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Therapeutic intervention of dysarthria in subacute stroke Hidetaka Shiina 1 1Speech and Language Section, Department of Rehabilitation, Morinomiya Hospital Keyword: 脳卒中 , dysarthria , 高次脳機能障害 , 評価 , 治療的介入 , stroke , dysarthria , neuropsychological problems , evaluation , therapeutic intervention pp.3-11
Published Date 2014/3/15
DOI https://doi.org/10.11477/mf.6001100399
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 This paper will first review characteristics of dysarthria in subacute stroke, and then suggest a way of administering the assessment and therapeutic intervention of stroke patients. Of the 147 cases of dysarthria in subacute stroke treated by our speech-language-hearing therapists, 70 % of the cases had minor conditions, including UUMN dysarthria, while 58 % of the cases showed complications associated with neuropsychological problems. As an articulation assessment of mild dysarthria, we suggest repeatedly alternating two sounds which are phonetically opposing as fast as possible as a load test. In a therapeutic intervention for phonation, we suggest how to facilitate exhalation control for speech by trying to activate the diaphragm and abdominal muscles. Further, we show examples of oral movement exercises as a basis for achieving articulation. It is vital to consider neuropsychological problems in conducting these exercises. Based on the framework of therapeutic intervention including both cognitive process and exhalation-phonation-articulation process, we discuss how to select tasks, prompts, and feedback methods.


Copyright © 2014, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会

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