| Abstract: | Seventy-four aphasic patients, subdivided into four groups (fluent, mixed, nonfluent, and severely nonfluent), were tested three times in the course of 1 year to assess recovery of spontaneous speech and sentence comprehension. Although 12 of the 28 spontaneous speech variables employed showed significant time changes, some of these changes indicated improvement and others deterioration. There was no overall clinical improvement in spontaneous speech in any group. On the sentence comprehension tests, however, all four groups did show considerable, significant improvement. There were no qualitative or quantitative differences among the groups in the course of recovery, despite the fact that the groups differed in the severity of aphasia as well as on the fluency dimension. In certain patients there was also some improvement in spontaneous speech, but this did not in most cases correlate with an improvement in either fluency or sentence comprehension. Possible reasons why receptive abilities improved more than expressive abilities are discussed. |
