Speech Disorders Quiz: Dysarthria and Apraxia

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Questions and Answers

Which of the following is NOT a characteristic of dysarthria?

  • Altered prosody
  • Impaired articulation
  • Difficulty with respiration
  • Inability to understand spoken language (correct)

Apraxia primarily affects articulation and prosody.

True (A)

What is the primary difference between dysarthria and apraxia?

Dysarthria involves impaired muscle control of speech mechanisms, leading to disordered speech production. Apraxia, on the other hand, involves difficulty planning and sequencing the movements for speech production.

The term "______" refers to a specific type of speech disorder caused by abnormal functioning of the motor system that controls speech production.

<p>Motor speech disorder</p> Signup and view all the answers

Match the historical periods with their corresponding contributions to understanding speech disorders:

<p>Ancient Greece = Descriptions of speechlessness and tongue paralysis Middle Ages and Renaissance = Descriptions of omitted and added syllables, babbling speech Nineteenth Century = More specific descriptions including &quot;shaking palsy&quot; and &quot;slow drawling manner&quot;</p> Signup and view all the answers

What is the root meaning of "dysarthria"?

<p>Disordered utterance (A)</p> Signup and view all the answers

Early medical writers in ancient times were not as advanced in their approach to medicine as modern physicians.

<p>False (B)</p> Signup and view all the answers

Who is credited with the first accurate description of apraxia of speech?

<p>Liepmann</p> Signup and view all the answers

Which type of motor speech disorder primarily affects the ability to smoothly sequence speech-producing movements?

<p>Apraxia (B)</p> Signup and view all the answers

Dysarthria can affect articulation, respiration, prosody, resonance, and phonation.

<p>True (A)</p> Signup and view all the answers

What does the term 'apraxia' refer to in the context of speech disorders?

<p>Deficit in the ability to smoothly sequence speech-producing movements.</p> Signup and view all the answers

Dysarthria is a collection of speech production deficits caused by __________ functioning of the motor system.

<p>abnormal</p> Signup and view all the answers

Match the following historical figures with their contributions to speech disorders:

<p>Hippocrates = Early accounts of speech and language disorders Bernard of Gordon = Described omitted and added syllables in speech Liepmann = Accurate description of apraxia of speech Wernicke = Described nonverbal oral apraxia</p> Signup and view all the answers

Which of the following descriptions is associated with ancient medical writers?

<p>Tongue was paralyzed (B)</p> Signup and view all the answers

Motor speech disorders only encompass dysarthria.

<p>False (B)</p> Signup and view all the answers

Which medical era saw more specific descriptions of speech disorders, including terms like 'shaking palsy'?

<p>1800s</p> Signup and view all the answers

Flashcards

Motor Speech Disorders

Speech production deficits due to abnormal motor function.

Dysarthria

Impaired speech production from muscular control disturbances.

Types of Dysarthria

Seven subtypes of dysarthria affecting various speech aspects.

Apraxia

Difficulty in sequencing speech movements smoothly.

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Articulation

The clear and precise pronunciation of speech sounds.

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Prosody

The rhythm and pattern of sounds in speech.

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Historical Case Reports

Ancient writings documenting speech and language disorders.

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Liepmann's Apraxia Description

First accurate classification of apraxia of speech in 1900.

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Motor system

Part of the nervous system controlling movement.

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Speech production deficits

Challenges in the ability to produce spoken language.

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Dysarthria characteristics

Affects articulation, respiration, prosody, and phonation.

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Apraxia characteristics

Deficit in sequencing speech movements smoothly.

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Neuroanatomical aspect of speech

Focuses on brain regions controlling speech functions.

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Hippocratic Corpus

Ancient texts containing early reports of speech disorders.

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Bernard of Gordon's observation

Noted phenomenon of syllable omission or addition in speech.

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Wernicke's oral apraxia

Describes nonverbal difficulties in oral movements for speech.

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Study Notes

Motor Speech Disorders

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

Motor Speech Disorders (continued)

  • Collection of speech production deficits caused by abnormal motor system functioning
  • Seven types of dysarthria and one type of apraxia

Dysarthria

  • Impaired speech production due to disturbances in muscular control of speech mechanism
  • "Disordered utterance"
  • Dys (disordered) and arthria (Greek for "to utter distinctly")
  • Can affect articulation, respiration, prosody, resonance, and phonation
  • Misconception: slurred speech is a key characteristic

Apraxia

  • Deficit in smoothly sequencing speech-producing movements of the tongue, lips, jaw, and other parts of the speech mechanism
  • 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 helps understanding historical context
  • Many ancient medical writers used a modern approach
  • Taking an analytical approach to medicine

Case Reports from Ancient Greece

  • Earliest written accounts of speech and language disorders are in the Hippocratic Corpus
  • Descriptions include: speechlessness of tongue, recovered use of tongue, or paralysis of the tongue

Case Reports from the Middle Ages and Renaissance

  • Descriptions from case reports include: omitting and adding syllables, speech attempts filled with a child's babble

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

  • Case reports and medical descriptions became more precise in the 1800s
  • Descriptions included "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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