Motor speech problems associated with stroke: The dysarthrias

Dysarthria is one of a number of communication problems that may occur following a stroke. The presence of dysarthria can affect both rehabilitation efforts as well as social and vocational adjustment. This article reviews methods of classifying the dysarthrias and presents the types of dysarthria most often encountered poststroke. The characteristics of these dysarthria types are then related to the underlying neuropathology. Finally, a model of intervention that addresses the impairment, disability, and handicap of the dysarthria is presented. Specific examples of the role of the rehabilitation team in the management of dysarthria are provided.