Spastic Dysarthria
Lesion: UMN- pseudobulbar
Sx: harsh voice, hypernasal, bursts of loudness, hyperactive jaw jerk, gag reflex
Abnormal laughing/crying
Flaccid Dysarthria
Lesion: LMN- als, surgery, trauma, Bell’s
Sx: Low volume, breathy or harsh, hypernasal, nasal emission, fasciulations
Hyperkinetic Dysarthria
Lesion: Basal ganglia (huntingtons, dystonia, chorea
Sx: Strained, harsh voice, hypernasal, rapid, involuntary motions
Hypokinetic Dysarthria
Lesion: Basal ganglia- parkinson’s, wilsons
Sx: low volume, hoarseness, monotone, difficulty initiating
Ataxic Dysarthria
Lesion: cerebellar- stroke, EtOH tox
Sx: Harsh, loud, effortful, explosive, inaccurate