I still have the remnants of dysarthria, the speech condition that makes talking tough after the stroke and affects the muscles in the face, particularly the mouth, and respiratory system. But I went to a speech therapist to get help and who I didn’t like at first. She was all grim and business-y. Like when she corrected me when I called her a speech therapist instead of the more la-de-da-sounding speech and language pathologist. Drama queen, I said to myself.
Slowly, after two months, she got around to cracking a smile. When she and I were done a month later, she told me that her husband was an egomaniac, that her partying son flunked out of Harvard, and that her stressed-out daughter couldn’t get pregnant. I sat there calmly, but I had my own problems.
Anyway, there were four things I had to remember from the speech wizard: “HOSE.” Permit me to explain.
I started to develop that habit in 11th grade to be sure I could remember all the chemical symbols. When I was in college, and then when I started to work as a professional–a professor, a columnist, a technical trainer–I made lists of words to remind me what should be on the final or what was up for the day. The words didn’t have to be in the dictionary. My only job was remembering what they were.
For example, on the final exam in Sociology, “BIDS” meant sociology was the study of Behavior, Interaction, Development, and Structure of organized groups of human beings. Or if I were going to teach a beginner class in Microsoft Word, I’d remember “NOPS” which stands for how to open a New file, Open an old file, Print, and Save a current one.
It was the same way in speech therapy. Thus, “HOSE.”
The H stands for Hydration. Make sure your water consumption has been sufficient after you sleep. Your tissues are dehydrated after sleep, naps as well, so it is important to sustain the water in our system. Aside from flushing out waste and and keeping other body parts lubricated, you’ll need more water to hydrate your voice if you sleep with your mouth open, if you’re sleeping with air conditioner or heating, or if you are allergic to dust particles.
The Institute of Medicine (IOM) recommends about 91 ounces of water per day for women and 120 ounces for men. You may need more if you’re exercising, so if you are, Gatorade is good for replenishing the electrolytes in your body, but if you have none available, good ol’ water is fine, too, in the meantime. Most people struggle to even come close to IOM’s recommendations, so you have to focus on drinking, even if you’re not thirsty.
And finally, the E stands for speak on the Exhale. From creativespeechcentre.com (CPC), comes this: “[The students] have difficulty coordinating their breathing with their speaking; they exhale first and then speak. As a result, they speak in a low volume and they constrict their stomach, chest and throat muscles to create speech, resulting in tense sounding speech.
The best explanation yet is our voice, not to get to the mumbo-jumbo, technical jargon used by speech therapists everywhere, is like a wind instrument, says CPC. When we exhale, our vocal cords vibrate our voice box and allow us to produced sounds, plain and simple.
Here’s a simple test: try saying the word “well” on the inhale and again on the exhale. When you say it on the inhale, the word sounds strained, as if you are running out of air, which you are. When you say “well” while expelling your breath, it come out relaxed. The same applies to everything you say. Speaking on the exhale takes practice. But I think you’ll find it easier once you get your breathing coordinated.
H-O-S-E. That’s one that I’ll remember always. And the speech therapist said the same 4 things. Share my method if you like. It’s free, and free is almost always good.
Stroke can happen at any time at any age of life. The communication problem is very common in most stroke survivors. The people can't speak, write, or understand the language properly after stroke. They need proper rehabilitation to speak, write, and understand the language. LENA Therapy is the most advanced interactive speech therapy app that can help a stroke survivor to learn speaking after stroke easily