Authors: Solomon NP, Makashay MJ, Kessler LB, Sullivan KW
Title: Speech-breathing treatment and LSVT for a patient with hypokinetic-spastic dysarthria after TBI
Source: Journal of Medical Speech Language Pathology 2004 12(4): 213-219
Year: 2004
Research Design: Single Case Design

Previously, we reported improved speech breathing and intelligibility after behavioral treatment for a man with hypokinetic-spastic dysarthria following traumatic brain injury (TBI) (Solomon, McKee, & Garcia-Barry, 2001). Treatment included the Lee Silverman Voice Treatment(registered trademark) (LSVT) program followed by 6 weeks of speech-breathing training, physical therapy, and LSVT-type tasks. In this article, we report a new patient with similar speech characteristics post-TBI. Breathing-for-Speech Treatment (BST), custom designed to improve nonspeech- and speech-breathing coordination, was followed by LSVT. After BST, speech breathing approached normal levels; after LSVT, speech breathing improved further and intelligibility improved markedly. Gains generally were maintained up to 4 months, but were limited by the spastic characteristics of his dysarthria and sporadic medical complications.

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