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The University of Utah 2001
Updated February 2007
Updated September 2007
Updated September 2008
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Spastic
Dysarthria
Dysarthria is a disorder of the production of speech while language is intact.
Expressive language is intact for this patient but he has a spastic dysarthria
caused by bilateral upper motor neuron disease. His speech is low pitched,
strained, and harsh. The rate is slow and deliberate.
ii
Flaccid
(LMN) Dysarthria
This patient has a soft, muffled voice, which is hypernasalized and breathy.
This type of dysarthria is from a lower motor neuron lesion.
i
Dystonic
Dysarthria
This patient has a tight, high-pitched
strained voice. She cant
articulate the words because she cant
get her mouth, tongue, lips and palate to move. She also has trouble swallowing
because of the dystonia.
i
Spasmodic
Dysphonia
The patient has a harsh tight voice, which is caused from spasm of the vocal
cords. This type of dysphonia is felt to be a type of focal dystonia.
i
Confabulation
This patient has marked difficulty with memory, recent memory as well as
past memory. Past memories are often confused and pieces of past memories
are used for current or recent memories.