Week Seven

Question 1

What are the two approaches to dysarthria intervention?

Answer 1

1. Global approach
2. Sub-system approach

Question 2

What is a global approach?

Answer 2

An approach that targets one or more of the speech subsystems, but has a single treatment emphasis

Has broad reaching effects across multiple subsystems

Uses simple, easy to understand cue

Helps clients to adjust speech in several ways without having to be conscious of it. For example, Be loud = changing posture, deeper breathing, greater vocal fold adductions, changes in articulation

Question 3

What are the most common global approaches?

Answer 3

Speak Out, LSVT, Be Clear

Question 4

How does Lee Sliverman Voice Treatment work (LSVT)?

Answer 4

Used for people with Parkinson’s Disease

Singular focus = be loud

Designed to increase vocal intensity in client’s with PD (mild-moderate)

Lots of feedback

Incorporates principles of motor learning

Can maintain for 12-24 months with daily activities

INSERT PROTOCOL

Question 5

How does Be Clear work?

Answer 5

Used for patient’s with nonprogressive dysarthria

Singular focus= be clear

Purposeful enunciation/over-articulation of all sounds and rate reduction

Goals: improve intelligibility and improved self-perception of speech

Question 6

How does Speak Out work?

Answer 6

Use for people with Parkinson’s disease

Singular focus = speak with intent

Increased attention to speech - converts speech from an automatic function to an intentional act

Speak more clearly, slowly, loudly

Question 7

Who are good candidates for a global approach?

Answer 7

• Can follow simple demands
• respond to cueing and modelling
• Tolerate 40-60 minute sessions
• Complete daily exercises
• Commit to treatment schedule