Speech Therapy for Cerebral Palsy

Speech therapy can help children with cerebral palsy improve their speech abilities, aid in eating and swallowing, and improve their overall quality of life.


 

How Can Speech Therapy Help?

According to studies, nearly 75% of children with cerebral palsy experience speech, communication, or language challenges. Speech therapy can help improve vocal clarity and language comprehension, as well as increase strength in oral muscles to aid in chewing, swallowing, and even breathing.

Speech therapy also helps with social participation, the ability to learn and interact in different settings, and boosting confidence and self-esteem. 

Did You Know?

Nearly 70% of cerebral palsy cases are linked to birth injuries. Find out if a birth injury caused your child's CP by speaking with a cerebral palsy lawyer and getting a free case review now.

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Common Speech & Communication Challenges in CP

Common speech challenges children with cerebral palsy may experience include:

  • Dysarthria – Weakness and lack of coordination in the muscles used for speech

  • Apraxia of speech – Difficulty planning or sequencing movements needed for speech

  • Voice issues – Breathy, strained, or nasally vocal tones

  • Swallowing disorders (dysphagia) – Trouble with eating, chewing, and drinking safely

  • Language delays – Difficulties understanding or using vocabulary, grammar, and forming sentences

Speech Difficulties by Type of Cerebral Palsy

Each type of cerebral palsy has different challenges when it comes to speech and communication. Learn to recognize the signs of each type to determine the best therapy your child needs. 

Spastic cerebral palsy: Children with spastic CP often have speech that sounds slurred and hoarse. 

Dyskinetic cerebral palsy: Those with dyskinetic CP tend to have difficulty with controlling facial muscles such as their tongue. As a result, they may drool more and have trouble with eating and swallowing. Some also have issues with breathing and breath control. 

Ataxic cerebral palsy: Children with ataxic CP often have speech patterns that randomly pause and unpause. They may speak in a monotone voice and sound "airy" or "dry." Swallowing difficulties are also common in those with ataxic cerebral palsy.

What Does Speech Therapy Involve?

Speech therapists, known as speech-language pathologists (SLPs), use a variety of therapies and exercises to improve communication or function challenges that affect the daily quality of life of those with CP, such as: 

Oral Motor & Breathing Exercises

  • Strengthening tongue, lips, and jaw muscles for speech and to control drooling

  • Improving breath support and control for longer, clearer speech

  • Exercises such as blowing bubbles or learning to whistle

Communication Skills Training

  • Practicing the pronunciation and articulation of words

  • Stuttering and fluency help
  • Word comprehension
  • Increasing vocabulary and sentence building

  • Tongue exercises to help with word articulation

Tools and Augmentative & Alternative Communication (AAC)

  • Picture boards for early communication

  • Flashcards for memorization
  • Speech-generating devices or tablet apps

  • Customized systems based on age, mobility, and needs

Feeding & Swallowing Therapy

  • Learning safe chewing and swallowing techniques

  • Swallowing exercises to help with saliva control and to prevent choking
  • Modifying the textures of food or thickness of liquids to reduce aspiration risk

What Are the Benefits of Speech Therapy?

Children with speech impediments are put at a significant disadvantage. However, with the right approach, speech therapy can help make huge strides in improving communication, muscle control, and social interactions. These skills can have benefits that last a lifetime, such as:

  • Improved clarity and confidence in communication

  • Stronger participation in school, work, and community life

  • Enhanced safety in eating and drinking

  • Reduces shyness in social situations
  • Better long-term independence and quality of life

  • Increased self-confidence and self-esteem
  • Improves ability to express thoughts and creativity

When Should My Child Start Speech Therapy?

While each child may have slightly different milestone timelines, early intervention is recommended. Parents should seek a speech evaluation if their child:

  • Isn’t babbling or making sounds by 12 months

  • Has unclear speech past age 3–4

  • Shows frustration when trying to communicate

  • Has difficulty swallowing, frequent choking, or recurrent pneumonia

Get Help Paying for Your Child's Treatment

The costs of therapy, treatment, and daily care can add up quickly. Find out how we may be able to help you get financial support by getting a free case review at zero cost.

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Speech Therapy for Cerebral Palsy FAQs

Written and Medically Reviewed by:

Cerebral Palsy Hub Team

Cerebral Palsy Hub was founded to help support children and their families with cerebral palsy and to create a safe space for those affected. We strive to provide the most accurate, up-to-date information, and tools to help give your child the life they deserve.

Last Updated: September 26, 2025

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