Praxis SLP Licensure Exam

What type of speech issue is most likely characterized by a sudden onset following stroke recovery?

1. Functional stuttering

2. Developmental stuttering

3. Neurogenic stuttering

4. Psychogenic stuttering

The correct answer is: Neurogenic stuttering

Neurogenic stuttering is characterized by a sudden onset that can occur following a neurological event, such as a stroke. This type of stuttering results from changes in the brain that affect the coordination of speech production. Patients may have a history of normal fluency before the neurological event, and the onset of stuttering can be abrupt, often right after the stroke. In contrast, functional stuttering typically arises in the absence of neurological impairment and does not have a specific medical cause, whereas developmental stuttering usually develops early in childhood without a known onset tied to medical events. Psychogenic stuttering is often associated with emotional or psychological trauma, and its onset can be variable but is not typically linked to a physiological cause like a stroke. Thus, the unique association of neurogenic stuttering with a sudden onset after a neurological event makes it the correct response in this scenario.