Dysarthria
A neurologically caused speech disorder is called dysarthria. This occurs, for example, after a stroke, traumatic brain injury or as part of a neurodegenerative disease such as Parkinson’s disease. Speech difficulties can vary depending on the cause.
Typical symptoms of dysarthria in Parkinson’s disease can include reduced articulation, a quiet and hoarse voice, an increased speech rate and monotony, i.e. a flattening of the speech melody. All these symptoms can ultimately lead to poorer comprehension and thus restrict social life. For example, those affected are repeatedly asked to repeat what they have said and to speak louder or more clearly. Sometimes dysarthria also leads to avoidance behavior. For example, some patients call less frequently for fear of not being understood on the phone. Or they no longer go to the regulars’ table because their voice is drowned out by the background noise of a pub.
Speech therapy
Speech therapy helps those affected to improve or maintain their speaking skills. This enables them to participate more actively in social life. Depending on the symptoms, different approaches are taken in therapy, although the basic pillars are usually the same: Posture, breathing, voice, articulation. Those affected learn to better assess and adapt their speech. The voice is strengthened and articulatory movements are made more precise.
Most of the therapies at the USZ take place on an inpatient basis, occasionally, if there is sufficient capacity, also on an outpatient basis in an individual setting and now once a year in a group setting. Our patients always receive documentation for independent training at home. Regular practice is essential for successful therapy. Sensible self-training does not usually take long (approx. 5 to 15 minutes), but should be carried out one to three times a day.
A doctor’s prescription for speech therapy is a prerequisite for the health insurance company to cover the costs.
