Learn About Dysarthria

What is the definition of Dysarthria?

Dysarthria is a condition in which you have difficulty saying words because of problems with the muscles that help you talk.

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What are the alternative names for Dysarthria?

Impairment of speech; Slurred speech; Speech disorders - dysarthria

What are the causes of Dysarthria?

In a person with dysarthria, a nerve, brain, or muscle disorder makes it difficult to use or control the muscles of the mouth, tongue, larynx, or vocal cords.

The muscles may be weak or completely paralyzed. Or, it may be hard for the muscles to work together.

Dysarthria may be the result of brain damage due to:

  • Brain injury
  • Brain tumor
  • Dementia
  • Disease that causes the brain to lose its function (degenerative brain disease)
  • Multiple sclerosis
  • Parkinson disease
  • Stroke

Dysarthria may result from damage to the nerves that supply the muscles that help you talk, or to the muscles themselves from:

  • Face or neck trauma
  • Surgery for head and neck cancer, such as partial or total removal of the tongue or voice box

Dysarthria may be caused by diseases that affect nerves and muscles (neuromuscular diseases):

  • Cerebral palsy
  • Muscular dystrophy
  • Myasthenia gravis
  • Amyotrophic lateral sclerosis (ALS), or Lou Gehrig disease

Other causes may include:

  • Alcohol intoxication
  • Poorly fitting dentures
  • Side effects of medicines that act on the central nervous system, such as narcotics, phenytoin, or carbamazepine
What are the symptoms of Dysarthria?

Depending on its cause, dysarthria may develop slowly or occur suddenly.

People with dysarthria have trouble making certain sounds or words.

Their speech is poorly pronounced (such as slurring), and the rhythm or speed of their speech changes. Other symptoms include:

  • Sounding as though they are mumbling
  • Speaking softly or in a whisper
  • Speaking in a nasal or stuffy, hoarse, strained, or breathy voice

A person with dysarthria may also drool and have problems chewing or swallowing. It may be hard to move the lips, tongue, or jaw.

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What are the current treatments for Dysarthria?

You may need to be referred to a speech and language therapist for testing and treatment. Special skills you may learn include:

  • Safe chewing or swallowing techniques, if needed
  • To avoid conversations when you are tired
  • To repeat sounds over and over again so you can learn mouth movements
  • To speak slowly, use a louder voice, and pause to make sure other people understand
  • What to do when you feel frustrated while speaking

You can use many different devices or techniques to help with speech, such as:

  • Apps that use photos or speech
  • Computers or cell phones to type out words
  • Flip cards with words or symbols

Surgery may help people with dysarthria.

Things that family and friends can do to communicate better with someone who has dysarthria include:

  • Turn off the radio or TV.
  • Move to a quieter room if needed.
  • Make sure lighting in the room is good.
  • Sit close enough so that you and the person who has dysarthria can use visual cues.
  • Make eye contact with each other.

Listen carefully and allow the person to finish. Be patient. Make eye contact with them before speaking. Give positive feedback for their effort.

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What is the outlook (prognosis) for Dysarthria?

Depending on the cause of dysarthria, symptoms may improve, stay the same, or get worse slowly or quickly.

  • People with ALS eventually lose the ability to speak.
  • Some people with Parkinson disease or multiple sclerosis lose the ability to speak.
  • Dysarthria caused by medicines or poorly fitting dentures can be reversed.
  • Dysarthria caused by a stroke or brain injury will not get worse, and may improve.
  • Dysarthria after surgery to the tongue or voice box should not get worse, and may improve with therapy.
When should I contact a medical professional for Dysarthria?

Call your provider if you have:

  • Chest pain, chills, fever, shortness of breath, or other symptoms of pneumonia
  • Coughing or choking
  • Difficulty speaking to or communicating with other people
  • Feelings of sadness or depression
What are the latest Dysarthria Clinical Trials?
A Randomized, Double-blind, Placebo-controlled Study Evaluating Acetazolamide Efficacy in Ataxia in PMM2-CDG

Summary: Objective 1 (Primary): To determine the efficacy of acetazolamide in improving ataxia in patients with PMM2-CDG. Objective 2 (Secondary): To evaluate for any adverse events related to longer term acetazolamide administration. Objective 3 (Secondary): To examine the effect of acetazolamide on PMM2 biomarkers including carbohydrate deficient transferrin results, electrolytes (Na, K, Cl, CO2), VBG (p...

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Role of Subthalamic Nucleus in Speech and Movement Among People With Parkinson's Disease as Revealed by Intraoperative Recordings and Deep Brain Stimulation

Summary: Parkinson's disease (PD) patients treated with deep brain stimulation (DBS) of the subthalamic nucleus (STN) have unpredictable and varied speech outcomes after this treatment. Our research will prospectively document speech performance before, during and 6- and 12-months after STN-DBS in 80 surgically treated patients and compared with 40 non-surgical controls with Parkinson's disease. This study...

What are the Latest Advances for Dysarthria?
Subthalamic deep brain stimulation for refractory Gilles de la Tourette's syndrome: clinical outcome and functional connectivity.
Deep brain stimulation for Parkinson's disease.
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Klebsiella invasive liver abscess syndrome presenting with a central nervous system manifestation secondary to latent cholecystitis: a case report.
Who are the sources who wrote this article ?

Published Date: August 02, 2020
Published By: Amit M. Shelat, DO, FACP, FAAN, Attending Neurologist and Assistant Professor of Clinical Neurology, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Ambrosi D, Lee YT. Rehabilitation of swallowing disorders. In: Cifu DX, ed. Braddom's Physical Medicine and Rehabilitation. 6th ed. Philadelphia, PA: Elsevier; 2021:chap 3.

Kirshner HS. Dysarthria and apraxia of speech. In: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology in Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016:chap 14.