Behavioral management of respiratory/phonatory dysfunction from dysarthria: A flowchart for guidance in clinical decision making

Kristie A. Spencer, Kathryn M. Yorkston, Joseph R. Duffy

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

This work emerged from a larger effort by an Academy of Neurologic Communication Disorders and Sciences committee to establish Practice Guidelines for the management of speakers with dysarthria. A fundamental issue in dysarthria management is the availability of appropriate methods for assessing and treating speakers with compromised respiratory and phonatory subsystems. As such, a flowchart of behavioral management options for respiratory/phonatory dysfunction from dysarthria is provided. Three general areas of respiratory/phonatory dysfunction are identified to provide an organizing framework for a clinician's approach to respiratory/phonatory management. Those areas include (a) decreased respiratory support, (b) decreased respiratory/phonatory coordination and control, and (c) reduced phonatory function. Within each area, behavioral techniques are delineated in terms of the available support from the dysarthria literature. Support for a particular treatment may stem from evidence-based intervention research or expert opinion. Behavioral techniques lacking support also are highlighted, as are areas in particular need of treatment efficacy research.

Original languageEnglish (US)
JournalJournal of Medical Speech-Language Pathology
Volume11
Issue number2
StatePublished - Jun 2003

Fingerprint

Software Design
Dysarthria
Communication Disorders
Practice Management
Expert Testimony
Nervous System Diseases
Practice Guidelines
Research
Clinical Decision-Making

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Otorhinolaryngology
  • Rehabilitation

Cite this

Behavioral management of respiratory/phonatory dysfunction from dysarthria : A flowchart for guidance in clinical decision making. / Spencer, Kristie A.; Yorkston, Kathryn M.; Duffy, Joseph R.

In: Journal of Medical Speech-Language Pathology, Vol. 11, No. 2, 06.2003.

Research output: Contribution to journalArticle

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