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A lisp is a speech impairment in which a person misarticulates sibilants (, , , , , , , ). [1] These misarticulations often result in unclear speech in languages with phonemic sibilants. Types
These spasms make it difficult for the vocal folds to vibrate and produce voice. Words are often cut off or are difficult to start because of the muscle spasms. Therefore, speech may be choppy but differs from stuttering. The voice of an individual with adductor spasmodic dysphonia is commonly described as strained or strangled and full of effort.
Tongue thrusting and speech problems may co-occur. Due to unconventional postures of the tongue and other articulators, interdental and frontal lisping are very common. The alveolar sounds /s/ and /z/ are produced more anteriorly thus leading to interdental fricative like sounds, /th/. [4]
The SLP chooses specific therapy tasks and goals based on the speech and language abilities and needs of the individual. [10] In general for individuals with TMoA, treatment should capitalize on their strong auditory comprehension and repetition skills and address the individual's reduced speech output and difficulty initiating and maintaining ...
Treatment requires treating the underlying condition with dental treatments, speech therapy for swallowing difficulty and mouth opening restrictions, physical therapy, and passive range of motion devices. Additionally, control of symptoms with pain medications , muscle relaxants, and warm compresses may be used. Splints have been used. [13]
Interventions are more effective when they occur individually at first, and between three and five times per week. With improvements, children with apraxia may be transitioned into group therapy settings. Therapeutic exercises must focus on planning, sequencing, and coordinating the muscle movements involved in speech production.
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Voice therapy is commonly used in the treatment of MTD. [7] The goal of voice therapy is to encourage proper vocal used and decrease the tension of the laryngeal muscles. [ 15 ] Examples of voice therapy include voice exercises to help increase glottic closure, vocal hygiene, manual laryngeal therapy, respiratory exercises, nasal exercises and ...