Aphasia is a communication disability that can result from damage or injury to those parts of the brain that process language. It can happen due to stroke, brain tumors, accidents, or brain infection. A brain injury which damages parts of the brain that deal with language can also bring on Aphasia. Aphasia can also be caused by dementia such as Alzheimer s disease. Aphasia is sometimes also a symptom of epilepsy or other neurological disorders.

It s more common in older adults, especially after a stroke. What happens in Aphasia is that the affected person is unable to understand or use words. He or she may also:

Have difficulty speaking and finding the "right" words to express themselves verbally
Have problems understanding conversation
Have problems reading and comprehending written words
Have problems writing words
Is unable to calculate or use numbers
Has a tendency to use gibberish words as a part of speech
There are various types of Aphasia, differing in certain important ways from each other.
Aphasia can also be mild or severe. With mild Aphasia, the patient is able to converse, though he may not be able to find the right word or may not understand complex conversations.
However, in severe Aphasia, a person may lose his ability to communicate completely which means he can t speak or understand any conversation and may also not be able to read or write.

Three things that aid Aphasia recovery are

Speech Therapy
Family Support
Persistence
Treatment for Aphasia depends on factors like:

Age
Cause of brain injury which causes Aphasia
Type of Aphasia
Position and size of the brain lesion causing Aphasia
If the Aphasia is due to a brain tumor, surgery to remove the tumor affecting the language centre can treat Aphasia.
For a person who s got Aphasia due to a stroke, sessions with a speech-language specialist are very effective. The therapist teaches the patient ways to communicate using stuff that doesn t involve speech.
He uses the following to help the patient communicate without words:

Props
Drawings and pictures
Teaching patient to speak slowly and be calm when talking.
Treatment techniques
The speech therapist uses these two main techniques to tackle Aphasia:

Substitute skill model: This uses a prop like a writing board to help with spoken language.
Direct treatment model: This approach uses specific exercises to help patients
Copy and recall therapy (CART): This approach uses repetition and recall of certain words during speech therapy.
Visual communication therapy (VIC): This involves the use of index cards to represent various components of speech.
In addition, Aphasia patients are also trained in the use of hand gestures to aid in communication as a part of  Visual Action Therapy (VAT) .

Aphasia - Factors That Put You At Risk!

Voice results from the air that comes out of the lungs and passes through the vocal cords. The latter is also known as the voice box. Speech results from the vibration of the chords. Voice disorder might occur for various reasons such as tone, pitch, and volume of the if the voice. The roots of all problems boil down to the malfunctioning of the cords.

Voice disorder examples:

Laryngitis: Laryngitis results from the swelling of the vocal cords. It can lead to a temporary halt of voice or a voice with hoarseness. It often occurs due to a viral attack in the respiratory tract. It can last from a few days to a few weeks. The treatment suggested for cases like these include resting the voice and intake of a lot of fluids. Some common causes that are responsible for laryngitis are GERD, chronic cough, and asthma.
Vocal cord paralysis: Paralysis of the vocal cord can be temporary or permanent. The possible cause of this scenario can be from viral infection, cancer, surgical injury to the nerve etc. In the case of a paralysis of the vocal cord, a person might find difficulty in breathing, can result in weak voice etc. While this condition improves for many people with voice therapy and surgery, for some they permanently lose their ability to speak.
Spasmodic dysphonia: The vocal cord spasm due to a problem with the nerve. This condition can lead to a quivery, hoarse, groaning or jerky voice. In this condition, a person might find it easy to speak at times and have difficulty in speaking later. Botulinum toxin and speech therapy help to improve this condition.
Possible causes of voice disorders:

Growth: Extra tissue formation on the vocal cords might stop the vocal cords to work properly leading to voice disorders. The growth can be treated with injection, medicine or surgery.
Swelling and inflammation: Exposure to chemicals, vocal and alcohol abuse, surgery-related complications can lead to inflammation or swelling of the vocal cords resulting in voice-related problems.
Hormone: Disorder of the male, female and thyroid hormone can lead to voice related disorders affecting speech.
Symptoms of voice disorders:

The harshness of the voice
Voice is breathy, weak and whispery
The voice sounds like choppy or strained
A quivering sound while speaking
The voice sounds harsh or rough while speaking
Diagnosis of Voice related disorders:
Voice related disorders can be detected through a process known as Laryngoscopy. This helps a doctor to view the throat region and find out the possible culprit that may be causing the problem. Some other popular methods are stroboscopy, EMG and imaging tests such as MRI and X-Ray of the throat.

Voice Disorders - Signs You Are Suffering From It!

When it comes to speech, every child has a different pace of learning. In the first year, they should be able to recognize and respond to their own names and simple directions like  come , etc. By a child s second birthday, he or she should be able to use a single word or two-word phrases and understand simple questions. If a child s speech development seems atypical for his or her age, you may need to consult a speech therapist. Some of the things you should look out for are:

Mispronouncing vowels: Many children have problems with pronunciation. Pronouncing  bath  as  baf  or  animal  as  amal  is normal. However, if they cannot pronounce vowels correctly, they may be having problems with articulation. For example, your child might say  coo  instead of  cow .
Using only single words: Part of a speech therapist s job is to teach a child to join words together to create phrases and sentences. If even after your child s second birthday, they still prefer using single words instead of phrases, you should consult a speech therapist. For example, they may just say  water  instead of  i want water .
Stuttering: Many children are shy and hesitant of speaking especially in front of strangers. However, stuttering is a more serious problem. This could be in the form of repeating syllables or prolonging words. For example,  s-s-s-s-s-stop  or  mmmmmm me . If this is not nipped in the bud, it could continue into the child s adult life as well.
Answering a question by repeating part of it: By the age of three years, a child should be able to understand and answer simple questions. If the child answers a question by repeating part of it, such as answering  do you want food  with  you want food , it could be a sign of a bigger problem. This is known as echolalia and might be an early symptom of autism.
Limited vocabulary: Each child s vocabulary grows at a different rate but it is important to be able to notice an increase in the child s vocabulary from month to month. If the child uses only a finite set of words and does not catch on to new words, you may need a speech therapist. They can help the child expand their vocabulary and become more receptive to new words.
Other factors you should watch out for include difficulty with pronouns, not being able to follow instructions and understand prepositions and confusion with gender.

When Does My Child Need Speech Therapy?

Speech therapy is a very distinct form of science that is often misunderstood by people in general. While the benefits of such a therapy is countless, people misinterpret what the therapy actually involves and what it does not. If you are avoiding speech therapy due to the following reasons, you should stop doing so as these are nothing but fabricated myths.

Speech therapy is all about talking: Do not think that speech therapy only involves talking with the therapist. The therapy focuses on the overall communication skills of a person, which definitely involves the speech but also the intricacies of articulation and body language. Sign aids and comprehension skills are also paid attention to in such a therapy session. So, if you feel that you have a problem regarding any one of these aspects, you need to visit a speech therapist.
Speech therapy is uninteresting: Nothing can be further from the truth than this. In fact, a visit to a dentist can be boring, but a visit to a speech therapist will always involve interesting activities such as tongue twisters. The therapists often treat children, which means that their offices, house toys, and other games designed to indulge the minds of infants as well.
A qualified speech therapist is needed for the therapy: Another myth, which needs to be dispelled, is that only a qualified speech therapist can help improve the speech of a person. In fact, any person who has a vast knowledge of diction, linguistic insight, and knowledge of grammar can help people with speech impairment. So, before visiting the doctor, the adults in the family should try and clear out the impairment themselves.
Speech therapy fixes issues in the snap of a finger: As with any kind of treatment, speech therapy does not work like magic. It is a continuous and long process that needs to be followed through. The pace of this treatment depends on the patient. Some patients are more receptive to this therapy than others. So, there is no guideline for the treatment of all speech-impaired individuals and one needs to be treated and allowed to get better at their own pace.
Your child will automatically learn perfect speech: If your child suffers from a speech impairment, do not delay a therapy session by thinking that he/she will automatically learn to speak better as they grow up. This way of thinking is not beneficial and hinders the eventual treatment for the impairment. The speech therapist can help you better if you bring your child to him/her as soon as you detect an issue. 

Don't Let These Myths Turn You Off From Speech Therapy

Trouble with speech arises from a number of issues in the brain or the nerves that are responsible for the control of the larynx, vocal cords and facial muscles. Muscular disorders end up affecting the teeth, mouth and jaws which in turn will invariably impair speech. Sometimes many of the health conditions are present since childbirth whereas others might occur because of infections, injury, tumors and metabolic diseases.
There are different kinds of speech disorders; they are -

Aphasia is the inability to comprehend language in any form (written, spoken) and generally takes place because of disturbances in the brain.
Dysarthria is the condition that makes articulation difficult for patients suffering from it. Symptoms associated with dysarthia are difficulty swallowing and slurred speech.
Spasmodic dysphonia makes speaking a difficult job because of recurrent muscle spasms. These muscles affected in this disorder control the vocal chords, and therefore your speaking ability.
As most of the cases of speech disorders start to show early on in childhood, how can you tell if your child needs speech therapy?
Here are five signs that you should keep an eye out for:

There is a distinctive lack in social mixing or interactions. Children who are not able to comprehend and effectively respond to what you say need to be evaluated.
By the time the baby is twelve months old, she or he would be able to create words. By the time they turn eighteen months old they are able to connect words. If the ability to create such words or make gestures or sounds are absent or are markedly reduced in your child then you need the help of a speech therapist.
Parents are capable of understanding what their child says by the time they turn one and a half to two years old. If this is not the case then you will have to seek the help of a therapist.
If your baby is nearly three years old and is still incapable of uttering simple words such as  Daddy sleep ,  mommy hungry  then you might need external help.
If your precious baby is significantly facing trouble with consonants such as  ma   ba ,  pa  at the age of two or is incapable of making sounds such as  k  or  g  then your child most likely has a speech disorder. You should get him evaluated at the earliest.

5 Telltale Signs That Your Child Needs Speech Therapy!!

Change in voice or voice mutilation happens when the voice breaks that commonly occur when a person reaches puberty. Before puberty, almost all the girls and boys have the same voice pitch. But after puberty, a boy s voice deepens an octave and the girl s voice deepens only several tones. Therefore, it becomes easy to identify the gender through voice. 

Another type of change in voice is known as voice crack. It happens when a person unintentionally enters a higher voice pitch zone for a brief period of time. It may be due to singing, shouting, talking in noise, and several other reasons. Also, there are several medical conditions leading to voice break or hoarseness. 

Medical Causes for Change in Voice

Acute Laryngitis: In this, the hoarseness or voice loss starts suddenly. One of the reasons can be a viral infection that causes swelling of vocal cords. Staying hydrated and less talk can treat it. 

Chronic Laryngitis: It can cause acid reflux disease. Exposure to irritating smoke, infections of vocal cords, or asthma can be some of the reasons. It can be cured only through medication.

Laryngopharyngeal Reflux Disease: This problem causes a change in voice. Due to this disease, people may also suffer from swelling issues, a lump in the throat, hoarseness in voice, and throat pain. 

Voice Misuse: Excessively loud voice, prolonged talking, and inefficient voice use can cause a change in voice and also known as voice misuse. 

Risk Factors That Can Cause Voice Disorder

Aging, alcohol use, and allergies are some of the major reasons for the voice disorder. Apart from these, smoking and throat cancer also results in a change in voice or voice disorders. All these are highly risky causes for the throat and may result in long-time problems. 

Some other risk factors are thyroid, psychological stress, and neurological disorder. 

How to Treat Voice Disorder?

One can use an air humidifier to keep the air of the surrounding moist because breathing moist air is a simple solution to the problem.

Giving rest to voice is also a solution.

One must drink plenty of liquids to keep the throat hydrated.

One must avoid whispering and decongestants to take care of the throat.

One must avoid shouting for a long time.

Avoid staying in a polluted area for a long time.

Gargling the throat every day with lukewarm water is good.

Staying warm during winters is also necessary.

All these remedies are simple and can be tried comfortably. A simple change in voice can turn out to be serious if not taken proactive measures. Therefore, one must not ignore any small unintentional change in the voice.

Conclusion
One must consult ENT doctor immediately for any sudden change in voice and if the problem lasts for a long period of time. 



Change In Voice - What Can Cause It?

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