Ataxic Dysarthria Case Study

Assess his trembling of hands and speech. Refer to speech therapy and physical therapy if necessary.

The scope of practice of speech-language pathology describes the ethical and clinical responsibility of clinicians to implement therapy techniques, which contains efficacy that is supported by evidence. Non-speech oral-motor exercises (NSOMEs), in particular have raised controversy among speech-language pathologists (SLPs) and researchers when treating children with articulation and phonological disorders. The use of NSOMEs is a debated issue in the profession due to the lack of evidence based practice (EBP), poor clinical assumptions, and the avoidance of meeting the client’s needs.

Patients with ASD may imitate what is being said to them with limited speech and may find it difficult to process what is going on around them and so are prone to feeling disorientated as well as being less proficient, frustrated or anxious therefore practitioner should avoid frustration and emphatic towards the patient (National institute of mental health, 2015)

The Sounds in Words subtest of the Goldman Fristoe Test of Articulation – Third Edition (GFTA-3) was administered to assess L.R.’s speech sound inventory. The Sounds-in-Words subtest was used to elicit L.R.’s spontaneous speech production of single words using pictures and/or verbal cues. The subtest also assesses articulation of speech sounds in all word positions at the single word

Singing is also broadly used for dementia, which is the second technique. Satoh M et al. prepared ten AD patients to sing their chosen songs for six months by karaoke (10). Karaoke is a way in which patients take turns singing over prerecorded music through a system that reminds them of the song if they stop singing. Results showed time for Japanese Raven’s Colored Progressive Matrices reduced and the neuropsychiatric symptoms enhanced after six months with MT (10). In addition, Meilán García JJ et al. related diverse kinds of sensitive music including sad, music without an expressive component, happy, absence of sound, and cafeteria sound as MT distinctly. It was established that melody with sad sentiment was the most effective for the reminiscence

The opportunity to observe the work overview of a Speech Pathologist, has tremendously solidified my interest in this field. At the Diana Rogovin Speech Center at Brooklyn College, I observed clients of various ages with different speech language disorders including articulation, language, voice, fluency and accent modification. Observing clinicians at the speech center gave me the opportunity to learn how important client-clinician interaction is for the session and how essential it is to build a good relationship with the client. Although I learned the

The manifestations of ALS are caused by the location of motor neuron death. When upper motor neurons die, the symptoms include problems controlling fine movements, spasms, dysphagia, dysphonia and dysarthria (Porth & Matfin, 2009). “Manifestations of lower motor neuron destruction include fasciculations, weakness, muscle atrophy, and hyporeflexia” (Porth & Matfin, 2009, p. 1284). Patients with early signs of ALS usually complain of feeling weak on one side, which is due to the slowing of electrical impulses to that group of muscles (Ignatavicius & Workman, 2010). Since the impulses are slowed, they are not receiving adequate electrical stimulation to move and the person feels weak. As the disease progresses, all the motor neurons die and are not regenerated so, the patient is left paralyzed, losing the ability to speak, swallow and breathe (Ignatavicius & Workman, 2010).

Clinical Implications: Minimal-contrast treatment is effective and efficient for treating children with phonological disability. Avoiding listener confusion is motivating for suppressing process use.

Dementia is the loss of cognition function. This condition is rapidly becoming a huge challenge as well a leading cause of mortality and morbidity of the 21st century, especially in the western world, and the current prediction rates of dementia indicate that it will worsen. The numbers of the individuals affected by the condition is anticipated to rise due to the ever expanding older population. Despite the menace of this condition, the power of music, particularly in singing to jerk or unlock past memories and kick start the grey matter of the brain is an incredible feature of dementia care. Using music seems to reach parts of the damaged patient’s brain in unique ways that other means cannot (Geretsegger et al. (2014). In senior adults with dementia, Alzheimer’s, and other mental disorders, music therapy has shown capability of reducing agitated or aggressive behavior, improve cooperation with day-to-day activities such as bathing, improved mood, and reduce symptoms of dementia. Besides, music therapy can reduce the

Chapter 16 of Musicaphilia, called Speech and Song: Music and Aphasia, highlighted how patients with aphasia were able to memorize sequences or entire songs, and how this in turn helped improve their language and communication skills. I found it fascinating that aphasia patients could learn language through music, especially when individuals such as Samuel S. were able to answer with appropriate responses to questions after being deemed as a hopeless case. Often it’s easy to forget the complexity that goes into simply speaking to others, down to the simple phonemes we have that create full words. What works with music therapy is the frequent interaction between the patient and their therapist, which is vital in improving their language usage. This interaction includes using “physical contact, gesture, imitation of movement, and prosody” which demonstrates just how much nonverbal communication goes into face-to-face interaction (219). Support and encouragement

It is surprising to realize the practice of one small therapy could impact the world in a big and positive way. Music therapy is the practice of using music to better the lives of people with motor, cognitive, and speech disabilities, along with surgical patients. This is achieved by redirecting neural networks in the brain with certain types of music selected for that specific patient. This is not a field for every musician however, only educated students who are board certified should practice music therapy for the safety for the patients. Although many people believe music therapy should not be considered a therapy, it should be considered a mainstream beneficial medical practice and used worldwide. It greatly increases the education of mentally disabled children, surgical patients have a safer option for pain reduction, and it creates employment for people who are interested in a career dealing with music.

In Intensive Voice Treatment (LSVT LOUD) for Children With Spastic Cerebral Palsy and Dysarthria by Fox, Cynthia Marie, Boliek and Carol Ann, the participants were five children between the ages of 5 and 7 years with a medical diagnosis of predominantly spastic Cerebral Palsy. A telephone screening questionnaire was first given to the parents and then the children went through a face-to-face screening process to be considered for the study. To be selected for this study participants had to have Dysarthria, hearing that was within normal limits or close enough to normal limits, no vocal fold pathology as determined by an otolaryngologist, the ability to follow directions for the study tasks, and on stable medications if needed.

Common stroke-related symptoms and can be discussed as a major topic of research, in music therapy. Methods associated with decreasing the effects of these symptoms is represented as a significant theme of study. One of the main effects of a stroke is aphasia, which can be successfully treated with music therapy techniques. Some protocol exercises were demonstrated positive for emotional re-attainment and an increased chance for cognitive improvement, which could assist nurses and other healthcare professionals to benefit a patient with aphasia. In a study conducted by Kim and Tomaino (2008), notable researchers of the therapeutic effects of music therapy, seven aphasic patients had recently suffered from a left-hemisphere stroke and were selected to participate. With techniques of singing familiar songs, musical-assisted speech, dynamic-cued singing, rhythm in speech, oral-motor exercises and vocal intonation, each patient was paired with a music therapist and received twelve music therapy sessions

While stuttering can be significantly reduced after implementation of a treatment program, “post-therapy speech has been frequently characterized as slow, monotonous and lacking expression” (Stuart & Kalinowski, 2004, p. 348). Stuart and Kalinowski (2004) examined the speech naturalness of in PWS. The experiment was conducted by having thirty-five naïve listeners rate speech samples from normally fluent adults, adults with mild or sever stuttering under NAF and DAF and adults who successfully completed the

Dalgarno talks about rituals and states that treatment with distinct sounds used by a therapists for an individual is greatly rewarding and successful. Dalgarno describes ancient Tibetan medicine methods that involving, ancient Tibetan medicine that emphasize this point. He explains taking treatment to the next level on how analyzing the patient voice with technological methods that involve administering intervals of the tones taken from speech into music then applied in therapy Dalgarno also applies whole body treatment for patients to feel the music therefore kinesiology as part of his treatment