This podcast discusses dysarthria, which is a type of motor speech disorder. This disorder results from a disturbance in neuromuscular control, which leads to weakness which affects the way in which one is able to speak. The different types of dysarthria, namely flaccid, spastic, hyperkinetic, hypokinetic, ataxic and mixed dysarthria, and the features thereof, are also discussed in this episode. Additionally, the assessment of dysarthria is discussed, which includes case history, OSME, speech production assessment, as well as a swallowing assessment. The most commonly used standard assessment is the Frenchay Dysarthria Assessment. The goal of therapy in dysarthria is to improve respiratory support, phonation, and resonance, as well as the strength of the articulators. This can be done through a prosodic and articulatory approach to therapy, as well as through behavioural and environmental modifications in order to maximise the patient’s ability to effectively communicate. Lastly, a patient with severe dysarthria can use Augmentative and Alternative Communication (AAC) devices in order to functionally and socially communicate.

References:

Altaher, A., Chu, S., Kam, R., & Razak, R. (2019). A Report of Assessment Tools for Individuals with Dysarthria. The Open Public Health Journal, 12(1), 384-386. https://doi.org/10.2174/1874944501912010384

Enderby, P. (2013). Disorders of communication: dysarthria. Handbook of clinical neurology, 110, 273-281. https://doi.org/10.1016/b978-0-444-52901-5.00022-8