Because ALS affects the muscles used for speaking, communication becomes an issue as the disease progresses. A speech therapist can teach patients some adaptive techniques to make a normal speech more clearly understood, just as before the disease. Later in disease progression, a speech therapist can recommend devices such as tablet computers with text-to-speech applications or computer-based equipment with synthesized speech that may help with communication. Fortunately, there are now several technical devices that can improve the communication between patients and their loved ones.
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