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Parkinsons disease and treatment paper
Parkinsons disease and treatment paper
Parkinsons disease and treatment paper
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Hypokinetic Dysarthria is a motor speech disorder that is often associated with Parkinson’s disease (PD). It can occur when there is interference in the basal ganglia control circuit. These disruptions can include “degenerative, vascular, traumatic, infectious, inflammatory, neoplastic, and toxic-metabolic diseases (Duffy, 2013, p. 176).” Damage to the basal ganglia control circuit results in reduced range of motion as well as the inability to inhibit involuntary movements. Hypokinetic dysarthria is most commonly caused by PD; a progressive, neurogenic disease that is characterized by tremor, rigidity, slowness of movement, and incoordination. Eighty-seven percent of hypokinetic dysarthria cases are associated with degenerative disease (Duffy, 2013).
Nonspeech signs associated with hypokinetic dysarthria may include characteristics dealing with the face, eyes, hands, arms, and trunk. The individual may have an expressionless look to their face as well as weakness with gestures in the hands, arms, and face that would normally match the person’s prosody when speaking. Overall, their social interaction with others can be emotionless. Eye blinking occurs less frequently than normal and their head gaze does not match where their eyes are looking. These patients swallow infrequently which leads to drooling. A tremor may be present in the jaw, lips, and tongue as well as limited movement during speech even though strength of these structures is often normal.
The most common speech symptom is hypophonia which is reduced vocal loudness. Hypokinetic dysarthria often is associated with variables of pitch and loudness where a patient may be monopitch or exhibit monoloudness (Johnson & Adams, 2006). Speech movements ...
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Ataxic dysarthria is one of several types of dysarthria. “Dysarthria is a group of motor speech disorders resulting from disturbed muscular control of the speech mechanism due to damage of the peripheral or central nervous system” (Hedge, 2001, p. 198). In specific, ataxic dysarthria is a disorder that affects the control of speech production due to damage to the cerebellum or the neural pathways that connect the cerebellum to other parts of the central nervous system.
Parkinson disease (PD), also referred to as Parkinson’s disease and paralysis agitans, is a progressive neurodegenerative disease that is the third most common neurologic disorder of older adults. It is a debilitating disease affecting motor ability and is characterized by four cardinal symptoms: tremor rigidity, bradykinesia or kinesis (slow movement/no movement), and postural instability. Most people have primary, or idiopathic, disease. A few patients have secondary parkinsonian symptoms from conditions such as brain tumors and certain anti-psychotic drugs.
A big part of Dysautonomia is knowing what it is, its symptoms, and causes. First, Dysautonomia is an umbrella term which describes multiple problems throughout the body. Such as dysfunction of the autonomic nervous system which controls functions of the body like the cardiovascular system, gastrointestinal system, metabolic system, endocrine system. Those who get Dysautonomia have trouble regulating these systems. Second, Dysautonomia can be life threatening and ranges from mild to disabling. Those who have Dysautonomia report increased symptoms after illness, trauma, or immunizations and children tend to struggle more than adults with basic functions of life. Dysautonomia tends to affect more females than males; it has a female to male ratio of 5-1. This disease is not very well known or heard about in society because it is such a rare disease (“What is Dysautonomia? What Causes Dysautonomia?”). Third, Dysautonomia can be diagnosed in different forms and with other diseases. Most people get diagnosed with another disease along with Dysautonomia. Some of these diseases or conditions that Dysautonomia is diagnosed with are Diabetes, Rheumatoid Arthritis, and Parkinson’s disease. People can also be diagnosed in different forms such as; Neurally Mediated Syncope (chronic condition where blood pools and there is a decrease in blood pressure and heart rate), Pos...
 Mild, chronic depression has probably existed as long as the human condition, although it has been referred to by various different names. The DSM-III replaced the term “neurotic depression” with dysthymic disorder--which literally means ‘ill-humored’-and it was added to the Diagnostic and Statistical Manual of Mental Disorders, 1980
.... Rest tremor is usually unilateral starting from hand and foot and the movement of the fingers and thumb is usually described as pill rolling action. As the disease progresses, the tremors spread to all the four limbs. The counter action of muscles such as contraction and relaxation is disturbed leading to muscles soreness and finally rigidity. Patients experience slowness in their routine activities and tend to fall backward due to loss of postural reflexes. Other secondary signs include mask like face, slurred speech, drooling of saliva, difficulty in writing commonly called as micrographia, constipation, depression and difficulty in swallowing. Parkinson's malady is regularly connected with psychiatric dullness, which incorporates discouragement, uneasiness, and dopaminergic psychosis. Therefore, several medications and psycho therapies are available for relief.
PD is one of the most common neurodegenerative diseases that afflict about 1% of individuals over the age of 65 and its occurrence increases by age. Its symptoms are characterized typically by slow but progressive neurological and non-neurological disabilities such as tremor, memory problems, declining sense of smell, rigidity, drooling, and constipation. PD is also commonly associated with other psychiatric diseases e.g. depression, anxiety and psychosis.
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There are many approaches to the explanation of the elderly's difficulty with rapid speech. Researchers point to a decline in processing speed, a decline in processing brief acoustic cues (Gordon-Salant & Fitzgibbons, 2001), an age-related decline of temporal processing in general (Gordon-Salant & Fitzgibbons, 1999; Vaughan & Letowski, 1997), the fact that both visual and auditory perception change with age (Helfer, 1998), an interference of mechanical function of the ear, possible sensorineural hearing loss due to damage to receptors over time (Scheuerle, 2000), or a decline in the processing of sounds in midbrain (Ochert, 2000). Each one of these could be a possible explanation; however it is often a combination of several of these causing a perceptual difficulty in the individual.
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Barker, V., Giles, H., Hajek, C., Ota, H., Noels, K., Lim, T-S., & Somera, L. (2008).