Speech-Language Therapy: Working with a Patient with Fluent Aphasia

Burke Rehabilitation Center's Speech-Language Pathology Department offers outpatient evaluation and treatment services to individuals with communication impairments, cognitive-communication, swallowing, or voice problems caused by stroke, traumatic brain injury, or other forms of neurological conditions or trauma.
For more information, please call [phone] or visit www.burke.org/o...
Burke Rehabilitation Center is located in White Plains, NY

[@mindofmyown333]

The therapist does a fantastic job of keeping the patient engaged. Before the gentlemen gets frustrated, she does an excellent job of not letting him.

[@AnoopSaul]

mindofmyown333 a

[@daniellezm]

Thank you for sharing this. I loved how "rented a car" became "rented a Cadillac." Upgrade! :)

[@annkulichik1663]

This therapist is terrific!

[@sineadbanfield7668]

This gentleman has fluent aphasia so the SLT had to keep getting his attention and re explaining because his comprehension is impacted. This is Wernickes aphasia. He finds instructions difficult. With stroke or brain injurys aphasia can be assisted with a speech disorder such as apraxia or dysarthria.

[@Thebobwil]

Aw he is a very sweet gentleman!

[@miriesco2182]

Thank you- I am going to be a SLP and this gave was wonderful!

[@jackielovesful]

You're amazing! I love this field!

[@Claire-West]

Wow! I want to know how he's doing now!

[@candorpluslove]

Awesome persistence :)

[@monmariaeuavcguerche5340]

hi please i need more exercices for aphasia my husbunt suffer for it after his stroke 16 months ago please help me

[@Trabekula]

It's very hard to work with these patients. Good luck and arm oneself with patience!

[@targetscreen6406]

Please my father understand's everythings but when he trys to speek the words are so hard for him to say out somtimes he speeks out but with a very difficulty.

[@hayleebeggs]

Thank you for sharing!

[@BurkeRehabilitation]

You're welcome!

[@brookemc7704]

does he have apraxia of speech and mild/moderate receptive aphasia? but no semantic deficits?

[@marshaul]

It took me the first 5 minutes to realize that her "tor" was in fact supposed to be "tour".

[@articfixer1]

I agree. She is from the East Coast and perhaps they pronounce it differently there. When she said "tor" bus I realized what she meant.

[@shawanafarhat542]

Why does she make him do the second task? the spontaneous speech? I'm guessing last task was to check comprehension. Also, does he have Wernicke's aphasia or conduction :) thanks

[@kalistageraghty6722]

thanx for sharing. ater a stroke how long does it take for a person to talk as they did again. ik of a young man just had one last week or two ago ty

[@zizicocabo]

Does this man have Wernicke's or Conduction Aphasia? He seems to have relatively good comprehension and poor repetition which makes me think Conduction- what are other people's thoughts?

[@ashleycho9718]

+Rebecca O Malley I was thinking that it was Conduction Aphasia

[@ncqh2810]

+Rebecca O Malley Yeah I'm not sure if you can call this "fluent aphasia" which is synonymous with Wernicke's aphasia. It seems like the pt has Broca's aphasia which would be non-fluent aphasia.

[@SierraSpeech]

When he is conversing, he has more than 7 word utterances, which means it is fluent and it looks like Conduction aphasia.

[@rebeccaanon685]

Is this an example of phonemic paraphasia?

[@samm.3320]

i'm curious, what is going on in this man's brain that makes saying a phrase so difficult?

[@danicalifornia2405]

Sam M. Well basically, this man probably had an injury to the brain, such as a stroke. A certain part of the brain was damaged (if I had to guess, it'd be the left temporal lobe), causing issues in receptive speech, which is why he sometimes has a problem repeating things he hears. Aphasia just basically causes issues coming up with the words the person wants to say. That's the general way to describe it, hope that helped!

[@rebeccaanon685]

***** Is this an example of phonemic paraphasia?

[@danicalifornia2405]

I would call this conductive aphasia, but I don't have a degree so don't quote me! haha Rebecca Anon

[@Hakudohshi]

Sam M. As far as I know, the most likely cause of Fluent Aphasia is damage to a region of the brain called Wernicke's area.

[@Elle6141]

***** Conduction aphasia is a type of fluent aphasia characterized by difficulty with repetition tasks, but this particular patient most likely has Wernicke's aphasia. www.asha.org/Glossary/Conduction-Aphasia/ www.asha.org/Glossary/Wernickes-Aphasia/

[@racheljohnson8550]

just out of curiosity, does she keep saying look at me because she wants him to read her lips and see how her mouth moves as well?

[@monimmp]

yes, it makes it easier for the patient to mimic her lips to form the same with his own mouth, also making it easier for the right words to come out

[@katepetter3063]

she seems like she's talking down to him.

[@john1543]

I disagree. This is affirmative patient-therapist manner and encourages the patient to relax while also engaging themselves.

[@tchuncly]

Quite the contrary. She's treating him like an adult man, rather than infantilising him as many therapists do.