Depression is more than "feeling down" or " feeling blue. As we enter fall, you and your family may have concerns about the flu influenza and how its symptoms differ from those of COVID In fact, spending time in nature has been linked to number of mental health benefits. Breathing while speaking can be problematic for individuals with dysarthria , as can controlling pitch, volume and the rate of speech.
No two individuals will experience the same set or severity of symptoms and some may even have issues with drooling and swallowing while speaking. For stroke survivors who struggle with dysarthria, speech therapy can help strengthen the muscles needed for production but additional accommodations and strategies may be necessary. Try these tips for starters:. Repeating your message in different ways gives your listeners plenty of opportunities to understand you. This is particularly useful when you are expressing a complex thought.
It is often easier to annunciate if you take your time with language and include plenty of pauses to break longer chunks of speech up. This also gives listeners a chance to ask for clarification and makes it easier for people to follow along as they have more time to process what you are saying. In addition, you can use gestures and facial expressions to add emphasis to speech. To ensure people are following along, include plenty of comprehension checks.
You might try set phrases like: does that make sense , do you know what I mean , and is that clear. Alternatively, customize your questions to the subject matter you are discussing.
Avoid noisy and distracting places and meet friends in a quieter space where it is easier for them to hear what you are saying. It will also help you concentrate on speech production if you are relaxed, so choose a stress free environment and avoid speaking when you are tired. Exhaustion can make your dysarthria worse so meet at times in the day when you are both awake and energized.
You might try video calling but it can also be useful to do online chats or send emails. Keep a pen and paper handy in case you have trouble expressing something.
You might also want to use a device such as a tablet or smartphone. Some people find it useful to carry an alphabet chart so they can point to the first letter of a word if this is needed to clarify their speech. This is handy if you struggle to pronounce certain phonemes. Learn more about augmentative and alternative communication. Communication difficulties can be disheartening and many people find it useful to speak with other individuals who understand what they are going through.
You might find a local group of stroke survivors and exchange tips and tricks. There is also some indication that therapy at high intensity, high dose or over a longer period may be beneficial [ 4 ]. Constraint-induced aphasia therapy CIAT has been widely used in post-stroke aphasia rehabilitation and an increasing number of clinical controlled trials have investigated the efficacy of the CIAT for the post-stroke aphasia.
Currently there is limited evidence to support its superiority to other aphasia therapies but therapy embedded with social interaction may gain more benefits [ 5 ]. Severe dysphasias are likely to show little improvement but other forms can show rapid improvement. The probability of recovery following trauma is higher than following stroke.
Prognosis for the recovery of linguistic function varies enormously and is difficult to predict as it is affected by many factors. There is a possibility that some drugs may enhance the ability to learn and hence to recover language after a stroke but this is still very much in the experimental stage and there are no large trials or reviews.
Communication problems after a stroke Information leaflet ; Stroke Association. Mitchell C, Bowen A, Tyson S, et al ; Interventions for dysarthria due to stroke and other adult-acquired, non-progressive brain injury.
Cochrane Database Syst Rev. Zhang J, Yu J, Bao Y, et al ; Constraint-induced aphasia therapy in post-stroke aphasia rehabilitation: A systematic review and meta-analysis of randomized controlled trials. PLoS One. Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy.
Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions. This article is for Medical Professionals. In this article Definitions Epidemiology Dysarthria Dysphasia. Dysarthria is a disorder of speech, while dysphasia is a disorder of language. Aphasia Dysphasia vs.
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