$Unique_ID{BRK02345} $Pretitle{} $Title{Is There Concern for Elderly Losing Some Speech Ability?} $Subject{speak speech elderly voices articulation articulate neurological nervous system fifth cranial nerve jaw talks tone quality voice ill defined symptoms central nervous system mouth teeth tongue age aged aging talk trigeminal tonal symptom geriatric geriatrics} $Volume{N-1,N-11,T-1,T-11} $Log{} Copyright (c) 1992,1993 Tribune Media Services, Inc. Is There Concern for Elderly Losing Some Speech Ability? ------------------------------------------------------------------------------ QUESTION: My great-grandmother seems to be losing some of her ability to speak as clearly as she used to do. I've noticed the same thing has happened to some of the people she lives with so I wasn't too worried at first. Is this something I should be concerned with? ------------------------------------------------------------------------------ ANSWER: Yes, concern is warranted. Sometimes even subtle changes in speech can be a clue to disease even before other signs are apparent. Elderly people who retain their young sounding voices are generally in better overall health than most of their contemporaries whose voices change. When the change is in articulation (from "articulate", to speak clearly), it could be due to neurological changes. Damage to different parts of the nervous system can affect different functions in speech. For example, a severe articulation problem can be caused by damage or degeneration of the fifth cranial nerve. That's because when that nerve is unhealthy, it hinders a person's ability to move his or her jaw up and down. You should make sure your great-grandmother checks her problem out with a neurologist who has expertise in speech pathology. You may observe the physician will listen attentively when your great-grandmother speaks, for the manner in which she talks, the tone and quality of her voice, are all important clues which can lead to the diagnosis of the exact cause. Once the cause is known, there are a number of possible treatments which can be used to correct the problem. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.