Spactic dysarthria 1/5

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• neurology
• clinical
• exam
• medicine

[medchode]

haha, people who make comments on youtube are inherently unintelligent.... oh wait, DAMN!

[Paesly]

This absolutely does not appear to be a problem with the cerebellum which would result in incoordination and drunken like speech. Plus, to say it controls voluntary body mvmts is a very elementary description of its multitude of functions. He does appear to have spastic dysarthria which is localized in bilateral UMN. His speech characteristics are indicative of increased effort to speak, strained/strangled voice, very obvious pitch breaks, and harsh voice.

[Gazzzario]

@nessajack having said that, his answers are incredibly simplistic....

[nazzadabest]

Pseudobulbar palsy is an upper motor neurone lesion which involves CN IX, X and XII - resulting in increased reflexes (jaw jerk, gag reflex), spastic dysarthria, labile emotions, intelligence is not afffected. Thanks for the post. it was really helpful

[maryblueangel]

Thank you for posting this. I'm working on my Master's in Clinical Speech Pathology and I'm trying to get better at differentiating between the different dysarthrias!

[DrFuckingPepper]

It is so amazing to see the broad spectrum of function of the brain.

Thank you for uploading this.

[Naliana323]

well, he seems to have multiple subsystems that are effected so beginning with respiration you can do diaphragmatic breathing exercises and increase pitch to secrease strained voice quality. or try having him sigh before a sentence (breathy onset). You can try traditional atric treatment to improve intelligibility using placement cues, contrastive and referential stress tasks, drills to increase his speech rate; however spastic treatments dont have long term effects due to the tone in the muscle

[kayokogishitomi1]

what are some effective Speech therapy treatment approaches for Spastic Dysarthria? Note push/pull, and other effort closure techniques are counterintuitive to the spastic nature of the disorder. I have been allowing my patient to take multiple breaks throughout the therapy session as well as using an oral-facial massage to counteract the muscle spasticity; however, the efficacy behind this remains unclear. Any help?

[kayokogishitomi1]

@Naliana323 what are some effective Speech therapy treatment approaches for Spastic Dysarthria? Note push/pull, and other effort closure techniques are counterintuitive to the spastic nature of the disorder. I have been allowing my patient to take multiple breaks throughout the therapy session as well as using an oral-facial massage to counteract the muscle spasticity; however, the efficacy behind this remains unclear. Any help?

[Naliana323]

@mamakatburner Dysarthria is a motor speech disorder that affects coordination and articulation of speech sounds(ex.saying g for k). Aphasia affects the actual speech in terms of its content (language) you'll have difficulty recalling information that you once knew and can have a loss of meaning between the relationship of words and their meaning SO aphasia affects the content of language, dysarthria affects the preciseness of the speech sounds or it can affect ur voicing. hope that helped.

[djdreamproductions]

@drjashan1 cerebellar lesions result in ataxic dysarthria; upper motor neuron lesions (bilateral) result in spastic dysarthria.

[mamakatburner]

Thank you for posting this video! I think it can help me understand the difference between dysarthria and aphasia...I am confused, even though I have read many sources for a explanation, but still can't get it.