Speech Exam
 

Fluency of Speech

 
 
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Overview

    • Aspects of Fluency

    • Rate of speech - words or syllables per minute
    • Continuity of speech - lack of hesitation or pauses
    • Effort of speech - due to muscular, word-finding or sentence structure difficulty
    • Interjections - added sounds such as um, ah
    • Repetition - word or syllable repetition, e.g. stuttering
    • Paraphasias: switching of a word in a sentence for another incorrect word
    • Neologisms: new words created by the patient

Paraphasias

  • Paraphasias involve the switching of a word in a sentence for another incorrect word.
    • Types of Paraphasias

    • Phonemic paraphasia: the substitution, addition or rearrangement of sounds in a word, e.g. pike or kipe instead of pipe
    • Verbal paraphasia: a word is switched with another word that has a semantic relationship to it, e.g. apple instead of orange
    • Neologistic paraphasias: a word is switched with another word that does not exist in the language
    • Significance

    • Classically associated with receptive (Wernicke’s) aphasia.

Neologisms

  • Neologisms are new words that are created by the patient, that don’t exist in their language - examples include bluck, deak, gleeb.
    • Significance

    • Production of neologisms is classically associated with receptive (Wernicke’s) aphasia.
Last updated on November 5th, 2019
 
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