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Articulation also becomes more difficult when a word or phrase requires an articulation adjustment, in which the lips and tongue must move in order to shift between sounds. For example, the word "baby" needs less mouth adjustment than the word "dog" requires, since producing "dog" requires two tongue/lips movements to articulate.
Speech errors are made on an occasional basis by all speakers. [1] They occur more often when speakers are nervous, tired, anxious or intoxicated. [1] During live broadcasts on TV or on the radio, for example, nonprofessional speakers and even hosts often make speech errors because they are under stress. [1]
[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.
Palilalia has been theorized to occur in writing and sign language. [5] [9] A case study by Tyrone and Moll examined a 79-year-old right-handed deaf man named PSP who showed anomalies in his signing. [9] PSP had learned British Sign Language (BSL) at the age of seven and had developed left-sided weakness and dysphagia at age 77.
Lip reading, also known as speechreading, is a technique of understanding a limited range of speech by visually interpreting the movements of the lips, face and tongue without sound. Estimates of the range of lip reading vary, with some figures as low as 30% because lip reading relies on context, language knowledge, and any residual hearing. [ 1 ]
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Oral-Motor Exam: An exam of the mouth and muscles involved in speech (e.g., lips, tongue, jaw) helps determine if there are any structural or motor problems causing the disorder. Cause Identification: Based on the results, the SLP determines the likely cause of the speech sound disorder.