Which vocal quality is most typically NOT associated with spastic dysarthria?

In spastic dysarthria, the vocal quality is often characterized by a strained-strangled quality, which arises from excessive muscle tone and tension in the larynx and surrounding structures. This condition leads to difficulties in relaxing the vocal cords, resulting in a harsh and strained vocal production.

Breezy and breathy vocal qualities, on the other hand, are typically attributed to flaccid dysarthria, where there is reduced muscle tone and weakness affecting the vocal cords, allowing more airflow during phonation. While harsh vocal quality can sometimes be present, the defining feature of spastic dysarthria involves greater tension and effort in voice production.

Therefore, breathy vocal quality is least associated with spastic dysarthria because it does not align with the increased muscle tone and tension characteristic of this type of dysarthria, making it the correct response in this context.