Statement

Risk

benefit

Smith accent voice therapy technique will improve function of respiration and phonation in the form of:

§ Increase loudness.

§ Better respiratory support.

§ Slowing the rate of speech.

Adjust onset of phonation and respiration.

May not applied by all physicians.

It is usually known and applied by middle east physicians 

Mandatory in cases of dysarthria as it corrects the prosodic affection as well as loudness and respiratory incoordination and hence improve intelligibility

Treatment of articulatory errors using: Consonant exaggeration.

Syllable by syllable attack. Slowing the rate of speech.

Oral muscular exercises are not mandatory for weak musculature as muscle tone needed for speech is different from muscle tone needed for the swallowing process.

Speech Intelligibility won’t improve

Essential to improve speech intelligibility

Therapeutic intervention for:

Pitch inflections, stress and tone units

The tone of speech as well as other prosody elements still affected with abnormal speech performance

Prosodic correction

Augmentative and alternative communication in case of:

*Failed traditional therapy.

*Anarthria.

May stop trying to train verbal communication

There is need to train patients using AAC to overcome loss of communication in cases of anarthria

Good prognosis with: Young age.

Early intervention.

Intensive therapeutic strategies.

Unrealistic expectations might stop commitment to therapy intervention

Adding prognostic apects may motivate patients and caregivers to continue therapy even if slow improvement is seen