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    8 views24 pages

    Duffy6 PDF

    Uploaded by

    Maria P12

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
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    of 24
    Ataxic Dysarthria Wott st hep andthe and sme And the come eal sured, abot hie dus nd hie tone an the canon ge my ws hme oarrer OUTLINE 1 Antony and base fanetins fhe cellar IL Clea character of esl on and Spec pathos Ati dst percep distin mo specs dsorder MSD) seated with damage to AB reat conto cick my Be ai in ao al ofthe respiratory. phony. sentry 24 stculatory eves of spec ti charter oer tlle the fests fio a edie mc one te pod och portant contributor to the specch deficits tins with cect dese, Reve the disorders Aesignton ana dys The eniication of 3 ‘jsartna a ataic can aid the dagnois of meno lope dicase and ts ocaleaton to the cerebellum of cerebellar com cst ‘Nive dysutina 1 eacoumered as the primary speech ploy in a age meal patie a ke marae 10a forms ther maj single ‘sata typo. Based on ds or pry commun ftom solr diagnoses within the Mayo, Chine Speech Pathology practice. acute foe 108% of al jarvis a 9 eof al MSDs ose Figure 3). The clinical eae of atancdysatna Mhatate the import role ofthe cesta ad its conte ‘ins spec tor contol OF ll he nia “rsa types. mos cle et beak in ning and coordination, Whe estes tothe speceh of puso with fae dats the inp Sons noone ef uneasiness Fest to ‘mover or esrition of tower bu ater one ‘fan ati hat poly inst sa oon Ed ANATOMY AND BASIC FUNCTIONS OF ‘THE CEREBELLAR CONTROL CIRCUIT Te cored contol ict consis oF the eer bellum and it conectons He component ae ssh n det in Chaper 2 Here rates. Pathways, nd functions tat sre mos elvan Wo Spesch are ey sunmared anu postrir lobes ofthe ceebella. To the sides fhe vermis ate herp and et cershllar bem Spheres each of which connected to the epposte thalamus and cereal Remsspere. ach corel 164__The Disorders and Ther Diagnoses hemp sive in coring mesement on the ptr sade ofthe dy hth et cerca aint igh cere hemispheres cooperate tc ‘tnting movement on the righ she of the dy. Sithersht coral and let cela hemes operate coriating vert the at sie fhe dt The Ltr coher homiaphtes a Portis ingore to the coinaton of sed Cataract atone Prone cells hve Fast inhibitory re the sole caput ncn of he cerca corey. Thy ‘apse wih deep creellar ac, ts att Ears te cretion trough the sero andi ‘or cereteliar polite, “The eel nisences as nf shout acsviest sever lve the tr sytem, The Primary ind essen eetions for ire ‘pecch contol melo’ 11) recip sonnet {Sith the serebea cme: 12) autos and pro ive fctack from speech msc tendo and Joon (3) ecjproccoonetons wih rans eenponents the inst sctvaion phn. {Sconpeation wh the axl snl conto ict through ops amone the thal, coral concs. ul comment ofthe inet mrss From fnctonal stanspin the reel Ip sim the components of mormon. see the sie of msc actions ond coontnae sence of ‘muscle coracnos for shlled tor beh Tpresinaiy receives matice nf iene. ove ments rome cereva tte an mtr thee quacy af manement tees based on Teoh from muses, tons adjoint Hc inves sthsequer coral motor outta o hat fee fuck anon onpoie formation fom the ces shout upcoming movemnem sole ik peri to ‘make moatieation tat moh thetiming nd J LOCALIZATION OF SPEECH WITHIN THE CEREBELLUM “The localization of spe within the creel i uncertain. Brown, Dae aml Anson ekg presi gait fm and spe saan poole wt erehelrdnease conde thi reas ‘ter han he aneie potion he seem ae hs vporant or siient for mr sos conte, ‘They alo concede stove dyson resis from bisa or generalized cern di fase even hough may smetnes dae oe Foca eso ‘Whee re sich fol lsons? Chi Chen. an ‘Tong. cuminina 15) yon with sehen dicase ant daria. conc! that dine Surctrsithe sera ata cls wee the pinay ewe or condinaion speech Ackerman et at contd at tte dsats pecially ssosited wih dapuge a parame reps of the seperor eres pte esi inthe dnt aces are inked phot distances and tt the mut sehere aca: ett ae ssc th steal esr, Seve Sales of people ith creel tumor oF ferellr ifr imp the panel ate tnd eal cera Rees Ken ah pts hat lesions general cle er furaermal area wll see lal cert Femsperes. conclu. "Posi dient pat the ceeteltum are involve a torent of ferent motor sens thin speech puoduton. they ate nvoved wah iter fnctons of ot con” Ip general therefore tei sorte ‘mas common acted ith baer gene fed cerebellar dean. Miho levons i he ce bella are foe the lateral empires) pestered or pantera ins a impictr Lesions cain tie spech may mt eo fine to the ceeeun, Clin evidence ins that also cam reat Tom sions to the sop fereellar peduncle oc anuhore slong he acer thous ‘Miah spect functions he nteralizod wii th ahem sini 1o the Laaleabon of specs fn Tanguige within the cereal hemp Himes observed thar disease fecting onl lateral cerebellar hemssphere could et speech, hs ha spec wstlly improves spy when les ae unlaeral Lechtentere an Cala” toes ‘hat dai in 3 patents wth ondesenes crear yer ss mosh ee common the sce wat exclasiely or predominant ins le cereetar hemisphere tan tas evs Sively or predominantly the ig cerebellar Shee or vermis. Becase pose wtb: Prominent ataxic dyson they fe that = dominance” of thet cere misghee ically vlad to esr ist the np cere Hemisphere andi appre importante rose anton. In conta, however Acker al ep that thee of he fou tet “yarn resting Hom upto ha aside lesions Ak. Grol Ab! Marat reported 3 case with dsr {ishesded praeena srke an agaed th Soperor igh prncrmal nome might fe the balla pec cot icin ph nn The motion of ateralized serballar domi, cv Silent spect tles forthe ight ers et ‘Sschellur hemispheres. ceri eleva fo out Solostinding of spec oto st Tha tere ino be an asytumetie dsb of eeehelt ‘ES tha fe oon das alo ass the fposbiiy of ifr! ype” of sae dens fo ate dependent apon the lereatin of cee lar lesions. I shoul he mote ese, that SSivc dysatia isnt jus psd: dserbunce tefculton athe la i ab alee ad that ‘tal oir dysaa ype tae aps sd Spot speech alo fest pow atugh ‘tooaee dstngunile fom that rele en ‘-cela ese adton Ket ta ote that Sul dertaning of coeblia alization or “pss ust acount remote fst ens “Stas foal fects Fur example one consequence 1 coal disease som to ea ned fc ltvey infleace of the esrb on thee oie of the cereal emispete” Falls ss Gin Bloede and Lecheners® ste, "I Sniscly tht only cerebellar bcs ould Be responsible forall of the facets of gee dsoer ‘using wih cerebellar des" ha hs pine ston should be exercised nding onshsons soit the terization a spec fants ith ite ceebein Ea CLINICAL CHARACTERISTICS OF ‘CEREBELLAR LESIONS AND ATAXIA Difiuties wih standing nd walkitg ae the most ‘omen sgt of creel dives. gait en ‘scr to as ata. Stance ad gait ae uly Srl bse antral nab ty le tals Steps may fe wresulsnly pled th es ied ‘oo igh and slapped w the ron. Tere may be lence in teaines whoa standing with the fee together wih the eyes open ner closed Tiabaion is» thymic wemer tthe bey or head tha can ovcue wah ceretear sean He scaly manifest as rocking of the rink or eal Inrvafd ee back, side oid, o i ary metion, ‘ira times pr soon The mont sora of the abnormal eye move nent hat cat occu Hn ereela dase whch Is chartered yap nition feck and oat ery oem oh ees a et ‘ith lateral oF upward ge, Pats ay aso cow acer deveria it wish sal apd ese novemens develop athe temp ayn isa ‘age an temp fo comet Tor acct Baton, ‘Mypownia 0 Sevres In tenance to pusine ‘ovement can ecco merebelar dase Iecan be ‘stead wih excessive ponds which Grape 6 Asie Dysotia 165 an extremity, allowed to sing flyin «pear Inunnet,hav a peer ha aciage numb fos Tons efre coming tres thi ton creased muscle tne or decd fesisance fo Imovement "A telated phenomenon, Kio as Impaied check and eiessve rebound. Ca also ‘cc For example, whe hed to main the am ina outro poston nth the ees sh tap the wrt rns nage dspaesent ofthe hm Yllowed by overs eyo the eign postion when scams The mide extant ets pane shock. teas overshot exces Drsmera a common sign of creel diese isadiuance nthe tjetory of by pa dang ‘moveront oan inabiy1 contral ranges ene teat soften carterized by overshooting oF bndetsbosng of pets well a by born inspec giving movements an iepulr appearance Tis rjc detected when poets at ashe repel ouch he tipo iis geo ee fe and then fly extend the arm oh the ‘Ramer’ ngertnosnger-ose ft)” Dradiadootinwr i 9 Manifestation decom: ‘ston of movement assert). hich retro sine anh of pene ps Uta be chcied by testing allematingrepetne movements common tsk ithe knee pat es ‘which the pce pats tbe kage ltrs with he Pal ant dosum ofthe han gry iueasing foarmaninum at: siecle tng wiggling sad puting the oor wi the bl ofthe fo are cha lsat atemate motion te (ANI) sks used {o elicit djsdiadokokinesie Poor performance on Sich tks fs chaacenzed by aborts int, ‘hyn, ample and pression. Spec AMR ae talogous these teats of coordination an peed, ‘Anata ithe produto aometi. ddl sei and decomposition of moment. Nati movements are aking. impreic. Jek. poorly owned, and Taking i peed 3a ido Smoothness. Alun goneily sacs wih Aisexse ofthe cerebellar omephers = ‘Cereelar disease sometimes ssid with lenin ce Kieicsromor tha appending mnement or sxe poten and uly on sibious sv angel aponinaedferminal tremor! This corel rem nally ocr wa order of he ater efter hemispheres lla sese do ot retest cerebellar dtu Kemer fice. accurs fue with focal cerebellar idling lesiom=" Aliugh ewe ef on Srna wee Vi a 9 pene ho Abo sof cal eves WV. and VI Dy sho te ercovntere asl, cngntve detrbanes ibe grat ive dtc ensumered in people wih se anact ef accompanyats noncvtebllt “deficit Hossever tent clin nberatons a onto laneuage aocesng. finan mot nec veld the comet. organization, wnt pragmatic stb

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