Workinger, M.S. & Netsell, R. (1992). Restoration of intelligible speech 13 years post-head injury. Brain Injury, 6(2), 183-187. Type of Study Case study Subjects 1 male; age 28 Diagnoses Severe TBI Speech Condition Severe mixed dysarthria, reduced respiratory support, strained/strangled voice quality, severe velopharyngeal incompetence Purpose To demonstrate the efficacy of treatment of a dysarthria patient past the generally accepted period of recovery To determine the efficacy of a physiological treatment approach To illustrate the decision-making process for the physiological approach Methods Management of velopharyngeal incompetence with palatal lift Improvement of respiratory support for speech Improvement of medical compression of vocal folds Results Substantial changes even though long time post-onset Treatment Implications Consider treatment even when long time post-onset or long term augmentative communication uses   Assessment Treatment Speech Characteristics Books and Book Chapters Instruments Other Links Search Home   To return to the Abstract References, click on Assessment , Treatment  , or Speech Characteristics or use your browser to go Back.