Dysarthria Interventions

LVST (PD)

- phonation (loudness)

- work with patients with PD

- taining voice to more normal loudness level

- 3 components: Loudness, Intensive dose and high effort, generalization

- Think loud!

- Hypokinetic

SPEAK LOUD (PD)

- phonation (loudness)

- Hyperkinetic

Pushing/Increasing Loudness

- phonation

- helps patients think loud and push muscles to create louder voice

- hypokinetic

Palatal Lift

- resonance

- prosthetic management

- Effective treatment for VPI

- flaccid

CPAP (hypernasality)

- resonance

- resistance training during speech

- flaccid

Botox injections

- w/ voice therapy

- Dystonia

- Spasmodic dysphonia AD or AB types

- hyperkinetic

Speech Vive for PD

- phonation and articulation

- Lombard effect

- improve loudness and clarity of speech without them having to consciously think about it all the time.

- hypokinetic

Clear Speech (PD)

- articulation & prosody

- can improve loudness too

- targets exgaggerated articulation

- Flaccid

Sounds production treatment (most common)

- Articulation

- treatment items, minimal pair items, generalization items

- flaccid

intelligibility drills

- Articulation

- Used to improve intelligibility

- Useful task to promote discovery learning

- Flaccid

Instrumental biofeedback

- EPG biofeedback during non-speech

- effects intelligibility

- flaccid

respiratory muscle strength training

- respiration

- IMST: inspiratory muscles

- EMST: expiratory muscles

- helps improve breath support

- "The breather"

- Spastic

Resonant voice therapy

- resonance and phonation

- oral vibratory sensation (what do you FEEL)

- Voice and output

direct treatment involves

- manual techniques

- anatomy/physiology

- exaggerated artic

- intelligibility drills

- rate control stragagies

- prosody and naturalness

Indirect treatment

- education/counseling

- vocal hygiene