JLE

Revue de neuropsychologie

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Complementing the speech therapy method with new approaches to speech and language rehabilitation in post-stroke aphasia Volume 14, issue 1, Janvier-Février-Mars 2022

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Authors
Université Grenoble Alpes, CNRS LPNC UMR 5105, BMD, BP 47, 38040 Grenoble cedex 09, France
* Correspondance

Speech and language rehabilitation in post-stroke aphasia is fundamental to help patients regain their communication skills, as well as their family, social, and professional integration. However, in the chronic phase, the effectiveness of the classic rehabilitation method (the speech therapy method) decreases and the access to care becomes more complicated due to geographical, financial, and health-related limitations. Thus, new rehabilitation programs combining conventional rehabilitation approaches with new ones seem to be necessary. In this brief review, we will present several potentially useful methods in chronic aphasia, such as induced constraint therapy, music therapy, and technological methods (tele-rehabilitation). We postulate that in order to choose the most appropriate rehabilitation program, three principles should be respected: intensity (apply intensive rehabilitation), social engagement (promote social interaction and communication), and personalization (adapt to the patients’ skills and take into account their recovery goals). We propose a rehabilitation program that combines traditional rehabilitation and tele-rehabilitation (rehabilitation in autonomy, via applications on a computer or tablet). This program has several advantages: it increases the intensity of the rehabilitation, promotes social involvement with the involvement of family and friends, and adapts to the patient's difficulties and the skills this patient wishes to improve.