Trump's speech at his Great American State Fair exposed signs of what a specialist is calling his "neurological decline."
In a recent video, Hilary Shae, a licensed speech-language pathologist, pointed out that Trump "couldn't say 250th anniversary" or the word magnificent. She shared clips that showed Trump stopping hard as those words came up.
"Difficulties that Donald Trump has with saying specific words are consistent with dysarthria and ataxia or apraxia," Shae said. "They can occur after a stroke. They can occur with other brain disorders and dementia."
People who have apraxia or ataxia struggle with "phonemic paraphasias," Shae continued. "Phonemic paraphasias are when the motor speech required to coordinate words and syllables together are not coordinated appropriately."
An example would be if a person trying to say telephone accidentally uttered it as "teflone," Shae said, explaining that it's "because my sounds got mixed up, and that is what's happening a lot of the time with Donald Trump's speech."
Trump's brain is having trouble with "the coordination of these syllables in order and in connected speech," Shae said. "It's not just one word because the more syllables that you have, the higher level of motor coordination is required to maintain appropriate speech-sound coordination."
However, the other possibility is that Trump has "something called dysarthria, and dysarthria is kind of like a weakness over time of use," Shae said. "So when someone is speaking, and over a short period of time, they might lose their breath, their voice might go really low."
According to Shae, "He does that a lot in this speech" that he delivered for the Great American State Fair.
"He does that a lot in this speech, and I do think this is one of the newer symptoms," she said. "He has this dysarthria that could be consistent with a TIA, which is a transient ischemic attack, or a stroke."