Speech rate treatments for individuals with dysarthria: a tutorial. 2010

Paul G Blanchet, and Gregory J Snyder
Department of Communication Disorders and Sciences, State University of New York at Fredonia, W117 Thompson Hall, Fredonia, NY 14063, USA. blanchet@fredonia.edu

Research confirms the long-standing clinical observation that patients with dysarthria exhibit variability in speech rate. Thus, modifying speech rate has been documented as one of the best treatment options for these patients. In this tutorial, several published rate control interventions for dysarthric speakers are presented. Studies discussed utilized various interventions, including pacing boards, alphabet board supplementation, visual and auditory feedback, cueing and pacing strategies, and delayed auditory feedback. Interventions discussed represent a hierarchy from "rigid" strategies, which impose maximal rate control, to techniques allowing for greater speech naturalness and independent rate control. All procedures are examined with respect to effectiveness in reducing rate, effect on intelligibility and prosody, training requirements, specific alterations made to speech rate, and other relevant aspects.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010043 Outcome and Process Assessment, Health Care Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically. Outcome and Process Assessment (Health Care),Donabedian Model,Donabedian Triad,Outcome and Process Assessment,Structure Process Outcome Triad,Model, Donabedian,Triad, Donabedian
D003143 Communication Aids for Disabled Equipment that provides mentally or physically disabled persons with a means of communication. The aids include display boards, typewriters, cathode ray tubes, computers, and speech synthesizers. The output of such aids includes written words, artificial speech, language signs, Morse code, and pictures. Augmentative and Alternative Communications Systems,Communication Aids for Handicapped,Communication Boards,Speech Synthesizers,Telecommunications Devices for the Deaf,TDD,TTY Telephone,Text Telecommunication,Text Telecommunication Devices,Text Telephone,Communication Board,Speech Synthesizer,Synthesizer, Speech,Synthesizers, Speech,TTY Telephones,Telecommunication Device, Text,Telecommunication Devices, Text,Telecommunication, Text,Telecommunications, Text,Text Telecommunication Device,Text Telecommunications,Text Telephones
D003463 Cues Signals for an action; that specific portion of a perceptual field or pattern of stimuli to which a subject has learned to respond. Cue
D004401 Dysarthria Disorders of speech articulation caused by imperfect coordination of pharynx, larynx, tongue, or face muscles. This may result from CRANIAL NERVE DISEASES; NEUROMUSCULAR DISEASES; CEREBELLAR DISEASES; BASAL GANGLIA DISEASES; BRAIN STEM diseases; or diseases of the corticobulbar tracts (see PYRAMIDAL TRACTS). The cortical language centers are intact in this condition. (From Adams et al., Principles of Neurology, 6th ed, p489) Hyperkinetic Dysarthria,Hypokinetic Dysarthria,Scanning Speech,Dysarthosis,Dysarthria, Flaccid,Dysarthria, Guttural,Dysarthria, Mixed,Dysarthria, Scanning,Dysarthria, Spastic,Dysarthoses,Dysarthria, Hyperkinetic,Dysarthria, Hypokinetic,Dysarthrias,Dysarthrias, Flaccid,Dysarthrias, Guttural,Dysarthrias, Hyperkinetic,Dysarthrias, Hypokinetic,Dysarthrias, Mixed,Dysarthrias, Scanning,Dysarthrias, Spastic,Flaccid Dysarthria,Flaccid Dysarthrias,Guttural Dysarthria,Guttural Dysarthrias,Hyperkinetic Dysarthrias,Hypokinetic Dysarthrias,Mixed Dysarthria,Mixed Dysarthrias,Scanning Dysarthria,Scanning Dysarthrias,Scanning Speechs,Spastic Dysarthria,Spastic Dysarthrias,Speechs, Scanning
D005246 Feedback A mechanism of communication within a system in that the input signal generates an output response which returns to influence the continued activity or productivity of that system. Feedbacks
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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