1st Edition

Clinical Cases in Dysarthria

Edited By Margaret Walshe, Nick Miller Copyright 2022
    156 Pages 11 B/W Illustrations
    by Routledge

    156 Pages 11 B/W Illustrations
    by Routledge

    Through the medium of detailed clinical case reports, written by well-respected clinicians and researchers working internationally in the field, Clinical Cases in Dysarthria discusses the challenges, and rewards of applying evidence-based procedures to people with dysarthria in real-life busy routine clinical settings.

    The text opens with an introduction to the latest research and practices within dysarthria treatment and sets the scene for the eight individual case reports which follow. These case reports form the core chapters of the text and cover themes that range from clinical diagnostic conundrums to applying popular, and/or novel intervention approaches to different populations where dysarthria presents. Each chapter has a specific argument drawing on theoretical principles of assessment and rehabilitation, incorporating latest research evidence to help readers problem-solve similar cases in their clinical practice. Throughout the text, readers are encouraged to ‘think outside the box’.

    This book will be essential for undergraduate and postgraduate student clinicians within speech and language therapy/pathology courses, as well as clinicians new to the field of dysarthria.

    1. Dysarthria: Setting the Scene

    Nick Miller and Margaret Walshe

    2. A Trip Up the Garden Path: Functional Speech Disorders

    Nick Miller

    3. Dysarthria Associated with Hypoglossal Nerve Palsy and COVID-19

    Irene Battel and Margaret Walshe

    4. Case Report on Speech Treatment of a Young Adult with Down Syndrome

    Leslie Mahler

    5. Be Clear, an Intensive Treatment for Non-Progressive Dysarthria: A Case Report

    Stacie Park, Deborah Theodoros, Emma Finch, and Elizabeth Cardell

    6. Be Clear Online A Telepractice Application for Dysarthria Rehabilitation

    Brooke-Mai Whelan, Rachael Rietdijk, Deborah Theodoros, and Annie J Hill

    7. Looking Beyond the Impairment: The Psychosocial Impact of Dysarthria on the Speaker

    Margaret Walshe

    8. Saving Lost Voices: A Toolkit for Preserving Communicative Identity 

    Jennifer Benson 

    9. A Better Conversations Approach for People Living with Dysarthria

    Steven Bloch and Suzanne Beeke

    10. Concluding Thoughts

    Nick Miller and Margaret Walshe


    Margaret Walshe is Associate Professor in Trinity College Dublin, Ireland. She is also a speech and language therapist with extensive experience in dysarthria and related disorders. Her current research is focused on the amalgamation of evidence for intervention approaches in speech and swallowing disorders associated with acquired neurodegenerative disease. 

    Nick Miller is Emeritus Professor of Motor Speech Disorders at the University of Newcastle, UK. His internationally acclaimed research has been based on single case and small group studies through to large-scale investigatory and experimental approaches, qualitative as well as quantitative methods. He continues to be an active researcher, with particular emphasis on apraxia of speech, dysarthria and functional/psychogenic speech disorders.

    '"What do I need to do to make a difference?" might be our most important and frequently asked question as clinicians. In this insightful and accessible presentation of Clinical Cases in Dysarthria, well-known authors and editors Margaret Walshe and Nick Miller describe, together with invited authors, a number of relevant and informative case examples, cases that reveal the depth and complexity of the communication problems faced by individuals with dysarthria and their clinicians. And they do it with the passion to make a difference. Walshe and Miller provide us with an opportunity to learn from individuals and to thereby find principles to apply in other cases. We gain new perspectives, rather than just solving problems.'
    Professor Lena Hartelius, Department of Health and Rehabilitation, University of Gothenburg, Sweden

    'There are a multitude of valuable ways to study and improve the evaluation, diagnosis and care of people with dysarthria. The cases in this book illustrate more effectively than any randomized controlled trial or rigorously-controlled single-subject study that optimal real-world clinical care for people with dysarthria is an art based on science. This book exemplifies the great educational and heuristic value of case studies from expert clinicians and experienced researchers who understand the importance of evidence in diagnostic and treatment decision-making, while maintaining a central focus on the needs of our patients within the world in which they live'.
    Professor Joseph R. Duffy, Emeritus Consultant & Professor Speech Pathology, Mayo Clinic, Rochester, USA