Spactic dysarthria 1/5
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- čas přidán 2. 05. 2007
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here after Dr Ryan.
Hi! Me too lol
same here we really follow the instructions and read user's manual :B
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
X, XI, XII I think
excellent.thanku. pls add more.
@drjashan1 cerebellar lesions result in ataxic dysarthria; upper motor neuron lesions (bilateral) result in spastic dysarthria.
Este video es muy interesante, pero me gustaría una presentación en castellano para comprenderlo mejor ya que es de mucho interés para todas las personas que nos relacionamos con niños que pueden tener dificultades en la articulación del lenguaje.
@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?
dysarthria-difficulty in coordination of the highly skilled organised movements involved in SPEECH,which becomes SLURRED AND DECOMPOSED .... *cerebellar ATAXIA one of the CEREBELLAR HEMISPHERE SYNDROME..
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
Diaphragmatic breathing doesn’t help either I have dysarthria my self
First of all I'd like to thank you for sharing with us this valuable material.
According to the picture, I think the patient has motor aphasia (Broca's area). Because he is able to understand speech and questions, but struggles with answering. His speech is very slow and is not clear.
That could indicate ataxic dysarthria too though
@@sabs9742 that is very much true
I agree with your observations, but his speech is not agrammatic (e.g. "down the street on his bicycle"), so it is unlikely to be Broca's aphasia.
His speech is slow and effortful because of hypertonicity, which is the key feature of spasticity.
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?
Did you find any solution?☺ I'm in my third year as a speech therapist and I find spastic dysarthria really difficult to treat.
I came to post this. Telegraphic speech is not present (typical of Broca's aphasia), and his strained-strangled voice, slow rate, and lack of variability in pitch and loudness are salient features of spastic dysarthria. His right hand also appears to have some abnormal muscular movements. Good eye and ear, girabbit85.
Guys this is classic Cerebellar Dysarthria...very good internal medicine video...and No..this is not UMN lesion
Pseudobulbar palsy ( type of umnl)
@nessajack having said that, his answers are incredibly simplistic....
1:19-1:27
it is not necessary that he is stupid ..he is just having laceration to the nerve controlling the tongue muscle ..for example the CN XII which innervate the posterior third of the tongue or laceration to the CN IX -maybe due to jugular foramen syndrome ix-x-xi , xii ...
i do not really understand what did you mean by flaccid dysarthria ..so i think there is no mental impairment ..do you agree ?
Hot potato speech
Lol @ doctors trying to differentially diagnose between dysarthrias, aphasias... This is spastic not ataxic. Perhaps your medical textbook says cerebellar damage results in 'slurred' speech, but this is not cerebellar.
can you participate in my video game? I need a voice actor.
it is not necessary that he is stupid ..he is just having laceration to the nerve controlling the tongue muscle ..for example the CN XII which innervate the posterior third of the tongue or laceration to the CN IX -maybe due to jugular foramen syndrome ix-x-xi , xii ...