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What is slurred speech?

Slurred speech is a symptom characterized by poor pronunciation of words, mumbling, or a change in speed or rhythm during talking. The medical term for slurred speech is dysarthria. Dysarthria is a motor speech disorder. The muscles of the mouth, face, and respiratory system may become weak, move slowly, or not move at all after a stroke or other brain injurySlurred speech may develop slowly over time or follow a single incident. Slurred speech may be temporary or permanent, depending on the underlying cause.

What causes slurred speech?


There are many causes of slurred speech. Disease or injury to the brain or nerves and muscles of the face, tongue, and vocal cords may cause slurred speech.
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Brain tumor Stroke Transient ischemic attack (temporary stroke-like symptoms that may be a warning sign of an impending stroke) Trauma to the face, head or neck Traumatic brain injury

What are some signs or symptoms of slurred speech?


A person with dysarthria may experience any of the following symptoms, depending on the extent and location of damage to the nervous system:
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Speaking softly or barely able to whisper Slow rate of speech Rapid rate of speech with a "mumbling" quality Limited tongue, lip, and jaw movement Abnormal intonation (rhythm) when speaking Changes in vocal quality ("nasal" speech or sounding "stuffy") Hoarseness Breathiness Drooling or poor control of saliva Chewing and swallowing difficulty

Possible Goals of Treatment


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Slowing the rate of speech Improving the breath support so the person can speak more loudly Strengthening muscles Increasing mouth, tongue, and lip movement

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Improving articulation so that speech is more clear Teaching caregivers, family members, and teachers strategies to better communicate with the person with dysarthria In severe cases, learning to use alternative means of communication (e.g., simple gestures, alphabet boards, or electronic or computer-based equipment)

What can I do to communicate better with a person with dysarthria? It is important for both the person with dysarthria and the people he or she communicates with to work together to improve interactions. Here are some tips for both speaker and listener. Tips for the Person With Dysarthria
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Introduce your topic with a single word or short phrase before beginning to speak in more complete sentences Check with the listeners to make sure that they understand you Speak slowly and loudly; pause frequently Try to limit conversations when you feel tired, when your speech will be harder to understand If you become frustrated, try to use other methods, such as pointing or gesturing, to get your message across, or take a rest and try again later

Children may need additional help to remember to use these strategies. Tips for the Listener
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Reduce distractions and background noise Pay attention to the speaker Watch the person as he or she talks Let the speaker know when you have difficulty understanding him or her Repeat only the part of the message that you understood so that the speaker does not have to repeat the entire message If you still don't understand the message, ask yes/no questions or have the speaker write his or her message to you

http://www.asha.org/public/speech/disorders/dysarthria.htm

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