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Neurological Communication Disorder

2. Service


Neurological Communication Disorder is a collective term for acquired neurological language disorders which affects language comprehension and production resulted from brain damages by stroke, encephalitis, traumatic brain injury and brain tumor, etc. Neurological Communication Disorder includes Aphasia, Apraxia and Dysarthria.

ENT Laser – A Decade of Excellence

  • Since 2003, experienced Speech Therapists of ENT Laser have brought intensive clinic and outreach services to clients in need of communication rehabilitation.
  • Besides from in-patient speech therapy services, our Speech Therapist extended our services to public and private hospitals, elderly homes, and households for the past ten years.
  • Speech Therapists from our centre volunteered in regular communication rehabilitation groups of Neuro United (a non-government self-help organization), providing rehabilitation training to patients who suffered from stroke or dementia.

 Introduction

  • Aphasic patients might have difficulties in comprehension and expression, speech organization, reading and writing, etc. Symptoms include:
    • Word-finding difficulties: Aphasic patients might not able to find the right word to say. They might circulate around the topic but is unable to tell the exact wordings. Some patients might simply tell you, "I can't remember the word." or "I don't know how to say that."
    • Circumlocution: Some Aphasic patients might be able to speak fluently but you may find that the content lacks coherence or the patient is telling something unrelated. Some patients might have grammatical errors in their speech.
    • Slurred speech: Due to deficient facial and oromusculature, Aphasic patients might have articulation errors. For example, slurred speech, voice too soft like murmuring, speech rate too fast or too slow, hoarse voice.
    • Reading and Writing Difficulties: Aphasic patients' reading and writing ability might be impaired. They might forget how to read and write simple and common words.
  • Apraxia is one kind of motor speech disorder. Apraxic patients have difficulties in motor planning and programming of the speech articulators. Symptoms include: inconsistent articulatory errors, groping oral movements to locate the correct articulatory positions, and increasing errors with increasing word and phrase length.
  • Dysarthria is also one kind of motor speech disorder. Due to weakness/paresis and/or paralysis of the musculature of the oral mechanism, resonance, phonation, respiration, articulation and prosody of the patients could be affected.

 Assessment

Speech Therapist will assess and make accurate diagnosis in the following areas:
  • Language comprehension and production (including word, sentence and passage comprehension, naming, word-finding ability, repetition, speech organization, and reading and writing abilities).
  • Articulation(including assessing the strength, coordination, rate, and range of movement of the muscles of jaw, lips, tongue, palate).
  • Motor speech planning and programming.

 Treatment

Individual therapy will be tailor-made for patients. Speech Therapist will set treatment goals according to the patient’s daily communication needs. Training goals can include strengthening word-retrieval, enhancing speech organization, increasing strength and control over articulator muscles, improving articulation, voice and breathing exercises, etc.
 
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“ My therapist is professional, tender, patient and experienced, teach her in gradual steps and often encourage her.