Dayton Daily News

Dear Mayo Clinic: My mother had a stroke six months ago. Her mobility has returned to near normal. She can read and understand­s others when they speak. But she has a lot of difficulty talking, often struggling to find the words she wants to say. She’s fru

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The overall effectiven­ess of speech therapy for people who have communicat­ion difficulti­es after a stroke largely depends on the area of the brain the stroke affected and the severity of the brain damage. Generally, speech therapy can help those whose speech is affected by a stroke.

The most common type of stroke is an ischemic stroke, in which the blood supply to part of the brain is reduced significan­tly or cut off. As a result, brain tissue can’t get the oxygen and nutrients it needs. Within minutes, brain cells start to die. The brain damage caused by a stroke can lead to a variety of disabiliti­es, including problems with speech and language.

The medical term to describe some of the communicat­ion problems that happen due to a stroke is “aphasia.” There are several kinds of aphasia. The one you describe in your mother’s situation sounds like nonfluent, or Broca’s, aphasia. It occurs when a stroke damages the language network in the left frontal area of the brain. People with nonfluent aphasia typically can understand what others say, but they have trouble forming complete sentences and putting together the words they want to use.

Nonfluent aphasia, which can be a significan­t barrier to clear communicat­ion, often leads to frustratio­n. Working with a speech-language pathologis­t can help. The goal of speech and language therapy for aphasia is to improve communicat­ion by restoring as much language as possible, teaching how to compensate for lost language skills, and learning other methods of communicat­ing

Speech-language pathologis­ts (sometimes called speech therapists) use a variety of techniques to improve communicat­ion.

A speech-language pathologis­t also can direct your mother to resources she can use outside of speech-language therapy sessions, such as computer programs and mobile apps that aid in relearning words and sounds. Props and communicat­ion aids, such as pictures, notecards with common phrases, and a small pad of paper and pen, often are encouraged as part of speech-language rehabilita­tion and can improve a person’s ability to convey his or her thoughts.

You, other family members, and friends also can help your mother rebuild her communicat­ion abilities.

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