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Patient and Family Services

Pediatric Speech Pathology

Dysarthria

Among its many amazing functions, the brain controls several different mechanisms that are used to produce speech. When damage occurs in a certain region of the brain, it can have wide-ranging effects on your ability to form and say words that can be understood by others.

What is Dysarthria?
Symptoms of Dysarthria
Causes of Dysarthria
Diagnosing Dysarthria
Treating Dysarthria

What is Dysarthria?

Dysarthria occurs when the part of the brain that controls speech production is damaged. When this happens, the muscles needed to make certain sounds may become weak or paralyzed. Someone with dysarthria may have trouble coordinating the lips, tongue, palate, jaw, and vocal chords. This can cause speech to be slurred, breathy, jerky, strained, and hard to understand.

Dysarthria is sometimes confused with apraxia of speech. Unlike apraxia, however, the speech errors that occur with dysarthria are highly consistent from one time to the next.

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Symptoms of Dysarthria

Symptoms of dysarthria may include:

  • Speech that’s slurred, jerky, or garbled and difficult to produce and/or understand
  • Problems controlling pitch, loudness, and rhythm when speaking
  • Slow speech or rapid, mumbled speech
  • Speaking softly or barely able to whisper
  • Limited ability to move the tongue, lips, and jaw
  • Changes in the voice quality (nasal, hoarse, or stuffy)
  • Chewing and swallowing problems
  • Drooling or poor control of saliva

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Causes of Dysarthria

Dysarthria is caused by many different conditions that involve the nervous system. These include:

  • Stroke
  • Brain injury
  • Brain tumors
  • Degenerative diseases such as Parkinson's, Huntington's, and Lou Gehrig's disease/ALS, multiple sclerosis, and cerebral palsy
  • Excessive use of alcohol or drugs
  • Long-term use or some medications

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Diagnosing Dysarthria


Dysarthria can be diagnosed by a physician or a speech-language pathologist based on an assessment of a person’s symptoms and possible underlying causes. A speech-language pathologist may have a patient perform some simple tasks (blowing out a candle, biting the lower lip, and sticking out the tongue) to determine muscle strength, accuracy, and motion. Other tests involve repeating words and sentences, singing, counting and other activities that enable the therapist to detect lost vowel sounds, breathiness, and slowed or slurred speech.

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Treating Dysarthria


Sometimes, treating the underlying cause of a patient’s dysarthria may return speech to normal.

Depending on the severity and extent of the symptoms, a speech-language pathologist may recommend treatment, which can include:

  • Exercises that can be used to strengthen the mouth and face muscles
  • Learning new ways of breaking up words or making sounds
  • Developing strategies to help compensate for symptoms (i.e. frequent pauses for breath, over-articulation or sounds and words, and pauses before important words)