chapter 5 clinical applications: speech production perry c. hanavan, au.d
TRANSCRIPT
![Page 1: Chapter 5 Clinical Applications: Speech Production Perry C. Hanavan, Au.D](https://reader036.vdocuments.us/reader036/viewer/2022082817/56649e195503460f94b05515/html5/thumbnails/1.jpg)
Chapter 5Clinical Applications:Speech Production
Perry C. Hanavan, Au.D.
![Page 2: Chapter 5 Clinical Applications: Speech Production Perry C. Hanavan, Au.D](https://reader036.vdocuments.us/reader036/viewer/2022082817/56649e195503460f94b05515/html5/thumbnails/2.jpg)
Question
Parkinson’s is a disorder of:
A.Degenerative disorder of the peripheral nervous system
B.Degenerative disorder of the central nervous system
C.It is not a motor disorder
D.It is a psychological disorder
E.None of the above
![Page 3: Chapter 5 Clinical Applications: Speech Production Perry C. Hanavan, Au.D](https://reader036.vdocuments.us/reader036/viewer/2022082817/56649e195503460f94b05515/html5/thumbnails/3.jpg)
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
![Page 4: Chapter 5 Clinical Applications: Speech Production Perry C. Hanavan, Au.D](https://reader036.vdocuments.us/reader036/viewer/2022082817/56649e195503460f94b05515/html5/thumbnails/4.jpg)
Disorders & Respiration
• Cerebellar disease – Reduced VC – Abrupt changes in
motions of the chest wall
– Utterances initiated below normal lung volumes
Cerebellar Disease
![Page 5: Chapter 5 Clinical Applications: Speech Production Perry C. Hanavan, Au.D](https://reader036.vdocuments.us/reader036/viewer/2022082817/56649e195503460f94b05515/html5/thumbnails/5.jpg)
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 injuryChristopher Reeve
![Page 6: Chapter 5 Clinical Applications: Speech Production Perry C. Hanavan, Au.D](https://reader036.vdocuments.us/reader036/viewer/2022082817/56649e195503460f94b05515/html5/thumbnails/6.jpg)
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
![Page 7: Chapter 5 Clinical Applications: Speech Production Perry C. Hanavan, Au.D](https://reader036.vdocuments.us/reader036/viewer/2022082817/56649e195503460f94b05515/html5/thumbnails/7.jpg)
Disorders & Respiration
• Mechanical ventilation – Higher than normal
Ptrach
– Excessively high TV
Passy-Muir Valve with Mechanical Ventilation
![Page 8: Chapter 5 Clinical Applications: Speech Production Perry C. Hanavan, Au.D](https://reader036.vdocuments.us/reader036/viewer/2022082817/56649e195503460f94b05515/html5/thumbnails/8.jpg)
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
![Page 9: Chapter 5 Clinical Applications: Speech Production Perry C. Hanavan, Au.D](https://reader036.vdocuments.us/reader036/viewer/2022082817/56649e195503460f94b05515/html5/thumbnails/9.jpg)
Disorders & Respiration
• Hearing problems – Exhaling for speech at
low lung volumes – Excessive air
expenditure per syllable
Aiden’s speech