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Speech Therapy: Being Understood Clearly

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Functional Movement Disorder

Part of the book series: Current Clinical Neurology ((CCNEU))

Abstract

Functional speech/voice and cognitive symptoms are common in patients with functional movement disorder and related conditions. In this chapter, the emerging treatment of functional speech/voice disorders and functional cognitive symptoms are presented from the speech-language pathology (therapy) perspective. Core elements of functional speech/voice treatment include counseling around the diagnosis, patient education, change facilitation, and working toward increased self-monitoring of speech output. Therapeutic techniques to stimulate improvement in a patient’s atypical speech pattern should be individualized. The management of functional cognitive disorders is focused on supporting compensatory strategies that allow the patient to increase independence for managing instrumental activities of daily living. Overall, speech-language pathologists are an integral component of the interdisciplinary approach to the assessment and management of functional speech/voice disorders and functional cognitive disorder. Research is particularly needed to further define the role of speech-language pathology in the treatment of functional cognitive symptoms.

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Author information

Authors and Affiliations

  1. Department of Speech, Language, & Swallowing Disorders, Massachusetts General Hospital, Boston, MA, USA

    Jennifer Freeburn

Authors
  1. Jennifer Freeburn
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Corresponding author

Correspondence to Jennifer Freeburn .

Editor information

Editors and Affiliations

  1. Movement Disorder Specialist, Saratoga Hospital Medical Group, Saratoga Springs, NY, USA

    Kathrin LaFaver

  2. Department of Neurology, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA

    Carine W. Maurer

  3. Neuropsychiatry Research and Education Group, Institute of Psychiatry Psychology & Neuroscience, King’s College London, London, UK

    Timothy R. Nicholson

  4. Departments of Neurology and Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    David L. Perez

Electronic Supplementary Material

Supplemental Audio Samples: patient with prosodic/articulatory breakdowns.

Audio 25.1

At the speech evaluation: patient performing an oral reading task (Caterpillar passage) (MP3 3569 kb)

Audio 25.2

During the initial treatment session: patient making initial attempts to imitate accurate production of self-selected functional phrases (MP3 1552 kb)

Audio 25.3

During the initial treatment session: patient producing the same phrases independently with significant improvement after practice (MP3 265 kb)

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Freeburn, J. (2022). Speech Therapy: Being Understood Clearly. In: LaFaver, K., Maurer, C.W., Nicholson, T.R., Perez, D.L. (eds) Functional Movement Disorder. Current Clinical Neurology. Humana, Cham. https://doi.org/10.1007/978-3-030-86495-8_25

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  • DOI: https://doi.org/10.1007/978-3-030-86495-8_25

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  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-030-86494-1

  • Online ISBN: 978-3-030-86495-8

  • eBook Packages: MedicineMedicine (R0)

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