{"id":453336,"date":"2025-12-25T00:38:00","date_gmt":"2025-12-24T23:38:00","guid":{"rendered":"https:\/\/www.dynseo.com\/?p=453336"},"modified":"2025-12-28T17:36:14","modified_gmt":"2025-12-28T16:36:14","slug":"acquired-neurological-disorders-complete-guide-for-speech-therapists","status":"publish","type":"post","link":"https:\/\/www.dynseo.com\/en\/acquired-neurological-disorders-complete-guide-for-speech-therapists\/","title":{"rendered":"Acquired neurological disorders: complete guide for speech therapists"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Article HTML&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;Contenu&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; 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border-bottom: 1px solid #a5f3fc; }\n.dbi-art-bfbac7 .toc a { color: var(--text); text-decoration: none; }\n.dbi-art-bfbac7 table { width: 100%; border-collapse: collapse; margin: 25px 0; }\n.dbi-art-bfbac7 th { background: var(--primary); color: white; padding: 14px 12px; text-align: left; }\n.dbi-art-bfbac7 td { padding: 12px; border-bottom: 1px solid var(--border); }\n.dbi-art-bfbac7 tr:nth-child(even) { background: #ecfeff; }\n.dbi-art-bfbac7 .tools-grid { display: grid; grid-template-columns: repeat(auto-fill, minmax(280px, 1fr)); gap: 20px; margin: 30px 0; }\n.dbi-art-bfbac7 .tool-card { background: white; border: 1px solid var(--border); border-radius: 12px; padding: 25px; }\n.dbi-art-bfbac7 .tool-card h4 { color: var(--primary-dark); margin-bottom: 10px; }\n.dbi-art-bfbac7 .tool-card p { color: var(--text-light); font-size: 0.95rem; margin-bottom: 15px; }\n.dbi-art-bfbac7 .tool-link { display: inline-block; background: var(--primary); color: white; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: 500; }\n.dbi-art-bfbac7 .pathology-card { background: white; border: 2px solid var(--secondary); border-radius: 12px; padding: 25px; margin: 20px 0; }\n.dbi-art-bfbac7 .pathology-card h4 { color: var(--secondary); margin-bottom: 10px; }\n.dbi-art-bfbac7 .faq-item { border: 1px solid var(--border); border-radius: 10px; margin-bottom: 15px; }\n.dbi-art-bfbac7 .faq-question { background: var(--bg-light); padding: 18px 20px; font-weight: 600; color: var(--primary-dark); }\n.dbi-art-bfbac7 .faq-answer { padding: 20px; }\n@media (max-width: 768px) {\n.dbi-art-bfbac7 .toc ul { columns: 1; }\n}<\/p>\n<\/style>\n<div class=\"dbi-art-bfbac7\">\n<div class=\"container\">\n<h1>Acquired neurological disorders: a complete guide for speech therapists<\/h1>\n<div class=\"intro-box\">\n    <pee>Beyond post-stroke aphasia, many acquired neurological conditions can affect communication, language, speech, and swallowing. Neurodegenerative diseases, traumatic brain injuries, brain tumors: the speech therapist intervenes to assess, rehabilitate, or adapt care according to the progression of the disease.<\/pee>\n<\/div>\n<div class=\"download-hero\">\n<h2>\ud83e\udde0 Adult neurology resources<\/h2>\n<pee>Communication tools, cognitive supports, adapted exercises<\/pee>\n    Access the tools \u2192\n<\/div>\n<div class=\"toc\">\n<h3>\ud83d\udccb Table of contents<\/h3>\n<ul>\n<li><a href=\"#parkinson\">1. Parkinson&#8217;s disease<\/a><\/li>\n<li><a href=\"#sla\">2. ALS<\/a><\/li>\n<li><a href=\"#sep\">3. Multiple sclerosis<\/a><\/li>\n<li><a href=\"#tc\">4. Traumatic brain injury<\/a><\/li>\n<li><a href=\"#demences\">5. Dementias<\/a><\/li>\n<li><a href=\"#dysarthries\">6. Dysarthrias<\/a><\/li>\n<li><a href=\"#outils\">7. Our tools<\/a><\/li>\n<li><a href=\"#faq\">8. FAQ<\/a><\/li>\n<\/ul>\n<\/div>\n<h2 id=\"parkinson\">Parkinson&#8217;s disease<\/h2>\n<div class=\"pathology-card\">\n<h4>\ud83d\udd35 Characteristics<\/h4>\n<pee>Neurodegenerative disease affecting the basal ganglia. Motor triad: resting tremor, rigidity, bradykinesia (slowness of movement).<\/pee>\n<\/div>\n<h3>Communication disorders<\/h3>\n<ul>\n<li><strong>Hypokinetic dysarthria<\/strong>: weak voice (hypophonia), monotone, arctic<\/li>\n<li><strong>Prosody disorders<\/strong>: loss of melodic variations<\/li>\n<li><strong>Fluency disorders<\/strong>: palilalia (repetition of syllables\/words)<\/li>\n<li><strong>Micrographia<\/strong>: writing that shrinks<\/li>\n<li><strong>Dysphagia<\/strong>: common in advanced stages<\/li>\n<\/ul>\n<h3>Speech therapy management<\/h3>\n<ul>\n<li><strong>LSVT LOUD\u00ae<\/strong>: intensive method to increase vocal intensity<\/li>\n<li>Work on prosody and articulation<\/li>\n<li>Breathing and phonatory coordination exercises<\/li>\n<li>Monitoring and rehabilitation of swallowing<\/li>\n<\/ul>\n<h2 id=\"sla\">Amyotrophic Lateral Sclerosis (ALS)<\/h2>\n<div class=\"pathology-card\">\n<h4>\ud83d\udd34 Characteristics<\/h4>\n<pee>Neurodegenerative disease of motor neurons, progressive and fatal. Progressive impairment of voluntary muscles including those of speech and swallowing.<\/pee>\n<\/div>\n<h3>Communication disorders<\/h3>\n<ul>\n<li><strong>Dysarthria<\/strong>: mixed (spastic + flaccid), progressive towards anarthria<\/li>\n<li><strong>Dysphagia<\/strong>: early in bulbar forms, life-threatening<\/li>\n<li>Progressive loss of intelligibility<\/li>\n<\/ul>\n<h3>Management<\/h3>\n<ul>\n<li><strong>Palliative and adaptive approach<\/strong>: accompany the progressive loss<\/li>\n<li>Early implementation of <strong>AAC<\/strong> (alternative communication)<\/li>\n<li><strong>Vocal banking<\/strong>: recording the voice for future speech synthesis<\/li>\n<li>Adaptation of food textures, swallowing guidance<\/li>\n<\/ul>\n<h2 id=\"sep\">Multiple Sclerosis (MS)<\/h2>\n<div class=\"pathology-card\">\n<h4>\ud83d\udfe3 Characteristics<\/h4>\n<pee>Autoimmune inflammatory disease of the central nervous system. Progresses in relapses or progressively. Variable impairments depending on the location of the lesions.<\/pee>\n<\/div>\n<h3>Possible disorders<\/h3>\n<ul>\n<li><strong>Dysarthria<\/strong>: often cerebellar or mixed, speech is scanned<\/li>\n<li><strong>Cognitive disorders<\/strong>: attention, working memory, processing speed<\/li>\n<li><strong>Dysphagia<\/strong>: in advanced forms<\/li>\n<li>Severe fatigue impacting communication<\/li>\n<\/ul>\n<h2 id=\"tc\">Traumatic brain injury<\/h2>\n<div class=\"pathology-card\">\n<h4>\ud83d\udfe1 Characteristics<\/h4>\n<pee>Brain injuries due to a shock: road accidents, falls, assaults. Variable impairments depending on severity and location.<\/pee>\n<\/div>\n<h3>Communication disorders<\/h3>\n<ul>\n<li><strong>Aphasia<\/strong>: if focal lesion in the left hemisphere<\/li>\n<li><strong>Dysarthria<\/strong>: common, variable depending on lesions<\/li>\n<li><strong>Cognitive-communicative disorders<\/strong>: disorganized speech, pragmatic difficulties, digressions<\/li>\n<li><strong>Executive function disorders<\/strong>: impacting speech planning<\/li>\n<\/ul>\n<h2 id=\"demences\">Dementias and neurocognitive disorders<\/h2>\n<h3>Alzheimer&#8217;s disease<\/h3>\n<ul>\n<li>Progressive word-finding difficulty (anomia)<\/li>\n<li>Speech impoverishment<\/li>\n<li>Comprehension disorders (advanced stages)<\/li>\n<li>Disorientation, memory disorders<\/li>\n<\/ul>\n<h3>Frontotemporal dementia<\/h3>\n<ul>\n<li><strong>Behavioral variant<\/strong>: disinhibition, apathy, pragmatic disorders<\/li>\n<li><strong>Primary progressive aphasia<\/strong>: isolated and progressive language impairment<\/li>\n<\/ul>\n<h3>Role of the speech therapist<\/h3>\n<ul>\n<li>Maintain communication abilities as long as possible<\/li>\n<li>Adapt the environment and train caregivers<\/li>\n<li>Offer suitable communication supports<\/li>\n<li>Cognitive stimulation adapted to the stage<\/li>\n<\/ul>\n<h2 id=\"dysarthries\">Dysarthrias<\/h2>\n<pee><strong>Dysarthria<\/strong> is a motor speech disorder (and not a language disorder) due to a neurological impairment. It affects articulation, phonation, prosody, and\/or breathing.<\/pee>\n<table>\n<thead>\n<tr>\n<th>Type<\/th>\n<th>Location<\/th>\n<th>Characteristics<\/th>\n<th>Etiologies<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Flaccid<\/strong><\/td>\n<td>Lower motor neuron<\/td>\n<td>Breathy voice, nasal quality, weakness<\/td>\n<td>ALS, myasthenia<\/td>\n<\/tr>\n<tr>\n<td><strong>Spastic<\/strong><\/td>\n<td>Upper motor neuron<\/td>\n<td>Strangled voice, effort, slowness<\/td>\n<td>Bilaterally stroke, MS<\/td>\n<\/tr>\n<tr>\n<td><strong>Ataxic<\/strong><\/td>\n<td>Cerebellum<\/td>\n<td>Scanned, irregular speech<\/td>\n<td>MS, TBI<\/td>\n<\/tr>\n<tr>\n<td><strong>Hypokinetic<\/strong><\/td>\n<td>Basal ganglia<\/td>\n<td>Weak, monotone, fast voice<\/td>\n<td>Parkinson&#8217;s<\/td>\n<\/tr>\n<tr>\n<td><strong>Hyperkinetic<\/strong><\/td>\n<td>Basal ganglia<\/td>\n<td>Involuntary movements<\/td>\n<td>Chorea, dystonia<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"outils\">Our downloadable tools<\/h2>\n<div class=\"tools-grid\">\n<div class=\"tool-card\">\n<h4>\ud83d\udcac Communication boards<\/h4>\n<pee>For individuals who have lost the ability to speak.<\/pee>\n        Download\n    <\/div>\n<div class=\"tool-card\">\n<h4>\ud83e\udde0 Working memory games<\/h4>\n<pee>Adapted cognitive stimulation.<\/pee>\n        Download\n    <\/div>\n<div class=\"tool-card\">\n<h4>\ud83d\udcca Texture chart<\/h4>\n<pee>To adapt diet in case of dysphagia.<\/pee>\n        Download\n    <\/div>\n<div class=\"tool-card\">\n<h4>\ud83c\udf2c\ufe0f Breathing exercises<\/h4>\n<pee>For dysarthria and breath control.<\/pee>\n        Download\n    <\/div>\n<\/div>\n<h2 id=\"faq\">Frequently asked questions<\/h2>\n<div class=\"faq-item\">\n<div class=\"faq-question\">\ud83d\udccc Is speech therapy useful in neurodegenerative diseases?<\/div>\n<div class=\"faq-answer\">\n        <pee><strong>Yes, absolutely<\/strong>. Even if the disease progresses, speech therapy helps maintain abilities longer, compensate for deficits, adapt the environment, and preserve quality of life. The approach is adaptive rather than curative: accompany the evolution, anticipate needs (AAC), train the entourage.<\/pee>\n    <\/div>\n<\/div>\n<div class=\"faq-item\">\n<div class=\"faq-question\">\ud83d\udccc What is the difference between aphasia and dysarthria?<\/div>\n<div class=\"faq-answer\">\n        <pee><strong>Aphasia<\/strong> is a language disorder: the person has difficulty finding words, constructing sentences, and understanding. <strong>Dysarthria<\/strong> is a speech disorder: language is intact but motor execution is impaired (articulation, voice). A dysarthric person can write correctly what they cannot say.<\/pee>\n    <\/div>\n<\/div>\n<div class=\"download-hero\">\n<h2>\ud83e\udde0 Supporting neurological disorders<\/h2>\n<pee>Discover all our tools adapted to neurological conditions<\/pee>\n    See all tools \u2192\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n<p>[et_pb_code]<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What are the main communication disorders associated with Parkinson's disease?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Parkinson's disease commonly causes hypokinetic dysarthria characterized by a weak voice (hypophonia) and monotone speech. 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