Motor Speech Disorders Overview

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Questions and Answers

Which of the following is NOT a characteristic of dysarthria?

  • Difficulty with articulation
  • Impaired understanding of spoken language (correct)
  • Disturbances in muscular control of the speech mechanism
  • Difficulty with prosody

What is the primary characteristic that distinguishes apraxia from dysarthria?

  • Apraxia results in a slurred speech pattern, while dysarthria does not.
  • Apraxia affects only articulation, while dysarthria affects multiple aspects of speech production.
  • Apraxia is characterized by difficulty planning and sequencing motor movements for speech, while dysarthria involves muscle weakness or incoordination. (correct)
  • Apraxia is caused by damage to the left hemisphere of the brain, while dysarthria can be caused by damage to various parts of the brain.

What is the primary difference between speech and language disorders?

  • Speech disorders are caused by neurological damage, while language disorders are caused by environmental factors.
  • There is no difference between speech and language disorders; the terms are interchangeable.
  • Speech disorders affect the physical production of speech, while language disorders affect the understanding and use of language. (correct)
  • Speech disorders are only present in children, while language disorders can occur at any age.

What did Bernard of Gordon observe in his case reports during the Middle Ages?

<p>People who omitted and added syllables to their speech. (C)</p> Signup and view all the answers

Which of the following statements is TRUE about the historical understanding of speech and language disorders?

<p>The Hippocratic Corpus provides some of the earliest written descriptions of speech and language disorders. (A)</p> Signup and view all the answers

What did early theories on the localization of reason propose?

<p>The brain was divided into four cerebral ventricles, each responsible for specific cognitive functions. (A)</p> Signup and view all the answers

Which of the following is NOT a term used to describe a speech disorder in 19th-century case reports?

<p>Aphasia (C)</p> Signup and view all the answers

Who was the first to accurately describe apraxia of speech?

<p>Liepmann (C)</p> Signup and view all the answers

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Flashcards

Motor Speech Disorders

Deficits in speech production caused by motor system dysfunction.

Dysarthria

Impaired speech production due to muscular control disturbances.

Apraxia

Inability to properly sequence movements for speech production.

Types of Dysarthria

Seven forms of dysarthria affecting various aspects of speech.

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Types of Apraxia

One primary type affecting articulation and prosody in speech.

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Historical Review

Study of past reports to understand speech disorders' context.

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Hippocratic Corpus

Early texts containing accounts of speech and language disorders.

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Wernicke's Description

Nonverbal oral apraxia described by Wernicke in 1906.

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Study Notes

Motor Speech Disorders

  • Motor system controls motor movements
  • Speech is communication through vocal symbols (physical production)
  • Disorders are abnormalities of function

Motor Speech Disorders (Continued)

  • Collection of speech production deficits caused by abnormal motor system function
  • Comprises seven types of dysarthria and one type of apraxia

Dysarthria

  • Impaired speech production due to muscular control disturbances of the speech mechanism
  • "Disordered utterance"
  • Dys- (disordered/abnormal) and arthria (Greek for "utter distinctly")
  • Misconception: slurred speech
  • Affects articulation, respiration, prosody, resonance, and phonation

Apraxia

  • Inability to smoothly sequence speech-producing movements of the tongue, lips, jaw, and other speech mechanisms
  • A- (absence of) and praxia (Greek for "performance of action")
  • Primarily affects articulation and prosody
  • Often occurs with left hemisphere brain damage

Historical Review

  • Examining early reports is crucial for understanding historical contexts
  • Many ancient medical writers had a modern approach to medicine
  • A focus on analytical approaches to medicine

Case Reports from Ancient Greece

  • Early written accounts of speech and language disorders appear in the Hippocratic Corpus
  • Descriptions include: "speechlessness," "recovered use of tongue," and "tongue paralyzed"

Case Reports from the Middle Ages and Renaissance

  • Descriptions in case reports include: "omitted and added syllables to speech" (Bernard of Gordon) and "speech attempts filled with child's babble" (Lanfranc)

Two Early Theories on the Localization of Reason

  • Four cerebral ventricles (ancient times to 16th century)
  • Meninges controlled senses and movement

From the Nineteenth Century to Today

  • 1800s: Case reports and medical descriptions became more specific
  • Descriptions include: "shaking palsy" and "slow drawling manner"

From the Nineteenth Century to Today (Continued)

  • Liepmann accurately described apraxia of speech in 1900
  • Wernicke described nonverbal oral apraxia in 1906

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