Background:Dysarthria, a motor speech disorder, results from neurological injury (stroke mostly) of the motor component of the motor-speech system, often makes it difficult to pronounce words. Dysarthria are treated by speech therapists, using a variety of techniques. The VitalStim therapy system is an adjunctive modality proofed by Food and Drug Administration to traditional exercise that unites the power of electrical stimulation with the benefits of swallowing exercises. In our previous study, we found thatmodifiedVitalStim electroacupuncture could benefit patients with dysphagia after stroke. The question is: whether modified VitalStim electroacupuncture would also make sence in stroke patients with dysarthria. Purpose: To observe the therapeutic effects of modified VitalStimelectroacupuncture onpatientswith dysarthria after stroke. Methods: 32 patients with spastic dysarthria after stroke within one month were randomly divided into VitalStim group (n= 16) and control group (n= 16). Basic medical therapy, physical therapy, occupational therapy, and speech therapy were used in both group. Additionally, modified VitalStim electroacupuncture at acupoints of Yiming (EXHN14), Fengchi (GB20), Dazhui (BU14), Lianquan (RN23), Baihui (DU20) and lateral Jinjinyuye was performed in Vitalstim group. Patients in VitalStim group received extra 30-minute VitalStim therapy once a day, for a total of 28 days.Theoutcomeswere evaluatedbyusingmodifiedBarthel index (MBI) andFrenchay dysarthria assessment (FDA).And the practical significance of VitalStim electroacupuncture were statistical analyzed. Results: MBI increased significantly after treatment in both groups (P 0.05) except for the two items in relation to tongue alternate and jaw in speech. Conclusion(s): The study has showed that the general speech training and modified VitalStim electroacupuncture therapy in early stage of stroke patients can both improve the speech function and ADLs. Moreover, speech training combined with modified VitalStim electroacupuncture therapy has improved those functions more efficiently. Meanwhile, the benefits of this therapy on patients with dysarthria in their convalescence stage of stroke is recommended for further study. Implications:The application ofmodifiedVitalStim electroacupuncture therapy on patients with spastic dysarthria after stroke could improve their speech function, and achieve to the targeted ADLs, which may be promoted in the treatment of dysarthria.