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. 2005:4:Doc15.
Epub 2005 Sep 28.

Rehabilitation of impaired speech function (dysarthria, dysglossia)

Heidrun Schröter-Morasch  1 , Wolfram Ziegler
Affiliations

Rehabilitation of impaired speech function (dysarthria, dysglossia)

Heidrun Schröter-Morasch et al. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2005.

Abstract

Speech disorders can result (1) from sensorimotor impairments of articulatory movements = dysarthria, or (2) from structural changes of the speech organs, in adults particularly after surgical and radiochemical treatment of tumors = dysglossia. The decrease of intelligibility, a reduced vocal stamina, the stigmatization of a conspicuous voice and manner of speech, the reduction of emotional expressivity all mean greatly diminished quality of life, restricted career opportunities and diminished social contacts. Intensive therapy based on the pathophysiological facts is absolutely essential: Functional exercise therapy plays a central role; according to symptoms and their progression it can be complemented with prosthetic and surgical approaches. In severe cases communicational aids have to be used. All rehabilitation measures have to take account of frequently associated disorders of body motor control and/or impairment of cognition and behaviour.

Keywords: dysarthria; dysglossia; functional therapy; prosthetics; speech disorders.

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Figures

Table 1
Table 1. Most common diseases accompanied by dysarthria
Table 2
Table 2. Neurological and neuropsychological disorders frequently associated with dysarthria (Schröter-Morasch, v. Deuster 1998 [11])
Table 3
Table 3. Criteria for distinguishing peripheral and central paresis of speech organs (Schröter-Morasch 2002 [25])
Figure 1
Figure 1. Obturator prosthesis applied to 54 year old patient, female, after tongue resection
Figure 2
Figure 2. Velar prosthesis (palatal lift)
See this image and copyright information in PMC

References

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    1. Schröter-Morasch H, Ziegler W. Dysarthrien und Sprechapraxie. In: Wendler J, Seidner W, Kittel G, Eysholdt U, editors. Lehrbuch der Phoniatrie und Pädaudiologie. 3. Auflage. Stuttgart: Thieme; 1996. p. 250.
    1. Schröter-Morasch H, Hoole Ph. Differentialdiagnose hyperkinetischer Bewegungsstörungen des Kehlkopfs. In: Gross M, editor. Aktuelle phoniatrisch-pädaudiologische Aspekte 1997/98, Bd 5. Heidelberg: Median Verlag; 1998. p. 197.
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    1. Leonard R, et al. Differentiation of speakers with glossectomies by acustics and perceptual measures. Am J of Speech-Language-Pathology. 1992;4:56–63.

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