Excuse my ignorance describing the Portuguese new story as Spanish during recording 🤦♂ They are just not languages I am exposed to frequently in Australia, but now that I've worked with both Portuguese and Spanish SLPs in translating my website, the difference is *extremely* obvious.
I'm a grad student and I love all of your videos! They have been extremely helpful in helping me distinguish each dysarthrias. Keep putting content out. :)
Your content focuses on comprehensive explanations with analogies that make concepts much easier to understand. thank you so much for these, sincerely an SLP student from the PH
Amazing video! Thank you so much for uploading this excellent content! I have an exam on friday and your videos have been so helpful! /SLP student in Sweden.
Would it be accurate to say that if someone has movement of the upper face but weakness of lower face they must have UUMN dysarthria or can this pattern on an OME still be present with flaccid, spastic, or mixed dysarthria? For example, if a person has this finding on OME (UUMN dysarthria?), but also presents with drooling (flaccid dysarthria?), strained vocal quality (spastic dysarthria?), and emotional lability (spastic?), how might you classify this?
Hi Linda, I assume you are talking about lower weakness on one side only which does suggest UMN damage (most commonly stroke). However, this doesn't automatically result in UUMN *dysarthria* and can be present in other dysarthrias due to pre-existing damage to the contralateral side (e.g. an old infarct) causing spasticity; or a premorbid, unrelated neurological condition like MND, Parkinson's, an ataxia, etc. That's why it's important to use all the features you can identify as puzzle pieces: * Drooling is caused by impairment to oral motor control and/or swallowing. It's common in flaccid dysarthria but definitely present in others. If you can't gather and swallow saliva, you may drool. * Strained vocal quality is most common in spastic dysarthria, particularly if severe, but can be present in others. * Emotional lability is unique to spastic dysarthria as far as I know. Overall it makes a spastic dysarthria most likely AND a new stroke - it would be worth checking for hyperactive gag and asking about the onset (gradual or sudden).
Good evening my son had a motorcycle accident and now he has severe dysarthria. She did a speech therapy course but with poor results, her condition is more complex and I would like to contact her if she has an email address. You will be very grateful to explain her situation. Thanks so much
Unfortunately I can't get involved with treatment advice online. Spastic dysarthria is difficult to treat though so the speech pathologist may not have done anything wrong!
Yes I didn't explain that well - the strain/tension in the larynx means that the pitch and loudness are resistive to change, or at least rapid change, so the normal up and down within and across words isn't possible.
I would like to have video exam me , I had 2 strokes and lost my speech but I haven't been told what exactly what I have in order to work on improving , I had electrode stimulation in order to swallowing n passed but as far as improving speech I've been told to just do some exercises to strengthen my tongue mouth by slp
@@johnepierce no I don't but my my symptoms are I can feel my tongue moving but looking in the mirror if DOESNT move mouth is slightly slanted I can can extend my tongue lil my lips, I can only say MOM OR MYRA N CAN MAKE THE 'P" SOUND N I HAVE EXCESSIVE DROOLING , MY BREATHING IS OF ESPECIALLY WHEN LAUGHING, MY EMOTIONS ARE EXACTLY WHAT U EXPLAINED IN VIDEO, IM DEPRESSED AT TIMES , IM JUST PRAYING I GET SOME SPEECH BACK, WHAT CAN U RECOMMEND?
If you need a fresh Spastic Dysarthria sample from a person about to be diagnosed with ALS I can hook you up. My most recent addition to my diagnosis process is SD w' tongue Fasciculations
Mate that's terrible to hear - hopefully you're wrong about the potential diagnosis. Are you seeing a professional? Tongue fasciculations suggest you'd have flaccid dysarthria (but if it was ALS, it's common to have *both* spastic and flaccid, which is called mixed dysarthria).
@@johnepierceoh that's..great, well I can definitely give you an example of mixed dysarthria in that case. I'm finding out in about 16 hours whether or not I have ALS. I definitely look like I do unfortunately, I was hoping it was something less bad. Hope your well mate
so it looks like you are not familiar with the language spoken in brazil. it's not spanish. it's portugese--another related european language. just fyi
Yes sorry about that. I did realise but only after the audio was recorded, so I inserted a correction at 15:24. I don't hear either language often in Australia so I have to concentrate to distinguish between them!
Sorry! Unlike the USA and even UK, Spanish is spoken by 0.8% of the population in Australia, and Portuguese 0.2%, so I just don't hear them enough to effortlessly distinguish. I did notice while editing and put a correction at 15:24 😭
Excuse my ignorance describing the Portuguese new story as Spanish during recording 🤦♂ They are just not languages I am exposed to frequently in Australia, but now that I've worked with both Portuguese and Spanish SLPs in translating my website, the difference is *extremely* obvious.
I'm a grad student and I love all of your videos! They have been extremely helpful in helping me distinguish each dysarthrias. Keep putting content out. :)
Still coming back here for review after being a practicing SLP. Your visuals with your teachings are so good. Thank you!
Please keep making content. Highest quality content on UA-cam. Absolutely fantastic. Yours sincerely, SLT student in Ireland
Your content focuses on comprehensive explanations with analogies that make concepts much easier to understand. thank you so much for these, sincerely an SLP student from the PH
Thank you from an SLT student in Singapore. Such clear analyses and analogies used when teaching.
I have no idea who you are but you have saved me in me dysarthria test
how did u fix it?
Amazing video! Thank you so much for uploading this excellent content! I have an exam on friday and your videos have been so helpful! /SLP student in Sweden.
This is amazing, thank you. Has helped me so much with one of my TBI patients!
Thank you so much! We need more content!!
Amazing video thank you!
Hi @johnepierce Do you by any chance know which book and/or website the images you displayed, such as at 1:44 and 1:54 are from?
There are citations beneath them as they appear :-)
Great teaching! Keep it up.
Thank you so so so much may Jesus bless you alot...this is so helpfull❤🎉
How do you correct it?
Would it be accurate to say that if someone has movement of the upper face but weakness of lower face they must have UUMN dysarthria or can this pattern on an OME still be present with flaccid, spastic, or mixed dysarthria?
For example, if a person has this finding on OME (UUMN dysarthria?), but also presents with drooling (flaccid dysarthria?), strained vocal quality (spastic dysarthria?), and emotional lability (spastic?), how might you classify this?
Hi Linda, I assume you are talking about lower weakness on one side only which does suggest UMN damage (most commonly stroke). However, this doesn't automatically result in UUMN *dysarthria* and can be present in other dysarthrias due to pre-existing damage to the contralateral side (e.g. an old infarct) causing spasticity; or a premorbid, unrelated neurological condition like MND, Parkinson's, an ataxia, etc. That's why it's important to use all the features you can identify as puzzle pieces:
* Drooling is caused by impairment to oral motor control and/or swallowing. It's common in flaccid dysarthria but definitely present in others. If you can't gather and swallow saliva, you may drool.
* Strained vocal quality is most common in spastic dysarthria, particularly if severe, but can be present in others.
* Emotional lability is unique to spastic dysarthria as far as I know.
Overall it makes a spastic dysarthria most likely AND a new stroke - it would be worth checking for hyperactive gag and asking about the onset (gradual or sudden).
@@johnepierce Thanks so much for your input!
Super informative!
Good evening my son had a motorcycle accident and now he has severe dysarthria. She did a speech therapy course but with poor results, her condition is more complex and I would like to contact her if she has an email address. You will be very grateful to explain her situation. Thanks so much
Unfortunately I can't get involved with treatment advice online. Spastic dysarthria is difficult to treat though so the speech pathologist may not have done anything wrong!
Great video sir
존 피어스 님, 사랑합니다
Hello! Could you please explain why a slow rate would impact prosody??
Yes I didn't explain that well - the strain/tension in the larynx means that the pitch and loudness are resistive to change, or at least rapid change, so the normal up and down within and across words isn't possible.
John Pierce thanks for replying! I just had my motor speech disorders exam and your videos helped me a lot! Thanks again:)
I would like to have video exam me , I had 2 strokes and lost my speech but I haven't been told what exactly what I have in order to work on improving , I had electrode stimulation in order to swallowing n passed but as far as improving speech I've been told to just do some exercises to strengthen my tongue mouth by slp
It's tamara Braxton
@@tbrax888 Hi Tamara. I can't treat people online but do you know where in your brain the strokes happened?
@@johnepierce no I don't but my my symptoms are I can feel my tongue moving but looking in the mirror if DOESNT move mouth is slightly slanted I can can extend my tongue lil my lips, I can only say MOM OR MYRA N CAN MAKE THE 'P" SOUND N I HAVE EXCESSIVE DROOLING , MY BREATHING IS OF ESPECIALLY WHEN LAUGHING, MY EMOTIONS ARE EXACTLY WHAT U EXPLAINED IN VIDEO, IM DEPRESSED AT TIMES , IM JUST PRAYING I GET SOME SPEECH BACK, WHAT CAN U RECOMMEND?
@@tbrax888
Tamara, I would say seeing a neurologist is the best thing you can do right now.
If you need a fresh Spastic Dysarthria sample from a person about to be diagnosed with ALS I can hook you up. My most recent addition to my diagnosis process is SD w' tongue Fasciculations
Mate that's terrible to hear - hopefully you're wrong about the potential diagnosis. Are you seeing a professional?
Tongue fasciculations suggest you'd have flaccid dysarthria (but if it was ALS, it's common to have *both* spastic and flaccid, which is called mixed dysarthria).
@@johnepierceoh that's..great, well I can definitely give you an example of mixed dysarthria in that case. I'm finding out in about 16 hours whether or not I have ALS. I definitely look like I do unfortunately, I was hoping it was something less bad. Hope your well mate
@@HonorableHarbinger How'd you go my friend? Bad news?
thank you
so it looks like you are not familiar with the language spoken in brazil. it's not spanish. it's portugese--another related european language. just fyi
Yes sorry about that. I did realise but only after the audio was recorded, so I inserted a correction at 15:24. I don't hear either language often in Australia so I have to concentrate to distinguish between them!
its is not Spanish it is Portuguese -_-" Zzzz
Sorry! Unlike the USA and even UK, Spanish is spoken by 0.8% of the population in Australia, and Portuguese 0.2%, so I just don't hear them enough to effortlessly distinguish. I did notice while editing and put a correction at 15:24 😭