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Most acute cases of aphasia recover some or most skills by participating in speech and language therapy. Recovery and improvement can continue for years after the stroke. After the onset of aphasia, there is approximately a six-month period of spontaneous recovery; during this time, the brain is attempting to recover and repair the damaged neurons.
Notably, the initial studies focused on chronic stroke patients who were more than 12 months past their stroke. This challenged the belief held at that time that no recovery would occur after one year. The therapy entails wearing a soft mitt on the good hand for 90% of the waking hours, forcing use of the affected hand.
With a hemorrhagic stroke, the patient often shows little improvement in the first few weeks and then has relatively rapid recovery until they stabilize. [1] In a study involving eight patients with border zone lesions, all patients presented with transcortical mixed aphasia initially after the stroke.
Stroke is the 5th-leading cause of death in the U.S. and a leading cause of severe disability. On average, a person dies from stroke every 4 minutes. He was given hours to live after stroke. 17 ...
Whether spontaneous recovery occurs or not, treatment must begin immediately after the stroke, with support from a speech therapist or speech pathologist. A traditional approach requires treatment beginning at the level of breakdown – in the case of paraphasia, at the level of the phoneme.
Patients who experienced an ischemic stroke may recover in the days and weeks following the stroke, and then experience a plateau and gradual slowing of recovery. On the contrary, patients who experienced a hemorrhagic stroke experience a slower recovery in the first 4–8 weeks, followed by a faster recovery which eventually stabilizes. [62]
The most common stroke that causes Wernicke's Aphasia is an ischemic stroke affecting the posterior temporal lobe of the dominant hemisphere of the brain. [14] "The middle cerebral arteries supply blood to the cortical areas involved in speech, language and swallowing.
Transcortical sensory aphasia is characterized as a fluent aphasia. Fluency is determined by direct qualitative observation of the patient’s speech to determine the length of spoken phrases, and is usually characterized by a normal or rapid rate; normal phrase length, rhythm, melody, and articulatory agility; and normal or paragrammatic speech. [5]