When people have Machado-Joseph Disease (MJD) they find it hard to talk. When it starts, it is just a bit slurred when they talk, but then it gets worse.
The MJD stops their muscles working in their neck and throat. Like any muscle, you can exercise your speaking muscles to keep them stronger for longer.
This Help Sheet provides general information about communication issues that may be encountered by people living with MJD. Clients should be assessed and supported according to individual need.