What are the speech-related issues in F A?

The main problem is dysarthria, which means a motor speech disorder, not a cognitive speech disorder. Cognition is generally intact in Friedreich’s ataxia. Dysarthria is caused by things such as muscle paralysis or weakness of the muscles related to speech production or inability to coordinate these muscles. Those are the muscles of the lips, tongue, and throat and the respiratory muscles that push air over the vocal cords. It would be best if you had respiratory muscles working together to create airflow to make your vocal folds work. In Friedreich’s ataxia, there are breakdowns in the speech production system. There can be varied problems that result, such as slurred or slow speech or problems with the pitch, loudness, or rhythm of the speech. Friedreich’s ataxia speech is typically pretty slow and deliberate.