Ann Rehabil Med.  2019 Feb;43(1):115-117. 10.5535/arm.2019.43.1.115.

Constrained-Induced Dysarthria Therapy: Case Report

Affiliations
  • 1Stroke Rehabilitation Unit, Inkendaal Rehabilitation Hospital, Vlezenbeek, Belgium. bernard.dan@ulb.ac.be
  • 2Université libre de Bruxelles (ULB), Bruxelles, Belgium.

Abstract

We describe a 33-year-old woman with chronic bulbar dysarthria after ischemic brainstem stroke who underwent a new form of constraint-induced therapy, namely constraint-induced dysarthria therapy, based on three principles: avoidance of supportive devices, intensive therapy, and gradually augmenting difficulty. After a 2-month intervention, improvement was noted for speech intelligibility, fluency, and intensity. This led to increased communicative participation, including during conversation situations, which has been maintained over a 12-month follow-up.

Keyword

Dysarthria; Stroke; Constraint-induced therapy
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