Phonoaudiologic follow-up of a non-fluent aphasic person: focus on sensory motor continuity

Abstract

This work discusses, under a Discursive Neuro-linguistic point of view, the bucofacial praxia conditions and oral production (speaking) of a non-fluent aphasic person (IR). The Language Regulating Function notion (vygotskyan postulate referring to direct or indirect participation of the language in the organization and in the functioning of all psychic/cognitive processes) which means to assume it as a constitutive activity (FRANCHI, 1977) – an activity that at the same time we build it as a significant and communicative system (formal/language system), we build he person and his interactions with the physical and social world as well. In this perspective, the oral production is considered as a sophisticated activity of orofacial structure modalization, their effects analysis in organic terms (acoustic-articulatory and tactile-kinetic) and sense; thus, we know that previous brain lesions commit significantly the bucofacial praxia and oral production conditions. We are trying to show how the assessing and therapeutic procedures that work simultaneously with the sensory-motor continuity and with linguistic-cognitive work, favor the facial expression and/or the oral production of someone with damaged brain. Data from the IR therapeutic process show her reading or speaking more fluently when she can identify what happens with her and when he shifts her attention from what she is reading or speaking. Despite having part of their brain structure modified, we can say that aphasic people keep themselves social and with language possibilities – carry out, as non-aphasic people, a linguistic-cognitive work – that must be taken into consideration by therapeutists that follow them up.