Motor Speech Disorders: Where Will We Be in 10 Years?

Abstract

Research and practice in the area of motor speech disorders (MSDs) will change in the next 10 years, most likely in evolutionary rather revolutionary ways. We are likely to see an increase in the understanding of the underpinnings of MSDs and refinements in assessment and diagnosis. Management approaches probably will be refined, as will how outcomes are measured. The evidence base for treatment efficacy will grow. Technology and changes in the health care system will have strong and overarching, but not easily predicted, influences. This article provides a broad overview of these and related issues, with some cautious predictions.

Keywords

Dysarthrias - apraxia of speech - speech intelligibility - principles of motor learning - telepractice

• References

• 1 McNeil MR, Ballard K, Duffy JR, Wambaugh J. Apraxia of speech: theory, assessment, differential diagnosis and treatment: past, present and future. In: van Lieshout P, Maassen B, Terband H, eds. Speech Motor Control in Normal and Disordered Speech: Future Developments in Theory and Methodology. Rockville, MD: ASHA Press; [In press]
• 2 Duffy JR. Motor speech disorders and the diagnosis of neurologic disease: still a well-kept secret. ASHA Leader 2008; 10-13
• 3 Duffy JR. Motor speech disorders: history, current practice, future trends and goals. In: Weismer G, , ed. Motor Speech Disorders: Essays for Ray Kent. San Diego, CA: Plural Publishing; 2007: 7-56
• 4 Ziegler W, Aichert I, Staiger A. Apraxia of speech: concepts and controversies. J Speech Lang Hear Res 2012; 55 (5, Suppl): S1485-S1501
• 5 Duffy JR, Josephs KA. The diagnosis and understanding of apraxia of speech: why including neurodegenerative etiologies may be important. J Speech Lang Hear Res 2012; 55 (5) S1518-S1522
• 6 Bislick LP, Weir PC, Spencer K, Kendall D, Yorkston KM. Do principles of motor learning enhance retention and transfer of speech skills? A systematic review. Aphasiology 2012; 26: 709-728
• 7 Maas E, Robin DA, Austermann Hula SN , et al. Principles of motor learning in treatment of motor speech disorders. Am J Speech Lang Pathol 2008; 17 (3) 277-298
• 8 Fox CM, Ramig LO, Ciucci MR, Sapir S, McFarland DH, Farley BG. The science and practice of LSVT/LOUD: neural plasticity-principled approach to treating individuals with Parkinson disease and other neurological disorders. Semin Speech Lang 2006; 27 (4) 283-299
• 9 Park S, Theodoros D, Finch E, Cardell E. Be clear: a new intensive speech treatment for adults with nonprogressive dysarthria. Am J Speech Lang Pathol 2016; 25 (1) 97-110
• 10 Halpern AE, Ramig LO, Matos CEC , et al. Innovative technology for the assisted delivery of intensive voice treatment (LSVT®LOUD) for Parkinson disease. Am J Speech Lang Pathol 2012; 21 (4) 354-367
• 11 Ziegler W, Zierdt A. Telediagnostic assessment of intelligibility in dysarthria: a pilot investigation of MVP-online. J Commun Disord 2008; 41 (6) 553-577
• 12 Yorkston KM, Beukelman DR. Evidence supporting dysarthria intervention: an update of systematic reviews. SIG 2 perspectives on neurophysiology and neurogenic. Speech and Language Disorders 2013; 23: 105-111
• 13 Mukherjee S. The Laws of Medicine: Field Notes from an Uncertain Science. New York, NY: Simon & Schuster; 2015