Archive for the ‘Dysarthria’ Category

What do to if the child has dysarthria

Tuesday, July 21st, 2009

Would you recommend working at sound level at all? What about oral strengthening exercises for the dysarthric features?

If the child has a large enough repertoire of sounds there is no need to work at the sound level. Take him to the next challenging level. If I am assuming correctly, that “oral strengthening” exercises are the same as oral motor therapy, then there is no evidence that “oral strenthening” exercises are of any benefit. Rather, I would observe and note which sound transitions are challenging for him and then work on those transitions. For instance, let’s say that he has difficulty transitioning from /k/ to /t/ as in “back to” I would start out asking him to repeat /k/ — /t/ one right after the other. If this is easy, move him on to two word combos: take to, make time, etc. Short sentences would be the next step. The idea is to determine the level of breakdown and work from there.