Understanding Dysarthria due to Stroke is crucial for accurate clinical documentation and medical coding. This resource provides information on diagnosing and documenting speech disorder post-stroke, including relevant healthcare terminology and ICD-10 codes associated with Dysarthria secondary to cerebrovascular accident. Learn about assessment, treatment, and the impact of stroke on speech production for improved patient care.
Also known as
Sequelae of cerebrovascular disease
Long-term effects after a stroke, including dysarthria.
Dysarthria and anarthria
Covers various types of speech difficulties, including those caused by stroke.
Cerebrovascular diseases
Includes conditions affecting blood vessels in the brain, like stroke.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is dysarthria due to a current stroke?
Yes
Is the stroke ischemic?
No
Is dysarthria due to sequelae of a past stroke?
When to use each related code
| Description |
|---|
| Slurred speech due to stroke |
| Speech problems from brain injury |
| Verbal apraxia post-stroke |
Missing documentation specifying the affected side (right, left, or bilateral) for the stroke impacting dysarthria.
Insufficient documentation of the type of stroke (ischemic, hemorrhagic, etc.) required for accurate ICD-10 coding.
Lack of documentation clarifying the severity of dysarthria (mild, moderate, severe) may impact coding and care planning.
Q: What are the most effective evidence-based interventions for managing dysarthria post-stroke in adults?
A: Managing dysarthria secondary to a cerebrovascular accident requires a multifaceted approach tailored to the individual's specific speech deficits. Evidence-based interventions include: * **Speech-Language Therapy:** This is the cornerstone of dysarthria management. Specific techniques may focus on improving articulation, breath control, resonance, and prosody. Treatment approaches like Lee Silverman Voice Treatment (LSVT LOUD) have shown efficacy in improving vocal loudness and intelligibility. Explore how different speech therapy techniques target specific dysarthria subtypes. * **Augmentative and Alternative Communication (AAC):** For individuals with severe dysarthria, AAC strategies can provide alternative communication methods. These may range from low-tech options like picture boards to high-tech devices utilizing speech-generating software. Consider implementing AAC early in the recovery process to facilitate communication and reduce frustration. * **Neuromuscular Electrical Stimulation (NMES):** NMES can be used as an adjunctive therapy to facilitate muscle activation and improve speech production. Research on its efficacy is ongoing, but some studies suggest potential benefits. Learn more about the latest research on NMES for dysarthria management post-stroke. Choosing the right intervention depends on a thorough assessment of the patient's speech characteristics, swallowing function, cognitive abilities, and overall health. A multidisciplinary approach involving speech-language pathologists, neurologists, and other rehabilitation professionals is crucial for optimizing outcomes.
Q: How can I differentiate between the various types of dysarthria caused by stroke, and how does this impact treatment planning?
A: Dysarthria secondary to cerebrovascular accident can manifest in several forms, including spastic, flaccid, ataxic, hypokinetic, and mixed dysarthria. Accurate differential diagnosis is crucial for effective treatment planning. Clinicians should consider the following: * **Lesion Location:** The location of the stroke within the brain helps determine the type of dysarthria. For example, lesions in the brainstem often lead to flaccid dysarthria, while lesions in the basal ganglia can result in hypokinetic dysarthria. * **Speech Characteristics:** Each dysarthria subtype presents with distinct speech features. Spastic dysarthria may involve strained-strangled voice quality, while ataxic dysarthria is characterized by irregular articulatory breakdowns and prosodic abnormalities. Careful evaluation of speech characteristics, including respiration, phonation, articulation, resonance, and prosody, is essential for accurate subtyping. * **Neurological Examination:** A comprehensive neurological exam, including assessment of cranial nerves, reflexes, and motor function, helps confirm the diagnosis and identify any associated neurological deficits. Understanding the specific type of dysarthria guides treatment selection. For example, LSVT LOUD is often recommended for hypokinetic dysarthria, whereas strengthening exercises may be more beneficial for flaccid dysarthria. Explore how tailored treatment approaches address the specific challenges associated with each dysarthria subtype.
Patient presents with dysarthria following a cerebrovascular accident (CVA). Onset of speech difficulties was noted on [date of onset], coincident with the diagnosed stroke. Patient exhibits [specific characteristics of dysarthria, e.g., slurred speech, imprecise articulation, slow rate of speech, abnormal rhythm, altered voice quality]. The type of dysarthria is characterized as [e.g., spastic, flaccid, ataxic, hypokinetic, hyperkinetic, mixed] based on clinical presentation and neurological examination. Impact on communication and intelligibility is assessed as [severity level, e.g., mild, moderate, severe]. Current medications include [list medications, including those related to stroke management]. Differential diagnosis considered [list potential alternative diagnoses, e.g., other neurological conditions]. Assessment supports a diagnosis of dysarthria due to stroke (ICD-10 code I69.32). Plan includes referral to speech-language pathology for comprehensive evaluation and individualized treatment plan focusing on communication strategies, articulation exercises, and compensatory techniques. Prognosis for improvement is dependent on the extent and location of the stroke, patient's overall health status, and adherence to therapy. Patient and family education provided regarding the nature of dysarthria, expected course of recovery, and importance of therapeutic interventions. Follow-up scheduled for [date] to monitor progress and adjust treatment plan as needed.