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Management of Progressive Motor Speech Disorders (PD102731)

Presenter(s): Rene L Utianski, PhD, CCC-SLP, BC-ANCDS; Kristie A Spencer, PhD, CCC-SLP
Course Description

Motor speech disorders occur secondary to a wide variety of progressive neurological disorders. This course discusses strategies for the speaker, listener, and environment that clinicians can consider for managing progressive motor speech disorders. Presenters discuss management strategies in the context of concomitant decline of cognitive-linguistic and motoric function from neurodegenerative processes.

Learning Outcomes
You will be able to:

  • summarize management approaches for patients with progressive motor speech disorders 
  • explain when to consider voice and message banking 
  • describe strategies to improve communication for individuals with co-existing motor speech and cognitive-linguistic impairments


  • Introduction (2 min.)
  • Overview of lack of standardized management approach (particularly outside the context of amyotrophic lateral sclerosis and Parkinson's disease) (3 min.)
  • Overview of management strategies - maintain, repair, prepare (including voice/message banking) for wide array of diseases (Parkinson's disease, Huntington's disease, progressive supranuclear palsy, corticobasal syndrome, multiple system atrophy, primary progressive apraxia of speech, primary progressive aphasia, cerebellar degeneration, etc.) (20 min.)
  • Case studies (10 min.)
  • Strategies for improving communication across disease progress (e.g., with co-occurring cognitive-linguistic impairment) (20 min.)
  • Summarize recommendations (5 min.)

Presenter Information

Rene L. Utianski, PhD, CCC-SLP, BC-ANCDS, is a Consultant in the Division of Speech Pathology at Mayo Clinic in Rochester, Minnesota. She is an Associate Professor in the Mayo Clinic College of Medicine and Science. She earned her BA in Speech and Hearing Science and Psychology from The George Washington University. She earned her MS in Communication Sciences and Disorders and PhD in Speech and Hearing Science from Arizona State University. Her clinical responsibilities include differential diagnosis of acquired and degenerative speech and language disorders.

Financial Disclosures:

  • Mayo Clinic employee
  • Financial compensation from ASHA for this presentation

Nonfinancial Disclosures:

  • None

Kristie Spencer, PhD, CCC-SLP, is a Professor and the Associate Chair for the Department of Speech and Hearing Sciences at the University of Washington. She has published over 50 articles and has given over 100 presentations in the area of neurologic communication disorders. Her research focuses on understanding the heterogeneity of speech/cognitive profiles for individuals with Parkinson's and cerebellar disease, and examining rehabilitative approaches for the cognitive deficits experienced by people with Parkinson's disease.

Financial Disclosures:

  • Salaried employee of the University of Washington
  • Royalties as editor of the Medical SLP book series 
  • Financial compensation from ASHA for this presentation

Nonfinancial Disclosures:

  • Member of the Academy of Neurologic Communication Disorders and Sciences (ANCDS)
  • Member of the Writing Committee for establishing Practice Guidelines for Dysarthria Management.

Assessment Type

Self-assessment—Think about what you learned and report on the Completion Form how you will use your new knowledge.

To earn continuing education credit, you must complete the learning assessment by the end date below.

Program History and CE Information

Content origination date: March 30, 2023
End date: March 30, 2028

This course is offered for 0.1 ASHA CEUs (Intermediate level, Professional area).

Subscribers Ratings
PDH: 1
ASHA CEU*: 0.1
Item #(s): PD102731
Available Through: March 30, 2028