Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/20/2025

Speech and Language Disorders

Types of Speech and Language Disorders

  • Aphasia impacts multiple linguistic domains including word finding, comprehension, expression, reading, and writing, according to the American Academy of Neurology 1
  • Semantic aphasia is characterized by difficulties in word retrieval and understanding word meanings, as noted by the American Academy of Neurology 1
  • Non-fluent/agrammatic aphasia features apraxia of speech and grammatical difficulties, as reported by the American Academy of Neurology 1
  • Logopenic aphasia results in word-finding difficulties and phonological working memory issues, according to the American Academy of Neurology 1

Dysphonia

  • Dysphonia refers to impaired voice production as recognized by a clinician, according to the American Academy of Otolaryngology-Head and Neck Surgery 2
  • Dysphonia affects nearly one-third of the population at some point in their lives, as reported by the American Academy of Otolaryngology-Head and Neck Surgery 2

Assessment and Diagnosis

  • Motor speech evaluations establish the presence and severity of speech disorders by examining components including respiration, phonation, resonance, articulation, prosody, and overall intelligibility, as recommended by the American Heart Association 3
  • Comprehensive assessment should include evaluation of multiple domains of language including comprehension, expression, repetition, reading, and writing, according to the American Academy of Neurology 1
  • Laryngoscopy is recommended when dysphonia fails to resolve within 4 weeks or if a serious underlying cause is suspected, as suggested by the American Academy of Otolaryngology-Head and Neck Surgery 2

Special Considerations

  • For bilingual and multilingual patients, communication assessment of each language is recommended, according to the American Heart Association 3
  • Treatment of functional communication disorders should include explanation of the diagnosis, symptomatic interventions, behavioral approaches, and psychological support, as recommended by the American Academy of Neurology 5