Further reading/guidance: If you have any questions about what you have read in this leaflet, please contact your Speech and Language Therapist: …………………………………… Any questions? Use this space to note any questions you may have for your Speech and Language Therapist Speech and Language Therapy Department Royal Berkshire Hospital West Drive Buildings, 1st Floor London Road Reading RG1 5AN Speech and Language Therapy Department Tel: 0118 322 5205 Other Speech and Language Therapy Departments in your area: Dysarthria Community Speech and Language Therapy, University of Reading Tel: 0118 378 4691 Patient Advice & Liaison Service (PALS): 0118 982 2829 0118 982 2905 Email: pals.berkswest@berkshire.nhs.uk Write to: Berkshire West PALS, 57-59 Bath Road, Reading RG30 2BA Leaflet updated August 2008 H:\Acute & Comm Leaflets 2.2.1 West Berkshire Community Hospital, Thatcham Tel: 01635 273422 Wokingham Hospital Tel: 0118 949 5150 Information and advice for people experiencing speech difficulties What is dysarthria? Dysarthria is a speech disorder caused by weakness or paralysis of the oral muscles: the jaw, lips, tongue, and palate (the "roof of your mouth"). Dysarthria happens because some of the nerves involved in speaking and/or breathing are damaged. Will my dysarthria improve? In most cases some degree of improvement can be made. This depends on the cause and severity of the dysarthria. How can a Speech and Language Therapist help me? Dysarthria may be: - present from birth, e.g. cerebral palsy; - acquired suddenly, e.g. stroke, head injury; - a feature of degenerative disease, e.g. Parkinson’s Disease, MS. What does dysarthria sound like? This varies depending on the cause. Common features include: slurred speech: reduced clarity; speech may be too fast or slow; change in voice quality: low in pitch, hoarse, quiet, breathy, nasal or strained; reduced naturalness: lack of rhythm or intonation; unco-ordinated speech/ breathing. Assessment and personalised treatment and therapy. Oral-motor exercises for breath control, clarity of speech and strength and co-ordination of muscles. Reassurance and confidencebuilding. Practical advice for improved communication in everyday, work and social situations. Techniques to support speech e.g. gesture, writing, drawing. Specialist assessment for electronic communication aids in severe cases. Advice/support for friends and family. Tips for successful communication with a person who has dysarthria Minimise background noise and distractions: e.g. turn off the TV. Look at the person’s lips/face for additional clues. Encourage the person to take deep breaths, slow their speech right down and exaggerate sounds. Encourage short sentences and frequent pauses for breath. Encourage emphasis of the most important words. Keep a notepad and pen handy for writing difficult words or encourage pointing, drawing etc. Be patient. Allow the person plenty of time to speak/respond. Check that you have understood by feeding back what you think has been said. Ask whether the person minds if you help by guessing or finishing off words for them. They may prefer to keep trying themselves. Be honest and let the person know when you have not understood them so that they can monitor the clarity of their speech.