Case 2

Dysarthria secondary to spastic-athetoid cerebral palsy

This child was seen for 16 1-hour sessions of intensive treatment over a month (4 sessions per week).  The overall goal was to increase his ability to make his speech understandable to others.  The specific objectives of the therapy program focused on his voice, a key foundation for speech.  The objectives were to increase his overall speech intelligibility by:

  • increasing the overall loudness and clarity of his speech
  • increasing the number of syllables he said on a breath
  • increasing his vocal pitch range and his control in using this expanded range.

TOCS+ Word and Sentence Intelligibility Measures were administered two weeks pre-treatment (age 8 years 1 month), 1 week post-treatment and one year post-treatment (age 9 years 2 months).  His scores are shown in Figure 1.

Progress is evident in both the word and sentence measures pre versus post treatment.  Of note is that he maintained his treatment gains in his word and sentence intelligibility scores in the year following the month of intensive voice treatment.  However, his scores indicate that he continued to have a significant speech intelligibility deficit for listeners who are not familiar with him, when they do not have additional visual or contextual information about the topic of his speech.

Chart1Figure 1 - Percentage of Words Identified Correctly

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