Dysarthria, or the muscles used for speaking abnormal Is a speech disorder caused by the patient’s inability to control the muscles involved in normal speech or vocalization. Inability to control the pitch and rhythm of their own speaking It is often caused by brain injury or neurological conditions such as cerebrovascular disease, cerebrovascular disease, Parkinson’s disease. Or injury to the central nervous system, etc.
The musculoskeletal symptoms usually do not affect the patient’s cognitive processes. The doctor will treat Dysarthria according to the causes, symptoms and suitability of each patient. Most of which require speech therapy to be able to communicate effectively.
Symptoms of Dysarthria
People with speech impaired will have symptoms that vary according to the cause. But generally there are symptoms that are as follows
- Slurred speech, slow speaking, or speaking so fast that he couldn’t understand
- Has pitch control issues, such as uneven high or low levels of speech Speak without intonation Speaking too loud or too low, etc.
- Hoarse, drone, throttling, or using windy speech
- Have irregular or irregular rhythm
- Inability to move your tongue, lips, or facial muscles normally
- May have a conditionDifficulty swallowing Resulting in salivation
In addition, the patient may speak only short sentences, short words, or it may be speech that does not understand the meaning at all, however this condition usually does not affect speech perception and comprehension, ie the patient can listen. Understand normally But speech problems can affect social, educational, and work performance if speech disorders are found without cause or sudden changes. You should see your doctor to rule out the cause, as Dysarthria can be a sign of a serious health problem.
Causes of Dysarthria
Speech disorders can have a number of reasons, including:
- A blood vessel in the brain Cerebral palsy, brain tumors
- Muscle weakness ALS Muscle weakness And muscular dystrophy
- Multiple sclerosis
- Lyme Disease
- Huntington’s Disease
- Parkinson’s disease
- Wilson disease (Wilson’s Disease)
- Gillang-Barré syndrome (Guillain-Barre Syndrome)
- Injury to the head area
- Use of certain drugs that have a direct effect on the central nervous system, such as narcotics or tranquilizers
Dysarthria usually occurs in adults. The risk is increased if the person has a chronic brain disease due to dementia. Are in a risk group for stroke Diseases involving the muscles and nerves Have problems drinking alcohol or using drugs
Diagnosis of Dysarthria
If the doctor suspects the patient has symptomsAbnormal speech muscles The doctor will assess through a range of methods such as assessing speech, mouth movement, tongue and facial muscles. Tests for sound quality and respiratory rhythm, for example, after which your doctor may perform a physical exam and other related symptoms that may be the cause of the abnormal muscle tone:
- TheBlood testAnd urine for infection or inflammation in the body
- Magnetic Resonance Imaging (MRI) and Computed tomography (CT Scan) of the brain, which produce detailed images of the brain and neck. This may help the doctor determine the cause of the symptoms.
- Muscle electrocardiogram (Electromyography or EMG) to look at abnormalities of the electrical waves in the muscles.
- Brain wave examination (Electroencephalography or EEG) to measure the electrocardiogram in the brain.
- Nerve Conduction Study to measure the strength and speed of electrical signals transmitted from nerves to muscles.
- Cerebrospinal fluid examination To help doctors diagnose if the patient has a serious infection or symptoms in the central nervous system.
- Biopsy for diagnosis It is used if the patient has a brain tumor.
- Psychoactive testing This evaluates the different functions of the brain to look at critical thinking and communication skills, such as learning. Understanding speech, reading and writing, etc.
The doctor will treat the condition Dysarthria according to the underlying cause, usually a doctor or specialist uses language and speech therapy. To help the patient to resume speaking normally Help develop communication skills Restoring the strength of the muscles of the face Adjust the rhythm of breathing Practice vocalization Pronunciation practice to adjust the volume and help speak more clearly. This allows patients to communicate more effectively.
In the event that the above treatments do not work A specialist or physician may instruct the patient to communicate in additional ways, such as using images and colors for meaning, gestures, or using computers as a communication medium.
In addition, ifsymptomAs such, the audience does not understand their own communication or their own words. Patients may use speech techniques to help. To better communicate with others such as
- Slowing down the tempo or speaking one word at a time
- Give appropriate space for each word.
- Ask the audience if the intended use of the patient is communicated.
- Take a deep breath before starting your speech.
- Carry a communication aid for elaboration such as pen, pencil, paper, mobile phone.
- Start the conversation in short words before explaining.
- Reduce other noise to make the audience hear more clearly.
- Use repeating if necessary.
- If the patient is tired Should be shortened Because talking while tired or gasping will make the audience unable to clearly understand the content.
The success of the treatment will vary depending on individual factors, such as areas of the brain damaged or abnormalities of the brain. Causes that cause symptoms Or even the environment in which the patient is in
Complications of Dysarthria
Dysarthria creates communication barriers. As a result, the patient may have social problems. Affect relationships with friends or family and possiblyDepressionTogether with
Symptoms of the speech muscles can occur for a number of reasons. Therefore there is no effective way to prevent But they can reduce the risk by adjusting lifestyle habits to help reduce the risk of cerebrovascular disease that is one of the causes of dysarthria, such as regular exercise. Weight control Eat fruits and vegetables Control cholesterol, saturated fat and sodium levels in the diet Limit the consumption of alcoholic beverages Avoid smoking and cigarette smoke Do not use drugs other than doctor’s orders. And if a patient with high blood pressure, diabetes or havingSleep apneaShould be treated and followed strictly by your doctor’s instructions.