Semin Speech Lang 2018; 39(01): 015-024
DOI: 10.1055/s-0037-1608852
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Dysarthria following Stroke

Kristie A. Spencer
1   Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington
,
Katherine A. Brown
1   Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington
› Author Affiliations
Further Information

Publication History

Publication Date:
22 January 2018 (online)

Abstract

Dysarthria is a common consequence of stroke and can have a detrimental influence on communication and quality of life. Speech-language pathologists (SLPs) play an important role in the evaluation and rehabilitation of stroke survivors who present with dysarthria. An understanding of the physiologic reason behind the altered speech characteristics, such as weakness or incoordination, can facilitate differential diagnosis, guide evaluation strategies, and influence treatment approaches. An initial comprehensive speech evaluation is comprised of examination of the speech mechanism, screening of speech subsystems, perceptual assessment, and intelligibility measurement. Management strategies focus on optimizing communication through compensatory strategies as well as providing physiologic support. The SLP is also responsible for educating family and staff regarding strategies that can facilitate communication.