Speech pathologists help with swallowing and communication issues.
A speech pathologist is a healthcare professional trained in the assessment and treatment of communication and swallowing issues. They work with you to improve speech, language, cognition, voice, and swallowing abilities through therapeutic interventions and techniques tailored to your needs.
What is a speech pathologist?
Speech pathologists are university-educated allied health professionals with expertise in the assessment and treatment of communication, speech and/or swallowing difficulties. Speech pathologists play a vital role as part of the multidisciplinary care team supporting people living with Parkinson’s. They empower people with Parkinson’s to communicate effectively, engage in meaningful conversations, maintain safe and enjoyable mealtimes and improve their quality of life despite the condition’s challenges.
What do speech pathologists do?
Accessing a speech pathologist can significantly enhance the quality of life for someone living with Parkinson’s. Speech pathologists have expertise in helping individuals with communication (such as speech, language, and voice) and swallowing difficulties, common in Parkinson’s. Speech pathologists work with both the person living with Parkinson’s and their support networks (family, friends, formal and informal carers) to provide education, support and therapy that promotes effective communication for social connection and independence, along with safe and enjoyable mealtimes.
Holistic assessment
Speech pathologists conduct comprehensive assessments, considering physical, cognitive, emotional, social and environmental factors. Assessments may include gathering relevant background information including about the person’s individual goals, needs and context, engaging in speech and language tasks to gather targeted information about communication skills, and observing and analysing muscle movements and swallowing during eating and drinking.
Interventions are then tailored to the specific needs, goals, and values of each person living with Parkinson’s to address their unique symptoms.
Maintaining communication
Speech pathologists help individuals maintain their communication abilities, including by addressing speech clarity, voice volume, and language skills. They provide strategies to overcome difficulties in speaking, understanding, and social interactions. Speech pathologists provide evidence-based therapy targeting these areas impacted by Parkinson’s Disease. Therapy may be provided individually or include group therapy opportunities, and include examples such as
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Voice therapy
Speech pathologists address voice and speech issues by providing exercises for clearer articulation, improving breath support for speech, and enhancing voice quality. This can help individuals with Parkinson’s maintain a strong and clear voice.
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Education and communication partner training
Speech pathologists provide education and specific strategies to maximise communication success for both the individual and their communication partners (such as family and carers).
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Augmentative and Alternative Communication (AAC)
Augmentative and alternative communication (AAC) covers a range of strategies, aids, voice amplification, speech-generating devices and communication Apps that may be of use when successful verbal communication has become more difficult. Speech pathologists have expertise in prescribing and customising AAC options to meet individual needs
By working with a speech pathologist, individuals with Parkinson’s can continue to communicate effectively and participate in daily activities, enhancing their overall quality of life. See the Communication page.
Swallowing and mealtime support
Speech pathologists can introduce techniques and exercises to improve swallowing safety and efficiency for those experiencing swallowing difficulties. They may recommend specific strengthening exercises (for example for muscles used for swallowing, breathing and coughing), strategies to promote safe swallowing or modifications to textures of foods/drinks to assist with eating and drinking. See the Swallowing page.
Info kindly reviewed by Speech Pathology Australia
Speech Pathology Australia is the national peak body for the speech pathology profession in Australia. You can locate a speech pathologist by using the ‘Find a Speech Pathologist’ search function on the Speech Pathology Australia website.
References:
(1) Speech Pathology Austraila www.speechpathologyaustralia.org.au
(2) Ireland, s. Carroll, V., Blanchard, D. and R. Rossiter. Recognising and responding to communication and swallowing difficulties in Parkinson’s Disease. 2022. 51(4) Australian Journal of General Practice doi: 10.31128/AJGP-07-21-6094 https://www1.racgp.org.au/ajgp/2022/april/communication-and-swallowing-difficulties-in-parki
(3) Kalf, H., de Swart, B., Bonnier-Baars, M., Kanters, J., Hofman, M., Kocken, J., Miltenburg, M., Bloem, B. R., & Munneke, M. (2011). Guidelines for Speech-Language Therapy in Parkinson’s Disease. ParkinsonNet/National Parkinson Foundation. https://www.parkinsonnet.nl/app/uploads/sites/3/2019/11/dutch_slp_guidelines-final.pdf