Tips from a speech pathologist
by Thurza Campbell
Thurza: When I went to a Speech Pathologist at Massachusetts General Hospital, I
took this list and she thought it was excellent. The only thing she added
is, "be sure to tuck your chin when you swallow, as that lines up the
throat correctly so that food will not go into your windpipe."
Swallowing
- Take sips, or only as much liquid as you can manage in one swallow. Hold liquid in
mouth, wait, then swallow. Audible swallows are good! This shows a
strong swallow.
- Be careful not to let liquid spill into the throat. Remember that liquids do not
automatically stay in the throat.
- When taking pills, moisten mouth and throat first by drinking a little water. You
need a good, strong swallow for pills. If taking three or four pills at
once gets to be too much, cut down on the number, or crush them, or coat
them with oil.
- Before eating solid foods, wet the mouth and throat with water. Start the meal
with a drink. Chew thoroughly, and drink water periodically to wash down the
solid food.
- Manage your solid food by making sure that it is moist: e.g. dip sandwich in
liquid. Cut down on bulky, dry items such as too much bread. Add mayonnaise or
mustard to a sandwich. Eat open-faced sandwiches, etc.
Voice
- General relaxation (hot tub, massages, etc.) will also relax the muscles
in the vocal area.
- Warm compresses around the vocal area will help relax muscles.
- Be sure to take in enough air and breathe using the muscles of the
diaphragm, not the chest. A maximum volume of air will help you to be
loud enough without putting undue stress on the vocal muscles
themselves.
- When speaking, focus on the mouth, not on the vocal area in the throat.
Move your lips, and ennunciate clearly when you speak. This may slow
you down, but your listeners will be pleased to hear the clear speech.
- Because you have too much muscle tone in the vocal area, you need to
concentrate on making your voice breathier. This will relieve some of
the stress on you vocal muscles as you speak, and will help the excess
strain you feel in your voice.
- Specific exercises for a breathier voice:
- Yawn-sigh: Yawn, then release your breath in a slow and relaxed
manner. Sigh. Do this a few times, then add a little sound to the
sigh, but keep it gentle and relaxed: "ahh". Add
an "h" sound to the beginning of the "ahh". Can
you feel your breath as you hold your hand in front of your mouth?
- Confidential voice: Speak clearly to your communication
partner, but as if you are trying not to disturb someone else nearby.
Practice this several times a day, in ordinary conversation with your
wife or friends.
- Humming: Take two minutes a few times a day to hum a song. The
vibrations of humming are gentle and will massage your vocal cords.
- Scales or sirening: Saying "Ha", go up and down the scales,
changing your pitch in a gradual and gentle way. Or you can imitate a
siren (when everyone is out of the house!!). This will stretch the vocal
cords and the surrounding muscles.
- Words with "h" Practice lists of words beginning with vowels,
putting an "h" in front of each one. This encourages a breathy voice.
Hold your hand in front of your mouth to see if you can feel your
breath. Words: e.g. "h"
+ "all" Say
it slowly in a gentle, breathy voice.
all eye I'll I'd I I'm our own ease eyes in
ooze is ear air old odd on and am oh eel end
aim egg ore are arm age eve ail owe aid add edge
or owl Abe of ill earn aisle urge awe elm isle
ad Ed earl
Enkidu speech augmentative device
Posted by Thurza to PLS Friends after getting her Enkidu, a speech augmentative
device
This is for all of you with bulbar
problems. 10 days ago my Enkidu arrived. This is a "talking" computer. I
had been advised to apply for insurance coverage before I was desperate
for help, as insurance approval would take awhile. It took 4 months to
get the approval, which was totally handled for me by the therapist at
Spaulding Rehab. in Boston.
I have had 2 training sessions now, and am pre programming many common
sentences into it. I have tried it out on the phone with my business
partner, and also a couple of clients. The possibilities to connect are
fantastic. One of the things to get used to is that I have it set to use
a male voice, as no one could understand the
female voices. Using it out of doors in bright light is difficult, as
the light reflects off the screen, making it hard for me to see. You
might wonder why I don't just use it inside - I'm a landscape designer,
so my business meetings are outside with clients. Got to figure that
problem out.
Jim just got me a phone headset, so my
hands can be free to type words into Enkidu while another phone is lying
by the speaker to relay the sound. Does this sound complicated? It is
logistically something to get used to, but isn't that what PLS is all
about? If anyone wants to learn more about it, get in touch with me. The
device is also a PC with Microsoft Word, Excel, etc. programmed in, so
you can use your Enkidu anywhere and then transfer to your desktop (once I master how to do it!).
Thurza
Palatial Lift
Posted by M. David L to PLS Friends
My understanding is that I have two major problems, the lack of
flexibility and movement in my tongue, mouth and lips. These can be
partially addressed by exercises. However, the major problem is the loss
of air through my nose because my soft palate does not work
properly. This is the prime problem, contributing to my lack of
intelligibility. It results in a lack of differentiation in sounds and
consequentially a confusion as to whether I said "pat" or "bat" etc.
The problem is not in the voice box. What is effected is the Soft
Palate. What happens is the soft palate becomes stiff and when this
happens your speech becomes very garbled and slurred. I had this
problem. My speech therapist told me about a palatal lift that could
possibly help my speech. She made an appointment for me at the U
Connecticut dental lab. I went there and they ran a gag test on me to
see if I could handle the many fittings required to make this unit. I
passed!
It took about three months to get the finished product but it was well
worth the wait. The prosthesis fits into your mouth like a partial
denture. It has a tail on it that presses against the palate. My speech
has improved to about 70% of what it was before PLS. Wear it all day;
take it off at bed time. Ask your speech therapist about it.
The soft palate also effects the volume of your speech. Try blowing up a
balloon. If you are unable to blow it up, try pinching your nostrils
shut then blow it up. If you succeed, it is your soft palate. Check with
your neuro. He can tell you if your soft palate is functioning.
My speech came back about 45%, enough for people to notice. I have a
partial plate and a beaver tail was added to it.
Check with your dentist he might be able to point you to a dentist.
Dentists that have had 2 more years of school and specialize in working
with people that have cancer of the mouth and accident victims usually
also make the lifts.
If you are on Medicare they will pay for since it is considered a
prosthesis. Cost is around $2,000.00.
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