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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Methods To Develop Speech Ability Aside From Speech Therapy

my father had a brain stroke in 2008 and after that he unable to speak as before .I have visited so many doctor but no improvement yet please help how can my father got cure.His age 65.Had bypass surgery in 2006 and historically a diabetic patient. There is any opportunity other than speech theraphy?
Fri, 15 Jan 2021
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ENT Specialist 's  Response
Hi,

There are two issues here:
*** First, speech / language is the result of a 'social' need to communicate. Just producing sound is not sufficient.

- You have to identify (or get your doctor to identify) WHERE the problem is. A (brain) stroke can impair / remove the ability of the patient to 'understand' and process speech, and so he cannot respond properly. It can also hamper / affect the ability of the larynx / vocal cords (where sound or speech is actually generated) to function properly and so this would also interfere with the production of speech.

*** Also, in the same way, the muscles of the face/neck and jaws must move properly to allow seamless speech production. Of course, if there are issues with eating and swallowing, this also may hamper the process of speech. Mood disturbances are also common after a stroke and would also affect speech, language and communication.

- I would strongly advise you to consult a good ENT, general physician or neurologist to first find out the exact problem. Many a time multiple factors exist, and yes, speech and language therapy, occupational therapy, psychotherapy and psychological counseling, and also physiotherapy may be required in the overall and long term rehabilitation of a stroke patient.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Jayita Poduval, ENT Specialist
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Suggest Methods To Develop Speech Ability Aside From Speech Therapy

Hi, There are two issues here: *** First, speech / language is the result of a social need to communicate. Just producing sound is not sufficient. - You have to identify (or get your doctor to identify) WHERE the problem is. A (brain) stroke can impair / remove the ability of the patient to understand and process speech, and so he cannot respond properly. It can also hamper / affect the ability of the larynx / vocal cords (where sound or speech is actually generated) to function properly and so this would also interfere with the production of speech. *** Also, in the same way, the muscles of the face/neck and jaws must move properly to allow seamless speech production. Of course, if there are issues with eating and swallowing, this also may hamper the process of speech. Mood disturbances are also common after a stroke and would also affect speech, language and communication. - I would strongly advise you to consult a good ENT, general physician or neurologist to first find out the exact problem. Many a time multiple factors exist, and yes, speech and language therapy, occupational therapy, psychotherapy and psychological counseling, and also physiotherapy may be required in the overall and long term rehabilitation of a stroke patient. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jayita Poduval, ENT Specialist