Speech Flashcards
Difference between dysphasia and aphasia
Disorder or difficulty with speech vs absence of speech
Pt with fluent speech but words are meaning less, no repetition, poor comprehension
Wernicke’s aphasia= receptive aphasia= sensory aphasia
Pt without fluent speech and words have meaning, no repetition, appropriate comprehension
Broca’s aphasia= expressive aphasia= motor aphasia
Pt with fluent speech and words have meaning, no repetition, appropriate comprehension
Conductive aphasia
Pt with fluent speech and words have meaning, no repetition, appropriate comprehension
Conductive aphasia
Pt with fluent speech and words are meaningless, repetition intact, poor comprehension
Transcortical sensory aphasia
Pt without fluent speech and words have meaning, repetition intact, appropriate comprehension
Transcortical motor aphasia
If a patient has aphasia, what part of the brain is likely affected by?
The dominant, usually left
If a patient has global aphasia, what part of the brain is usually affected?
Lesion in dominant hemisphere affecting both wernicke’s and broca’s area
If a patient has Wernicke’s aphasia, what part of the brain is affected
Supramarginal gurus of the parietal lobe and upper temporal, can be associated with field deficit
If a patient has Broca’s aphasia, which part of the brain is affected?
Interior frontal gyrus, and it can be associated with hemiplegia
If a patient has conductive aphasia, what part of the brain is affected?
Arcuate fasciculus
If a patient has transcortical sensory aphasia, which part of the brain is affected?
Posterior parietooccipital near the Wernickes area
If a patient has transcortical motor aphasia, which part of the brain is affected?
Incomplete lesion in / near Broca’s area
How do you tell the difference between dysphonia and dysarthria?
Dysphonia means unable to produce normal volume, dysarthria involves the coordination of speech and has different types of
If you suspect dysarthria, what is the first thing to assess with speech?
Assess if rhythm is normal.
If you are assessing for dysarthria and the rhythm is normal what is the next thing to assess?
Assess if speech is nasal, if it’s nasally then palatal palsy is present
If you suspect dysarthria and speech isn’t nasal, what’s the next thing to assess for?
Can a patient use letters Ts and Ss “ - if not then tongue palsy
If dysarthria is suspected and patient can use their tongue, what is the next thing to assess for?
Can the letters B and P be used, if not then facial palsy is present
If dysarthria is suspected and the rhythm is abnormal what do you assess next?
Assess for if speech is slurred like drunk= cerebellar dysarthria, if monotonous=extrapyramidal, if speech is labored = spastic dysarthria
