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[3] [7] Expressive aphasia differs from dysarthria, which is typified by a patient's inability to properly move the muscles of the tongue and mouth to produce speech. Expressive aphasia also differs from apraxia of speech, which is a motor disorder characterized by an inability to create and sequence motor plans for conscious speech. [8]
Non-fluent aphasia, also called expressive aphasia, is a neurological disorder that deprives patients of the ability to express language. It is usually caused by stroke or lesions in Broca's area , which is a language-dominant area that is responsible for speech production located in the left hemisphere of the brain.
The goal of speech and language therapy is to increase the person’s communication abilities to a level functional for daily life. Goals are chosen based on collaboration between speech language pathologists, patients, and their family/caregivers. [25] Goals should be individualized based on the person’s aphasia symptoms and communicative needs.
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Mixed transcortical aphasia is characterized by severe speaking and comprehension impairment, but with preserved repetition. [6] People who suffer mixed transcortical aphasia struggle greatly to produce propositional language or to understand what is being said to them, yet they can repeat long, complex utterances or finish a song once they hear the first part.
[19] [12] Aphasia is a disorder that is acquired, therefore it occurs in individuals that have already developed language. Aphasia does not affect a person's intellect or speech but Instead affects the formulation of language. [20] All areas of language are affected by aphasia including expressive and receptive language abilities. [20]
Survivors with global aphasia may have great difficulty understanding and forming words and sentences, and generally experience a great deal of difficulty when trying to communicate. [2] With considerable speech therapy rehabilitation, global aphasia may progress into expressive aphasia or receptive aphasia. [citation needed]
New research in aphasia treatment is showing the benefit of the Life Participation Approach to Aphasia (LPAA) in which goals are written based on the skills needed by the individual patient to participate in specific real-life situations (i.e. communicating effectively with nurses or gaining employment). [11]