speech therapy, aphasia, therapy, speech therapy after brain injury, speech therapy tbi

Aphasia

Aphasia is a language impairment that affects your production and comprehension of language as well as your ability to read and write. Aphasia can immediately result from a brain injury, such as a stroke or TBI, but can also develop slowly, from a brain tumor or progressive neurological disease. Symptoms of aphasia include: 

  • Speaking in short or incomplete sentences 
  • Speaking or writing sentences that do not make sense 
  • Speaking unrecognizable words 
  • Difficulty understanding other people’s conversations 

There are different types of Aphasia that can be acquired. Some of the common ones include:  

Types of Aphasia  Description 
Global aphasia 
  • Most severe type of aphasia 
  • Can say a few recognizable words but understand little to no spoken language 
  • Unable to read or write 
Broca’s aphasia (non-fluent aphasia) 
  • May understand speech and know what to say but can only speak in short phrases or utterances 
  • Able to read but may be limited in writing 
Mixed non-fluent aphasia 
  • Produce sparse and effortful speech but has difficulty understanding spoken language 
  • Unable to read or write pass elementary level  
Wernicke’s aphasia (fluent aphasia) 
  • Can produce connected speech but cannot understand spoken language  
  • Speech can still be abnormal: sometimes sentences do not flow, and irrelevant words intrude  
Anomic aphasia 
  • Difficulty retrieving words to speak and write 
  • Fluent in grammatical form but speech consists of using excessive words and expressions of frustration  
  • Understand speech well and can read adequately  
Primary progressive aphasia 
  • A neurological syndrome in which your language abilities progressively and slowly deteriorate  
  • Caused by neurodegenerative diseases such as Alzheimer’s Disease 

 

Individuals can seek speech therapy to treat aphasia. If you live with or take care of a person with aphasia, there are general strategies that you can use to communicate with him or her. These include: 

  • Using short, simple sentences to make language easier to understand  
  • Allowing time for the person to respond 
  • Providing clarification by repeating or writing down key words if needed 
  • Maintaining a natural conversation that is age appropriate  
  • Reducing distractions (i.e., turning off the TV or loud music) 
  • Encouraging any type of communication (i.e., speech, gesture, drawing) 
  • Avoiding correcting the person’s speech and asking too many open-ended questions  

References: 

https://www.nidcd.nih.gov/health/aphasia 

https://www.aphasia.org/aphasia-definitions/ 

https://www.mayoclinic.org/diseases-conditions/aphasia/symptoms-causes/syc-20369518 

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