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.

Citations

• A Systematic Review of Measures of Dysarthria Severity in Stroke Patients
  Rita Chiaramonte, Michele Vecchio
  PM&R.2021; 13(3): 314.     CrossRef
• Dysarthria and stroke. The effectiveness of speech rehabilitation. A systematic review and meta-analysis of the studies
  Rita CHIARAMONTE, Michele VECCHIO
  European Journal of Physical and Rehabilitation Medicine.2021;[Epub]     CrossRef
• Speech rehabilitation in dysarthria after stroke: a systematic review of the studies
  Rita Chiaramonte, Piero Pavone, Michele Vecchio
  European Journal of Physical and Rehabilitation Medicine.2020;[Epub]     CrossRef