We have been working with clients with a diagnosis of Multiple Sclerosis (MS) for many years. Find out more about MS here
Symptoms might include fatigue, visual problems and difficulties with walking, but MS is different for everyone. MS can lead to speech and swallowing difficulties as the muscles of the head and neck become weaker and more susceptible to fatigue. click here for a lovely article on real experiences of speech difficulties in MS People with MS-related speech symptoms report slurred or indistinct speech; a quiet or weak voice, changes to voice quality (e.g. nasal, hoarse or breathy); change in pace of speech; and speech that sounds monotonous and lacks emphasis or rhythm. Speech disorders caused by weakness of muscles are collectively known as dysarthria. Like all of the other symptoms of MS, speech and swallowing difficulties can become more pronounced when tired. This can be alleviated in practical ways such as ensuring main meals and long conversation are minimised during times when one is fatigue. We have found that dysarthria is more responsive to strategies than strengthening oromotor exercises (exercises for the muscles of face, mouth and throat) which result in fatigue. There is sometimes a role for exercises e.g. strengthening voice/coughing but we are acutely aware that exercise programmes need to be tailored and regularly reviewed in detail. In severe cases of dysarthria we can look at alternative and augmentative ways of communicating. Sometimes individuals can experience cognitive and language changes. This may result in difficulty formulating sentences or finding words. This can be a frustrating issue both for the person with MS and friends/family. Speech and Language therapy can help to address these issues. The ability to swallow safely may be affected in moderate or severe stages of MS. We have worked with many families to talk through their symptoms and offer practical advice on how to manage these difficulties. Today I assessed a lady who had been admitted to hospital with a chest infection. At the time of admission she was too unwell to eat and drink but now that she has recovered from her acute illness we had the opportunity to think about her nutrition options. She decided that she would like to eat small amounts but receive the main bulk of her nutrition via a gastrostomy. It is often difficult for people to make decisions about their nutrition without a full picture of their swallowing abilities and swallow prognosis. Contact Speakologyslt on 02036332499 to find out more about how we can help you or your family member/client.
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