Abstract
Dysarthria is a common consequence of stroke and can have a detrimental influence
on communication and quality of life. Speech-language pathologists (SLPs) play an
important role in the evaluation and rehabilitation of stroke survivors who present
with dysarthria. An understanding of the physiologic reason behind the altered speech
characteristics, such as weakness or incoordination, can facilitate differential diagnosis,
guide evaluation strategies, and influence treatment approaches. An initial comprehensive
speech evaluation is comprised of examination of the speech mechanism, screening of
speech subsystems, perceptual assessment, and intelligibility measurement. Management
strategies focus on optimizing communication through compensatory strategies as well
as providing physiologic support. The SLP is also responsible for educating family
and staff regarding strategies that can facilitate communication.
Keywords
Dysarthria - stroke - evaluation - management - treatment
