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Dysarthria information


Dysarthria
Other namesSpeech sound disorder, Developmental speech sound disorder
SpecialtyNeurology, neuropsychology, speech–language pathology Edit this on Wikidata
SymptomsSlurred speech, weak execution of oral muscular movements

Dysarthria is a speech sound disorder resulting from neurological injury of the motor component of the motor–speech system[1] and is characterized by poor articulation of phonemes.[2] In other words, it is a condition in which problems effectively occur with the muscles that help produce speech, often making it very difficult to pronounce words. It is unrelated to problems with understanding language (that is, dysphasia or aphasia),[3] although a person can have both. Any of the speech subsystems (respiration, phonation, resonance, prosody, and articulation) can be affected, leading to impairments in intelligibility, audibility, naturalness, and efficiency of vocal communication.[4] Dysarthria that has progressed to a total loss of speech is referred to as anarthria. The term dysarthria was formed from the Greek components dys- "dysfunctional, impaired" and arthr- "joint, vocal articulation".[5][6]

Neurological injury due to damage in the central or peripheral nervous system may result in weakness, paralysis, or a lack of coordination of the motor–speech system, producing dysarthria.[1] These effects in turn hinder control over the tongue, throat, lips or lungs; for example, swallowing problems (dysphagia) are also often present in those with dysarthria. Cranial nerves that control the muscles relevant to dysarthria include the trigeminal nerve's motor branch (V), the facial nerve (VII), the glossopharyngeal nerve (IX), the vagus nerve (X), and the hypoglossal nerve (XII).

Dysarthria does not include speech disorders from structural abnormalities, such as cleft palate and must not be confused with apraxia of speech, which refers to problems in the planning and programming aspect of the motor–speech system.[4] Just as the term "articulation" can mean either "speech" or "joint movement", so is the combining form of arthr- the same in the terms "dysarthria", "dysarthrosis", and "arthropathy"; the term "dysarthria" is conventionally reserved for the speech problem and is not used to refer to arthropathy, whereas "dysarthrosis" has both senses but usually refers to arthropathy.

  1. ^ a b O'Sullivan, S. B.; Schmitz, T. J. (2007). Physical Rehabilitation (5th ed.). Philadelphia: F. A. Davis Company.[page needed]
  2. ^ Duffy, Joseph (2005). Motor Speech Disorders: Substrates, Eifferential Eiagnosis, and Management. St. Louis, Mo: Elsevier Mosby. ISBN 0323024521.
  3. ^ "Dysarthria". PubMed Health.
  4. ^ a b MacKenzie, C (2011). "Dysarthria in stroke: A narrative review of its description and the outcome of intervention". International Journal of Speech-Language Pathology. 13 (2): 125–36. doi:10.3109/17549507.2011.524940. PMID 21480809. S2CID 39377646.
  5. ^ "Definition of DYSARTHRIA". www.merriam-webster.com. Retrieved 2020-03-07.
  6. ^ Company, Houghton Mifflin Harcourt Publishing. "The American Heritage Dictionary entry: dysarthria". www.ahdictionary.com. Retrieved 2020-03-07.

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