Practice Guidelines for Dysarthria: Evidence for the Behavioral Management of the Respiratory/Phonatory System


Spencer, K. A., Yorkston, K. M., et al. (2006).

Saint Paul (MN): Academy of Neurologic Communication Disorders & Sciences, (Technical Report Number 3), 1-51.

This guideline provides recommendations for treatment of respiratory/phonatory dysfunction for individuals with dysarthria. Various neurological populations were included such as those with Parkinson's disease, brain injury, stroke, and multiple sclerosis. The target audience for this guideline is speech-language pathologists.

Academy of Neurologic Communication Disorders and Sciences


This guideline was reviewed with the additional supporting documents listed here and in the Associated Article section below:<ul> <li>Duffy, J. &amp; Yorkston, K. (2003). Medical Interventions for Spasmodic Dysphonia and Some Related Conditions: A Systematic Review, <i>Journal of Medical Speech-Language Pathology, 11</i>(4), ix-lviii. </li> <li>Hanson, E., Yorkston, K. et al. (2004). Speech Supplementation Techniques for Dysarthria: A Systematic Review, <i>Journal of Medical Speech-Language Pathology, 12</i>(2), ix-xxix.</li> </ul>




<div>"The behavioral management of respiratory/phonatory impairment has support from the research literature, particularly in the areas of biofeedback and intensive phonatory treatment" such as Lee Silverman Voice Treatment (pp. 12&ndash;13).</div>

<div>Following speech intervention, if a speaker remains unable to functionally communicate, augmentative or alternative modes of communication should be pursued, in consideration of the individual's motor, sensory, cognitive, and linguistic abilities.</div>