COMD 4500 Exam 1 and 2 Questions with Complete Solutions compensatory treatment - Correct Answer -skills to function -memory aid -navigation tools -hearing assistive devices -modify environment restorative treatment - Correct Answer -cognitive stimulation therapy -computer based treatments glasgow coma scale - Correct Answer -widely used -3 subscales (eye opening, motor response, verbal response) -severe, moderate, mild -for tbi rancho los amigos scale - Correct Answer -widely used, 1-10 -rehab professionals familiar -higher number=better cognitive function -rates based on observation -specifies how much assistance is needed -descriptive behavior at each level -track progress during recovery -for tbi tbi assessment - Correct Answer -standardized tests -test score can be insufficient to reflect problems -informal testing -discourse analysis -importance of qualitative insights 1 / 3
apraxia - Correct Answer -planning, programming deficit -bad musical score, good orchestra -left hemisphere cortical damage -phonetic-motoric disorder -words wont come out right/mispronounced -complaints about articulation -segmental and prosodic distortion dysarthria - Correct Answer -neuromuscular speech production deficit, good musical score, bad orchestra, cns or pns damage flaccid dysarthria - Correct Answer -lmn damage -peripheral nerve injury, infection -weakness, muscle atrophy -lower muscle tone -voice breathy, weak, gravely spastic dysarthria - Correct Answer -bilateral umn damage -head trauma, motor neuron disease -multiple strokes -weakness, slowness, excessive muscle tone -voice may be strained/strangled, effortful speech, monotone, whispery ataxic dysarthria - Correct Answer -cerebellar damage -degenerative atrophy, stroke, trauma -strength typically normal -coordination, regulation disrupted -movements become clumsy -articulation errors irregular, variable -sounds like alcohol intoxication 2 / 3
hypokinetic dysarthria - Correct Answer -basal ganglia damage, reduced movement -often caused by Parkinson's disease -too much motor cortex inhibition -slow, small amplitude, weak movements -weak, breathy, monotone voice -smaller steps, handwriting
-in some cases: rapid rushes of speech
hyperkinetic dysarthria - Correct Answer -basal ganglia damage -toxic/metabolic causes -too little motor inhibition -involuntary movements, increased movements -speech patterns vary widely -visible consequences can be troubling unilateral umn dysarthria - Correct Answer -cortical stroke -most cranial nerve bilaterally innervated -lower face and part of tongue are exceptions -aphasia/apraxia may be present -opposite side is weakened -mild/moderate articulation deficits -usually resolves spontaneously mixed dysarthria - Correct Answer -common to have more than one -any combo of subtypes -spastic/ataxic common in MS -spastic/flaccid common in ALS FEES - Correct Answer -flexible endoscopic eval of swallowing -velopharyngeal port view
- / 3