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Chapter-02 Speech

BOOK TITLE: Neurological Examination for Physiotherapists

Author
1. Shah Chaitali
ISBN
9789352703227
DOI
10.5005/jp/books/14249_3
Edition
1/e
Publishing Year
2018
Pages
8
Author Affiliations
1. Parul University, Vadodara, Gujarat, India, Parul Institute of Physiotherapy, Parul University, Vadodara, Gujarat, India
Chapter keywords
Speech, aphasia, transcortical sensory aphasia, global aphasia, spontaneous speech, dysarthria, spastic dysarthria, myasthenic dysarthria, dysphonia, disorder of speech

Abstract

Abnormality of speech needs to be considered first as this may interfere with history taking and subsequent ability to assess the higher function and perform rest of the examination. Aphasia is defined as all disorders of understanding thoughts and word findings. It is of different types i.e. Broca’s/expressive/motor aphasia, Wernicke’s/receptive/sensory aphasia, conductive aphasia, transcortical sensory aphasia, transcortical motor aphasia, global aphasia, and nominal aphasia. Voice production requires coordination of breathing, vocal cords, larynx, palate, tongue and lips. Dysarthria can reflect difficulty at different levels. A combination of dysphasia and dysarthria may accompany internal carotid artery thrombosis or other vessels of the neck are diseased as well. Dysphasia occurs due to lesion of dominant hemisphere, whereas dysarthria occur due to any site. Dysphonia is disturbance of voice production and may reflect either local vocal cord pathology, an abnormality of nerve supply via the vagus, or occasionally a psychological disturbance.

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