Dysarthria, a disorder of the nervous system that affects the muscles that function to speak
Dysarthria is a disorder of the nervous system that affects
the muscles that function to speak. This causes speech disorders in sufferers.
Dysarthria does not affect the intelligence or level of understanding of the
sufferer, but it still does not rule out the possibility of sufferers of this
condition have a disorder in both cases.
Dysarthria Symptoms
Some symptoms that are commonly felt by people with
dysarthria are:
Hoarseness or nasal voice
Monotonous tone of voice
Unusual rhythm of speech
Speak too fast or speak slowly
Not able to speak at loud volumes, or instead speak at too
slow a volume.
Slurred speech
Difficulty moving the tongue or facial muscles
Difficulty swallowing (dysphagia), which can cause
uncontrollable salivation
Causes of dysarthria
Patients with dysarthria have difficulty controlling their
speaking muscles, because the part of the brain and nerves that control the
movements of these muscles do not function normally. Some medical conditions
that can cause these disorders are:
Head injury
Brain infection
Brain tumor
Stroke
Guillain-Barre syndrome
Huntington's Disease
Wilson's disease
Parkinson's disease
Lyme disease
Amyotrophic Lateral Sclerosis (ALS) or Lou Gehrig's disease
Muscular dystrophy
Myasthenia gravis
Multiple sclerosis
Cerebral palsy
Bell’s palsy
Injury to the tongue
Drug abuse.
In general, based on the location of the damage that causes
dysarthria, this condition can be divided into several types, namely:
Spastic dysarthria. This is the most common type of
dysarthria. Spastic dysarthria is caused damage to the cerebrum. Most often,
the damage is caused by severe head injury.
Ataxic dysarthria. Ataxic dysarthria arises in a person due
to the presence of the cerebellum, such as inflammation, which regulates
speech.
Hypokinetic dysarthria. Hypokinetic dysarthria results from
damage in a part of the brain implanted in the basal ganglia. One example of a
disease that causes hypokinetic dysarthria is Parkinson's disease.
Dysarthria is dyskinetic and dystonic. This dysarthria
arises due to abnormalities in muscle cells that play a role in the ability to
speak. An example of this type of dysarthria is Huntington's disease.
Flaxid dysarthria. Flaxid dysarthria results from damage to
the brain stem or nerve endings. This dysarthria appears in patients with Lou
Gehrig's disease or tumors of the peripheral nerves. In addition, people with
myasthenia gravis can also experience flaxid dysarthria.
Mixed dysarthria. This is a condition when a person suffers
from several types of dysarthria at once. Mixed dysarthria can occur due to
damage to widespread nerve tissue, such as severe head injury, encephalitis, or
stroke.
Diagnosis of Dystria
The doctor identifies the clinical symptoms and signs
experienced by the patient as an initial step in diagnosis.
The doctor will evaluate the ability to speak and determine
the type of dysarthria, by checking the muscle strength of the lips, tongue,
and jaw when the patient is talking. Patients will be asked to do several
activities, such as:
Blowing the candle
Counting numbers
Make a variety of sounds
Sing
Sticking her tongue out
Reading writing.
The doctor will also conduct a neuropsychological
examination, which is a test that will measure thinking ability, as well as
understanding of words, reading, and writing.
Furthermore, some tests that doctors usually do to find out
the cause of dysarthria are:
Imaging tests, such as MRI or CT scans, to get detailed
images of the patient's brain, head and neck. This helps the doctor identify
the patient's speech disorder.
Urine and blood tests, to identify the presence of infection
or inflammation.
Lumbar puncture. The doctor will take a sample of brain
fluid for further investigation in the laboratory.
Brain biopsy. This method will be done if there is a tumor
in the brain. The doctor will take a sample of the patient's brain tissue to be
seen under a microscope.
Dysarthria Treatment
Treatment that will be undertaken by patients with
dysarthria is distinguished based on several factors, namely the cause, the
severity of symptoms, and the type of dysarthria suffered.
The focus of dysarthria treatment is to overcome the cause,
for example if it is caused by a tumor, the patient will undergo surgery to
remove the tumor, according to doctor's instructions.
Dysarthria patients can undergo therapy to improve their
ability to speak, so they can communicate better. Therapy undertaken by the
patient will be adjusted to the type and severity of dysarthria, such as:
Therapy to slow down the ability to speak
Therapy to speak louder
Therapy to speak with clearer words and sentences
Therapy to train the mouth muscles stronger
Therapy to improve the movement of the tongue and lips
In addition to improving speaking skills, other alternatives
to improve communication, patients can be trained to use sign language.
To help communication, some things that patients with
dysarthria can do, include:
Say one topic before explaining the whole sentence so the
other person knows what topic is being discussed.
Do not talk too much when you are tired, because a tired
body will make the conversation difficult to understand.
Ask the other person to make sure that the other person
really understands what you are saying.
Speak more slowly and pause, so the conversation becomes
clear.
Help the conversation by pointing objects, drawing, or
writing.
Complications of
dysarthria
Dysria patients can experience quality of life disorders due
to suffering from this condition, such as experiencing changes in personality,
disruption in social interactions, and emotional disturbances due to the
difficulty of communicating with others. In addition, communication disorders
can cause dysarthria sufferers to feel isolated and tend to get a bad stigma in
the surrounding environment.
This is no exception in children. Difficulty communicating
in children can cause children to experience frustration, as well as emotional
and behavioral changes. Education and character development of children can be
affected due to these things, so that children's social interaction can
experience obstacles, especially when the child develops into adulthood.
To avoid this, dysarthria sufferers, both adults and
children, need support from family and close people to maintain quality of life
and communicate well with the surrounding environment.
Prevention of
dysarthria
Although the causes of dysarthria are quite diverse, several
types of causes of dysarthria can be prevented by healthy habits and
lifestyles, such as:
Exercise regularly
Limit consumption of alcoholic drinks
Do not take drugs without a prescription from a doctor
Eat more fruits and vegetables
Quit smoking
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