Abstract

There are four classification levels for speech disorders namely dysphonia, dysarthria, dysprosody and dysphasia. In general, speech examination mainly focuses on three main components that are spontaneous speech, auditory comprehension, and oral motor examination. Quick bedside assessment on speech in Bahasa Malaysia is essential to assist the speech language therapist (SLT) and other physicians to determine the disorders. Speech therapy is also essential in monitoring and continuous assessment for patients with speech and language disorders such as dysphasia and dysarthria. Speech clinicians in Hospital Universiti Sains Malaysia (HUSM) have been adapting two most widely used batteries of speech assessment tools namely Western aphasia battery-revised (WAB-R) by Andrew Kertesz and Boston diagnostic aphasia examination (BDAE). These tools have been modified into simple and validated speech assessments in Bahasa Malaysia. This video manuscript will demonstrate the use of both tools in performing bedside speech assessment for patients with speech disorders. The Bahasa Malaysia speech examination should not be difficult when WAB-R and BDAE speech assessment tools are applied. The aim of this simple approach using the adapted version of BDAE and WAB-R is to assist the clinician to achieve quick and accurate diagnosis with a validated scoring system.

Highlights

  • There are 32.7 million people in Malaysia with diverse cultures and sharing different beliefs, customs, values, religions and languages [1]

  • Receptive aphasia is known as Wernicke aphasia or fluent aphasia whereby a lesion happened in the Wernicke area of the brain that is responsible for comprehension of spoken words or written words [3]

  • The speech language therapist (SLT) in Hospital Universiti Sains Malaysia (HUSM) has been using two modified diagnostic aphasia batteries known as the Boston diagnostic aphasia examination (BDAE) (Appendix 1) [4] and Western aphasia battery-revised (WAB-R) by Andrew Kertesz (Appendix 2) [5]

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Summary

Introduction

There are 32.7 million people in Malaysia with diverse cultures and sharing different beliefs, customs, values, religions and languages (estimated: 69.1% Malay, 23.0% Chinese, 6.9% Indians and 1% others) [1]. The speech language therapist (SLT) in Hospital Universiti Sains Malaysia (HUSM) has been using two modified diagnostic aphasia batteries known as the Boston diagnostic aphasia examination (BDAE) (Appendix 1) [4] and Western aphasia battery-revised (WAB-R) by Andrew Kertesz (Appendix 2) [5]. These tools have been used to perform a neurological examination of speech in HUSM among the Malay language speakers in Kelantan. BDAE and WAB-R are the best batteries to achieve an accurate diagnosis of speech disorders in adults These batteries have been carefully adapted and translated into Bahasa Malaysia for the ease of communication and quick bedside assessment. Any improvement or deterioration from the first assessment can be monitored by per cases basis

Methods
Conclusion and Future Studies
Conversational Questions
Yes/No Questions
Angkat tangan
Responsive speech
Reading Comprehension Of Sentences
Askar bawa - Senjata - Tembak - Permata - Barang runcit
Reading Commands
Spoken Words – Written Word Choice Matching
Letter Discrimination
Writing to Dictation
Copying of Words of a Sentence
Full Text
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