Hypokinetic Dysarthria Flashcards
Why is there controversy about treatment?
Due to progressive nature e.g. PD.
Respiration aim
To improve respiratory capacity and control.
Respiration techniques
relaxed diaphragmatic breathing
Using short phrases to increase loudness.
Take deep and frequent breaths before speech.
Inspiratory checking method.
U tube WATER manometer for subglottal air pressure.
Phonation focus
- reduced vocal intensity
- weak/breathy voice
- monotony of pitch and loudness
Describe LSVT- lee silverman voice treatment.
LSVT LOUD improves vocal loudness by stimulating the muscles of the larynx and speech mechanism through a systematic hierarchy of exercises.
Focused on a single goal “speak LOUD!” – the treatment improves respiratory, laryngeal and articulatory function to maximize speech intelligibility.
Treatment administered over 1 month- 4 x 1hr sessions per week, 16 sessions in total. V. intense.
Consistent with motor learning theory and principles of neural plasticity.
What biofeedback is used for loudness?
Visipitch
Volume meter
Resonation intervention
Aim- reduce hypernasality.
Techniques-
Reduce rate- pacing boards, rate control, metronome.
Biofeedback- Nasometer.
Articulation Intervention
Reduce rate
Articulation drills- plosives, affricates, fricatives
Use some non speech tasks with this
EMG feedback
Rate control- metronome, hand tapping, pacing boards etc.
Use short phrases
Prosody- what is treatment related to?
Stess and intonation
Name a stress technique
Contrastive stress drills.
Intonation technique
reading targetting intonation patterns and pausing
What is a biofeedback method for prosody?
Visipitch.
How is fluency targeted?
RATE CONTROL
What else should we consider for intervention?
Use of AAC- lightwrite, may need eye gaze as deterioates etc etc.
