Speech Therapy
Speech Disorders
Speech Perception
Speech Production Measurement
Velopharyngeal Insufficiency
Articulation Disorders
Stomatognathic System
Voice Disorders
Laryngeal Diseases
Voice Quality
Stuttering
Occupational Therapy
Aphasia
Oxprenolol
Vocal Cords
Audiometry, Speech
Phonetics
Speech Articulation Tests
Speech Discrimination Tests
Physical Therapy Modalities
Speech Recognition Software
Speech Reception Threshold Test
Sound Spectrography
Cochlear Implants
Speech, Esophageal
Dysarthria
Audit in the therapy professions: some constraints on progress. (1/196)
AIMS: To ascertain views about constraints on the progress of audit experienced by members of four of the therapy professions: physiotherapy, occupational therapy, speech and language therapy, and clinical psychology. METHODS: Interviews in six health service sites with a history of audit in these professions. 62 interviews were held with members of the four professions and 60 with other personnel with relevant involvement. Five main themes emerged as the constraints on progress: resources; expertise; relations between groups; organisational structures; and overall planning of audit activities. RESULTS: Concerns about resources focused on lack of time, insufficient finance, and lack of access to appropriate systems of information technology. Insufficient expertise was identified as a major constraint on progress. Guidance on designing instruments for collection of data was the main concern, but help with writing proposals, specifying and keeping to objectives, analysing data, and writing reports was also required. Although sources of guidance were sometimes available, more commonly this was not the case. Several aspects of relations between groups were reported as constraining the progress of audit. These included support and commitment, choice of audit topics, conflicts between staff, willingness to participate and change practice, and concerns about confidentiality. Organisational structures which constrained audit included weak links between heads of professional services and managers of provider units, the inhibiting effect of change, the weakening of professional coherence when therapists were split across directorates, and the ethos of regarding audit findings as business secrets. Lack of an overall plan for audit meant that while some resources were available, others equally necessary for successful completion of projects were not. CONCLUSION: Members of four of the therapy professions identified a wide range of constraints on the progress of audit. If their commitment to audit is to be maintained these constraints require resolution. It is suggested that such expert advice, but also that these are directed towards the particular needs of the four professions. Moreover, a forum is required within which all those with a stake in therapy audit can acknowledge and resolve the different agendas which they may have in the enterprise. (+info)Economic consequences of early inpatient discharge to community-based rehabilitation for stroke in an inner-London teaching hospital. (2/196)
BACKGROUND AND PURPOSE: In an inner-London teaching hospital, a randomized trial of "conventional" care versus early discharge to community-based therapy found no significant differences in clinical outcomes between patient groups. This report examines the economic consequences of the alternative strategies. METHODS: One hundred sixty-seven patients received the early discharge package, and 164 received conventional care. Patient utilization of health and social services was recorded over a 12-month period, and cost was determined using data from provider departments and other published sources. RESULTS: Inpatient stay after randomization was 12 days (intervention group) versus 18 days (controls) (P=0.0001). Average units of therapy per patient were as follows: physiotherapy, 22.4 (early discharge) versus 15.0 (conventional) (P=0.0006); occupational therapy, 29.0 versus 23.8 (P=0.002); speech therapy, 13. 7 versus 5.8 (P=0.0001). The early discharge group had more annual hospital physician contacts (P=0.015) and general practitioner clinic visits (P=0.019) but fewer incidences of day hospital attendance (P=0.04). Other differences in utilization were nonsignificant. Average annual costs per patient were pound sterling 6800 (early discharge) and pound sterling 7432 (conventional). The early discharge group had lower inpatient costs per patient (pound sterling 4862 [71% of total cost] versus pound sterling 6343 [85%] for controls) but higher non-inpatient costs (pound sterling 1938 [29%] versus pound sterling 1089 [15%]). Further analysis demonstrated that early discharge is unlikely to lead to financial savings; its main benefit is to release capacity for an expansion in stroke caseload. CONCLUSIONS: Overall results of this trial indicate that early discharge to community rehabilitation for stroke is cost-effective. It may provide a means of addressing the predicted increase in need for stroke care within existing hospital capacity. (+info)Improving outcomes for persons with aphasia in advanced community-based treatment programs. (3/196)
BACKGROUND AND PURPOSE: Studies have yet to document that community-based aphasia treatment programs routinely produce results comparable or superior to published research protocols. We explore this issue here in an outcome study of individuals with aphasia enrolled in 2 community-based, comparably managed and equipped therapy programs, which use a specially designed computer-based tool that is employed therapeutically in adherence to an extensive, detailed, and formally trained patient care algorithm. METHODS: Patients (n=60) were assessed before and after treatment with standardized instruments at both the impairment and the disability levels. Pretreatment and posttreatment means were calculated and compared, with statistical significance of differences established with the use of 1-tailed matched t tests. One-way ANOVAs were used to analyze the comparability of patient performance changes among various subgroups, eg, patients in acute versus chronic stages of aphasia, patients by aphasia diagnostic type at start of care, patients by severity level at start of care, and patients by treatment location. RESULTS: Analysis shows that patients spanned a wide range of aphasia diagnostic types, impairment severity levels at start of care, and times after onset. Patients' mean performance scores improved significantly in response to treatment in all measures assessed at both the impairment level and the functional communication level. Mean overall improvements ranged from 6.6% to 19.8%, with statistical significance ranging from P=0.0006 to P<0.0001. ANOVAs revealed no significant differences between improvements in patients in the acute versus chronic stages of aphasia, between those at different impairment severity levels at start of care, between those treated at different locations, or, at the functional level, between those with different diagnostic types of aphasia at start of care. CONCLUSIONS: Measures of both language impairment and functional communication can be broadly, positively, and significantly influenced by therapy services that are delivered to persons with aphasia in these community-based programs. The significant improvements are shown to be available to individuals with chronic as well as acute aphasia and independent of diagnostic type of aphasia, impairment severity at start of care, or geographic program location. (+info)Paradoxical vocal cord motion causing stridor after thyroidectomy. (4/196)
Two women developed stridor immediately after thyroidectomy as a result of paradoxical vocal cord motion. In both cases the cord function showed a normal pattern during vocalisation but paradoxical movement was seen at laryngoscopy during tidal breathing. The abnormality improved in both patients over time with speech therapy. Whilst the syndrome of paradoxical vocal cord motion is classically thought to have a largely psychological aetiology, subtle interference with laryngeal innervation at surgery is more likely to have been the cause in these cases. (+info)Piracetam improves activated blood flow and facilitates rehabilitation of poststroke aphasic patients. (5/196)
BACKGROUND AND PURPOSE: In a prospective, double-blind, placebo-controlled study, it was investigated whether piracetam improves language recovery in poststroke aphasia assessed by neuropsychological tests and activation PET measurement of cerebral blood flow. METHODS: Twenty-four stroke patients with aphasia were randomly allocated to 2 groups: 12 patients received 2400 mg piracetam twice daily, 12 placebo. Before and at the end of the 6-week treatment period in which both groups received intensive speech therapy, the patients were examined neuropsychologically and studied with H(2)(15)O PET at rest and during activation with a word-repetition task. Blood flow was analyzed in 14 language-activated brain regions defined on reconstructed surface views from MRI coregistered to the PET images. RESULTS: Before treatment, both groups were comparable with respect to performance in language tasks and to type and severity of aphasia. In the piracetam group, increase of activation effect was significantly higher (P:<0.05) in the left transverse temporal gyrus, left triangular part of inferior frontal gyrus, and left posterior superior temporal gyrus after the treatment period compared with the initial measures. The placebo group showed an increase of activation effect only in the left vocalization area. In the test battery, the piracetam group improved in 6 language functions, the placebo group only in 3 subtests. CONCLUSIONS: Piracetam as an adjuvant to speech therapy improves recovery of various language functions, and this effect is accompanied by a significant increase of task-related flow activation in eloquent areas of the left hemisphere. (+info)Randomised controlled trial of community based speech and language therapy in preschool children. (6/196)
OBJECTIVE: To compare routine speech and language therapy in preschool children with delayed speech and language against 12 months of "watchful waiting." DESIGN: Pragmatic randomised controlled trial. SETTING: 16 community clinics in Bristol. PARTICIPANTS: 159 preschool children with appreciable speech or language difficulties who fulfilled criteria for admission to speech and language therapy. MAIN OUTCOME MEASURES: Four quantitative measures of speech and language, assessed at 6 and 12 months; a binary variable indicating improvement, by 12 months, on the trial entry criterion. RESULTS: Improvement in auditory comprehension was significant in favour of therapy (adjusted difference in means 4.1, 95% confidence interval 0.5 to 7.6; P=0.025). No significant differences were observed for expressive language (1.4, -2.1 to 4.8; P=0.44); phonology error rate (-4.4, -12.0 to 3.3; P=0.26); language development (0.1, -0.4 to 0.6; P=0.73); or improvement on entry criterion (odds ratio 1.3, 0.67 to 2.4; P=0.46). At the end of the trial, 70% of all children still had substantial speech and language deficits. CONCLUSIONS: This study provides little evidence for the effectiveness of speech and language therapy compared with watchful waiting over 12 months. Providers of speech and language therapy should reconsider the appropriateness, timing, nature, and intensity of such therapy in preschool children. Continued research into more specific provision to subgroups of children is also needed to identify better treatment methods. The lack of resolution of difficulties for most of the children suggests that further research is needed to identify effective ways of helping this population of children. (+info)Reinforcement schedule thinning following treatment with functional communication training. (7/196)
We evaluated four methods for increasing the practicality of functional communication training (FCT) by decreasing the frequency of reinforcement for alternative behavior. Three participants whose problem behaviors were maintained by positive reinforcement were treated successfully with FCT in which reinforcement for alternative behavior was initially delivered on fixed-ratio (FR) 1 schedules. One participant was then exposed to increasing delays to reinforcement under FR 1, a graduated fixed-interval (FI) schedule, and a graduated multiple-schedule arrangement in which signaled periods of reinforcement and extinction were alternated. Results showed that (a) increasing delays resulted in extinction of the alternative behavior, (b) the FI schedule produced undesirably high rates of the alternative behavior, and (c) the multiple schedule resulted in moderate and stable levels of the alternative behavior as the duration of the extinction component was increased. The other 2 participants were exposed to graduated mixed-schedule (unsignaled alternation between reinforcement and extinction components) and multiple-schedule (signaled alternation between reinforcement and extinction components) arrangements in which the durations of the reinforcement and extinction components were modified. Results obtained for these 2 participants indicated that the use of discriminative stimuli in the multiple schedule facilitated reinforcement schedule thinning. Upon completion of treatment, problem behavior remained low (or at zero), whereas alternative behavior was maintained as well as differentiated during a multiple-schedule arrangement consisting of a 4-min extinction period followed by a 1-min reinforcement period. (+info)Constraint-induced therapy of chronic aphasia after stroke. (8/196)
Patients with chronic aphasia were assigned randomly to a group to receive either conventional aphasia therapy or constraint-induced (CI) aphasia therapy, a new therapeutic technique requiring intense practice over a relatively short period of consecutive days. CI aphasia therapy is realized in a communicative therapeutic environment constraining patients to practice systematically speech acts with which they have difficulty. Patients in both groups received the same amount of treatment (30 to 35 hours) as 10 days of massed-practice language exercises for the CI aphasia therapy group (3 hours per day minimum; 10 patients) or over a longer period of approximately 4 weeks for the conventional therapy group (7 patients). CI aphasia therapy led to significant and pronounced improvements on several standard clinical tests, on self-ratings, and on blinded-observer ratings of the patients' communicative effectiveness in everyday life. Patients who received the control intervention failed to achieve comparable improvements. Data suggest that the language skills of patients with chronic aphasia can be improved in a short period by use of an appropriate massed-practice technique that focuses on the patients' communicative needs. (+info)1. Articulation Disorders: Difficulty articulating sounds or words due to poor pronunciation, misplaced sounds, or distortion of sounds.
2. Stuttering: A disorder characterized by the repetition or prolongation of sounds, syllables, or words, as well as the interruption or blocking of speech.
3. Voice Disorders: Abnormalities in voice quality, pitch, or volume due to overuse, misuse, or structural changes in the vocal cords.
4. Language Disorders: Difficulty with understanding, using, or interpreting spoken language, including grammar, vocabulary, and sentence structure.
5. Apraxia of Speech: A neurological disorder that affects the ability to plan and execute voluntary movements of the articulatory organs for speech production.
6. Dysarthria: A condition characterized by slurred or distorted speech due to weakness, paralysis, or incoordination of the articulatory muscles.
7. Cerebral Palsy: A group of disorders that affect movement, balance, and posture, often including speech and language difficulties.
8. Aphasia: A condition that results from brain damage and affects an individual's ability to understand, speak, read, and write language.
9. Dyslexia: A learning disorder that affects an individual's ability to read and spell words correctly.
10. Hearing Loss: Loss of hearing in one or both ears can impact speech development and language acquisition.
Speech disorders can be diagnosed by a speech-language pathologist (SLP) through a comprehensive evaluation, including speech and language samples, medical history, and behavioral observations. Treatment options vary depending on the specific disorder and may include therapy exercises, technology assistance, and counseling. With appropriate support and intervention, individuals with speech disorders can improve their communication skills and lead fulfilling lives.
Dysphonia can manifest in different ways, including:
1. Hoarseness: A raspy, strained, or rough quality to the voice.
2. Breathy voice: A weak, airy, or faint voice.
3. Harsh voice: A loud, screeching, or grating voice.
4. Rough voice: A scratchy, raw, or bumpy voice.
5. Stuttering: Repetition or prolongation of sounds, syllables, or words.
6. Slurred speech: Difficulty articulating words or speaking clearly.
7. Monotone speech: Speaking in a flat, emotionless tone.
Dysphonia can be acute or chronic, and it can affect individuals of all ages and backgrounds. In some cases, dysphonia may be a symptom of an underlying medical condition, such as a viral infection, allergies, or a neurological disorder. In other cases, it may be caused by overuse or misuse of the voice, such as shouting, singing, or speaking loudly for extended periods.
Treatment options for dysphonia depend on the underlying cause and severity of the condition. Some common treatments include:
1. Voice therapy: Techniques to improve breath support, vocal technique, and speech clarity.
2. Medications: To reduce inflammation, allergies, or other underlying conditions that may be contributing to dysphonia.
3. Surgery: In some cases, surgery may be necessary to correct structural problems in the vocal cords or other areas of the voice box.
4. Laryngeal electromyography (LEMG): A test used to evaluate the function of the vocal cords and surrounding muscles.
5. Speech therapy: To improve communication skills and address any language or cognitive impairments that may be contributing to dysphonia.
6. Botulinum toxin injections (Botox): Injected into the vocal cords to reduce spasms and improve voice quality.
7. Vocal cord paralysis: In some cases, injection of a local anesthetic or botulinum toxin may be used to paralyze one or both vocal cords, allowing for rest and healing.
It's important to seek medical attention if you experience any persistent or severe changes in your voice, as early diagnosis and treatment can improve outcomes and reduce the risk of long-term vocal cord damage. A healthcare professional will be able to assess your symptoms and recommend appropriate treatment options based on the underlying cause of your dysphonia.
VPI can be caused by a variety of factors, including:
1. Anatomical abnormalities, such as a short velum or a narrow opening between the nasopharynx and oropharynx.
2. Neurological disorders, such as cerebral palsy or Parkinson's disease.
3. Surgical procedures, such as a tonsillectomy or a laryngectomy.
4. Head and neck injuries.
5. Developmental disorders, such as Down syndrome.
Symptoms of VPI may include:
1. Difficulty swallowing, particularly with liquids.
2. Regurgitation of food or liquids into the mouth.
3. Gagging or choking during swallowing.
4. Coughing or throat clearing after swallowing.
5. Nasal regurgitation of fluids.
6. Difficulty articulating certain sounds, such as /s/ and /z/.
7. Hoarseness or breathiness of voice.
8. Chronic ear infections or hearing loss.
Treatment for VPI depends on the underlying cause and may include:
1. Speech therapy to improve swallowing techniques and strengthen the velum.
2. Injection laryngoplasty, a procedure that uses injectable materials to augment the velum.
3. Surgery to lengthen or widen the velum, or to repair anatomical abnormalities.
4. Swallowing exercises and therapy to improve swallowing function.
5. Dietary modifications, such as thickening liquids or using specialized utensils.
It is important to note that VPI can have a significant impact on quality of life, as it can lead to social embarrassment, difficulty eating certain foods, and increased risk of respiratory infections. Seeking medical attention if symptoms persist or worsen over time is crucial for proper diagnosis and treatment.
Articulation disorders can be classified into different types based on the severity and nature of the speech difficulties. Some common types of articulation disorders include:
1. Articulation errors: These occur when individuals produce speech sounds differently than the expected norm, such as pronouncing "k" and "s" sounds as "t" or "z."
2. Speech sound distortions: This type of disorder involves the exaggeration or alteration of speech sounds, such as speaking with a lisp or a nasal tone.
3. Speech articulation anomalies: These are abnormalities in the production of speech sounds that do not fit into any specific category, such as difficulty pronouncing certain words or sounds.
4. Apraxia of speech: This is a neurological disorder that affects the ability to plan and execute voluntary movements of the articulators (lips, tongue, jaw), resulting in distorted or slurred speech.
5. Dysarthria: This is a speech disorder characterized by weakness, slowness, or incoordination of the muscles used for speaking, often caused by a neurological condition such as a stroke or cerebral palsy.
Articulation disorders can be diagnosed by a speech-language pathologist (SLP) through a comprehensive evaluation of an individual's speech and language skills. The SLP may use standardized assessments, clinical observations, and interviews with the individual and their family to determine the nature and severity of the articulation disorder.
Treatment for articulation disorders typically involves speech therapy with an SLP, who will work with the individual to improve their speech skills through a series of exercises and activities tailored to their specific needs. Treatment may focus on improving the accuracy and clarity of speech sounds, increasing speech rate and fluency, and enhancing communication skills.
In addition to speech therapy, other interventions that may be helpful for individuals with articulation disorders include:
1. Augmentative and alternative communication (AAC) systems: For individuals with severe articulation disorders or those who have difficulty using speech to communicate, AAC systems such as picture communication symbols or electronic devices can provide an alternative means of communication.
2. Supportive technology: Assistive devices such as speech-generating devices, text-to-speech software, and other technology can help individuals with articulation disorders to communicate more effectively.
3. Parent-child interaction therapy (PCIT): This type of therapy focuses on improving the communication skills of young children with articulation disorders by training parents to use play-based activities and strategies to enhance their child's speech and language development.
4. Social skills training: For individuals with articulation disorders who also have difficulty with social interactions, social skills training can help them develop better communication and social skills.
5. Cognitive communication therapy: This type of therapy focuses on improving the cognitive processes that underlie communication, such as attention, memory, and problem-solving skills.
6. Articulation therapy: This type of therapy focuses specifically on improving articulation skills, and may involve exercises and activities to strengthen the muscles used for speech production.
7. Stuttering modification therapy: For individuals who stutter, this type of therapy can help them learn to speak more fluently and with less effort.
8. Voice therapy: This type of therapy can help individuals with voice disorders to improve their vocal quality and communication skills.
9. Counseling and psychotherapy: For individuals with articulation disorders who are experiencing emotional or psychological distress, counseling and psychotherapy can be helpful in addressing these issues and improving overall well-being.
It's important to note that the most effective treatment approach will depend on the specific needs and goals of the individual with an articulation disorder, as well as their age, severity of symptoms, and other factors. A speech-language pathologist can work with the individual and their family to develop a personalized treatment plan that addresses their unique needs and helps them achieve their communication goals.
Some common types of voice disorders include:
1. Dysphonia: A term used to describe difficulty speaking or producing voice sounds.
2. Aphonia: A complete loss of voice.
3. Spasmodic dysphonia: A neurological disorder characterized by involuntary movements of the vocal cords, causing a strained or breaking voice.
4. Vocal fold paralysis: A condition in which the muscles controlling the vocal cords are weakened or paralyzed, leading to a hoarse or breathy voice.
5. Vocal cord lesions: Growths, ulcers, or other injuries on the vocal cords that can affect voice quality and volume.
6. Laryngitis: Inflammation of the voice box (larynx) that can cause hoarseness and loss of voice.
7. Chronic laryngitis: A persistent form of laryngitis that can last for months or even years.
8. Acid reflux laryngitis: Gastroesophageal reflux disease (GERD) that causes stomach acid to flow up into the throat, irritating the vocal cords and causing hoarseness.
9. Vocal fold nodules: Growths on the vocal cords that can cause hoarseness and other voice changes.
10. Vocal cord polyps: Growths on the vocal cords that can cause hoarseness and other voice changes.
Voice disorders can significantly impact an individual's quality of life, as they may experience difficulty communicating effectively, loss of confidence, and emotional distress. Treatment options for voice disorders depend on the underlying cause and may include voice therapy, medications, surgery, or a combination of these approaches.
Some common types of laryngeal diseases include:
1. Laryngitis: Inflammation of the vocal cords, often caused by overuse, acid reflux, or viral infections.
2. Vocal cord nodules or polyps: Growths on the vocal cords that can cause hoarseness and difficulty speaking.
3. Laryngeal cancer: Cancer of the larynx, which can be caused by smoking, heavy drinking, or exposure to carcinogens.
4. Spasmodic dysphonia: A neurological disorder that causes involuntary spasms of the vocal cords, leading to hoarseness and difficulty speaking.
5. Laryngeal webs: Thin strands of tissue that can form in the larynx and cause breathing difficulties.
6. Trauma to the larynx: Injury to the voice box can cause a range of symptoms, including hoarseness, difficulty swallowing, and breathing difficulties.
7. Laryngeal cysts: Fluid-filled sacs that can form in the larynx and cause breathing difficulties.
8. Laryngeal granulomas: Inflammation of the larynx due to infection or irritation, which can cause hoarseness and difficulty speaking.
Diagnosis of laryngeal diseases typically involves a physical examination of the throat and voice box, as well as imaging tests such as X-rays, CT scans, or endoscopy. Treatment options vary depending on the specific type of disease and can include medications, surgery, or speech therapy.
Stuttering can be classified into three main types:
1. Developmental stuttering: This type of stuttering usually begins in childhood and may persist throughout life. It is more common in boys than girls.
2. Neurogenic stuttering: This type of stuttering is caused by a brain injury or a neurological disorder such as Parkinson's disease, stroke, or cerebral palsy.
3. Psychogenic stuttering: This type of stuttering is caused by psychological factors such as anxiety, stress, or trauma.
The exact cause of stuttering is not fully understood, but research suggests that it may be related to differences in brain structure and function, particularly in areas responsible for language processing and speech production. There are several theories about the underlying mechanisms of stuttering, including:
1. Neurophysiological theory: This theory proposes that stuttering is caused by irregularities in the timing and coordination of neural activity in the brain.
2. Speech motor theory: This theory suggests that stuttering is caused by difficulties with speech articulation and the coordination of speech movements.
3. Auditory feedback theory: This theory proposes that stuttering is caused by a disruption in the normal auditory feedback loop, leading to an over-reliance on visual feedback for speech production.
There are several treatments available for stuttering, including:
1. Speech therapy: This type of therapy can help individuals with stuttering improve their speaking skills and reduce their stuttering severity. Techniques used in speech therapy may include slowing down speech, using relaxation techniques, and practicing fluency-enhancing strategies such as easy onset and smooth flow.
2. Stuttering modification therapy: This type of therapy focuses on teaching individuals with stuttering to speak more slowly and smoothly, while reducing the occurrence of stuttering.
3. Fluency shaping therapy: This type of therapy aims to improve fluency by teaching individuals to speak more slowly and smoothly, using techniques such as gentle onset and gradual release of sounds.
4. Electronic devices: There are several electronic devices available that can help reduce stuttering, such as speech-output devices that speak for the individual, or devices that provide auditory feedback to help individuals speak more fluently.
5. Surgery: In some cases, surgery may be recommended to treat stuttering. For example, surgery may be used to correct physical abnormalities in the brain or speech mechanisms that are contributing to the stuttering.
It is important to note that no single treatment is effective for everyone who stutters, and the most effective treatment approach will depend on the individual's specific needs and circumstances. A healthcare professional, such as a speech-language pathologist, should be consulted to determine the best course of treatment for each individual.
There are several types of aphasia, including:
1. Broca's aphasia: Characterized by difficulty speaking in complete sentences and using correct grammar.
2. Wernicke's aphasia: Characterized by difficulty understanding spoken language and speaking in complete sentences.
3. Global aphasia: Characterized by a severe impairment of all language abilities.
4. Primary progressive aphasia: A rare form of aphasia that is caused by neurodegeneration and worsens over time.
Treatment for aphasia typically involves speech and language therapy, which can help individuals with aphasia improve their communication skills and regain some of their language abilities. Other forms of therapy, such as cognitive training and physical therapy, may also be helpful.
It's important to note that while aphasia can significantly impact an individual's quality of life, it does not affect their intelligence or cognitive abilities. With appropriate treatment and support, individuals with aphasia can continue to lead fulfilling lives and communicate effectively with others.
Dysarthria can affect both children and adults, and the symptoms can vary in severity depending on the underlying cause of the condition. Some common symptoms of dysarthria include:
* Slurred or slow speech
* Difficulty articulating words
* Poor enunciation
* Stuttering or hesitation while speaking
* Difficulty with word-finding and language processing
* Limited range of speech sounds
* Difficulty with loudness and volume control
Dysarthria can be diagnosed by a speech-language pathologist (SLP), who will typically conduct a comprehensive evaluation of the individual's speech and language abilities. This may include a series of tests to assess the individual's articulation, fluency, voice quality, and other aspects of their speech.
There are several types of dysarthria, including:
* Hypokinetic dysarthria: characterized by reduced muscle tone and slow movement of the articulatory organs, resulting in slurred or slow speech.
* Hyperkinetic dysarthria: characterized by increased muscle tone and rapid movement of the articulatory organs, resulting in fast but imprecise speech.
* Mixed dysarthria: a combination of hypokinetic and hyperkinetic features.
* Dystonic dysarthria: characterized by involuntary movements and postures of the tongue and lips, resulting in distorted speech.
Treatment for dysarthria typically involves speech therapy with an SLP, who will work with the individual to improve their speech clarity, fluency, and overall communication skills. Treatment may include exercises to strengthen the muscles used in speech production, as well as strategies to improve articulation, pronunciation, and language processing. In some cases, technology such as speech-generating devices may be used to support communication.
In addition to speech therapy, treatment for dysarthria may also involve other healthcare professionals, such as neurologists, physical therapists, or occupational therapists, depending on the underlying cause of the condition.
Overall, dysarthria is a speech disorder that can significantly impact an individual's ability to communicate effectively. However, with the right treatment and support from healthcare professionals and SLPs, many people with dysarthria are able to improve their communication skills and lead fulfilling lives.
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Pathologists9
- Speech-language pathologists (SLPs), often called speech therapists , are educated in the study of human communication, its development, and its disorders. (kidshealth.org)
- Speech therapy is medical treatment provided by certified speech-language pathologists (also called speech therapists) to help people with speech and language problems. (overlakehospital.org)
- You'll find our speech-language pathologists at our Bellevue Rehabilitation Services clinic . (overlakehospital.org)
- Our speech-language pathologists can provide these specialized tests to help identify the underlying causes of swallowing problems so we can create a custom care plan for you. (overlakehospital.org)
- CHA therapists are licensed in Massachusetts and certified as speech-language pathologists (SLPs) by the American Speech-Language-Hearing Association (ASHA). (challiance.org)
- VitalStim-certified speech pathologists apply stimulation while you eat and drink. (novanthealth.org)
- We work with Speech-Language Pathologists, Occupational and Physical Therapists, School Psychologists, and others in pediatric therapy and education. (pediastaff.com)
- Speech Pathologists and Audiologists, Occupational Therapists, and Physical Therapists all must adhere to statues and regulations set forth by the LLR . (stromlaw.com)
- Speech pathologists work in medical, educational, and clinical settings. (coffeyhealth.org)
Therapists8
- State associations for speech-language pathology and audiology also keep listings of licensed and certified therapists. (kidshealth.org)
- Resources, ideas & materials for speech therapists, special educators & teachers to help with language & articulation therapy. (pinterest.com)
- Our skilled speech therapists also specialize in helping people with language issues caused by neurological disorders and injuries, such as Parkinson's disease. (overlakehospital.org)
- During your initial evaluation, our speech therapists will discuss your medical history and symptoms to determine the right treatments for you. (overlakehospital.org)
- CHA Speech and Language Therapists can help you with a wide range of speech, language, and communication disorders. (challiance.org)
- Our speech therapists are experts in evaluation and treatment of swallowing problems. (novanthealth.org)
- Once again I am reminded of the importance of good communication between preschool teachers, speech therapists working with a child in their class, and parents. (playonwords.com)
- I am also concerned the recruitment of speech and language therapists has stalled this year,' Deputy Murphy O'Mahony said. (southernstar.ie)
Therapist8
- How Do I Find a Speech-Language Therapist? (kidshealth.org)
- The best way to deal with such problems is by visiting the Suffolk speech therapist. (adlandpro.com)
- The therapist will help you with various speech therapy techniques to ensure that you get the complete benefits from the therapy. (adlandpro.com)
- The speech therapist canceled at least one session every week for one reason or another. (scarymommy.com)
- I called our new health insurance, and the lady at the 1-800 number said in an annoyingly cheerful voice that a speech therapist in our network was located "nearby in Baton Rouge. (scarymommy.com)
- If a speech professional, occupational therapist, or physical therapist is found guilty of an offense relating to drugs and/or alcohol they may be referred to the South Carolina Recovering Professionals Program (RPP). (stromlaw.com)
- Dysphagia concerns may be evaluated by a speech therapist. (medscape.com)
- The reasons for referrals to speech therapy are related to functional issues, but there is still a lot of resistance in the patients when you see the speech therapist is indicated. (bvsalud.org)
Pathology3
- In South Carolina Speech-Language Pathology , Audiology, Occupational Therapy , and Physical Therapy Licenses are all regulated by the South Carolina Department of Labor, Licensing, and Regulation (LLR). (stromlaw.com)
- What is speech pathology? (coffeyhealth.org)
- Speech-Language Pathology is the study of disorders that affect a person's communication and/or swallowing capabilities. (coffeyhealth.org)
Disorders8
- Speech-language therapy is the treatment for most kids with speech and/or language disorders. (kidshealth.org)
- What Are Speech Disorders? (kidshealth.org)
- Our providers design custom treatment plans to manage a wide variety of speech-related conditions, ranging from vocal cord dysfunction, to difficulty speaking and understanding, to swallowing disorders. (overlakehospital.org)
- We offer comprehensive speech-language therapy services for pediatric patients with articulation and language disorders, developmental delay, central auditory processing disorder and autism spectrum disorders. (novanthealth.org)
- Speech sound disorders - where people have difficulties forming certain sounds - are common in childhood, affecting around 6.5 per cent of children and making communication difficult. (pediastaff.com)
- Many people often deal with problems related to speech disorders and speaking problems. (adlandpro.com)
- By first grade, about 5% of children have noticeable speech disorders. (medlineplus.gov)
- Speech disorders can severely affect a person's well-being, leading to shunning, behavioral and emotional problems, and impaired economic opportunity. (nih.gov)
Aphasia3
- We offer treatment of dysarthria (slurred speech), apraxia and aphasia caused by neurogenic conditions. (novanthealth.org)
- But some people with FTD may instead develop problems with speech and language, called aphasia. (nih.gov)
- Speech therapy is used for some types of aphasia. (nih.gov)
Audiology1
- Professor Jim Scobbie, director of the Clinical Audiology, Speech and Language Research Centre at QMU, said: "Most people who have difficulty creating the correct speech sounds receive therapy which relies on their auditory skills - they must listen to their own speech then try to modify them. (pediastaff.com)
Articulation1
- He's bright and studious, but his speech articulation is on a three-year-old level. (scarymommy.com)
Pathologist4
- This is an objective assessment of swallowing performed by a speech pathologist and radiologist. (novanthealth.org)
- Kimberly Scanlon, MA, CCC-SLP is an ASHA certified Speech-Language Pathologist and has earned 4 awards for continuing education (ACE). (teacherspayteachers.com)
- Speech-language pathologist Jessica Jones provides speech, language, cognitive, and swallowing therapy for patients throughout Coffey Health System. (coffeyhealth.org)
- Coffey Health System Speech Pathologist Jessica Jones grew up here in Burlington. (coffeyhealth.org)
Cerebral palsy1
- Children born with birth defects such as cleft palate, cerebral palsy, may begin speech therapy as newborns. (coffeyhealth.org)
Pediatric2
- Our newsletter is full of therapy ideas & activities, resources, information on upcoming pediatric therapy conferences, CEU opportunities & links to our recent jobs- sign up now! (pediastaff.com)
- This profitable pediatric practice provides a range of speech therapy services and occupational therapy services including evaluations and treatment. (businessbroker.net)
Assistive1
- RMD approached NCHS/QDRL for its assistance with cognitive testing of competing question formulations and approaches in seven major domains, including: medical care, mental health, prescription medications, therapies, DME and assistive technology, disability, and chronic conditions which (described more fully in table 1). (cdc.gov)
Impairments1
- Activities of daily living skills are addressed, depending on the level of impairments, in occupational therapy. (medscape.com)
Evaluations1
- These evaluations are ideal if you have received speech therapy but still have communication deficits that interfere with daily functioning. (novanthealth.org)
Rehabilitation1
- If you need care for a wrist or hand injury, Virtua Hand Surgery and Rehabilitation offers a full range of services from physical therapy to minimally invasive procedures. (virtua.org)
Adults2
- Speech-language and cognitive therapy help treat communication problems in children and adults. (overlakehospital.org)
- We offer the highest-quality speech therapy for children and adults. (novanthealth.org)
Multidisciplinary1
- Additional potential would exist to expand the current offering to other allied health therapies to become a multidisciplinary practice. (businessbroker.net)
Services4
- Sometimes, speech assistants help give speech-language services. (kidshealth.org)
- We enrolled Anders in a highly rated public school where he could get free speech therapy services. (scarymommy.com)
- Almost 500 people, mostly children, are currently on a HSE waiting list in an effort to access speech and language services in West Cork. (southernstar.ie)
- The role of physical therapy services is to address the functional needs of the patient as the disease progresses. (medscape.com)
Autism1
- Speech-language therapy can help people with autism spectrum disorder (ASD) improve their abilities to communicate and interact with others. (nih.gov)
Fluency1
- Speech therapy includes various techniques to improve language skills, voice, fluency and clarity. (overlakehospital.org)
Practice1
- The Autumn 11 issue of Speech & Language Therapy in Practice has been mailed today, so subscribers can expect it through their door very soon! (speechmag.com)
Difficulty1
- Speech therapy can also help if you have difficulty swallowing. (novanthealth.org)
Disorder1
- A speech disorder refers to a problem with making sounds. (kidshealth.org)
Intervention1
- In the state of Alabama at the time, I applied for Early Intervention, a free speech therapy program for kids under three. (scarymommy.com)
Initially2
- Early interventions may focus on stretching tight muscles (which may initially be the only therapy goal). (medscape.com)
- Initially, the speech-therapy aplication in babies were inspired by the legitimacy of the risk discourse, which supports the area. (bvsalud.org)
Children5
- Children who start therapy early (before they're 5 years old) tend to have better results than those who begin later. (kidshealth.org)
- However, with these more traditional methods, some children struggle to improve their speech. (pediastaff.com)
- For children displaying any of the above signs or risk factors, a comprehensive speech-language evaluation is recommended. (nspt4kids.com)
- The rate at which children reach their speech and language development milestones can vary depending on the child and the environment that surrounds them. (icommunicatetherapy.com)
- Young children who only babble or play with sounds or who talk but are only understood by the parents should also be considered for speech therapy. (coffeyhealth.org)
Cognitive1
- Therapy focuses on improving quality and clarity of speech, conveying or expressing information, understanding others and cognitive skills (listening, memory and speaking). (overlakehospital.org)
Clinic1
- However, the commitment to the clinic caused my remoteness to this speech and, consequently, engendered the wager on determining the strength of language in subjective structuring, i.e., the strength of the "speech" as a source of opportunity for a come to be subject of human creation, acting as the anticipated position introduced by the link with parenthood. (bvsalud.org)
Problems3
- These include problems such as stuttering , in which the flow of speech is interrupted by unusual stops, partial-word repetitions ("b-b-boy"), or prolonging sounds and syllables (sssssnake). (kidshealth.org)
- In speech-language therapy, an SLP works with a child one-on-one, in a small group, or in a classroom to overcome problems. (kidshealth.org)
- Some speech and communication problems may be genetic. (medlineplus.gov)
Include1
- Speech-language therapy activities can also include ways to improve social skills and social behaviors. (nih.gov)
Hearing1
- Speech, language and hearing sciences. (bvsalud.org)
People6
- Voice therapy focuses on helping people produce sound from their voice box or larynx. (overlakehospital.org)
- Some people may need voice therapy due to a medical condition, such as vocal cord nodules or muscle tension. (overlakehospital.org)
- Some people may need speech therapy for several weeks, and others may attend sessions longer, depending on their condition. (overlakehospital.org)
- Recent figures released to local TD and Fianna Fáil's Disability spokesperson, Margaret Murphy O'Mahony, show 37,229 people across the country waiting for speech and language therapy. (southernstar.ie)
- As of June this year, there are close to 15,000 people waiting for a first assessment, 7,894 are waiting for initial therapy and 14,361 are on the list for further speech and language therapy,' Deputy Murphy O'Mahony said. (southernstar.ie)
- The figures released by the HSE reveal that in West Cork, as of June 2018, there are 107 people waiting for an initial assessment, a further 83 waiting for therapy and a total of 265 people still waiting for further therapy. (southernstar.ie)
Toddler1
- Many parents wonder if their late-talking toddler will catch up naturally or whether speech-language therapy is recommended. (nspt4kids.com)
Treatment1
- We customize the LSVT-LOUD treatment for your specific needs to improve voice, speech and communication. (overlakehospital.org)
Communication1
- Communication can be significantly enhanced through therapy. (coffeyhealth.org)
Voice1
- I have watched with admiration as the Giving Voice campaign has spread the message across the UK that speech and language therapy transforms lives. (speechmag.com)
Work1
- For therapy to work, they must be willing participants. (scarymommy.com)
Offer2
- At Theralympic Speech, we offer Suffolk speech therapy that is customized as per the needs of the individual. (adlandpro.com)
- Usually as a child is starting to talk and make his needs known, I offer to do a speech therapy session in his preschool to show the teachers what he is capable of as well as to make suggestions for what to expect from him. (playonwords.com)
Medical2
- Contact Overlake Medical Center today to learn more about speech therapy and how to make an appointment. (overlakehospital.org)
- Do you use medical or other therapies therapy? (cdc.gov)
Defects1
- Establishment for the study of vocal physiology: for the correction of stammering, and other defects of utterance, and for practical instruction in 'visible speech' : conducted by Alexr. (nih.gov)
Child2
- And do you know how long speech therapy sessions are for a child his age? (scarymommy.com)
- Speech sound production: The child exhibits few vocalizations. (nspt4kids.com)
Understood1
- Another important reason to investigate stuttering is to better understand the neural structures and functions within the human brain that generate human speech, which are poorly understood. (nih.gov)