00:01
Now, we talked about aphasia.
00:02
Now, we're talking about dysphasia, which
is difficulty with communicating "dys,"
D-Y-S, means difficulty.
00:09
So, it's often used interchangeably with
aphasia. That's why we made sure
we talked to you about both words.
00:16
You got to think that's kind of funny
when I'm talking about dysphasia,
and my tongue gets tied.
00:20
And that's a good example of
what dysphasia would look like.
00:24
So, nonfluent dysphasia is
minimal and slow speech.
00:31
Now, I tend to speak very quickly.
00:33
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.
00:45
If they're fluent dysphasia, they have speech,
but it's not consistently meaningful.
00:52
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.
01:04
And they're just as surprised as you
as where those words came from.
01:08
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.
01:19
Now, dysarthria is difficulty with
the muscular control of speech.
01:24
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.
01:36
So, it affects the mechanics of your
speech, not the meaning.
01:40
So they know what they want to say,
they just have a hard time saying it.
01:45
Think about if you went to the dentist
and they numbed your tongue.
01:48
You know, when you come out,
you're like, "Ha, ha, ha,"
that's kind of what the patient may feel.
01:53
So, they understand what you're saying.
They know what they want to say.
01:58
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.
That's dysarthria.
02:12
So, pause for a minute,
and think about what's the difference between
dysarthria, aphasia, and dysphasia?
Go ahead and pause the video.
02:25
Write a couple notes to yourself
without looking at your notes.
02:28
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.