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Disoriented by Dysarthrias?

Tim Stockdale, SLPD, CCC-SLP

Reference: Duffy, 2020 (Motor Speech Disorders, 4th Edition)

Understanding motor speech disorders like flaccid, spastic, ataxic, hypokinetic, hyperkinetic, and unilateral upper motor neuron (UUMN) dysarthrias can be tricky. Here's a quick guide to help you navigate:

✅ Examine Primary Features:

Look for key characteristics:
Spastic: Slow, strained-strangled.
Flaccid: Short phrases, breathy voice, hypernasality, imprecise consonants (but features are variable depending on the cranial or spinal nerves impacted).
Ataxic: Irregular rhythm, "drunken" quality.
Hypokinetic: Variable rate, monotone (think Parkinson’s).
Hyperkinetic: Involuntary movements disrupting speech (think of laryngeal dystonia/spasmodic dysphonia.
Unilateral Upper Motor Neuron: Often mild features, imprecise consonants production, slow DDK production.

✅ Consider the Etiology:

What caused the damage? Stroke, trauma, degenerative disease?

✅ Identify the Lesion Location:

Is it affecting upper motor neurons, lower motor neurons, the cerebellum, the basal ganglia, or somewhere else?

✅ Search for Confirmatory Signs:

Muscle tone (hypertonia or hypotonia), reflexes, gait abnormalities, or tremors can support the diagnosis.

💡 Tip: Diagnosis often relies on a combination of speech characteristics, confirmatory signs, and understanding of the neural pathways. Treatment may focus on improving communication efficiency and compensating for lost abilities, not just on "strengthening."

📣 Want to Learn More?
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