Enderby, P & Crow, E. (1990). Long-term recovery patterns of severe dysarthria following head injury. British Journal of Disorders of Communication, 25,341-354.
Type of
Study
Longitudinal research study
Subjects 2 males, 2 females; ages 18, 18, 26, and 40
Diagnoses Severe TBI
Speech
Condition
Severe dysarthria
Purpose To identify changes over 7 years in bulbar dysfunction due to TBI.
Methods Subjects were assessed every 6 months with the Frenchay Dysarthria Assessment (FDA).
Subjects received speech therapy addressing articulation, respiration, language, short-term memory, communicative expression, communication aids, and dysphagia.
Results Recovery gains were minimal but they improved quality of life and interaction.
Addressing several therapy issues did not allow specific motor speech therapy which may have reduced the potentially gains.
Treatment
Implications
Consider using specific motor/articulation therapy later in recovery when the clients show improvements rather early in recovery when there are multiple demands.
 
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