2. Videо Cаse 2. A 28 yeаr оld femаle whо carries a medical diagnosis of Friedrich’s ataxia presents to your outpatient clinic for reported changes to speech, language and voice function. In terms of speech and voice function she reports “slurred” speech and a “raspy/breathy” vocal quality. She also admits to mild anomia, difficulty maintaining attention, experiencing a globus sensation with solid foods, and smoking 1 pack of cigarettes per day. She is non-ambulatory and utilizes a motorized wheelchair. a). Motor Speech Evaluation: Perceptual speech evaluation is rated on a 0-7 point scale, with 0 indicating normal function and 7 indicating profound dysfunction. Please rate each subsystem and characteristic that you hear (6 points). Respiratory mechanism is involved with a severity rating of: Maximum phonation duration: Maximum loudness: Normal Adequate Inadequate Loudness in conversation: Normal Adequate Inadequate Laryngeal mechanism is involved with a severity rating of: Vocal quality: Normal Hoarse Breathy (continuous) Breathy (transient) Strained-strangled Harsh Rough Pitch range: Normal Adequate InadequateVocal tremor: Yes No Velopharyngeal mechanism is involved with a severity rating of: Resonance: Normal Hypernasal HyponasalNasal emission: Yes No Nasal assimilation: Yes No Orofacial mechanism is involved with a severity rating of: Conversation: Precise Imprecise Diadochokinesis: Precise Imprecise Rate is involved with a severity rating of: Speed: Normal Fast Slow Pace: Consistent VariableDDK rate: Normal Fast Slow Prosody is involved with a severity rating of: Intonation in conversation: Normal Variable Monotonous Stress in conversation: Normal Equal and excess Reduced stress Excess loudness variation Fluency is involved with a severity rating of: Neurogenic stuttering: Yes No Palilalia: Yes No Naturalness is involved with a severity rating of (0-7): Intelligibility in connected speech is:
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