• difficulty speaking due to weak muscles in speech tract (e.g. tongue) or face
  • causes slow, slurred, sometimes unintelligible speech
  • voice may be quiet, raspi/strained and monotononous
  • can be caused by medication but may also be sign of a more severe issue
  • potential other causes
    • brain injury
    • cerebral palsy
    • MS
    • Parkinson’s
    • Huntington’s
    • the usual suspects