Treatment of Flaccid Dysarthria Flashcards
Maximising Respiratory Supply
Help patient achieve maximum respiratory support.
Techniques:
Practicing deep inhalations
Emphasizing rib cage and abdominal excursions
Modifying Posture
Incoorporating the use of assistive devices e.g. abdominal boards.
Improving control over expiratory air stream
Use a U-tube manometer to help prolong,sustain and control exhalation.
Controlles exhalation tasks e.g. producing extended vowel durations and moving onto producing phrases of increasing length with 1 breath.
What is the phonatory target for flaccid dysarthria?
Increase vocal fold adduction and improve phonatory stability
Name behavioural techniques that improve adduction of the vocal folds.
Initiating phonation with hard glottal attack
pushing, pulling and lifting exercises with speech tasks.
What would be another way to help with V-folds?
Collagen implants- this is rarely used but help compensate for hypoadduction.
What is the aim for resonance?
Improve the competency of the velopharyngeal seal.
What techniques are used to improve movement of velum?
Palatal massage
Self-moitoring with oral torch and mirror
Biofeedback of velar function through use of endoscope
Nasometer- provides visual feedback regarding levels of nasality during speech.
Treatment of Articulatory Function- what are techniques trying to improve?
Weak muscle tone.
What techniques are used for articulation?
Isotonic (repetitive movements without resistance) OR Isometric (movements against resistance) exercises for the lips, tongue and jaw however these are non-speech.
Reducing rate e.g. using pacing boards, rigid imposition with alphaped board, or using a metronome.
Diadochokinesis is useful for improving rate (papapapapa, patakapataka etc.)
What prostheic device could help someone with flaccid dysarthria’s intelligibility?
A jaw sling.
Prosody intervention involves..
feedback on pause and breaking down speech into meaningful units
Intervention in other areas will help.
Stress- perform contrastive drills where sentences have meaning differences.
name AAC for flaccid dysarthria
Can range from simple devices e.g. picture boards and spelling charts
To high tech computerised systems such as the lightwriter.
