Chapter 5 Clinical Applications: Speech Production

1. Chapter 5Clinical Applications:Speech Production Perry C. Hanavan, Au.D.

2. Question Parkinson’s is a disorder of: • Degenerative disorder of the peripheral nervous system • Degenerative disorder of the central nervous system • It is not a motor disorder • It is a psychological disorder • None of the above

3. Disorders & Respiration • Parkinson's disease • Changes in chest-wall shape • Reduced rib cage movement • Increased displacement of abdomen • Reduced VC • Reduced Poral Michael J. Fox Understanding Parkinson’s Disease

4. Disorders & Respiration • Cerebellar disease • Reduced VC • Abrupt changes in motions of the chest wall • Utterances initiated below normal lung volumes Cerebellar Disease

5. Disorders & Respiration • Cervical spinal cord injury • Reduced VC, IRV, and ERV • Larger than normal lung volumes at beginning and ending of speech exhalation • Larger abdominal volumes than normal • Fewer than normal syllables per breath Spinal cord injury Christopher Reeve

6. Disorders & Respiration • Cerebral palsy • Reduced VC • Difficulty accessing IRV and ERV • Weakness and deformities of chest wall • Abnormally high airflows during speech Zachary’s cerebral palsy Zachary learns to say his name

7. Disorders & Respiration • Mechanical ventilation • Higher than normal Ptrach • Excessively high TV Passy-Muir Valve with Mechanical Ventilation

8. Disorders & Respiration • Voice problems • Clavicular breathing • Higher than normal P trach • Higher lung volume initiation • Lower lung termination for speech Dr. Sims and voice disorders

9. Disorders & Respiration • Hearing problems • Exhaling for speech at low lung volumes • Excessive air expenditure per syllable Aiden’s speech