Although the client presents with a moderately-severe dysarthria, with 80-85% intelligibility, her naturalness and comprehensibility are tremendously reduced, due to deficits in the various subsystems for speech and observable neurological deficits contributing to her dysarthria. The woman demonstrates a lack of facial expression, eye contact, volitional, postural, …show more content…
The client’s prosodic features varied, and were affected by vocal fold abduction and adduction, sustained phonation, loudness and voice quality.
The client also demonstrated mandible and tongue movement variations in the limited oral motor examination when compared to speech tasks. The client was asked to depress her mandible, protrude her tongue, and to rapidly lateralize her tongue. She demonstrated a decreased range in motion and tone, and reduced ease of alternating movement; however, these results were not easily detectable during speech tasks.
In order to further understand the client’s dysarthria and begin treatment planning, I would need prepare a thorough assessment. I would initiate the assessment procedure by completing a comprehensive medical and personal case history, as well as a client-self assessment. The clinician will obtain vital information of the client’s personal views of their auditory-perceptual deficits, awareness, and