This new edition provides a refresher on the neurology of dysarthria as well as current information and lots of helpful tools for assessment, treatment planning, and treatment techniques.
- Distinguish the types of dysarthria and make appropriate treatment decisions
- Achieve client goals for respiration, phonation, resonance, articulation, and prosody
The approach is organized around a perceptual framework, meaning it is based on using your listening skills to help make decisions about diagnosis and treatment (in contrast to using instrumental assessment). The information helps you:
- understand the interrelationships among respiration, phonation, resonance, articulation, and prosody
- determine possible causes for the observed symptoms
- incorporate long-term goals of intelligibility, comprehensibility, efficiency, and naturalness
The author explains the intricacies of dysarthria evaluation and gives guidelines for a differential diagnosis. A description of each type of dysarthria includes:
- possible medical diagnoses
- associated neurological symptoms and reflexes
- typical patient complaints
- tasks to help distinguish the particular type of dysarthria
Updates in this edition include the latest information on:
- oral-motor exercises—what they do or don't do for improved speech intelligibility
- measuring outcomes of intelligibility, comprehensibility, and efficiency
- treatment activities for comprehensibility and efficiency
- coding and billing for treatment
- dysarthria in children
The book comes with a FREE CD of 120 printable pages (in PDF format) of hands-on therapy tools:
- Perceptual Dysarthria Evaluation (adult and pediatric forms)
- informal evaluation forms for respiration, phonation, resonance, articulation, and prosody
- case history form
- 80 pages of word and sentence lists, reading passages, exercises, and activities to develop respiration, phonation, resonance, articulation, and prosody
- educational handouts
- activities for improving intelligibility and comprehensibility
Copyright © 2010
This book by Nancy Swigert is easy to follow, practical, and full of great therapy ideas. The checklists make assessments effortless and the treatment ideas are both fun and functional. This is my "go to" Source for clients and their families. Nancy Swigert's work motivates me to be the best clinician I can be. I am never disappointed with the Source products.
Cheryl Moyer-Rafferty, SLP
New Milford, CT
- Effective speech treatment for individuals with dysarthria has been documented through group treatment studies, single-subject studies, and case reports. Study outcomes measure improvements in:
- increased muscle strength and control
- improved respiration and phonation for adequate voice
- improved consonant precision and intelligibility (ASHA, 2008; Yorkston et al., 2001)
- Speech production adequacy can improve, often with a focus on the physiological systems of speech (Hanson, Yorkston, & Beukelman, 2004).
- Speech supplementation strategies (e.g., letter cues, topic cues, gestures) may be useful for speakers with severe or profound dysarthria (Hanson, Yorkston, & Beukelman, 2004).
- Visibile letter cues improve intelligibility of dysarthric speech (Kentner & Miller, 2009).
- Listener skills, attitudes, and experiences affect the range of intelligibility for speakers with severe dysarthria. Listeners must be trained as active participants in the communication process (Hanson, Yorkston, & Beukelman, 2004).
- ASHA's National Outcomes Measurement System (NOMS) shows that outpatient speech therapy services [for dysarthria] are associated with improved intelligibility and communication functioning (ASHA, 2008).
The Source for Dysarthria Second Edition incorporates these principles and is also based on expert professional practice.
American Speech-Language-Hearing Association (ASHA). (2008). Treatment efficacy summaries: Dysarthria. Retrieved April 15, 2009, from http://www.asha.org/public/EfficacySummaries.htm
Hanson, E.K., Yorkston, K.M., & Beukelman, D.R. (2004). Speech supplementation techniques for dysarthria: A systematic review. Journal of Medical Speech-Language Pathology, 12(2), ix-xxix.
Kentner, J., & Miller, M. Effects of visible vs. concealed alphabet cues on speech intelligibility in dysarthria. (2009, May). International Journal of Therapy and Rehabilitation, 16(5), 272-279.
Yorkston, K.M., Spencer, K.A., Duffy, J.R., Beukelman, D.R., Golper, L.A., Miller, R.M., et al. (2001). Evidence-based medicine and practice guidelines: Application to the field of speech-language pathology. Journal of Medical Speech-Language Pathology, 9(4), 243-256.