation
eighth report
why is loudness hard to measure and judge? there is no standard
why is loudness hard to measure and judge? clients speak loud but soft there
why is loudness hard to measure and judge varies on situation
clefts openings that go through one or more structures normally closed
clefts not grow
what is the new name for mental retardation? intellectual disability
how are swallowing disorders assessed? team specialists and SLPs
how are swallowing disorders assessed? use video fluoroscopy of x-ray pictures
what does a person respond to when in a coma? unconscious, unresponsive to most stimuli
cause of TBI? automobile accident
cause of TBI pedestrian accident
cause of TBI motorcycle
cause of TBI child abuse
cause of TBI accidental fall
compensatory articulation child or adult's try to make speech sounds in weird ways because of psychologic deficiencies
compensatory articulation distorted or faulty
compensatory articulation sounds to back
vocal fold thickening happens because of? vocally abusive behaviors
vocal fold thickening excessive effort in coughing, throat-clearing, prolonged abuse
cleft lip opening in upper lip
quadriplegia all four limbs involved
what are the three types of common classification for cerebral palsy? spastic, athetoid, ataxic
spasticity more tone or rigidity of muscles in rigid, abrupt, jerky, slow labored movement
spasticity is in sixty percent of children with cerebral palsy
pyramidal motor pathways cause spacity by? injury
pyramidal motor pathways cortical centers of motor control
pyramidal motor pathways brain stem and spinal cord
athetosis series of movements that are slow, involuntary, writhing and wormlike
athetosis feel inward and fingers overextended
extra pyramidal pathway fibers go indirect route to final destination
injury to the extra pyramidal pathway? athetosis
pyramidal pathway bundle of nerve fibers start in motor cortex and travel right to brain stem and spinal cord
what is ataxia? disturbed balance and movement for abnormal walk
ataxia clumsy, awkward, uncoordinated, misdirected
what is ataxia caused by? injury to the cerebellum
how is the speech of children with cerebral palsy? does not flow naturally and easily, not fluent
speech of children with cerebral palsy? short phrases and many interruptions
cerebral palsy intelluctual disabilities from brain injury
intelectual disabilities are seen in what percentage of children with cerebral palsy? fifty percent
intelectual disabilities varies among children
hearing impairment with cerebral palsy common
what is strabismus? a visual impairment
in strabismus? the eyes can't focus together
what does als stand for? amyotrophic lateral sclerosis
als is? degenerative, motor neurons lower muscle function
als affects what? speech intelligibility
what is a behavioral disorder associated with cerebral palsy? distracted when learning
behavioral disorder associated with cerebral palsy? inappropriate emotional responses and temper tantrums
behavioral disorder associated with cerebral palsy? withdraw in society
epilepsy seizure disorder found in patients with brain injury
rehab for patients with cerebral palsy? go to a hospital with a rehab department, specialist team
rehab for patients with cerebral palsy? medical and non medical specialists
speech and language treatment is at what rate? slower
speech and language treatment focuses on? correct pronunciation of speech words
speech and language treatment focus simple words and phrases
context bound is for? autistic learning
context bound restricted sense and context
for context bound you do not do what? generalize
echolalia parrot-like repetition of something, attempts at communication
pronoun reversal refer to themselves as you, he or she
rett syndrome is? genetically based neurologic disorder
rett syndrome is mainly found in what gender? females
when is rett syndrome normal? during six to eighteen months
in rett syndrome? can not control in hand movements and has walk disturbances
childhood disintegrative disorder first two years has normal development then it decreases
when is childhood disintegrative disorder diagnosed? three to four years of age
childhood disintegrative disorder affects? social, verbal, self-help, motor skills
childhood disintegrative disorder? preoccupied with certain things
syndrome constellation of symptoms that say a clinical condition
how may apert syndrome be caused? by genetic mutation
apert syndrome? when embryonic stage different bones fuse prematurely
hypernasality excessive nasal resonance on oral speech sounds
hyponasality too little nasal resonance on nasal speech sounds
fragile x syndrome genetic with intellectuals and communication problems
fragile x syndrome is most commonly seen in? males
prader-will syndrome intellectual disability
prader-will syndrome speech and language delay
cri-du-chat syndrome deals with babies who cry in high-pitch
cri-du-chat syndrome lose weight and slow growth
tourette's syndrome genetic syndrome by tics
tics compulsive movements
tourette's syndrome is not neurological
williams syndrome small boned body etc
in williams syndrome intellectual disabilities are common
williams syndrome people insist on? having conversation with strangers
intellectual disabilities when child or adult experiences limitations in intellectual functioning, low social behaviors and low living skills
when is an intellectual disability diagnosed? when the iq is below 70
mild 50-70
moderate 35-50
severe 35 and lower
factor associated with intellectual disability genetic syndrome
factor associated with intellectual disability prenatal, perinatal and postnatal
communication disorder with someone who has an intellectual disability no abnormal language
mild intellectual disability communication skills are few errors and moderate disabilities
syntactic difficulty in id slower in putting words into phrases and sentences
syntactic difficulty limited language
syntactic difficulty don't start conversations
minimally verbal or nonverbal children with severe oral communication deficits
prosthodontist specialist who can design and fit many kinds of devices that help improve function of oral structures
aphasia language problem
aphasia is caused by stroke and others hurt left cerebral hemisphere
what are three motor speech disorders? apraxia, childhood apraxia of speech and dysarthia
what are the neurologically based disorders? aphasia, apraxia, childhood apraxia, dysarthia, right hemisphere syndrome, dementia, traumatic brain injury
autopsy method clinical scientists use to find what parts of brain control what functions
neurosurgery method with clinical scientists to study brain-language relationship
neurosurgery is highly reliable with direct data
what is a brain imagining device used for? relationship of language and the brain
brain imaging devices diagnose what? tumors and alzheimer's
ct scan early technique
ct scan x-ray scanner goes around head to make pictures of brain
ct scan finds what? tumors and recent hemorrhages
ct scans diagnose what? strokes and aphasia
two distinct sets of disorders: neurophysiological and swallowing
fmri changes in blood oxygen levels and blood flow
fmri x-ray no radioactive material
rcbf trace blood flow to parts that are more active than other areas
pet metabolic rate of different brain areas
sites of particular language functions? not the same for all individuals
only main are that is the same is? back with speech production
aphasia language disorder affects all parts of social communication and participation
aphasia is caused by recent brain injury such as a stroke or tumor
vascular diseases hardening of cerebral artery
embolus blood clot, fatty material, air bubble stops blood flow
embolus may start? stroke
thrombosis stationary blood clot
stroke causes high blood pressure, high cholesterol, vascular disorders
aneurysm sack-like bulge which ruptures the cerebral hemmorhage
aneurysm is because lack of blood flow and oxygen supply
brain tumors primary intracranial tumors
what could a brain injury be due to? car accidents or motorcycle accidents
verbal paraphasia put words with meanings similar to right word
phonemic paraphasia some substituted words and sounds right based on similarity
neologism make new words which are meaningless
agrammatism leave out certain grammatical elements
verbal stereotypes say same words and phrases over and over again
verbal stereotypes may be obscene
comprehension problems not understand speech of others
visual agnosia not say something by seeing it, must touch it
auditory verbal agnosia patient not see meaning of word unless the word is shown
nonfluent aphasia broca's, transcortical motor, global
fluent aphasia Wernicke's, conduction, anomic
what do clinician's measure and test of aphasia? general language, functional communication, auditory understanding, oral expressive, reading and writing, gestures and nonverbal, conversational
steps to assess aphasia client history, interview client and family, orofacial exam, hearing screening, speech and language sample, measure and test
functional assessment how patient communicates in everyday situations
treatment of aphasia individualized, functionality
main targets for treating apraxia higher speech production, higher intelligibility, functional communication
individualized treatment of aphasia certain target behaviors
treatment of aphasia focus on functional treatment
baselines measures of what client can and can't do without treatment
baselines help see if patent improving after treatment
behavioral treatment of aphasia specific stimuli, needed responses and consequences
when working with family members about aphasia counsel the family
working with family about aphasia help client regain skills, engage in conversation
working with family about aphasia crucial
dementia general word describing progressive diseases in nervous system
cleft palate incidence one in 750 births
cleft palate incidence is highest in? Chinese Americans
cleft palate is seen the most in what gender? females
when is cleft palate generally diagnosed? at birth
Alzheimer's most common form of progressive dementia
Alzheimer's concerns loss of remote memory and recent events
otorhinolaryngolgist physician trained in medical and surgical management of disease of the ears, nose and in throat
types of vocal abuse talkative children, most shouting, screaming, cheering and bad loudness of pitch
laryngeal trauma is seen in ? children most
laryngeal trauma when automobile accidents, bullet wounds and swallow toys
non penetrating brain injury indirect brain damage, skull may not be amazed no penetration
penetrating brain injury skull fractured or perforated, meninges torn and brain tissue damaged
traumatic brain injury injury to brain kept by physical trauma or external force
spontaneous recovery language performance gets better without SLP help
spontaneous recovery recovery fast over the first weeks
anomia don't name things objects and people
anomia is a basic problem
anomia children knew what to see but could not find the word
paraphasia word substitution problem
paraphasia words substituted wrong
jargon is mainly fluent
jargon irrelevant and meaningless
jargon intonation normal
jargon meaning is irrelevant or odd to asked question
agraphia deals with? writing problems
alexia deals with? reading problems
agnosias hard time understanding sensory information
aphasia language loss
aphasia degree varies among people
oral apraxia do not move muscles of throat, palate, tongue, cheeks for non speech ways
what are the three groups of children in which CAS is seen? neurological problems, higher neurobehavioral disorders, not found neurologic/ neurobehavioral issues
childhood apraxia of speech developmental apraxia of speech
childhood apraxia of speech disturbance in precision and consistency of speech movements
left neglect and attention deficits right side use only
dysphagia swallowing food and liquid disorder
four pauses of swallowing oral preparatory, oral, pharyngeal, esophageal
oral preparatory phase first stage
oral preparatory phase food in mouth
oral preparatory phase teeth and tongue make blouses to swallow food mixed with saliva
oral phase second stage
oral phase tongue action
oral phase move food to back of mouth
esophageal phase fourth and last stage
esophageal phase food to stomach
pharyngeal phase third stage
pharyngeal phase bolus goes through facial pillars go through pharynx
aphonia complete loss of voice
aphonia is rare but extreme
aphone is whisper to communicate
functional aphonia behaviorally psychological disorder
functional aphonia dure to environmental causes
functional aphonia base not organic
how to treat functional aphonia? counseling or psychotherapy
organic aphonia impaired, injured, absent structures
organic aphonia may be temporary physical injury recover once treated
dysphonia all other types of voice disorders
dysphonia may hurt one or more things
dysphonia may affect what? pitch, loudness
what is dysphonia caused by? vocally abusive actions
papilloma growth on laryngeal structures
papilloma caused by virus
papilloma found in children
how is papilloma treated? surgically but may come back
jobs at risk for vocal nodules? constant and intense use of voice
jobs at risk for vocal nodules? teachers, preachers, and singers
habitual pitch typical pitch
optimal pitch most comfortable, best and compatible pitch
craniofacial anomalies group of genetic and congenital conditions affect growth and function of face mouth and head
cleft palate opening going through the soft palate and bony roof of mouth
feeding b
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Voices

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