At True Self Speech Therapy, we are committed to delivering the latest, evidence-based interventions to support individuals with neurodegenerative conditions. A recent systematic review, Behavioral Management of Respiratory/Phonatory Dysfunction for Dysarthria Associated With Neurodegenerative Disease (Perry et al., 2024), provides crucial insights into the management of respiratory and phonatory dysfunction in dysarthria. In this blog post, we explore the study’s findings and their practical applications in our clinical practice, with an emphasis on Parkinson’s disease and other neurodegenerative conditions.
Key Findings from the Review
This comprehensive review of 88 studies highlights significant progress in treating dysarthria caused by neurodegenerative diseases while identifying areas for growth and further research.
Emerging Therapies for Non-PD Populations
Research has expanded to include conditions like multiple sclerosis (MS), Huntington’s disease (HD), cerebellar ataxia, and progressive supranuclear palsy (PSP).
Despite these advancements, treatment options for non-Parkinsonian populations remain underexplored.
Clinical Recommendations
Clinicians are encouraged to adopt a personalized, evidence-based approach, integrating research findings with patient preferences and clinical expertise.
Innovative therapies, such as telepractice and hybrid delivery models, offer promising solutions for individuals with mobility challenges or limited access to in-person care. We are proud to provide teletherapy options at True Self Speech Therapy.
Therapeutic Insights for Specific Conditions
1. Parkinson’s Disease (PD)
SPEAK OUT!® and LOUD Crowd Programs: Proven to improve vocal intensity, prosody, and quality of life (QoL), these interventions are particularly effective in early to moderate stages of PD.
LSVT LOUD: Proven to increase vocal loudness and clarity, though ongoing maintenance through programs like LOUD Crowd is essential.
Telehealth: Both SPEAK OUT! and LOUD Crowd are effective when delivered via telepractice, enhancing accessibility for clients.
2. Multiple Sclerosis (MS)
EMST: Improves respiratory strength and phonation, enhancing speech production and overall quality of life.
Verbal Cueing: Techniques like “clear” and “loud” speech cues can improve vowel articulation and intelligibility, though effectiveness varies by individual.
3. Progressive Supranuclear Palsy (PSP)
LSVT LOUD: Demonstrates improvements in vocal intensity but may be challenging for individuals with severe symptoms due to the program’s high intensity.
Singing Therapy: Though limited in data, this approach may provide social and emotional benefits, particularly in group settings.
4. Huntington’s Disease (HD)
Speech Therapy Exercises: Focus on strengthening respiratory and phonatory function, with promising results in home-based exercise regimens for mild-to-moderate HD.
Our Approach at True Self Speech Therapy
At True Self Speech Therapy, we utilize the latest research to guide our treatment plans, ensuring they are tailored to meet the unique needs of each client. For individuals with neurodegenerative diseases, we incorporate:
Proven Techniques: We have been utilizing interventions like SPEAK OUT! and EMST for years and they are cornerstones of our practice, particularly for clients with PD and MS.
Holistic Support: Melodic Intonation Therapy, verbal cueing, and personalized speech exercises enrich our programs and address emotional and social well-being.
Telehealth Services: We offer virtual options for interventions like SPEAK OUT! and LOUD Crowd, making therapy accessible to a broader audience.
Looking Ahead
The findings from this systematic review highlight the importance of continuous research and innovation in managing dysarthria associated with neurodegenerative diseases. At True Self Speech Therapy, we are committed to staying at the forefront of these advancements, ensuring our clients receive the highest standard of care.
If you or a loved one is navigating speech challenges related to a neurodegenerative condition, contact us today to learn how our specialized services can support you. Together, we can help you reclaim your voice and communication confidence.
Contact us to schedule a consultation or learn more about our services. Let’s work together to bring your true self forward!
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