![]() ![]() ![]() PMR affects speech in a number of ways, and there are similarities to speech changes in Parkinson’s disease. Speaking involves both cognitive planning tasks and complex motor tasks. When I’m well, I smile frequently and have done a fair bit of public speaking. ![]() In this video, I’m not moving far enough to get much of a sense of how ridiculously slow my walking is, but my speech impairment is quite obvious, as is the flat affect. My experience has been that general practitioners don’t tend to be familiar with what PMR (or at least severe PMR) looks like, and I have to tell them what they’re seeing. Non-clinicians may notice PMR in others but not understand what they’re seeing. reduced movement in the trunk and proximal limbs, i.e.speech changes: decreased volume, slow and monotonous speech with increased pauses, delayed verbal responses and spontaneous speech.lack of facial expressiveness of emotion (“flat affect”). ![]()
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