SpeechPathology.com Phone: 800-242-5183

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

Signature Healthcare

Techniques for Rate, Prosody, and Naturalness With Dysarthria

Margaret Fish, MS, CCC-SLP

February 6, 2006



What can you tell me about behavioral management techniques for rate, prosody, and naturalness in patients with dysarthria? What are some of the therapy techniques, and are they usually successful?


Management techniques for rate, prosody, and "naturalness" in patients with dysarthria vary depending on the type of dysarthria a person has. For example, if a person has a hypokinetic dysarthria then treatment strategies might include increasing volume or slowing the rate of speech. Whereas, for a person with spastic dysarthria, treatment strategies might include easy onset to decrease the hyperadduction of the vocal cords and/or increasing rate of speech. The same would hold true for prosody. Prosody is usually a major factor for individuals with ataxic, flaccid and/or hyperkinetic dysarthria, and less of a factor for individuals with spastic or possibly unilateral upper motor neuron dysarthria. As with any dysarthria type the goal of treatment should be to treat the aspect (i.e., rate, prosody, strength, speed, steadiness) of speech that produces the greatest functional benefit.

For treatment techniques that have "proven" to be successful (particularly with individuals with hypokinetic dysarthria) you might want to check out the Lee Silverman Voice Treatment (LSVT) web site. They have useful suggestions and a proven "track record" for research on hypokinetic dysarthria. Other good resources include:

Duffy, J.R. (2005). Motor Speech Disorders: Substates, Differential Diagnosis, and Management, 2nd edition. Elsevier-Mosby: St. Louis, MO.

Freed, D. (2000). Motor Speech Disorders: Diagnosis and Treatment. Singular: San Diego: CA.

Yorkston, K.M., Beukelman, D.R., Strand, E.A., and Bell, K.R. (1999). Management of motor speech disorders in Childrn and Adults, 2nd edition. Pro-Ed: Austin, TX.

Sandra L. Schneider, Ph.D. CCC-SLP, BC-NCD has been a practicing speech-language pathologist for over 20 years. She is currently an assistant professor at the Ohio State University, Columbus OH. She can be reached at schneider.291@osu.edu.

Related Courses

Treatment for School-Age Children with CAS
Presented by Margaret Fish, MS, CCC-SLP


Margaret Fish, MS, CCC-SLP
Course: #7454 1 Hour
  'The course gave me different ideas on how to implement therapy techniques and strategies'   Read Reviews
Many children with childhood apraxia of speech (CAS) make substantial progress with early intervention, yet may continue to demonstrate ongoing and residual speech challenges after they begin elementary school. This course describes challenges often observed in school-age children with a history of CAS and offers recommendations for addressing ongoing challenges related to prosody, complex phoneme sequences, phoneme and syllable omissions, voicing errors, and generalization.

Clinical Uses of the Cognitive Linguistic Quick Test
Presented by Nancy Helm-Estabrooks, Sc.D, CCC-SLP


Nancy Helm-Estabrooks, Sc.D, CCC-SLP
Course: #332 1 Hour
  'Organization, clarity of speaker, handouts'   Read Reviews
During this one-hour on-line course, Dr. Nancy Helm-Estabrooks will discuss clinical uses of the Cognitive Linguistic Quick Test (CLQT). The lecture will be divided into two major areas for discussion of CLQT applications: the CLQT as an assessment/diagnostic instrument, and the CLQT as a tool for forming treatment decisions. Among the clinical populations addressed will be those with right and left hemisphere strokes, traumatic brain injury, Alzheimer's and Parkinson's disease, and mild cognitive impairment. Both research and clinical evidence that support the utility of the CLQT will be reviewed.

Medicare Muscle: Creating Defensible Documentation
Presented by Lorelei O'Hara, M.A., CCC-SLP


Lorelei O'Hara, M.A., CCC-SLP
Course: #6346 1 Hour
  'Documentation is the area we spend much time, especially as speech language pathologists, in relaying the treatment and evaluations we provide'   Read Reviews
As claim scrutiny increases, it becomes critical that rehab professionals understand Centers for Medicare & Medicaid Services (CMS) requirements, and how to craft content that shows how our services met those requirements. This course will teach the requirements for services to be reimbursable by Medicare, as well as how to present SLP services through quality documentation.

HIV/AIDS for Speech Language Pathology
Presented by A.U. Bankaitis, PhD


A.U. Bankaitis, PhD
Course: #6292 1 Hour
  'Great information to fulfill mandatory CE in this topic area'   Read Reviews
The purpose of this course is to provide an overview of HIV/AIDS. Its relevance to the professional of speech-language pathology will also be reviewed including a review of direct and indirect consequences of viral infection and familiarization with disease classification.

Introduction to Tuberculosis
Presented by Nannette Hanlin, RN


Nannette Hanlin, RN
Course: #1033572 1 Hour
  'This is good information for all healthcare providers to review on a regular basis'   Read Reviews
According to the Centers for Disease Control (CDC), nearly 1/3 of the world’s population is infected with tuberculosis (TB) and it is considered one of the world’s deadliest diseases. We will define TB and discuss treatment, prevention, and strategies utilized when working with a patient with TB.