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Speech and Communication Exam
- Expressive functionÂ
- Receptive function
- Global aphasia
- Nonverbal communication
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Expressive Function
Examine fluency of speech and speech production
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Nonfluent Aphasia
- Broca's motor aphasia, expressive aphasia
- A central language disorder in which speech is typically awkward, restricted, interrupted, and produced with effort
- Result of lesion involving 3rd frontal convolution of L hemisphere (Broca's area)
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Verbal Apraxia
- Impairment of volitional articulatory control
- Secondary to a cortical, dominant hemisphere lesion
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Dysarthria
- Impairment of speech production
- Results from damage to central or peripheral nervous system
- Causes weakness, paralysis, or incoordination of motor-speech system (respiration, articulation, phonation, and movements of jaw and tongue)
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Receptive Function
Examine Comprehension
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Fluent Aphasia
- Wernicke's aphasia, receptive aphasia
- A central language disorderÂ
- Spontaneous speech is preserved and flows smoothly
- Auditory comprehension is impairedÂ
- Result of a lesion in the posterior first temporal gyrus of the L hemisphere (Wernicke's area)
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Global Aphasia
- Severe aphasia
- Examine for marked impairments in comprehension and production of language
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Nonverbal Communication
- Examine ability to read and write
- Use of gestures, symbols, and pictographs
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