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Speech and communication disorders in Parkinson's disease

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Speech and communication disorders in Parkinson's disease

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Helping the elderly

What is Parkinson's disease and how does it manifest itself?

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Non-verbal communication disorders

Stiffness and increased tension in the facial muscles affects facial expressions- they become immobile and reflect feelings poorly, thus negatively affecting the patient's communication process and hindering social interaction.

Rehabilitation - speech therapy exercises to improve verbal communication

Reagular exercises, correctly performed, will ensure an improvement in verbal communication .
The aim of speech therapy is:
  • helping to restore or develop clear speech,
  • modifying breathing,
  • changing the volume of the voice,
  • improving the clarity of responses,
  • appropriate development of accent and melody of speech.

Breathing exercises

Breathing is essential for the correct production of the voice. For correct phonation, i.e. producing the correct voice, rib-abdominal breathing, in which all respiratory muscles are involved, is best. An excellent and simple breathing exercise is to say short words, e.g. poppy, tabletop, bridge, fast while taking in air.

Muscle exercises for the face, tongue and lips

Clear speech depends on the proper functioning of the tongue, cheeks and lips. In order to counteract the increased muscle tension of these body parts, relaxation exercises should be carried out.
Examples of relaxation exercises:
  • move your tongue from side to side in rapid movements,
  • massage your face, rubbing your cheeks in a circular motion,
  • make funny faces at the mirror,
  • smile vigorously while showing your teeth.
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Phonation exercises - to improve vocal strength

The cooperation of the larynx and breathing is necessary for the voice to be heard well. Stiffness and reduced mobility of the larynx is responsible for lower intensity and reduced voice quality.
The task of phonation exercises is:
  • coordination of breathing and phonation,
  • controlling voice pitch,
  • determining the optimum volume of the voice,
  • achieving the right resonance and prosody.
Phonation exercises can be started by inhaling and silently exhaling the h voice with the mouth wide open, then saying numbers louder and quieter, alternately increasing and decreasing the volume.

Articulation exercises - improving speech clarity

Articulation improvement exercises are the cornerstone of treatment for patients with dysarthria. If the patient has problems articulating individual sounds, then under the guidance of a speech therapist, a series of exercises to improve the organs of speech should be applied and only then should articulation be addressed.