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Speech recovery after stroke

What is stroke? According to the official definition, stroke is a medical condition in which poor blood flow to the brain results in cell death. There are two main types of

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Слайд 1Speech recovery after stroke
By a student of Sechenov University
Alevtina

Fedina

Speech recovery after strokeBy a student of Sechenov University Alevtina Fedina

Слайд 2What is stroke?
According to the official definition, stroke is

a medical condition in which poor blood flow to the

brain results in cell death.
There are two main types of stroke: ischemic and hemmorrhagic. If symptoms last less than one or two hours it is known as a transient ischemic attack or mini-stroke.
 
What is stroke? According to the official definition, stroke is a medical condition in which poor blood

Слайд 3But how is it connected to speech?
Aphasia — the

language disorder that affects the ability to communicate. It’s most

often caused by strokes in the left side of the brain, that controls speech and language. Aphasia does not affect intelligence. So, to be clear: cells die, speech ruined.
But how is it connected to speech? Aphasia — the language disorder that affects the ability to

Слайд 4Is it possible to recover?
Yes, it is! Even if it

might seem hopeless, the right therapy always helps. Just give

it some time.

Is it possible to recover?Yes, it is! Even if it might seem hopeless, the right therapy always

Слайд 5Types of recover therapy
Physical therapy
Occupational therapy
Speech-language therapy

Types of recover therapyPhysical therapyOccupational therapySpeech-language therapy

Слайд 6Speech-language therapy
Speach therapists note that working with survivors in the

first few weeks after suffering a stroke often helps them

to make big improvements in their abilities. Research corroborates these observations, showing that patients who immediately work with a speech-language therapist have an increased opportunity to regain speech and other functions.
Speech-language therapySpeach therapists note that working with survivors in the first few weeks after suffering a stroke

Слайд 7Breathing exercises
Doing breathing exercises can help the patient regulate their

breathing while speaking. They practice planning out the breaths they

will take while speaking. After repeating sentences and breaths to themselves, they can practice with a supervisor, knowing better now when taking a breath is appropriate.

Breathing exercisesDoing breathing exercises can help the patient regulate their breathing while speaking. They practice planning out

Слайд 8Tongue strengthening exercises
Tongue stretches exercises will strengthen the muscle and

make it easier for stroke patients to make the proper

sounds and form words. It also helps to strengthen the neural pathways and the “muscle memory” of speech that patients can lose after having a stroke.

Tongue strengthening exercisesTongue stretches exercises will strengthen the muscle and make it easier for stroke patients to

Слайд 9Practicing speech sounds
Making the right sounds and the right words

is difficult for aphasia patients. Have the patient practice repeating

similar sounds: “Ah, ay, at, al, ack… etc.” Practice saying this set many times in a row before moving to another set. This will exercise the mouth and tongue to practice forming sounds and words.

Practicing speech soundsMaking the right sounds and the right words is difficult for aphasia patients. Have the

Слайд 10Naming pictures
While the physical formation of the words is difficult

for some patients, other patients struggle with forming the word

that they’re thinking of. In order to strengthen the connection between words and things, they can quiz themselves by looking at pictures and practice saying the word the picture depicts.

Naming picturesWhile the physical formation of the words is difficult for some patients, other patients struggle with

Слайд 11Sentence practice
Singular word formation isn’t always an issue with stroke

patients. But many patients struggle with forming complete and correct

sentences. While the patient is practicing saying certain words and sounds, they should also try and construct sentences. That can be sentences that they read (if they have maintained reading comprehension post-stroke).


Sentence practiceSingular word formation isn’t always an issue with stroke patients. But many patients struggle with forming

Слайд 12Family involvement in speech therapy
Speech and communication don’t start and

stop with saying words. It involves understanding what words to

say, how to say them, when to breathe, and how to form full sentences.
Also, it is very important to have other people, like family, helping the patient. Patients after stroke are very vulnerable, and it is critically important they have lots of support.



Family involvement in speech therapySpeech and communication don’t start and stop with saying words. It involves understanding

Слайд 13Noninvasive brain stimulation
Some volunteered patients received transcranial magnetic stimulation (TMS)

directed to a region in the right side of the

brain. TMS uses a handheld magnetic coil that delivers low-intensity stimulation.

Noninvasive brain stimulationSome volunteered patients received transcranial magnetic stimulation (TMS) directed to a region in the right

Слайд 14Conclusion
Most of those methods are very conservative, but for now

we don’t have much of a choice. There are many

new studies coming every year, so maybe one day there will be a quick solution, but for now it is patience and caring.


Thanks for your attention!
ConclusionMost of those methods are very conservative, but for now we don’t have much of a choice.

Слайд 15Resources
https://www.nature.com/articles/s41598-018-32457-4
https://newsatjama.jama.com/2013/06/27/noninvasive-brain-stimulation-is-promising-for-poststroke-aphasia/
Gaillard, Frank. "Ischaemic stroke". radiopaedia.org. Retrieved 3 June 2018.
PhD, Gary Martin (2009). Palliative Care Nursing:

Quality Care to the End of Life, Third Edition. Springer

Publishing Company. p. 290. ISBN 978-0-8261-5792-8. Archived from the original on 2017-08-03.
Brady MC, Kelly H, Godwin J, Enderby P, Campbell P (June 2016). "Speech and language therapy for aphasia following stroke". The Cochrane Database of Systematic Reviews. 2016 (6): CD000425.
Resourceshttps://www.nature.com/articles/s41598-018-32457-4https://newsatjama.jama.com/2013/06/27/noninvasive-brain-stimulation-is-promising-for-poststroke-aphasia/Gaillard, Frank. 

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