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Speech Exam
 
 

Phrase Repetitition

 
 
 
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Overview

  • How to Perform

    Ask the patient to repeat back words or sentences of increasing complexity.
  • Orange
  • Watch
  • Hippopotamus
  • Aubergine
  • Emerald
  • Perimeter
  • No ifs, ands or buts
  • British constitution
  • The orchestra played and the audience applauded
  • Interpretation

  • Nasal speech - a sign of flaccid dysarthriaLower motor neuron lesion
  • Strained-strangled speech - a sign of spastic dysarthriaUpper motor neuron lesion 
  • Slurred / ‘scanning’ speech - a sign of ataxic dysarthriaCerebellar lesion
  • Incorrect repetition (e.g. ifs no buts) - suggestive of conductive dysphasiaArcuate fasciculus lesion
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