Assessment of Cerebral Palsy

What is the main aim of evaluating the structure, sensory function, and motor function in the oral peripheral examination?

• To understand any potential contribution of structural and functional deficits for communicative disorder

• To identify the presence of cerebral palsy

• To assess the respiratory, phonatory, resonatory, and articulatory subsystems

• To determine the presence of genetic and family history

What parameters are assessed in neuromuscular examination?

• Observation Gait

• Observation of Muscle symmetry

• Observation of muscle tone

• Observatio of adventitious movement

Oral articulators are examined for the following parameters

• Structure at rest

• Structure at sustained postures

• Structures during non speech movement

• structures during speech movement

Which reflex is characterized by the backward flow of liquid or semi-digested food through the nasal cavity?

• Sucking reflex

• Gag reflex

• Nasal regurgitation

• Tonic bite reflex

What is the primary determinant of pitch during phonation?

• Intrinsic laryngeal mechanism

• Tension maintained by vocal folds

• Thickness of vocal cords

• Length of vocal cords

Choose the following task that are used to assess respiratory adequacy perceptually

• Prolongation of a neutral vowel

• Counting

• Comparing voiced vs unvoiced utterances

• Connected speech

• Visual examination of thorax and abdomen

The following parameters are evaluated while evaluating the

cranial nerve

• Strength, range, depth, nonspeech function

• strength, range, muscular tension, coordination, depth

• strength, range, muscular tension, coordination, and speed of movements

• strength, range, muscular tension, coordination, and speed of lip movements

categorize the perceptual cues under each subsystem errors

Groups:

(a) Respiratory

,

(b) Phonatory

,

(c) Resonatory

,

(d) articulatory

• strained strangled voice quality

• Breathy voice

• reduced breath groups

• Poor AMRs

• slurred speech

• Poor intra oral pressure

• reduced loudness

When there is no need to assess comprehensive respiratory evaluation

• phonation for 4-5 seconds in normal loudness

• 3 CV syllables in a single breath

• phonation for 10 seconds

• 7 syllable production

What is the primary aim of using electro palatography in the objective evaluation of articulation?

• To capture dynamic movements of all active articulators

• To provide a reference point on evaluating across subsystems

• To determine the presence of genetic and family history

• To provide point of contact of tongue made on hard palate