Case Study

Question 1

Respiratory Management :
Consider compensatory first to cause an immediate effect :

Then what rehabilitative
-can alter

get together with ?

Answer 1

postural adjustments : sitting upright to ensure

RMST: uses external device to overload muscles

• improves relationship between respiration,phonation and resonance
• time frequency intensity of training

can also incorporate this into exercises of reading eventually: fast breathing then slow exhale

get together with physiotherapy for discussion of carryover for strengthening

Question 2

Hypernasality: Resonance
VPI: tricky because palatal lift would help the velopharyngeal insufficiency however

issues for dysphagia

Answer 2

in the case of flaccid dysarthria this can interfere with intelligibility (of high importance for patient) and can also worsen dysphagia

Therefore, this would not directly be targeted, but strategies to increase the adequacy of the mechanism like reading only vowels, or overarticulation could be used.

could be combined with dysphagia therapy like TTS to stimulate insufficiency

Question 3

Prosody:
important because it affects intelligibility

can be combined with methods for respiratory support

Answer 3

can help with intelligibility

familiarization

read sentences with intent on different words

Question 4

Articulation:

over articulation:

Intelligibility drills:

Answer 4

to emphasize phonetic placement and increase precision

individual reads words and phrases and attempts to repair content not understood by the listener

Question 5

Speaker strategies:

….

Answer 5

alphabet board or consider aac to start with care staff