Speech Therapy

Therapy for Aphaisa After Stroke

Therapy for aphasia is very crucial part for a person who has suffered a stroke and it affected his/her ability to speak. To put it more simply, aphasia is a disruption in the understanding, processing or production of language, which most frequently occurs due to brain damage. There are multiple treatment modes available for treating the different forms of aphasia. But only a few have been rigorously studied for their efficacy. Hence, most types of aphasia therapy are based on theoretical grounds which are not fully understood and further testing are required. However, most physicians and speech pathologists believe in the benefits of aphasia therapy on the basis of their experience with patients. Read on to know more about the therapy for aphasia after stroke.

Therapy for Aphaisa After Stroke

The General Principles

There are many general principles of aphaisa therapy which has shown positive otcome in small studies. These include:

  • Gradual increase in the difficulty of language exercises. This is practiced during a therapy session which improves the outcome.

  • The effectiveness of this treatment increases when the speech therapist uses different forms of sensory stimuli. This may include visual stimuli like drawings and pictures or auditory stimuli like music. These tools are used routinely in aphasia therapy sessions.

  • Irrespective of the form of therapy implemented, the result is better when the intensity of the therapy sessions is increased. To put it more simply, a specified number of hours will give much better results when outlined in a few sessions just over a few days instead of several sessions over many days.

Cognitive Linguistic Therapy

This type of therapy basically outlines the emotional aspects of language. Some exercises, for example, may require patients to understand the components of different emotional tones of voice. On the other hand, other exercises require patients to describe the meaning of highly descriptive terms or words like the word “sad.” These type of exercises aid the patients to practice their comprehension skills while trying to understand the emotional aspects of language.

Programmed Stimulation

This form of therapy mainly implements the multiple sensory modalities. These include music and pictures which are introduced slowly progressing from an easy to difficult level.

Stimulation-Fascilitation Therapy

This type of therapy for aphaisa primarily focuses on the syntactic and semantic components of language. Auditory stimulation is the basic stimulus used during the therapy sessions. The therapy is based on the assumption that language improvements happen with repetition.

Group Therapy

This form of therapy for aphaisa gives a social context to practice patient’s communication skills that they have learned during their individual therapy sessions. They regularly get important feedback from other aphasics as well as therapists. Even family treatment methods have a similar effect, which allows the aphasics to facilitate their communications with their loved ones.

Promoting Aphasic’s Communicative Effectiveness (PACE)

Known as one of the most effective pragmatic forms of therapy, this mainly improves the communication skills by using conversation as a toll for practicing and learning. This therapy basically include an enacted conversation between the patient and the therapist. This uses visually-stimulating items like pictures and drawings in order to initiate spontaneous communication. These tools help the patient to think of ideas which can be communicated during the conversation. The patient and the therapist take their turns to convey their ideas.

Pharmacotherapy

This type of therapy for aphaisa is considered to be the most appealing therapy. However, its efficacy is not yet proven. Here is a list of medicines which have been used in the therapy:

  • Antidepressants
  • Amphetamines
  • Donezepil
  • Dextran 40
  • Idebenone
  • Bromocriptine
  • Piribedil
  • Bifenalade
  • Piracetam

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