SpeechPathology.comPhone: 800-242-5183

New master brand. Same great company. Introducing continued! Read Our Story

Club Staffing

Introduction to Dysarthria

Introduction to Dysarthria
George Fluharty, M.A., CCC-SLP
October 3, 2011
Share:

Communication access realtime translation (cart) is provided in order to facilitate communication accessibility and may not be totally verbatim. The consumer should check with the moderator for any clarifications of the material.

>> Amy Natho:  Welcome to the SpeechPathology.com E-learning Expert Seminar entitled, “Introduction to Dysarthria.”  My name is Amy Natho and I'm going to be moderating today. At this time it is a great pleasure and very much an honor to introduce George Fluharty, M.A., CCC-SLP.  George is an SLP with more than 30 years experience treating neurogenic communication disorders. His work has been published in Brain InjuryClinical Rehabilitation and Advance.  In 2003, he received the Clinical Service Award from the Brain Injury Association of Wisconsin for outstanding clinical service.  Welcome, George, and thank you very much for being here today.

(Applause)

>> George Fluharty:  Thank you, Amy.  “Introduction to Dysarthria” will provide a basic review of the characteristics of different types of dysarthria.  It will also provide a discussion of several approaches supported by evidence in the literature for improving communication of people with dysarthria.  Whenever possible, I will emphasize low-tech, inexpensive approaches.  The last five minutes of the presentation will be set aside for questions. On the following slides I will describe two definitions of dysarthria and one definition of evidence-based practice.

Definitions of Dysarthria and Evidence-Based Practice

Dysarthria is a motor speech disorder.  It is not a language disorder such as aphasia and it is not a cognitive impairment.  Dysarthria can certainly co-exist alongside aphasia, dementia, or confusion as well as impairments in attention, memory or executive function, but it is a separate and distinct condition.  For people with dysarthria, damage to the nervous system causes parts of their speech mechanism such as their lips, tongue, soft palate, larynx, and respiratory muscles to be weak, lack coordination and/or move slowly.

Another definition of dysarthria is provided by Blanchet and Snyder (2010).  They list the processes (i.e., respiration, phonation, resonance, articulation, and prosody) that can be affected as a result of it.  And they state that dysarthria refers to speech problems due to neurological damage.  This part of their definition mirrors Yorkston and Beukelman's (2004) referral to damage to the central or peripheral nervous system. 

Now might be a good time to add that dysarthria is, of course, different from apraxia, which is an impaired ability to sequence movements.  As Brookshire pointed out, damage to the language dominant hemisphere is associated with apraxia of speech.  Pathology affecting the brainstem, basal ganglia, or peripheral nerves is associated with a diagnosis of dysarthria.  Apraxia of speech is indicated by normal strength and range of motion for simple oral nonspeech movements.  Dysarthria is indicated by reduced muscle strength and range of motion for simple nonspeech movements.  Apraxic speakers usually produce islands of error-free speech in automatic utterances such as “Wait a minute” or “What do you know.” 

Evidence-based practice, or EBP, is a continuing process.  EBP pays special attention to the outcomes of intervention.  Sackett, Richardons, Rosenberg and Haynes (1997) say that EBP includes the best research evidence, the experience of the therapist, and the values of the patient.  Patient values are the expectations, concerns and preferences unique to each individual that each client brings to therapy.  Best research evidence includes, of course, information on the safety and effectiveness of therapy techniques as well as the accuracy and precision of tests.  Clinical expertise draws on the past experience of an SLP as well as the skills they have learned to assess the benefits and risks of interventions.  SLPs need to use good clinical judgment based on the specific characteristics and circumstances of each client in deciding which therapeutic approaches to take.

This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.

george fluharty

George Fluharty, M.A., CCC-SLP

The presenter is an SLP with more than 30 years experience treating neurogenic communication disorders.  His work has been published in Brain Injury, Clinical Rehabilitation, and Advance for SLPs.  In 2003, he received the Clinical Service Award from the Brain Injury Association of Wisconsin (BIAW) for outstanding clinical service.



Related Courses

Vanderbilt SLP Journal Club: Hypokinetic Dysarthria in Parkinson's Disease: Current Insights and Clinical Implications
Presented by Antje Mefferd, PhD, CCC-SLP
Video

Presenter

Antje Mefferd, PhD, CCC-SLP
Course: #7170 1 Hour
  'I like the article reviews'   Read Reviews
This course will discuss the most recent insights into factors that may contribute to hypokinetic dysarthria in speakers with Parkinson’s disease. Further, studies on cued behavioral modifications (loud, clear, slowed speech) as treatment options for hypokinetic dysarthria in Parkinson’s disease will be discussed, including studies that specifically address these behavioral approaches for speakers with deep brain stimulation (DBS).
Treatment of Adult Speech and Language Disorders Part 2: Outpatient Rehabilitation
Presented by Gabrielle Zimmer, MS, CCC-SLP, CBIS
Video

Presenter

Gabrielle Zimmer, MS, CCC-SLP, CBIS
Course: #7235 1 Hour
  'Appreciated specific goal examples'   Read Reviews
Comprehensive speech-language therapy in rehabilitation settings is provided to medically complex individuals with a variety of diagnoses. This is Part 2 of a two-part presentation which outlines inpatient and outpatient rehabilitation for adults suffering from acquired speech and language disorders. Participants will review two complex case studies in outpatient rehabilitation, goal writing, and treatment planning for adults. (Part 1 - Course #7324)
Treatment of Adult Speech and Language Disorders Part 1: Inpatient Perspective
Presented by Alexandra Strouss, MS, CCC-SLP
Video

Presenter

Alexandra Strouss, MS, CCC-SLP
Course: #7224 1 Hour
  'Very functional information for treatment approaches in inpatient therapy!'   Read Reviews
This is Part 1 of a two-part lecture series designed to examine both inpatient and outpatient rehabilitation approaches as they relate to Speech-Language Pathology. This course (Part 1) outlines inpatient rehabilitation for adults suffering from acquired speech and language disorders. Participants will review two complex case studies, goal writing, and treatment planning for adults. (Part 2 - Course #7307)
Navigating the Money Maze: How SLP Services are Reimbursed in Different Settings
Presented by Nancy B. Swigert, MA, CCC-SLP, BCS-S
Video

Presenter

Nancy B. Swigert, MA, CCC-SLP, BCS-S
Course: #7618 1 Hour
  'Clearly presented, provided useful information for understanding the demands placed on rehab therapists'   Read Reviews
Medicare, Medicaid and private insurers use different methods for reimbursing for therapy in each setting (e.g. acute care, skilled nursing facilities, outpatient). Understanding the basic rules of reimbursement helps the SLP meet the requirements. This course will provide a broad overview of these basics, with a particular focus on Medicare. This course is open-captioned.
ALS: A Clinical Population with Unique Communication Management and AAC Needs, Part 1
Presented by Kim Winter, MA, CCC-SLP
Video

Presenter

Kim Winter, MA, CCC-SLP
Course: #7782 1 Hour
  'Presenter gave clear ideas on realistic goals for ALS patientsProvided excellent online resources'   Read Reviews
This course will provide an overview of the various communication and augmentative/alternative communication (AAC) considerations necessary when working with individuals who have amyotrophic lateral sclerosis (ALS), from the onset of the diagnosis to the end stages of the disease process.