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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.
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