The Role of a Speech Language Pathologist in Assessment and management of Communication Impairment in Progressive Supranuclear Palsy

Progressive supranuclear palsy, also known as Steele-Richardson-Olszewski syndrome is a slowly progressive degenerative neurologic disease of later adult life. Clinical symptoms include gait difficulty, postural instability and falling. The vertical gaze palsy, parkinsonian symptoms, postural instability and pseudo bulbar palsy usually suggest the diagnosis of Progressive supra nuclear palsy. Case Report: The case study involved three geriatric subjects (one female and two males), who had history of frequent falls, swallowing difficulties and poor clarity of speech. Following neuroimaging studies and clinical findings each subject was diagnosed as Progressive supranuclear palsy. Following a detailed case history assessment for speech language and swallowing skills using standardised tools; and evaluation of oral structures and their functions, were done. Each candidate was intervened for communication impairment and swallowing difficulties for 1.5-month period and outcome were discussed. Furthermore, we discussed about clinical presentation, assessment and treatment strategies for individuals with Progressive supranuclear palsy. Since Progressive supra nuclear palsy later develops to dysarthria, dysphagia, drooling and pseudobulbar affect need for early diagnosis and rehabilitation of communication impairment is necessary.