Home training guide for adults with dysarthria

Language training time is directly proportional to the training effect, therefore, continuous and coherent language training is very important, the family is the best language teacher, no matter how many times a week you receive training from a formal speech therapist, please set aside 1 to 2 hours a day for home training, and use a notebook to record the content of the daily training and the changes, the more detailed, the better, the following is what we have developed according to the patient’s specific situation Home training guide. 1, relaxation training: parts: shoulders, neck, head. Take the relaxation position during training, shrug both shoulders upward, head forward flexion, backward extension, left deviation, right deviation, left steering, right steering. Each action lasts 3-5 seconds, 10-20 / times, 2-3 times / day. 2, breathing training: (1) sitting posture, if the patient can sit steadily, the trunk should be straight, shoulders level, head to maintain the center position. (2) Assisted breathing training method, the therapist will put both hands on both sides of the patient’s rib arch slightly above the position, and then let the patient breathe naturally, at the end of the exhalation to the lower abdomen to pressure, so that the patient’s exhalation increased. (3) Mouth and nose breathing separation training, smooth inhalation from the nose, then slowly exhale from the mouth. (4) Guided airflow method; pinching the nose and blowing/blowing windmills/blowing soap bubbles/whistles, etc. (non-soft palate dysfunction patients do not pinch the nose and blow). (5) Longest articulation: continuously pronounce ‘a’, 10-20pcs/time, 2-3 times/day. (3) Training for improvement of pronunciation: (1) Lip and tongue training: pouting, grinning, lip smacking, clamping the tongue depressor, (forcefully closing and pulling out the tongue depressor, resisting the force with the lips), sucking (holding a straw in the mouth, closing the other end, making sucking movements) tongue forward, backward, up and down and left and right lateral movements, (lifting the tip of the tongue to the back of the incisors when lifting up and curling it backward against the hard palate). 10-20 times/times, 2-3 times/day. . (2) Jaw training: maximal opening of the mouth, movement of the jaw to the left and right sides, exaggerated chewing movements, exaggerated opening of the mouth to say ‘yah’. (3) Facial muscle training: puffing up the cheeks, or blowing water in a cup with a straw until bubbles are blown. (3) Pushing and bracing method: cross both hands in front of the chest and push hard while pronouncing the ‘ka’ or ‘a’ sound. Or hold down the wall or table at the same time to pronounce, upper limb dysfunction can be assisted by family members: family members will be placed in the back of the patient’s head, the patient’s head forcefully top of the hand and pronounce at the same time. 4, sensory promotion integrated training: with fingers in both cheeks muscle groups above the small circle, has been extended to the chin. Lips with fingertips on the lips and around the lips to do spiral massage. 10-20 / times, 2-3 times / day.