Patient's question:
Then aphasia, the mouth trembles and cannot speak 2 times, each about 1 minute. Previous treatment history and effectiveness: no treatment, unknown reason. What kind of assistance is needed: asking what the cause and treatment method are...Doctor's answer:
After the onset of illness, speech training should begin within one week of stabilization. Functional rehabilitation training includes speech training, phrase training, conversation training, recitation training, sentence repetition training, text recognition, naming objects, executing commands, and picture-real object exchange learning, etc.Guidelines: For patients with complete aphasia, rehabilitation training should be like teaching a child to speak, starting with pronunciation. For example, encourage the patient to produce the sound "ah" or guide pronunciation by whistling. Then introduce common single words, such as "eat," "drink," "good," "okay," or use cards with words for the patient to read. Next, teach disyllabic words, phrases, short sentences, and long sentences in sequence. During training, combine verbal responses with visual stimuli, such as associating the word "eat" with food or using picture-word association methods to integrate speaking with visual recognition.
For patients with incomplete motor aphasia, who can speak many single words, phrases, or sentences but have difficulty speaking fluently, they often exhibit vocabulary, slow speech, and repetition. With such patients, patience is key. Repeatedly retell stories to help them learn flexibility and practice the flexible use of language.
For patients with sensory aphasia, special training is more challenging than for those with motor aphasia. Visual logic methods and gesture techniques can be flexibly applied. For example, serve a plate and place a towel in front of the patient, then say, "wash your face." Although the patient may not understand the meaning of the words "wash your face," logically, they will recognize that you are asking them to wash their face. By repeating this process for several days, the patient will gradually integrate language with visual stimuli, and language function will be fully restored.
The gesture method involves family members or caregivers combining gestures with verbal cues to train the patient. For example, to teach the patient to "eat dinner," the trainer can hold chopsticks and perform the action of eating dinner repeatedly. The patient will quickly associate the gesture with the action and will then take the chopsticks and eat dinner on their own.
For patients with mixed aphasia, functional training is even more challenging and requires a combination of speaking, visual cues, and listening to be repeated many times. For instance, to teach the patient to "wear a sweater," the trainer must say, "wear a sweater," point to the properly prepared sweater, and make a waving gesture to show the patient.