Afazja
Leczenie
Afazja to zaburzenie językowe wynikające z uszkodzenia mózgu, które wpływa na mówienie, rozumienie, czytanie i pisanie, nie obniżając przy tym inteligencji pacjenta. Podstawą leczenia jest terapia logopedyczna, dostosowana indywidualnie do deficytów i potrzeb pacjenta, obejmująca terapie ukierunkowane na deficyty (np. stymulacja umiejętności słuchania, mówienia, czytania i pisania) oraz terapie ukierunkowane na komunikację (wzmacnianie komunikacji i wsparcie opiekunów). W terapii stosuje się m.in. analizę cech semantycznych, fonologicznych, terapię intonacji melodycznej (MIT), terapię opartą na ograniczeniach (CILT) oraz treningi konwersacyjne. Intensywne programy terapeutyczne, takie jak 4x4x4 (4 godziny dziennie, 4 dni w tygodniu przez 4 tygodnie) czy ICAP (ponad 60 godzin terapii), wykazują lepsze efekty w poprawie funkcji językowych i jakości życia pacjentów, nawet w fazie przewlekłej afazji. Wspomagająco stosuje się technologie, w tym aplikacje mobilne, telerehabilitację oraz wspomagającą i alternatywną komunikację (AAC).
- Afazja – leczenie i podstawy terapii
- Metody terapii logopedycznej w afazji
- Terapia ukierunkowana na wyszukiwanie słów
- Terapia intonacji melodycznej
- Terapia oparta na ograniczeniach
- Treningi konwersacyjne
- Terapia ukierunkowana na rozumienie i czytanie
- Terapia grupowa
- Intensywne programy terapii afazji
- Technologia w terapii afazji
- Aplikacje i programy komputerowe
- Telerehabilitacja
- Alternatywne i wspomagające metody komunikacji (AAC)
- Farmakologiczne i biologiczne metody leczenia afazji
- Rola rodziny i opiekunów w terapii afazji
- Zaangażowanie rodziny w terapię
- Techniki wspierania komunikacji
- Grupy wsparcia i zasoby społecznościowe
- Rokowanie i efekty terapii afazji
- Podsumowanie i przyszłe kierunki w terapii afazji
Afazja – leczenie i podstawy terapii
Afazja to zaburzenie komunikacji, które wpływa na zdolność mózgu do przetwarzania języka. Osoby z afazją mogą mieć trudności z mówieniem, rozumieniem mowy, czytaniem i pisaniem, co może prowadzić do znacznych ograniczeń w codziennym funkcjonowaniu. Podstawą leczenia afazji jest terapia logopedyczna, która stanowi główny filar postępowania terapeutycznego12. Choć afazja wpływa na zdolność komunikacji, ważne jest podkreślenie, że nie wpływa ona na inteligencję pacjenta3.
Leczenie afazji powinno być zindywidualizowane i dostosowane do specyficznych potrzeb pacjenta, uwzględniając obszary deficytów zidentyfikowane podczas oceny diagnostycznej oraz cele określone przez osobę z afazją i jej opiekunów4. Kluczową rolę w leczeniu afazji odgrywają logopedzi, którzy przeprowadzają kompleksową ocenę umiejętności językowych w celu potwierdzenia obecności afazji i określenia odpowiedniego planu terapii5.
W przypadku łagodnego uszkodzenia mózgu możliwe jest odzyskanie umiejętności językowych bez leczenia, jednak większość pacjentów wymaga terapii logopedycznej w celu rehabilitacji umiejętności językowych i wspierania doświadczeń komunikacyjnych5. Terapia logopedyczna ma na celu poprawę zdolności komunikacyjnych poprzez przywracanie jak największej liczby umiejętności językowych, uczenie radzenia sobie z utratą tych umiejętności oraz znajdowanie alternatywnych metod komunikacji53.
Podejścia do terapii afazji
Istnieją dwie główne kategorie terapii afazji, które większość klinicystów wykorzystuje w praktyce6:
- Terapie ukierunkowane na deficyty (impairment-based therapies) – mają na celu poprawę funkcji językowych i obejmują procedury, w których klinicysta bezpośrednio stymuluje określone umiejętności słuchania, mówienia, czytania i pisania6.
- Terapie ukierunkowane na komunikację (communication-based therapies, consequence-based therapies) – mają na celu wzmocnienie komunikacji za pomocą wszelkich dostępnych środków oraz zachęcenie do wsparcia ze strony opiekunów6.
Terapia dla osoby z bardzo łagodnym upośledzeniem będzie różnić się od terapii dla osoby z bardzo ciężkim upośledzeniem. Osoby z afazją początkowo chcą lepiej mówić i rozumieć język mówiony przez innych. Terapie koncentrują się na zadaniach, które pozwalają danej osobie jak najlepiej rozumieć i mówić6. Badacze kliniczni opracowali terapie ukierunkowane na konkretne obszary upośledzenia językowego, takie jak przywoływanie czasowników i formułowanie struktury zdania6.
Holistyczne, skoncentrowane na osobie podejście jest zgodne z ramami Międzynarodowej Klasyfikacji Funkcjonowania, Niepełnosprawności i Zdrowia (ICF) Światowej Organizacji Zdrowia (WHO) z 2001 roku, z nadrzędnym celem interwencji polegającym na pomocy osobie w osiągnięciu najwyższego poziomu funkcjonowania w codziennym życiu7.
Metody terapii logopedycznej w afazji
Terapia logopedyczna jest głównym filarem leczenia afazji. Obejmuje ona różnorodne techniki i podejścia, które są dostosowywane do indywidualnych potrzeb pacjenta. Poniżej przedstawione są najczęściej stosowane metody terapeutyczne w leczeniu afazji8.
Terapia ukierunkowana na wyszukiwanie słów
Jednym z najbardziej powszechnych problemów w afazji są trudności z wyszukiwaniem słów. Istnieje kilka metod terapeutycznych ukierunkowanych na ten obszar910:
- Analiza cech semantycznych (Semantic Feature Analysis) – pomaga pacjentowi wzmocnić połączenia między słowami, z celem ułatwienia ich przywoływania. W tej metodzie pacjent opisuje cechy semantyczne danego słowa, co ma ułatwić jego znalezienie1011.
- Analiza komponentów fonologicznych (Phonological Component Analysis) – pomaga pacjentom znaleźć słowo poprzez opisanie cech fonologicznych tego słowa11.
- Terapia wzmacniania sieci czasowników (Verb Network Strengthening Treatment – VNeST) – ma na celu poprawę wyszukiwania słów i budowanie zdań12.
Terapia intonacji melodycznej
Terapia intonacji melodycznej (Melodic Intonation Therapy – MIT) opiera się na obserwacji, że niektóre osoby z afazją lepiej śpiewają niż mówią13. W tej metodzie pacjenci wykorzystują elementy muzyki, takie jak rytm i wysokość dźwięku, aby na nowo nauczyć się mówić914.
Terapia śpiewu dla afazji jest skuteczna, ponieważ zachęca osoby do ćwiczenia umiejętności językowych przy jednoczesnym angażowaniu prawej półkuli mózgu. Terapia ta służy jako angażująca forma terapii mowy, która zachęca osoby do powtarzania śpiewania słów, które chcą wypowiedzieć14.
Terapia oparta na ograniczeniach
Terapia afazji oparta na ograniczeniach (Constraint-Induced Language Therapy – CILT) jest prawie przeciwieństwem strategii kompensacyjnych, w których osobę z afazją zachęca się do wykorzystania nienaruszonej zdolności do komunikacji13. Ta terapia wymaga od osoby z afazją komunikowania się tylko poprzez mówienie15.
Na podstawie przeprowadzonych badań wykazano, że jest skuteczna w poprawie funkcji językowych w zakresie nazywania, rozumienia, powtarzania, języka pisanego i języka mówionego. Jednak ze względu na niespójne wyniki badań i potrzebę uzyskania większej liczby dowodów, konieczne są dalsze badania i ocena tej terapii15.
Treningi konwersacyjne
Treningi konwersacyjne stanowią ważny element terapii afazji9:
- Coaching konwersacyjny (Conversational Coaching) – w tej metodzie logopedzi analizują, jak zachowanie danej osoby wpływa na rozmowę9.
- Wspierana konwersacja dla dorosłych z afazją (Supported Conversation for Adults with Aphasia – SCA) – w tej terapii skupia się na partnerze komunikacyjnym, a nie na pacjencie16.
- Promowanie efektywności komunikacyjnej afatyków (Promoting Aphasics Communicative Effectiveness – PACE) – promuje poprawę komunikacji poprzez wykorzystanie konwersacji jako narzędzia do nauki17.
Podejście oparte na kontekście do leczenia afazji płynnej, podkreślane przez szanowanego dr. Roberta Marshalla, akcentuje tę terapię jako punkt wyjścia we wczesnych stadiach terapii. Podejście to może pomóc w poprawie kilku obszarów języka, w tym zrozumienia, samokorekty, efektywności wymiany informacji i szkolenia opiekunów18.
Terapia ukierunkowana na rozumienie i czytanie
Dla pacjentów z trudnościami w rozumieniu i czytaniu, stosuje się następujące techniki19:
- Uważne czytanie z ograniczonym podsumowaniem (Attentive Reading With Constrained Summarisation – ARCS) – to stosunkowo nowsza metoda leczenia, która jest odpowiednia dla osób z łagodną afazją19.
- Wielokrotne czytanie ustne (Multiple Oral Reading – MOR) – technika polegająca na wielokrotnym czytaniu tego samego tekstu8.
- Czytanie ustne dla języka w afazji (Oral Reading for Language in Aphasia – ORLA) – metoda wykorzystująca czytanie na głos w celu poprawy umiejętności językowych8.
Terapia grupowa
Terapia grupowa jest często stosowana jako uzupełnienie terapii indywidualnej5. W środowisku grupowym osoby z afazją mogą wypróbować swoje umiejętności komunikacyjne w bezpiecznym otoczeniu. Uczestnicy mogą ćwiczyć rozpoczynanie rozmów, mówienie po kolei, wyjaśnianie nieporozumień i naprawianie całkowicie zerwanych rozmów5.
Terapia grupowa pozwala osobom pracować nad ich pragmatycznymi i komunikacyjnymi umiejętnościami z innymi osobami z afazją20. Grupy konwersacyjne dają osobom z afazją szansę na pracę nad umiejętnościami komunikacyjnymi w zabawnym i wspierającym środowisku21.
Intensywne programy terapii afazji
Badania wykazały, że intensywne podejście do leczenia afazji, w którym wiele godzin terapii jest dostarczanych w krótkim czasie, poprawia komunikację i dobrostan psychospołeczny osób z afazją w porównaniu do standardowej terapii mowy22. Intensywna terapia afazji to 10-25 godzin terapii afazji rozłożonych na kilka tygodni, koncentrujących więcej godzin terapii w krótszym okresie2324.
Struktury programów intensywnych
Istnieje wiele rodzajów intensywnych programów terapii afazji. Niektóre z nich to25:
- 4x4x4: 4 godziny terapii dziennie, 4 dni w tygodniu, przez łącznie 4 tygodnie25.
- 2x4x8: 2 godziny terapii dziennie, 4 dni w tygodniu, rozłożone na 8 tygodni25.
Intensywny kompleksowy program afazji (ICAP) zapewnia ponad 60 godzin intensywnej terapii indywidualnej i grupowej dla osób z łagodną do ciężkiej afazją26. Program ten jest specjalnie opracowany, aby pomóc osobom z afazją dokonać znacznej poprawy w krótkim czasie poprzez zwiększenie intensywności terapii27.
Badania wykazały, że intensywna terapia ma bardziej pozytywne wyniki, nawet dla osób, które mają afazję od długiego czasu28. W przeciwieństwie do wczesnej terapii afazji, istnieje wiele dowodów, w tym badanie Breitensteina i in., że więcej terapii logopedycznej w fazie przewlekłej wiąże się z większym długoterminowym powrotem do zdrowia29.
Skuteczność intensywnych programów
Chociaż wyniki uczestników są różne, większość klientów wykazała znaczną poprawę w następujących obszarach21:
- Umiejętności językowe i komunikacyjne
- Pewność siebie i niezależność
- Uczestnictwo społeczne i jakość życia
Według badań opublikowanych w recenzowanym Journal of Medical Internet Research, użytkownicy, którzy częściej korzystali z cyfrowej rehabilitacji, doświadczyli znacznie większej poprawy swoich umiejętności mowy, języka i poznawczych w porównaniu do użytkowników korzystających z nich rzadziej30.
Badanie to wykazało, że tempo poprawy pacjenta jest w dużym stopniu uzależnione od częstotliwości ćwiczeń, dlatego pacjenci mogą dążyć do 4 lub więcej dni ćwiczeń terapeutycznych tygodniowo, aby zoptymalizować poprawę31.
Technologia w terapii afazji
Technologia odgrywa coraz większą rolę w terapii afazji, oferując narzędzia do wspierania i uzupełniania tradycyjnych metod terapeutycznych. Poniżej przedstawiamy główne obszary wykorzystania technologii w terapii afazji321.
Aplikacje i programy komputerowe
Wykorzystanie komputerów może być szczególnie pomocne w ponownym uczeniu się czasowników i dźwięków słów (fonemów)32. Aplikacje i programy komputerowe mogą uzupełniać terapię logopedyczną dla pacjentów z afazją28.
Dostępne są różne aplikacje do terapii afazji, które mogą pomóc w ćwiczeniu komunikacji33. Należy jednak pamiętać, że aplikacja, która pomaga jednej osobie z afazją, niekoniecznie pomoże wszystkim osobom z afazją33.
Przykłady aplikacji do terapii afazji obejmują3435:
- Aplikacje wzmacniające mówienie, słuchanie, czytanie i pisanie
- Aplikacje ułatwiające znajdowanie właściwych słów
- Aplikacje wzmacniające rozumienie słuchane i czytanie
- Aplikacje budujące niezależność poprzez poprawę umiejętności pisania
Telerehabilitacja
Telerehabilitacja jest rozwijana przez specjalistów i umożliwia prowadzenie terapii na odległość36. Ta metoda stanowi niewielką modyfikację podstawowych ćwiczeń nazywania obrazków, ale wprowadzone korekty wprowadzają elementy konwersacji do interakcji36.
Wykazano, że telerehabilitacja jest tak samo skuteczna jak konsultacje osobiste37. Umożliwia ona dostęp do terapii osobom, które mają ograniczony dostęp do ośrodków terapeutycznych38.
Alternatywne i wspomagające metody komunikacji (AAC)
Gdy mowa danej osoby jest niewystarczająca, można rozważyć różne rodzaje wspomagającej i alternatywnej komunikacji (Augmentative and Alternative Communication – AAC)39. AAC może poprawić zdolności komunikacyjne osób z afazją40.
- Używanie gestów, pisanie, rysowanie
- Wskazywanie na litery lub obrazki
- Korzystanie z technologii, np. ustawienie telefonu na aktywację głosową lub robienie zdjęć rzeczy, których nazwanie sprawia trudność
Logopeda może pomóc wybrać najlepsze narzędzia dla danej osoby41.
Farmakologiczne i biologiczne metody leczenia afazji
Oprócz terapii logopedycznej, w leczeniu afazji rozważane są również metody farmakologiczne i biologiczne. Choć nie stanowią one podstawy leczenia, mogą być stosowane jako uzupełnienie tradycyjnych metod terapeutycznych3242.
Leki w terapii afazji
Badane są pewne leki w leczeniu afazji. Należą do nich leki, które mogą poprawić przepływ krwi do mózgu, zwiększyć zdolność mózgu do regeneracji lub pomóc w uzupełnieniu wyczerpanych substancji chemicznych w mózgu (neuroprzekaźników)32.
Mimo to, nie ma silnych dowodów na skuteczność jakiegokolwiek leku w poprawie afazji po udarze. Jednak korzyść z próby zastosowania leku może przewyższać ryzyko działań niepożądanych, ponieważ istnieją pewne dowody na poprawę funkcjonalną43.
Kilka mechanizmów ma tłumaczyć korzystne efekty wzmocnienia katecholamin, w tym zmianę ekspresji białek synaptycznych, wzmocnienie regeneracji neuronów lub zmianę siły synaptycznej44. Całość danych sugeruje, że terapia bromokryptyną lub L-dopą, w połączeniu z terapią logopedyczną, jest obiecująca w leczeniu afazji45.
Stymulacja mózgu
Stymulacja mózgu jest badana pod kątem leczenia afazji i może pomóc poprawić zdolność nazywania rzeczy. Jednak nie przeprowadzono jeszcze długoterminowych badań na ten temat32. Jednym z takich podejść jest przezczaszkowa stymulacja magnetyczna (transcranial magnetic stimulation – TMS), a innym przezczaszkowa stymulacja prądem stałym (transcranial direct current stimulation – tDCS)32.
Nieinwazyjna stymulacja mózgu jest stosunkowo nowym obszarem leczenia afazji. Wykorzystuje techniki takie jak przezczaszkowa stymulacja magnetyczna (TMS) i przezczaszkowa stymulacja prądem stałym (tDCS), wraz z terapią mowy i języka, aby pomóc ludziom odzyskać zdolności językowe46.
Istnieją słabe dowody na efekt leczniczy tDCS i rTMS w afazji po udarze. Potrzebne są dalsze badania z większymi grupami i standaryzowanymi projektami badań43.
Czynniki wpływające na skuteczność leczenia
Kilka czynników może wpływać na skuteczność leczenia afazji29:
- Ciężkość afazji – ciężkość afazji, czynnik związany z ogólną objętością uszkodzenia, jest jedną z niewielu zmiennych, które zostały zidentyfikowane jako wiarygodny predyktor wyniku terapii logopedycznej. Ogólnie przyjmuje się, że pacjenci z cięższą afazją mają mniejsze szanse na odpowiedź na terapię29.
- Czas od początku afazji – niektóre badania wykazały, że terapia jest najbardziej skuteczna, gdy rozpoczyna się wkrótce po uszkodzeniu mózgu5.
- Intensywność terapii – intensywność terapii mowy wydaje się korelować ze stopniem poprawy47.
Warto pamiętać, że nie wszystkie osoby reagują podobnie na terapię afazji, a pacjenci z najcięższymi przypadkami mają najmniejsze szanse na odpowiedź. Niemniej jednak, konieczne jest, aby wszyscy pacjenci, niezależnie od ciężkości, otrzymali leczenie afazji skoncentrowane na bezpośredniej terapii deficytów językowych, poradnictwie lub obu tych metodach48.
Rola rodziny i opiekunów w terapii afazji
Rodzina i opiekunowie odgrywają kluczową rolę w terapii afazji. Ich zaangażowanie i wsparcie mogą znacząco wpłynąć na efekty terapii i jakość życia osoby z afazją541.
Zaangażowanie rodziny w terapię
Rodzina może uczestniczyć w terapii afazji na różne sposoby41:
- Mogą być częścią terapii, pomagając osobie z afazją używać umiejętności, których nauczyli się od logopedy, w domu41.
- Wysoko ceni się zaangażowanie rodziny na każdym etapie intensywnego programu afazji. Opiekunowie są zachęcani do dołączania do sesji, aktywnego uczestnictwa w dyskusjach dotyczących ustalania celów i odgrywania kluczowej roli jako współpracujący partnerzy w procesie powrotu do zdrowia49.
- Zaangażowanie rodziny jest bardzo zalecane. Logopedzi pracują ściśle z opiekunami, aby edukować i szkolić ich w zakresie najlepszych sposobów komunikacji z ich bliskimi50.
Techniki wspierania komunikacji
Opiekunowie mogą stosować różne techniki, aby wspierać komunikację z osobą z afazją5152:
- Być cierpliwym i dać osobie z afazją czas na wyrażenie swoich myśli51.
- Zapewnić ogólne wsparcie, aby motywować osobę do dalszych prób komunikacji52.
- Skupić się na tym, co osoba jest w stanie powiedzieć, a nie martwić się o słowa, które pomija52.
- Powtarzać ich komunikat w pełnym zdaniu, aby sprawdzić, czy dobrze zrozumieli52.
- Zachęcać do używania gestów, aby ułatwić mówienie52.
- Używać prostych struktur zdaniowych podczas rozmowy, aby być łatwiej zrozumianym52.
- Minimalizować hałas w tle, przenosząc się do cichego miejsca. W grupie mówić po kolei52.
- Zapisywać kluczowe słowa lub używać rysunków, aby ułatwić zrozumienie, jeśli to konieczne52.
- Używać elementów wizualnych, aby wspierać ekspresyjną i receptywną komunikację52.
Trening partnerów komunikacyjnych i edukacja są najważniejszym elementem utrzymania uczestnictwa w komunikacji dla osób cierpiących na afazję, a także podtrzymania ich trwających relacji53.
Grupy wsparcia i zasoby społecznościowe
Grupy wsparcia mogą być cennym zasobem dla osób z afazją i ich rodzin5455:
- Logopeda może pomóc połączyć się z innymi zasobami w społeczności, takimi jak grupy wsparcia i socjalizacji41.
- Można dowiedzieć się więcej o grupach wsparcia dla afazji lub udaru. Jeśli nie ma grupy wsparcia w okolicy, można rozważyć założenie takiej grupy55.
- Centrum Afazji Houston (HARC) tworzy bezpieczną przystań, gdzie uczestnicy angażują się we wspieraną komunikację, terapeutyczną socjalizację, rekreację i koleżeństwo, aby w pełni uczestniczyć w życiu26.
Świadomość afazji w społeczności może być poprawiona, gdy klinicyści zapewniają edukację i wsparcie. Klinicyści wspierają również takie wsparcie i integrację społeczną, współpracując z osobami z afazją, aby zmniejszyć lub usunąć bariery komunikacyjne w dostępie do ich społeczności7.
Rokowanie i efekty terapii afazji
Rokowanie w afazji zależy od wielu czynników, w tym od rodzaju i ciężkości afazji, przyczyny afazji, wieku pacjenta i dostępności odpowiedniej terapii5657.
Naturalny przebieg zdrowienia
Czas potrzebny do powrotu do zdrowia po afazji zależy od tego, co ją spowodowało, jak jest poważna i jakie są dostępne opcje leczenia56. W niektórych przypadkach afazja jest krótkotrwała i z czasem całkowicie ustąpi. Dla innych afazja może być stanem przewlekłym, jeśli centrum językowe mózgu ma trwałe uszkodzenia57.
Zdrowienie z afazji może być procesem powolnym, ale poprawa może nastąpić nawet po latach od powstania afazji20. Większość pacjentów, nawet w podeszłym wieku, doświadcza pewnej poprawy w afazji po udarze, a niektórzy zdrowieją całkowicie58.
Wpływ terapii na zdrowienie
Terapia logopedyczna może poprawić objawy afazji, ale nie może w pełni odwrócić skutków tego stanu57. Może jednak poprawić funkcję komunikacyjną u wielu pacjentów48.
Lepsze wyniki występują, gdy osoba uczestniczy w terapii, a leczenie jest bardziej skuteczne niż brak leczenia dla osób w ostrej fazie39. Terapia mowy i języka o wyższej intensywności, wyższej dawce lub zapewniana przez długi okres czasu prowadzi do znacznie lepszej funkcjonalnej komunikacji20.
Niezwykle ważne jest przekazanie osobom z afazją i ich rodzinom informacji, że język i zdolności komunikacyjne mogą nadal się poprawiać przez wiele lat – więc nigdy nie należy się poddawać15!
Jakość życia i reintegracja społeczna
Afazja może tworzyć liczne problemy z jakością życia, ponieważ komunikacja jest tak ważną częścią życia. Trudności w komunikacji mogą wpływać na pracę, relacje i codzienne funkcjonowanie59.
Logopedzi i inni specjaliści zdrowotni starają się poprawić jakość życia osób z afazją poprzez60:
- Zapewnienie kompleksowych ocen, które pomagają klinicystom precyzyjnie określić obszary mózgu dotknięte udarem lub urazem mózgu oraz scharakteryzować rodzaj afazji, jakiego doświadczają klienci61.
- Nauczanie nowych umiejętności i technik komunikacyjnych, tak aby członkowie mogli ponownie zaangażować się w życiowe aktywności i rozmowy60.
- Koncentrowanie się na celach uczestnictwa w życiu osób dotkniętych tym stanem, wzmacniając codzienne uczestnictwo w życiowych aktywnościach i połączeniach społecznych61.
Duży cel terapii polega również na zapewnieniu wsparcia społecznego i pomocy osobom w reintegracji z ich społecznościami. Terapia grupowa oferuje doskonałą okazję do wykorzystania nowych umiejętności komunikacyjnych w małym środowisku grupowym50.
Podsumowanie i przyszłe kierunki w terapii afazji
Podstawą leczenia afazji po udarze zawsze była i nadal jest terapia logopedyczna. Pojawiły się nowe innowacje mające na celu zwiększenie jej skuteczności poprzez zwiększenie czasu spędzonego na terapii (np. poprzez aplikacje terapii językowej), indywidualizację terapii w celu uwzględnienia ciężkości afazji i konkretnych deficytów mowy lub języka, lub zwiększenie dostępu do terapii poprzez telerehabilitację38.
Terapia behawioralna została również wzbogacona o leki lub nieinwazyjne metody stymulacji mózgu, które ułatwiają plastyczność neuronalną38. Bardzo prawdopodobne jest, że farmakoterapia i urządzenia stymulujące ostatecznie odegrają cenną rolę jako uzupełnienie rehabilitacji behawioralnej w celu przyspieszenia powrotu do zdrowia, poprawy uczenia się, zmniejszenia zmienności wyników i poprawy średnich wyników u pacjentów z łagodnym lub umiarkowanym upośledzeniem funkcji językowych spowodowanym zawałami mózgu62.
Przyszłe badania nad afazją skupiają się na dostosowaniu terapii logopedycznych, wraz z innymi eksperymentalnymi terapiami, do indywidualnego pacjenta63. Dane są wykorzystywane do przewidywania odpowiedzi na leczenie, umożliwiając personalizację terapii mowy w oparciu o profil mózgu każdego pacjenta uzyskany za pomocą fMRI i wyników językowych64.
W przyszłości badacze mają nadzieję, że pacjenci z afazją będą mogli odzyskać swój język, który kiedyś został utracony z powodu udaru64. Ważne jest, aby pamiętać, że ze względu na neuroplastyczność, nie ma kresu poprawy. Jeśli masz afazję, możesz nadal się poprawiać dzięki odpowiedniej terapii przez resztę życia65.
Afazja stanowi wyzwanie, ale z odpowiednim wsparciem, terapią i zaangażowaniem pacjenta i jego rodziny, możliwe jest osiągnięcie znacznej poprawy w umiejętnościach komunikacyjnych i jakości życia.
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.
Materiały źródłowe
- #1 Aphasiahttps://www.nhs.uk/conditions/aphasia/
Aphasia is treated with speech and language therapy. […] A speech and language therapist can assess your symptoms and work with you to improve your speaking, reading and writing. […] Treatment depends on your symptoms but can include: matching words to pictures, categorising or sorting words, repeating words or rhyming tasks, practising ways of communicating without words, like drawing, body language, hand movements and facial expressions, using technology for example, setting your phone to be voice-activated or taking pictures of things you struggle to name, recommending speech and language therapy apps or computer programs to help you practise. […] Speech and language therapy should help, and there are things you and others can do to help manage aphasia.
- #2 Current Approaches to the Treatment of Post-Stroke Aphasiahttps://pmc.ncbi.nlm.nih.gov/articles/PMC8189855/
Aphasia, impairment of language after stroke or other neurological insult, is a common and often devastating condition that affects nearly every social activity and interaction. Behavioral speech and language therapy is the mainstay of treatment, although other interventions have been introduced to augment the effects of the behavioral therapy. […] Supported by evidence from Phase III trials and large meta-analyses, it is now generally accepted that aphasia therapy can improve language processing for many patients. Not all patients respond similarly to aphasia therapy with the most severe patients being the least likely responders. Nevertheless, it is imperative that all patients, regardless of severity, receive aphasia management focused on direct therapy of language deficits, counseling, or both.
- #3 Aphasia: Causes, Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/5502-aphasia
Aphasia is a language disorder that affects your ability to speak and understand what others say. Treatment options are available to help you adapt if symptoms are permanent. […] While aphasia affects your ability to communicate, it doesn’t affect your intelligence. Treatment options are available to help you communicate and better understand different forms of language. […] If you have long-term or permanent brain damage, speech therapy can improve your language abilities. Speech therapy builds or rebuilds your understanding of language and teaches you skills to adapt to specific symptoms. […] Medications may help treat the cause of aphasia. These vary widely. Your healthcare provider will recommend possible treatments specific to your situation. […] The time it takes to recover from aphasia depends on what caused it, how severe it is and available treatment options. Your healthcare provider is the best person to tell you more about your recovery timeline.
- #4 Aphasiahttps://www.asha.org/practice-portal/clinical-topics/aphasia/?srsltid=AfmBOooAzkWfY1KgNgiX47jEOeDY40jsZR5Ft2xqatQPRyirk8M7enXk
Aphasia treatment is individualized to address the specific areas of need identified during assessment, including goals identified by the person with aphasia and their care partners. […] Speech-language pathologists (SLPs) play a central role in the screening, assessment, diagnosis, and treatment of persons with aphasia. […] Appropriate roles for SLPs include, but are not limited to, the following: […] Conducting thorough culturally and linguistically relevant services related to language and communication. […] Developing person-centered treatment plans, providing treatment, documenting progress, and determining appropriate dismissal criteria in collaboration with the patient and the treatment team. […] Implementing and supporting appropriate communication systems at all stages of recovery.
- #5 Aphasia – Diagnosis & treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/aphasia/diagnosis-treatment/drc-20369523
A speech-language pathologist can complete a comprehensive language assessment to confirm the presence of aphasia and determine the appropriate course of language treatment. […] If the brain damage is mild, it’s possible to recover language skills without treatment. However, most people undergo speech and language therapy to rehabilitate their language skills and supplement their communication experiences. […] Speech and language therapy aims to improve the ability to communicate. The therapy helps by restoring as much language as possible, teaching how to make up for lost language skills and finding other methods of communicating. […] Therapy: […] Starts early. Some studies have found that therapy is most effective when it begins soon after the brain injury. […] Often works in groups. In a group setting, people with aphasia can try out their communication skills in a safe environment. Participants can practice starting conversations, speaking in turn, clearing up confusion and fixing conversations that have completely broken down.
- #6 Aphasia Therapy Guide – The National Aphasia Associationhttps://aphasia.org/aphasia-resources/aphasia-therapy-guide/
There are two general categories of therapies, and most clinicians utilize both: […] Impairment-based therapies are aimed at improving language functions and consist of procedures in which the clinician directly stimulates specific listening, speaking, reading and writing skills. […] Communication-based (also called consequence-based) therapies are intended to enhance communication by any means and encourage support from caregivers. […] Therapy for a very mild impairment is likely to differ from therapy for a very severe impairment. […] A person with aphasia initially wants to speak better and make sense of language spoken by others. […] Therapies focus an individuals attention on tasks that allow him or her to comprehend and speak as successfully as possible. […] Clinical researchers have been developing therapies focused on specific area of language impairment such as retrieving verbs and formulating sentence structure.
- #7 Aphasiahttps://www.asha.org/practice-portal/clinical-topics/aphasia/?srsltid=AfmBOooAzkWfY1KgNgiX47jEOeDY40jsZR5Ft2xqatQPRyirk8M7enXk
This holistic, person-centered approach is consistent with the WHOs (2001) International Classification of Functioning, Disability and Health (ICF) framework, with the overarching goal of intervention to help the individual achieve the highest level of function for participation in daily living. […] Intervention is designed to capitalize on strengths and address weaknesses related to underlying structures and functions that affect communication across partners, activities, and settings. […] Community awareness of aphasia can be improved when clinicians provide education and outreach. […] Clinicians also foster such community support and integration by partnering with people with aphasia to reduce or remove communication barriers to accessing their communities. […] Treatment approaches that engage communication partners to facilitate improved communication in persons with aphasia include the following. […] Treatment approaches that use any modality to communicate a message. […] Treatment extenders such as care partners, volunteers, and community members may be trained to stimulate and support communication.
- #8 Aphasia Treatments | The Aphasia Libraryhttps://www.aphasia.com/aphasia-library/aphasia-treatments/
There are dozens of ways that speech-language pathologists (SLPs) treat aphasia. The type of treatment a person receives is generally determined by the type of aphasia he or she has, as well as the severity of it. […] Explore the most common aphasia treatments below. […] AAC Device Therapy […] PACE Therapy […] Script Training […] Visual Action Therapy […] Conversational Coaching […] Life Participation Approach […] Melodic Intonation Therapy […] Word Retrieval Cuing Strategies […] Multiple Oral Reading (MOR) […] Tele-Rehabilitation for Aphasia […] Supported Reading Comprehension […] Gestural Faciliation of Naming (GES) […] Response Elaboration Training (RET) […] Reciprocal Scaffolding Treatment (RST) […] Treatment of Underlying Forms (TUF) […] Semantic Feature Analysis Treatment […] Constraint-Induced Language Therapy […] Sentence Production Program for Aphasia […] Oral Reading for Language in Aphasia (ORLA) […] Supported Communication Intervention (SCI) […] Verb Network Strengthening Treatment (VNeST) […] Supported Conversation for Adults with Aphasia (SCA)
- #9 Expressive Aphasia: Symptoms, Treatment, and Recoveryhttps://www.flintrehab.com/expressive-aphasia/?srsltid=AfmBOoqEfEgbiXBLp3VcBq2DFCXWUE-xqmaj0EMaYYv7ubWYoEsDQLVx
Word retrieval therapy is an expressive aphasia treatment focused on connecting words to pictures. […] Melodic intonation therapy is a treatment technique in which survivors use components of music, such as rhythm and pitch, to relearn how to speak. […] Through conversation therapy, speech language pathologists analyze how an individuals behavior affects conversation. […] Constraint-induced language therapy (CILT) is a highly intensive expressive aphasia treatment in which survivors focus on using only verbal expression. […] While working directly with an SLP is strongly recommended, there are a number of technology-based therapies that can be used to supplement therapy sessions. […] A consistent speech therapy exercise plan may help individuals improve their expressive language skills. […] Recovery requires consistency and diligence, so it is important to practice therapeutic exercises on a regular basis.
- #10 Evidence based therapy for Mild Aphasia – Wollongong Speech Pathologyhttps://wollongongspeech.com.au/mild-aphasia/
Aphasia is caused by damage to parts of the brain responsible for language, usually due to stroke or brain injury. How severe the aphasia is relates to how much a persons language is affected. A person with mild aphasia might have word finding difficulties, problems explaining complex information, or difficulties understanding complex information. […] This evidence-based summary addresses treatments for people with mild aphasia. It focuses on five main treatment approaches that were either specifically designed for mild aphasia, or were modified for this group: word retrieval, sentence building, response elaboration, constrained summarising, and communication partner / conversation training. […] A common treatment for aphasia of all severities, including mild aphasia, is semantic feature analysis. This treatment helps a person with aphasia to strengthen word connections, with the goal of making those words easier to retrieve.
- #11 55 Aphasia Treatment Activitieshttps://theadultspeechtherapyworkbook.com/55-aphasia-treatment-activities/
Help patients connect to an aphasia support group. Find a local group through university speech clinics, hospital programs, Facebook Groups, or non-profits. […] Complete a needs assessment to understand your patients needs and wants better. Use their answers to design person-centered treatments. […] Teach patients with expressive aphasia the following word-finding tips. Practice these strategies with the aphasia activities listed below. […] This is an intensive approach for patients who want to improve verbal speech. Be aware that it discourages any other communication compensations, so it may not be the right fit for some patients. […] Semantic Feature Analysis helps a patient find a word (name a picture) by describing semantic features of the word. […] Phonological Component Analysis helps patients find a word (name a picture) by describing phonological features of the word.
- #12 55 Aphasia Treatment Activitieshttps://theadultspeechtherapyworkbook.com/55-aphasia-treatment-activities/
The specific goal of VNeST is to improve word-finding and build sentences. […] Facilitate lateralization of language production to the right brain structures by having a patient complete a complex left-hand movement during a naming task. […] With this approach, the therapist helps a patient create scripts that will improve conversations in their daily life. […] The goal of Response Elaboration Training is to increase the number of content words that patients with aphasia say during a conversation. […] TUF was created to treat agrammatic aphasia. The goal is to increase syntactic complexity. […] PACE therapy uses conversations to improve communication. […] Print, write, or otherwise have a large-print Alphabet available on one page. Cue your patient to sing the ABCs while pointing to each letter.
- #13 Aphasia Therapy Guide – The National Aphasia Associationhttps://aphasia.org/aphasia-resources/aphasia-therapy-guide/
Communication oriented treatments, in part, assist the person in conveying messages and feelings with alternative means of communicating. […] Rehabilitation specialists are attending to the consequences of disability for quality of life. […] Speech-language therapists are enlisting group activities to facilitate a persons participation in daily life. […] There are many names for aphasia therapies. […] Certain methods are somewhat unique and well-known, and clinical researchers are investigating new strategies or new wrinkles for established strategies. […] Constraint-induced therapy is almost the opposite of compensatory strategies in which the person with aphasia is encouraged to use intact abilities to communicate. […] Melodic Intonation Therapy (MIT) is based on an observation that that some persons with aphasia sing it better than saying it.
- #14 Singing Therapy for Aphasia: How It Works & Who Can Benefithttps://www.flintrehab.com/melodic-intonation-therapy-aphasia/?srsltid=AfmBOoop2DvJHUy5uQ7AT8aFtJpvUSa-MECk63pDmIpgmBJjrvELTeEx
melodic intonation therapy for aphasia provides hope for recovery […] Participating in singing therapy for aphasia may help individuals to retrain their ability to speak. […] Singing therapy, also known as melodic intonation therapy (MIT), involves utilizing elements of singing such as rhythm and pitch to encourage the recovery of speech and language skills. […] Singing therapy for aphasia is effective because it encourages individuals to practice their language skills while engaging the right hemisphere of the brain. […] Ultimately, singing therapy serves as an engaging form of speech therapy that encourages individuals to repetitively practice singing the words they want to say. […] Singing therapy can serve as an effective form of treatment for aphasia after stroke because it promotes the brains ability to reorganize its neural circuitry and make adaptive changes called neuroplasticity. […] Singing therapy encourages individuals to engage the right side of the brain by singing their words instead of speaking them.
- #15 Aphasia Diagnosis and Treatment Options | American Stroke Associationhttps://www.stroke.org/en/about-stroke/effects-of-stroke/communication-and-aphasia/stroke-and-aphasia/aphasia-diagnosis-and-treatment
Aphasia therapy aims to improve your ability to communicate by using your current language abilities, restoring lost language abilities and learning other ways of communicating. […] There are no medications for aphasia. However, there are therapy activities that can help you get better so you can participate in the things you like to do. […] Tremendous improvements to your language and communication abilities can take place in the first few months. In many cases, some aphasia remains following the early recovery time. But research shows that language and communication abilities can continue to improve for many years â so donât ever give up! […] Constraint-induced aphasia therapy (CIAT) is a noninvasive treatment approach for aphasia. […] Based on research studies conducted, it has shown to be effective for improving language performance with regard to naming, comprehension, repetition, written language, and oral language. […] This speech therapy requires the person with aphasia to communicate only by speaking. […] Due to some inconsistent study results and need for more evidence, further research and evaluation of this therapy are needed.
- #16 55 Aphasia Treatment Activitieshttps://theadultspeechtherapyworkbook.com/55-aphasia-treatment-activities/
Use physical objects in the environment or the Picture Cards for this activity. Substitute objects as needed. One by one, point to an object and ask the patient, What is the name of this? […] Ask the patient to complete the sentence. Either read the sentence aloud or have the patient read the sentence. […] Ask the patient to name what is being described. Either read the sentences aloud or have the patient read them. […] Ask the patient to name what category each set of words belongs to. […] Name at least 3 items that belong to each category. […] Teach patients with receptive aphasia and their caregivers the following strategies. […] To improve comprehension, the communication partner augments or adds visual input to spoken language. […] With SCA, treatment focuses on the communication partner, not the patient. […] Ask the patient to, Point to your […] Ask the patient to Point to the. […] Have a pen and a piece of paper ready. […] Cue your patient to, Read the paragraph aloud, then summarize what you read.
- #17 Aphasia | Peter O’Donnell Jr. Brain Institute | Condition | UT Southwestern Medical Centerhttps://utswmed.org/conditions-treatments/aphasia/
Specialists at UT Southwestern individualize treatment plans for each patient, based on the type and severity of a patients stroke. Treatments focus on relearning and practicing language skills, as well as teaching patients alternative or supplementary communication methods. […] Treatment approaches include: Cognitive linguistic therapy: Emphasizes the emotional aspects of language […] Programmed simulation: Uses multiple sensory modalities […] Stimulation-facilitation therapy: Focuses on the semantic and syntactic parts of language […] Group therapy: Gives patients the opportunity to practice their skills […] PACE (Promoting Aphasics Communicative Effectiveness): Promotes improvements in communication by using conversation as a tool for learning […] Pharmacotherapy: Uses medications to enhance therapy.
- #18 A Context-Based Approach to Treat Fluent Aphasia — Neuro Speech Solutionshttps://www.neurospeechsolutions.com/blog/fluent-aphasia-treatment-wernickes
Fluent aphasia can be particularly challenging to treat for both new and experienced clinicians alike. […] Fortunately, there is some research and expert opinion available to help guide your intervention. […] The esteemed Dr. Robert Marshall proposes a context-based approach to treat fluent aphasia, emphasizing this treatment as the starting point in the early stages of therapy. […] The context-based approach can assist in improving several areas of language, including comprehension, self-correction, efficiency in information exchange, and even caregiver training. […] Using a conversational context to improve understanding can promote functional communication and set a foundation for future speech therapy. […] Self-correction is a vital component of treatment for fluent aphasia. […] Its important to remember the main goals of this approach in order to feel confident implementing the context-based approach. […] Improving the ability for the person with fluent aphasia to communicate with others after discharge. […] Encouraging the client to take ownership of their communication by improving awareness and the ability to self-correct.
- #19 Evidence based therapy for Mild Aphasia – Wollongong Speech Pathologyhttps://wollongongspeech.com.au/mild-aphasia/
In mild aphasia, this treatment can be modified so that the person with aphasia is asked to describe a picture scene or tell a procedure. […] Another word retrieval treatment involves phonological and orthographic cueing. […] For some people with mild aphasia, the communication breakdown occurs when they are putting sentences together. […] In mild aphasia, there are a small number of treatment studies that have treated sentence formulation. […] Response Elaboration Training (RET) is an established treatment for people with aphasia of different severities. […] The treatment has been modified for people with mild aphasia. […] Attentive Reading With Constrained Summarisation (ARCS) is a relatively newer treatment, which is suitable for people with mild aphasia. […] Mild aphasia can have a significant impact on relationships and conversation.
- #20 Aphasia – Wikipediahttps://en.wikipedia.org/wiki/Aphasia
Aphasia is a medical condition that can be treated with sign language and speech therapy. […] Recovery and improvement can continue for years after the stroke. […] Speech and language therapy that is higher intensity, higher dose or provided over a long duration of time leads to significantly better functional communication. […] There is no one treatment proven to be effective for all types of aphasias. […] Studies have shown that, although there is no consistency on treatment methodology in literature, there is a strong indication that treatment, in general, has positive outcomes. […] Group therapy allows individuals to work on their pragmatic and communication skills with other individuals with aphasia. […] Specific treatment techniques include Copy and Recall Therapy (CART), Visual Communication Therapy (VIC), and Melodic Intonation Therapy (MIT).
- #21 Aphasia Programs | MGH IHPhttps://www.mghihp.edu/ipc/aphasia-center/aphasia-programs
While participant outcomes vary, the majority of clients have demonstrated notable improvements in the following areas: […] 100% of those who have attended the program indicate they would recommend it to someone with aphasia. […] Conversation groups provide people with aphasia a chance to work on communication skills in a fun and supportive environment. […] The group is facilitated by graduate student clinicians.
- #22 Intensive Program of Aphasia Therapy (IPAT) | Research | Neurology | Medical College of Wisconsinhttps://www.mcw.edu/departments/neurology/research/aphasia/intensive-program-of-aphasia-therapy-ipat
The Intensive Program of Aphasia Therapy (IPAT) is a comprehensive language therapy program led by a multidisciplinary team with expertise in speech therapy, neurology, neuropsychology, and biomedical engineering. […] Studies have shown that an intensive approach to aphasia treatment, in which many hours of therapy are provided over a short time, improves communication and psychosocial well-being for people with aphasia compared to standard speech therapy. […] Participants receive individual therapy tailored to their goals using evidence-based treatment, along with group sessions that focus on functional communication, education and life participation. […] All therapy is conducted by licensed and experienced speech-language pathologists. […] Adults with aphasia who are medically stable and can maintain active and safe participation in the intensive model and group therapy. […] IPAT does not bill insurance and program costs are out-of-pocket.
- #23 Camps & Programs – The National Aphasia Associationhttps://aphasia.org/camps-programs/
Intensive aphasia treatment is 10-25 hours of aphasia therapy over several weeks, concentrating more therapy hours over a shorter period of time. […] At the Brooks Rehabilitation Aphasia Center (BRAC), we are dedicated to helping persons with aphasia achieve the highest level of recovery and participation in life. […] With a focus on the Life Participation Approach to Aphasia (LPAA), RCAP offers a combination of therapeutic intervention, counseling, and care-partner training. […] The Aphasia Boot Camp is a four-week intensive program that focuses on maximizing communication for those who have suffered an event that has impacted their speech or language. […] The Centers Intensive Aphasia Program provides over 60 hours of intensive individual and group therapy to individuals with mild to severe aphasia.
- #24 The Aphasia Centerhttps://theaphasiacenter.com/
Intensive aphasia treatment is 10-25 hours of aphasia therapy over several weeks, concentrating more therapy hours over a shorter period of time. […] This allows our clients to master a broader range of skills and see progress much faster. […] For over 15 years, we’ve exclusively assessed, advised and treated clients with aphasia, apraxia and dysarthria.
- #25 Intensive Treatment Services for Aphasia – Northwestern University Center for Audiology, Speech, Language, and Learninghttps://nucasll.northwestern.edu/speech-language-pathology/aphasia/intensive-treatment-services/
Intensive Treatment Services for Aphasia […] We offer two options, each available either in-person or via telehealth*: […] Option A: 4 hours of therapy per day, 4 days a week, for a total of 4 weeks (4x4x4). […] Option B: 2 hours of therapy per day, 4 days a week, spread over 8 weeks (2x4x8). […] Our criteria for participant selection are flexible, ensuring that we accept only those individuals who are well-suited for our program. At minimum, participants must have a diagnosis of aphasia, possess the capacity to tolerate the program’s intensity, demonstrate motivation to actively engage, and have realistic goals spanning various language modalities (e.g., word retrieval, reading comprehension, etc.). […] We use information gathered during the evaluation process and throughout the program to customize treatment for each participant.
- #26 Camps & Programs – The National Aphasia Associationhttps://aphasia.org/camps-programs/
The Intensive Program of Aphasia Therapy (IPAT) is a comprehensive language therapy program led by a multidisciplinary team with expertise in speech therapy, neurology, neuropsychology, and biomedical engineering. […] The Houston Aphasia Recovery Center (HARC) creates a safe haven where participants engage in supported communication, therapeutic socialization, recreation and camaraderie to fully participate in life. […] The camp is designed to give graduate clinicians experience in working with individuals who have aphasia while at the same time offering time-limited, intense language-based experiences for people with aphasia. […] The mission of the Big Sky Aphasia Program (BSAP) at the University of Montana is to provide high-quality, cost-effective, research-driven speech and language therapy to individuals with aphasia and associated deficits resulting from stroke and traumatic brain injury.
- #27 Camps & Programs – The National Aphasia Associationhttps://aphasia.org/camps-programs/
Participants will participate in a three-week intensive language program that includes pre- and post- assessment. […] Our Intensive Comprehensive Aphasia Program (ICAP) is specifically developed to help people with aphasia make substantial improvement in a short amount of time by increasing the intensity of therapy. […] Online aphasia and apraxia treatment. […] The Aphasia Communication Group is a treatment program designed for adults who have aphasia as a result of a stroke, traumatic brain injury, or other neurological condition. […] The Sea to Sky Aphasia Camp is based on a community-university partnership that brings together people with aphasia, their family members, and students from a wide variety of health professions. […] We have been running our Intensive Treatment for Aphasia in Western Canada (iTAWC) program since 2011 and are delighted to be able to continue to offer it at our wheelchair-accessible offices in Vancouver, BC. […] The Alberta Aphasia Camp is a weekend-long camp held every September. […] Evergreens Intensive Aphasia Program is the only program of its kind in Ontario and one of 13 in the world.
- #28 Leading Aphasia Treatments | AMN Healthcarehttps://www.amnhealthcare.com/blog/allied/travel/aphasia-treatments-seven-speech-therapy-ideas/
Intensive language action therapy forces the person with aphasia to use the affected language, typically verbalizing, and does not rely on compensatory tools. […] A newer speech therapy idea for aphasia treatment involves intensive programs, such as the one at Craig Hospital. […] Research has shown that intensive therapy has more positive outcomes, even for individuals who have had aphasia for a long time. […] Intensive community programs with a life-participation approach represent another recent speech therapy idea, such as the Snyder Center for Aphasia Life Enhancement in Baltimore. […] Computer programs and apps can supplement speech-language therapy for aphasia patients. […] Williamson considers technology one of the best things that has happened to people with aphasia. […] One of the speech therapy activities that SLPs can teach family members is how to use supported conversation, such as closed-ended questions, to communicate with the patient.
- #29 Current Approaches to the Treatment of Post-Stroke Aphasiahttps://pmc.ncbi.nlm.nih.gov/articles/PMC8189855/
By far, the most common approach to aphasia rehabilitation is behavioral speech and language therapy (SLT). SLT was even described by Paul Broca in his seminal 1865 paper, and it remains the standard of care for patients with aphasia. […] Meta-analyses of a large number of smaller studies generally support the notion that SLT is very much worthwhile for aphasic patients. […] In contrast to early aphasia therapy, there is ample evidence, including Breitenstein et al. [18], that more SLT in the chronic phase is associated with greater long-term recovery. […] Aphasia severity, a factor related to overall lesion volume, is one of the very few variables that has been identified as a reliable predictor of SLT outcome, and it is generally accepted that more severe patients are less likely to respond to SLT.
- #30 Aphasia Treatment: digital speech-language therapy frequencyhttps://constanttherapyhealth.com/brainwire/aphasia-treatment-recommended-frequency/
Aphasia Treatment: What is the recommended digital speech-language therapy frequency? […] Fortunately, groundbreaking research published in the peer-reviewed Journal of Medical Internet Research offers decisive evidence that it does. […] The research confirmed the hypothesis and put data behind what many patients, caregivers, and clinicians already knew intuitivelyâthat is, users who more frequently completed digital rehabilitation with Constant Therapy experienced significantly greater improvement in their speech, language, and cognitive abilities compared to less-frequent users. […] In short, every daily decision by a patient to self-initiate Constant Therapy practice does make a difference. […] This research offers a valuable contribution to scientific literature through its discovery that treatment frequency, and not merely total therapy hours, is vital in fostering functional gains.
- #31 Aphasia Treatment: digital speech-language therapy frequencyhttps://constanttherapyhealth.com/brainwire/aphasia-treatment-recommended-frequency/
Because this research found that the rate of patient improvement is greatly influenced by the frequency of practice, patients can aim for 4 or more days of Constant Therapy per week to optimize improvement. […] From a clinicianâs perspective, for instance, it would be more beneficial to recommend that patients complete Constant Therapy exercises four days a week for a shorter amount of time, rather than a single, longer session in a week.
- #32 Aphasia – Diagnosis & treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/aphasia/diagnosis-treatment/drc-20369523
May include use of computers. Using computer-assisted therapy can be especially helpful for relearning verbs and word sounds (phonemes). […] Certain drugs are being studied for the treatment of aphasia. These include drugs that may improve blood flow to the brain, enhance the brain’s recovery ability or help replace depleted chemicals in the brain (neurotransmitters). […] Brain stimulation is being studied for aphasia treatment and may help improve the ability to name things. But no long-term research has been done yet. One treatment is called transcranial magnetic stimulation and another is transcranial direct current stimulation.
- #33 Aphasia therapy apps | Stroke Associationhttps://www.stroke.org.uk/stroke/effects/aphasia/therapy-apps
Aphasia therapy apps can help practice your communication. This page has information about finding and using apps. […] Aphasia therapy apps can help you to continue your communication practice. […] An app might help one person with aphasia. […] But this does not mean it would help all people with aphasia. […] Ask your speech and language therapist what apps they would recommend for you. […] We have looked at the most commonly used aphasia therapy apps. […] We are not endorsing or recommending any of the apps but rather sharing information. […] The Stroke Association will not give advice or recommendations on specific technology or apps.
- #34 Speech Therapy Apps for Adults with Stroke, Aphasia: iPad & Androidhttps://tactustherapy.com/apps/
Tactus Aphasia Essentials: Get 8 powerful apps to cover all levels of aphasia with two 4-in-1 apps in this money-saving iOS app bundle. Incredible value! […] Boost speaking, listening, reading, writing for words with a scientifically proven speech therapy app for people with aphasia. […] Take aphasia therapy to the sentence level beyond with 4 apps that strengthen listening, talking, reading, writing. […] Speak more easily and build independence with video-assisted speech therapy to help people with apraxia after a stroke. […] Engage in real-life discussions with pictures questions that get people talking to practice communication strategies. […] Treat swallowing disorders better by finding the evidence-based therapy approaches that match your patients needs best. […] Strengthen connections between words with flexible exercises to improve language and reasoning skills.
- #35 Speech Therapy Apps for Adults with Stroke, Aphasia: iPad & Androidhttps://tactustherapy.com/apps/
Say the right word more easily when you learn the strategies that help you communicate with this popular word-finding app. […] Express yourself better with challenging word-finding exercises for aphasia and cognitive-communication problems. […] Challenge your understanding with listening and reading exercises for sentences perfect for mild or moderate aphasia. […] Understand what you hear and read with word-level exercises you can customize for severe aphasia, autism, or brain injury. […] Push your reading to the phrase and sentence level with multiple-choice exercises for stroke survivors. […] Build independence as you improve your spelling skills with engaging exercises to help you relearn to write single words. […] Strengthen digital communication skills with functional typing, spelling, and composition exercises for adults. […] Enhance clarify natural speech with this simple yet powerful augmentative communication app for dysarthria aphasia.
- #36 Aphasia Therapy Guide – The National Aphasia Associationhttps://aphasia.org/aphasia-resources/aphasia-therapy-guide/
Tele-rehabilitation is being developed by William Connors in Pittsburgh. […] This procedure is a slight variation of the basic picture-naming drill, but the adjustments introduce elements of conversation into the interaction. […] Supported conversation is a particular strategy for enhancing communicative confidence that is commonly found in community support groups. […] A speech-language pathologist tailors a therapy program to the wishes and abilities of the individual client, also considering the capacities of the rehabilitation facility and the availability of caregiver support.
- #37 Aphasia Treatment Programhttps://www.csueastbay.edu/slhs/clinic/atp.html
The Department of Speech, Language, and Hearing Sciences and the Norma S. and Ray R. Rees Speech, Language and Hearing Clinic offers an innovative and cutting-edge group treatment program for persons with aphasia. […] The Aphasia Treatment Program (ATP) was established by CSD Professor Emerita, Dr. Jan Avent in 1996. […] This approach places the life concerns of persons with aphasia at the heart of clinical decision-making. Further, this approach prioritizes the meaningful participation of persons with aphasia in society. […] ATP provides a rich social environment for persons with aphasia to interact with peers who have aphasia, graduate student clinicians, trained volunteers, and program faculty who are all nationally certified and state-licensed speech-language pathologists. […] Telepractice is shown to be as effective as in-person consultation.
- #38 Current Approaches to the Treatment of Post-Stroke Aphasiahttps://pmc.ncbi.nlm.nih.gov/articles/PMC8189855/
The mainstay of post-stroke aphasia therapy has always been, and continues to be, behavioral SLT. There have been recent innovations to enhance its effectiveness, by increasing the time in therapy (e.g., through language therapy apps), by individualizing therapy to address aphasia severity and specific speech or language deficits, or increasing access to therapy through telerehab. Behavioral SLT has also been augmented with medications or noninvasive brain stimulation methods that facilitate neural plasticity.
- #39 Aphasia – Wikipediahttps://en.wikipedia.org/wiki/Aphasia
Semantic Feature Analysis (SFA) is a type of aphasia treatment that targets word-finding deficits. […] Systematic reviews support the effectiveness and importance of partner training. […] When a person’s speech is insufficient, different kinds of augmentative and alternative communication could be considered. […] Better outcomes occur when the person participates in therapy, and treatment is more effective than no treatment for people in the acute period. […] People with global aphasia may retain gestural communication skills that may enable success when communicating with conversational partners.
- #40 About aphasia â clinical information for SLTs | RCSLThttps://www.rcslt.org/speech-and-language-therapy/clinical-information/aphasia/
Aphasia is a long-term and life-changing condition. […] Speech and language therapists play a unique role in identification and assessment of those with aphasia and educating and training other professionals working with children and adults with aphasia, their families and carers. […] Augmentative and Alternative Communication (AAC) can improve the communication ability of people with aphasia. […] Aphasia is a term used to describe a language disorder that results from damage to those areas of the brain responsible for language. […] Aphasia is a long-term, life-changing condition, which affects both the individual and others around them.
- #41 Aphasiahttps://www.asha.org/public/speech/disorders/aphasia/?srsltid=AfmBOoqtnifAi-C_IuXzocmY-vqcPeAjNQ0UxbA3YlAFYUX4G7MoHrC9
Aphasia is most often caused by a stroke. […] There is no medicine for aphasia. Your SLP will set goals in partnership with you and, with your permission, the people with whom you communicate the most. Therapy activities will help you participate in the things that are important to you. Some activities help you improve language skills. Others help you work around the problems. The type of treatment you get depends on what you want and need. […] Some people use other ways to communicate. These methods may include using hand gestures, writing, drawing, pointing to letters or pictures, or using a computer. This is called augmentative and alternative communication, or AAC. Your SLP can help you pick the best tools for you. […] You may work with an SLP on your own or in a small group. You may want your family to be a part of your treatment. They can help you use the skills you learn with the SLP at home. Your SLP can help you connect with other resources in your community, like groups for support and socialization.
- #42 BIOLOGICAL APPROACHES TO APHASIA TREATMENThttps://pmc.ncbi.nlm.nih.gov/articles/PMC3405725/
Herein, we review the basic mechanisms neural regeneration and repair and attempt to correlate the findings from animal models of stroke recovery to clinical trials for aphasia. […] The ultimate goal of aphasia therapy should be the repair and reorganization of the injured brain. […] In this paper, we review the biological basis of therapies directed at neural remediation in aphasia and the clinical literature evaluating these therapies. […] It is important to note that the biological organism develops skill though interaction with the environment. […] These suggest that a combination of behavioral training and biological intervention can be used to effect the desired (direct or indirect) circuit changes. […] The neural substrates of functional recovery from cortical lesions have been characterized in multiple systems and species.
- #43https://journals.lww.com/jisprm/fulltext/2022/05010/poststroke_aphasia_treatment__a_review_of.1.aspx
Aphasia is a common complication of stroke, often causing significant morbidity. […] The aim of this article is to provide a comprehensive review of the evidence regarding pharmacologic and NIBS treatment in PSA. […] No strong evidence was found for any medication to improve PSA. However, the benefit of a medication trial may outweigh the risk of side effects as some evidence exists for functional recovery. […] Regarding NIBS, weak evidence exists for the treatment effect of tDCS and rTMS on PSA. […] More evidence with larger studies and standardized study design is needed. […] The aim of this article is to provide a thorough review of the literature addressing pharmacologic and noninvasive brain stimulation (NIBS) interventions as treatment options for poststroke aphasia (PSA). […] The conclusion suggesting a shift in language area activation in acute versus chronic stroke is further supported by Saur et al.’s fMRI observations on dynamics of language reorganization.
- #44 BIOLOGICAL APPROACHES TO APHASIA TREATMENThttps://pmc.ncbi.nlm.nih.gov/articles/PMC3405725/
Several mechanisms have been described, and these include axonal sprouting, elaboration of dendritic spines, migration of subventricular stem cells to the infarction zone, or modulation of the strength or excitability of existing synapses. […] A number of mechanisms are postulated to underlie the beneficial effects of catecholamine enhancement, including alteration of expression of synaptic proteins, enhancing neural regeneration, or altering synaptic strength. […] These studies suggest that catecholamine augmentation may affect neuronal plasticity on multiple temporal and spatial scales. […] The effect of D-amphetamine on motor recovery can be blocked by haloperidol, a D2 antagonist, with weaker antagonism at the alpha1 adrenoreceptor. […] This experience- and acetylcholine-dependent map reorganization learning is probably mediated by muscarinic cholinergic receptors, rather than nicotinic receptors, since this learning can be blocked by scopolamine, a muscarinic antagonist.
- #45 BIOLOGICAL APPROACHES TO APHASIA TREATMENThttps://pmc.ncbi.nlm.nih.gov/articles/PMC3405725/
Despite these encouraging findings, there are major hurdles to the translation of this therapy to the clinic. […] The totality of the data, then, suggests that bromocriptine or L-dopa therapy, coupled with SLT, holds promise for aphasia treatment. […] In our view, the optimum study design to establish that a pharmacological agent promotes brain reorganization to enhance language processing would be a double-blind, placebo-controlled, adequately-powered, parallel-group study that contains at least one outcome measure that is assessed after drug washout to ensure that any benefit observed is not only due to temporary enhancement of arousal. […] It is thus advisable for patients in aphasia therapy to avoid drugs that might interfere with catecholaminergic, cholinergic or GABAergic function, or are thought to delay recovery by empirical study.
- #46 Global Aphasia Causes, Symptoms, Diagnosis, Treatment, and Outlookhttps://www.healthline.com/health/neurological-health/global-aphasia
Noninvasive brain stimulation is a relatively new area of treatment for aphasia. It uses techniques like transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS), along with speech-language therapy, to help people recover language ability. […] Recovering from global aphasia is a slow process. Although it’s rare to regain full language abilities, many people make significant improvements with proper treatment. […] The good news is symptoms of aphasia may continue to improve for years after the aphasia first develops. […] Undergoing speech therapy and other treatment options can help maximize the ability to communicate.
- #47 Aphasia Treatment & Management: Medical Care, Consultationshttps://emedicine.medscape.com/article/1135944-treatment
Psychological support is important. Many patients with aphasia have associated depression. Careful diagnosis, treatment, and emotional support are of value. […] Special techniques exist to treat patients with articulatory problems, agrammatism, lack of syntax, and lack of intonation ability. In general, experts agree on the importance of speech therapy in aphasia. Studies have shown that intensive speech therapy may be more beneficial than a more extended course of sporadic therapy. […] Small-scale clinical trials of treatments for aphasia have been reported. These suggest benefit, comparing reasonably well with evidence-based therapies for neurologic diseases involving drugs. The intensity of speech therapy appears to correlate with the degree of recovery. Of great interest is whether the combination of medical therapy and speech therapy is of greater benefit than that of speech therapy alone.
- #48 Current Approaches to the Treatment of Post-Stroke Aphasiahttps://pmc.ncbi.nlm.nih.gov/articles/PMC8189855/
Aphasia, impairment of language after stroke or other neurological insult, is a common and often devastating condition that affects nearly every social activity and interaction. Behavioral speech and language therapy is the mainstay of treatment, although other interventions have been introduced to augment the effects of the behavioral therapy. […] Supported by evidence from Phase III trials and large meta-analyses, it is now generally accepted that aphasia therapy can improve language processing for many patients. Not all patients respond similarly to aphasia therapy with the most severe patients being the least likely responders. Nevertheless, it is imperative that all patients, regardless of severity, receive aphasia management focused on direct therapy of language deficits, counseling, or both.
- #49 Intensive Treatment Services for Aphasia – Northwestern University Center for Audiology, Speech, Language, and Learninghttps://nucasll.northwestern.edu/speech-language-pathology/aphasia/intensive-treatment-services/
When designing treatment activities, we combine vetted aphasia treatment approaches with each client’s interests and priorities to generate customized, effective, and functional intervention activities. […] We highly value family involvement at every stage of our intensive aphasia program. Care partners are encouraged to join sessions, actively participate in goal-setting discussions, and play a crucial role as collaborative partners in the recovery process.
- #50 What is Aphasia? Symptoms, Types and Treatment | Brown University Healthhttps://www.brownhealth.org/be-well/what-aphasia-symptoms-types-and-treatment
Aphasia is an acquired communication disorder that results in loss of the ability to produce or understand language. […] Speech pathologists work with patients with aphasia to help them regain their ability to communicate. Treatment is individualized and aims to improve a patients overall life participation. Treatment typically includes restorative approaches to target an individuals impairments to improve language ability as much as possible. Compensatory approaches are also emphasized to assist patients to learn other ways of communicating, such as gestures, pictures or use of electronic devices. […] A large goal of therapy is to also provide community support and help individuals integrate back into their communities. Group therapy offers an excellent opportunity to utilize new communication skills in a small group setting. […] Family involvement is highly encouraged. Speech pathologists work closely with caregivers to educate and train them on the best ways to communicate with their loved ones.
- #51 What is Broca’s Aphasia? Non-fluent aphasia explained with videohttps://tactustherapy.com/brocas-aphasia-nonfluent-video/
Brocas aphasia can improve over time, but will improve more quickly with speech and language therapy. A qualified and experienced speech-language pathologist will work with the person with aphasia and their family to establish achievable therapy goals. […] The therapist may use a variety of the evidence-based therapy techniques described here such as Melodic Intonation Therapy (MIT) or others like Constraint Induced Language Therapy (CILT). […] Many people with Brocas aphasia learn to use these sequences to work up to the word they want. […] Like with all types of aphasia, education, caregiver training, supported conversation techniques, and raising awareness are all vital in supporting people with Brocas aphasia. […] You may also want to consider using the following techniques to support communication with someone with Brocas aphasia: Be patient. Give the person with aphasia time to get their words out.
- #52 What is Broca’s Aphasia? Non-fluent aphasia explained with videohttps://tactustherapy.com/brocas-aphasia-nonfluent-video/
Speaking can be hard work! Provide general encouragement to motivate the person to continue trying to communicate their message, or let them rest and come back to the idea another time. […] Focus on what they are able to tell you, rather than worrying about the words they leave out. […] Repeat back their message in a full sentence to verify that you have understood correctly. […] Encourage the use of gestures to facilitate spoken output. […] Use simple sentence structures when talking so you can be understood more easily. […] Minimize background noise, moving to a quiet space. In a group, take turns talking. […] Write down key words or use drawing to facilitate comprehension if necessary. […] Use visuals to support expressive and receptive communication. These may include pictures, photos, maps, or calendars, as well as tools such as paper and pens.
- #53 Aphasia Treatment | Good Shepherd Rehabilitation â Where Potential Becomes Realityhttps://www.goodshepherdrehab.org/service/aphasia-treatment/
Most often caused by stroke, aphasia is a communication disability that occurs when the language centers of the brain are damaged. […] Speech language therapy is a crucial part of the recovery process. At Good Shepherd Rehabilitation Network, speech language pathologists work with patients and their families to find techniques that maximize communication for successful participation at home, work and in the community. Therapy may include working on language skills, using computer-based programs, using low- and high-tech communication devices as well as conversation training and modeling. Communication partner training and education is the most important component to maintain communication participation for those suffering from aphasia, as well as to sustain their ongoing desired relationships. […] Our aphasia treatment is provided by a team of highly skilled physicians, therapists and neuropsychologists working closely to achieve the best recovery possible for you and your needs.
- #54 Aphasia Therapy When Insurance Stops | American Stroke Associationhttps://www.stroke.org/en/about-stroke/effects-of-stroke/communication-and-aphasia/stroke-and-aphasia/aphasia-therapy-when-insurance-stops
It may take years to recover from aphasia. Unfortunately, most people find that their insurance coverage runs out before theyâre done with therapy. Itâs often frustrating for the patient and their family as they try to continue recovery with limited professional support. […] If your insurance is no longer covering professional speech-language intervention, the following low-cost options may help you continue your progress. […] Ask your speech-language pathologist for information about low-cost or free therapy services in your community. […] Find out if your community has research programs that provide free or low-cost therapy for people with aphasia who qualify for treatment studies. […] See if a friend or family member can help you practice speech-language therapy. […] Seek out a volunteer who is new to you and your family to help with practice.
- #55 Aphasia Therapy When Insurance Stops | American Stroke Associationhttps://www.stroke.org/en/about-stroke/effects-of-stroke/communication-and-aphasia/stroke-and-aphasia/aphasia-therapy-when-insurance-stops
Learn more about software programs that can help with ongoing, independent speech-language practice. […] Look into aphasia or stroke support groups. If there isnât a support group in your area, consider starting one. […] Every time you speak, read, write or listen youâre improving your ability to communicate with others. Donât give up!
- #56 Aphasia: Causes, Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/5502-aphasia
Aphasia is a language disorder that affects your ability to speak and understand what others say. Treatment options are available to help you adapt if symptoms are permanent. […] While aphasia affects your ability to communicate, it doesn’t affect your intelligence. Treatment options are available to help you communicate and better understand different forms of language. […] If you have long-term or permanent brain damage, speech therapy can improve your language abilities. Speech therapy builds or rebuilds your understanding of language and teaches you skills to adapt to specific symptoms. […] Medications may help treat the cause of aphasia. These vary widely. Your healthcare provider will recommend possible treatments specific to your situation. […] The time it takes to recover from aphasia depends on what caused it, how severe it is and available treatment options. Your healthcare provider is the best person to tell you more about your recovery timeline.
- #57 Aphasia: Causes, Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/5502-aphasia
In some cases, aphasia is short-term and will go away completely over time. For others, aphasia may be a lifelong condition if the language center of your brain has permanent damage. Speech therapy may improve aphasia symptoms but can’t fully reverse this condition’s effects. […] Your healthcare providers can help you adapt and learn new ways to communicate and build or reestablish a connection with others.
- #58 Aphasia: Practice Essentials, Background, Pathophysiologyhttps://emedicine.medscape.com/article/1176568-treatment
Aphasia is an acquired disorder of language due to brain damage. […] The treatment of a patient with aphasia depends on the cause of the aphasia syndrome. Acute stroke treatment for the aphasic patient, such as intravenous tPA, intra-arterial interventional treatments, carotid endarterectomy and stenting, or even blood pressure manipulation may help to alleviate the deficit. […] However, most people undergo speech and language therapy to rehabilitate their language skills and supplement their communication experiences. Speech and language therapy is the mainstay of care for patients with aphasia. […] The prognosis for language recovery varies depending on the size and nature of the lesion and the age and overall health of the patient. Most patients, even elderly ones, experience some recovery in poststroke aphasia, and some recover completely. […] Although it was once taught that most improvement from aphasia occurs in the first six months after a stroke, most now acknowledge that recovery can occur many months or even years after the initial stroke that caused the impairment.
- #59 Aphasia – Symptoms & causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/aphasia/symptoms-causes/syc-20369518
Aphasia usually happens suddenly after a stroke or a head injury. But it can also come on gradually from a slow-growing brain tumor or a disease that causes progressive, permanent damage (degenerative). The main treatment for aphasia involves treating the condition that causes it, as well as speech and language therapy. The person with aphasia relearns and practices language skills and learns to use other ways to communicate. Family members often participate in the process, helping the person communicate. […] Primary progressive aphasia is the term used for language difficulty that develops gradually. This is due to the gradual degeneration of brain cells located in the language networks. […] Aphasia can create numerous quality-of-life problems because communication is so much a part of your life. Communication difficulty may affect your: Job, Relationships, Day-to-day function.
- #60 Aphasia Treatment | Brooks Rehabilitationhttps://brooksrehab.org/conditions/aphasia/
Aphasia can affect both the ability to communicate verbally and through writing, and to understand the speech and writing of others. […] Although aphasia has no cure, individuals can improve over time, especially through speech therapy, participation in life and conversation. Therapy for aphasia should start at the onset of aphasia and continue in acute care, inpatient rehabilitation, and home health and outpatient settings. […] At Brooks rehabilitation we offer an incredible opportunity for people after they have been discharged from the hospital. The Brooks Aphasia Center offers two life participation aphasia programs including a community track and an intensive, comprehensive aphasia program. […] The intensive, comprehensive aphasia program combines individualized, specialized therapy and immersive group rehabilitation for 530 hours per week for 6 weeks. […] Both tracks begin with comprehensive assessments. They also include communication training for families and training to support the home or work environment. New skills and communication techniques are taught so members can re-engage in life’s activities and conversations again.
- #61 Aphasia Clinic & Support Group Information | Medstar Healthhttps://www.medstarhealth.org/services/aphasia
Aphasia occurs when the parts of the brain that control language are damaged, and it results in obstructed speaking, listening, reading, and/or writing. […] The Aphasia Clinic is designed for those who have experienced a recent stroke or other injury to the brain with resulting problems. It is also appropriate for individuals who have previously been diagnosed with aphasia and want to improve their communication skills, even years after their illness or injury. […] Therapy focuses on the real-life goals of people affected by this condition, including: […] Speech-Language Therapy: Therapy focuses on the real-life goals of people affected by aphasia, strengthening daily participation in life activities and social connections. […] The hallmark of the clinic’s approach is its comprehensive language and medical evaluation of each participant. This unique collaborative assessment helps the clinic team pinpoint the precise areas of the brain affected by stroke or brain injury, and characterize the type of aphasia clients are experiencing. The team uses this information to both better understand the individual’s problem and make recommendations for additional management options.
- #62 BIOLOGICAL APPROACHES TO APHASIA TREATMENThttps://pmc.ncbi.nlm.nih.gov/articles/PMC3405725/
There are increasingly reliable data suggesting a potential beneficial effect potentiation of catecholaminergic, particularly dopaminergic, transmission on aphasia rehabilitation. […] Therefore, neither pharmacotherapy nor stimulation methods should be used as a substitute for speech and language therapy. […] It is very likely that pharmacotherapy and stimulation devices will ultimately play a valuable role as an adjunct to behavioral rehabilitation to speed recovery, improve learning, decrease performance variability, and improve mean performance in patients with mild to moderate language dysfunction from cerebral infarctions.
- #63 New discoveries for aphasia after stroke | MUSC Health | Charleston SChttps://muschealth.org/health-professionals/progressnotes/2018/spring/features/language-lost-found
According to the new neuroanatomy of language, aphasia syndromes are being classified based upon which component of the language process is impaired, in addition to which areas of the brain are affected. […] This methodology also reveals the networks that are preserved after stroke and how they support plasticity. […] Speech and language therapy remains the standard of care for aphasia, but it is not effective for all patients. […] Research efforts are focused on tailoring speech and language therapies, along with other experimental therapies, to the individual patient. […] In a recent high-profile clinical trial, patients who had post-stroke aphasia lasting at least six months experienced significant improvements in verbal communication with three weeks of intensive speech and language therapy.
- #64 New discoveries for aphasia after stroke | MUSC Health | Charleston SChttps://muschealth.org/health-professionals/progressnotes/2018/spring/features/language-lost-found
We are trying to find the best predictors of treatment response in patients. […] The goal is to look at the fine-grained structural connectivity of the entire brain after stroke the location of the stroke damage in gray matter regions as well as the surrounding white matter tracts that have been interrupted. […] By working collaboratively with partners in aphasia research, investigators at MUSC are refining clinical care of aphasia by tailoring speech and language therapy to stimulate plasticity in the intact brain after stroke. […] Data is being used to predict response to treatment, thereby enabling speech therapy to be personalized based on each patient’s brain profile obtained with fMRI and language performance. […] In the future, researchers hope that patients with aphasia can regain their language that was once lost to stroke.
- #65 Aphasia FAQs: Recovery with Constant Therapy Apphttps://constanttherapyhealth.com/conditions/aphasia/
The most important thing to know is that, because of neuroplasticity, there is no end to recovery. […] If you have aphasia, you can continue to improve with the right therapy for the rest of your life. […] The easy-to-use app, when part of a brain rehabilitation plan, can restore communication skills associated with aphasia. […] Constant Therapy means not waiting a week in between in-clinic therapy sessions to work towards your recovery goals. […] It means continuing recovery long after clinic sessions have run out.