02-HandoutsResonanceandVPD - Cook Children's

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Characteristics of Dysarthria • Slurred, imprecise articulation • Poor breath support • Decreased volume • Slow rate • Hypernasality- common Characteristics of Dysarthria • Poor movement of anterior structures (for articulation) and posterior structures for (VP closure) • Weakness increases with fatigue • Gradual onset of dysarthria with hypernasality is often the first symptom of a neuromuscular disease 38
Apraxia of Speech • Motor speech disorder causing difficulty combining and sequencing motor movements • Affects coordination of subsystems of speech: – Articulation – Phonation (voiced/voiceless errors) – Velopharyngeal function (oral/nasal errors) Apraxia of Speech • Poor coordination, timing, and duration of VP closure • Velum goes up inappropriately for nasal sounds and down for oral sounds • Inconsistent hypernasality/hyponasality 39
Page 1 and 2: Resonance Disorders and Velopharyng
Page 3 and 4: Resonance Disorders and Velopharyng
Page 5 and 6: What determines resonance for speec
Page 7 and 8: Resonance and Vowels • Vowels are
Page 9 and 10: Hyponasality • Not enough nasal r
Page 11 and 12: Oral Cul de Sac Resonance • Sound
Page 13 and 14: Pharyngeal Cul de Sac Resonance •
Page 15 and 16: Velum: Rest Velum (Soft Palate) •
Page 17 and 18: Velopharyngeal Valve and Flow • D
Page 19 and 20: VP Valve during Speech • Velophar
Page 21 and 22: Motor Nerves of VP Function • Glo
Page 23 and 24: Patterns of Closure Variations in V
Page 25 and 26: VPI: Velopharyngeal Insufficiency a
Page 27 and 28: Submucous Cleft Palate Nasal Surfac
Page 29 and 30: Enlarged Tonsils • Can extend int
Page 31 and 32: VPI Post Adenoidectomy • Caused b
Page 33 and 34: Post Maxillary Advancement Post Max
Page 35 and 36: Causes of VP Incompetence • Crani
Page 37: Hypotonia • Can cause poor or wea
Page 41 and 42: Hearing Loss/Deafness • Need audi
Page 43 and 44: Recommendations for VP Mislearning
Page 45 and 46: Types of Nasal Emission • Large o
Page 47 and 48: Short Utterance Length • Leak of
Page 49 and 50: Compensatory Productions for VPI Pl
Page 51 and 52: Posterior Nasal Fricative Posterior
Page 53 and 54: Compensatory Productions for VPI
Page 55 and 56: Dysphonia • Hoarseness • Breath

02-HandoutsResonanceandVPD - Cook Children's

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