Now, we talked about aphasia.
Now, we're talking about dysphasia, which
is difficulty with communicating "dys,"
D-Y-S, means difficulty.
So, it's often used interchangeably with
aphasia. That's why we made sure
we talked to you about both words.
You got to think that's kind of funny
when I'm talking about dysphasia,
and my tongue gets tied.
And that's a good example of
what dysphasia would look like.
So, nonfluent dysphasia is
minimal and slow speech.
Now, I tend to speak very quickly.
So when I'm talking with
someone with dysphasia,
I have to be very cognizant
of my facial expression,
and I literally do the breathing
stuff before I go in the room.
If they're fluent dysphasia, they have speech,
but it's not consistently meaningful.
So, they'll hear themselves say a word,
but they're not sure like, we have
the -- "A, B, star, diamond, C."
There'll be some words in there
that don't really communicate
what the patient is trying to articulate.
And they're just as surprised as you
as where those words came from.
So keep that in mind. Part of that
is like a little bit of a word game
to figure out what the patient,
the words that they really
said with intention,
and the one that just kind of
flew out of their brain.
Now, dysarthria is difficulty with
the muscular control of speech.
You might not realize, that's a
really complex mechanism
for you to manipulate your tongue
and the air and the vocal cords
and everything working together
for you to make the sounds
of your language.
So, it affects the mechanics of your
speech, not the meaning.
So they know what they want to say,
they just have a hard time saying it.
Think about if you went to the dentist
and they numbed your tongue.
You know, when you come out,
you're like, "Ha, ha, ha,"
that's kind of what the patient may feel.
So, they understand what you're saying.
They know what they want to say.
They know the words they want to
use, and they try to say them,
but they have the muscular control of
speech is what's difficult for them
because they have a hard time
pronouncing words, articulating,
or making the sounds appropriately.
So, pause for a minute,
and think about what's the difference between
dysarthria, aphasia, and dysphasia?
Go ahead and pause the video.
Write a couple notes to yourself
without looking at your notes.
Then go back and look at your notes,
and make sure those are
all clear concepts to you because these
are terms that you'll hear
a healthcare team use regularly.