Comm Dis Notes 3rd video PDF

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lecture notes from ch video...

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Thursday 3/11 Notes Exam is on next Tuesday* (same format as before) Components of Speech/Lg Production  

cognitive -linguistic processes Sensorimotor planning and programming o Apraxia of speech  Neuromuscular execution o Dysarthria  Hypokinetic  Hyperkinetic

Let’s Review 

What do you hear/see? o First video  Hyperkinetic dysarthria → Speech diagnosis  Lots of movement (not all intended)  Lots of vocalization when she wasn’t speaking  Hungtington’s disease  Second video  Hypokinetic dysarthria  Not many facial expressions, mumbles, minimal lip movement,  He knows how to make movements and what to do and hitting target sounds but reduced movement (that's why hypokinetic dysarthria vs apraxia of speech)  Parkinson’s disease  3rd Video  Apraxia of Speech  Was able to do the individual sounds with proper breath support  Can’t sequence the sounds properly  Couldn’t describe the picture and got frustrated  Automatic speech was easy for him (saying numbers)

Michael J Fox Video: 

Parkinson's disease: medications can cause extra motion than being statue-like without it

Review 

Hypokinetic or hyperkinetic dysarthria? o Mumbling at rapid rate: hypokinetic o Parkinson’s disease: hypokinetic o Huntington’s disease: hyperkinetic o Unintended and uncontrollable movements: hyperkinetic o Mask-like face & micrographia: hypokinetic

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Basal ganglia dysfunction: both

Chapter 6: Disorders of Voice Frequent clients at Voice clinics Teachers Singers Salespeople Clerks administrators/Managers Factory workers They all have in common: lots of talking      

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Voice Disorders 

Pitch o

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Inappropriate pitch (making the pitch of your voice higher or lower than the natural pitch)  Habitual pitch (the pitch you use everyday)  Optimal pitch (what pitch you should be using based on age/gender)  If habitual pitch is higher or lower than optimal pitch then you put yourself at risk for voice issues  Vocal fry  Pitch goes down at the end  Common in younger people Loudness  Inappropriate loudness  Monoloudness  No word stress of sentence stress so hard to understand Quality  hoarse/rough  Ex; when you have laryngitis  Breathy  Ex; in parkinson’s video  strained/strangled  Tremor

Voice Assessment 

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Case History o What their job is, how they use their voice, any differences recently in voice use Videoendoscopy o Through the mouth: rigid endoscopy  Like a stick that goes down the mouth  At the end of the stick there is a light and a camera so you can see the Vocal folds clearly and look for visible damage

There is a monitor and record it to show the patient how there vocal folds are moving or if there is any visible issues  Measure the pitch through the recording  Can change the frequency and pitch by shortening and lengthening the vocal folds  It artificially slows down the Vocal folds in order to clearly see the movement  If a person has a strong gag reflex then the flexible endoscopy will be a better fit  Through the nose: flexible endoscopy o Flexible and goes down the nose  Spaghetti like structure  Goes to the back of the throat with camera and light  View is a bit smaller and darker  Can’t get as close either  ENTs normally need to help because they need to spray to numb in the nose Acoustic measurements o Visi-Pitch (KayPENTAX)  Small unit with microphone attached to computer  Get measure pitch, loudness, and tremor measurements  Can use in therapy to try and hit the pitch level  There is a game version for younger populations 

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Let’s Review:

Rigid or Flexible Endoscopy? 1. Rigid 2. Flexible 3. Rigid 4. Flexible

Changes in Vocal fold tissue: Misuse (not abuse(old term)) 

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Traumatic laryngitis: swollen and red vocal folds o Irritation and inflammation of the vocal folds  It is very rare  Yelling, screaming, other misuse/overuse of the voice  Aphonia: no voice (loose their voice completely and can’t talk) Vocal nodules: small bumps o Small little bumps/calluses they form on the vocal folds from overuse o Mostly bilateral bumps (b/c they hit each other and the same spot is being irritated) o Persistent vocal misuse o Symptoms: Hoarseness, o Can’t fully close the vocal folds which causes the vocal folds not to be able to fully vibrate (feels uncomfortable but doesn’t hurt)

Let’s review Traumatic laryngitis or Vocal Nodules?

1. Vocal Nodules: if he had to yell and scream a lot then he could of have had multiple traumatic laryngitis 2. Traumatic laryngitis: more instant 3. Vocal nodules 4. Traumatic laryngitis 5. Both 1st line of therapy  Try to change the vocal behavior End of content for Exam #2...