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02-HandoutsResonanceandVPD - Cook Children's

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Central Neurological Dysfunction<br />

• Injury<br />

– Head trauma/traumatic brain injury<br />

– Cerebral palsy<br />

– CVA/stroke<br />

• Neuromuscular Disease<br />

– Myasthenia gravis, muscular dystrophy, etc.<br />

Central Neurological Dysfunction<br />

May cause:<br />

• Hypotonia<br />

• Dysarthria<br />

• Apraxia of speech<br />

• All of these can cause VP incompetence<br />

36

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