Eficácia da fonoterapia em um caso de afasia expressiva decorrente de acidente vascular encefálico

Abstract

Conflict of interest: non-existent in the areas that are responsible for understandable and / or expression, oral and / or written language 1,2 .In aphasia, all the aspects of language that were mentioned before are affected, however, that does not indicate a disease but rather a multimodal neurophysiologic disorder that is manifested by difficulties in reading, speaking and / or even writing together with changes in terms of behavior, intellectual and emotional spheres, attitudes and persona-lity³. Aphasic individuals can present since a slight language change, such as anomia (difficulty of evoking or emitting names) to more severe changes, like losing the ability of emitting any linguistic signal 4 .The impairment caused by aphasia varies depending on the location and extent of the lesion. The higher the affected brain region is, the greater is the risk of sequelae. In relation to the location, one author states that 95% of right handed and 75% of the left handed individuals specialize the left hemisphere (LH) for language, being that, then, ABSTRACTThe purpose of this article was doing a report case of an aphasic client subjected to speech therapy in the clinic of a Speech Pathology and Audiology course of a federal university. The studied subject is a male patient, aged 68, treated in the clinic since May 2009. His therapeutic process was analyzed up to December 2010. The client suffered an ischemic stroke in the left cerebral hemisphere, on January 2009, when suddenly presented mutism. After the evaluations, the therapist concluded that the client presented "aphasia, compromising the oral and the writing expression, caused by ischemic stroke". So, the treatment plan was created. Since the start of therapy, significant linguistic changes could be observed in the client. A primary factor for the satisfactory recover was the quick search for the speech treatment (15 days after the stroke), because there is a degree of spontaneous recovery in aphasic clients. But, the good results are minimal without the adequate therapy. Only one month after the beginning of the therapy, the client improved substantially his vocabulary. Despite the injury area is extensive and fundamental to the language, it was observed very positive results with the therapy. So, we believe that the early speech therapy contributed a lot to the linguistic recover, since the client communicate satisfactorily, if we consider the great extension of his injury.

Profile of Patients with Stroke and Disorders of the Vocal Tract

“…The stroke happens when there is a sudden interruption of the blood flow to a part of the brain, known as an ischemic stroke, or when there is a rupture of a blood vessel, known as a hemorrhagic stroke [16].…”

Intervenção fonoaudiológica na afasia expressiva: revisão integrativa

“…M o s t s t u d i e s u s e d l e x i c a l -p h o n o l o g i c a l stimuli (16)(17)(18)20,22,23,(26)(27)(28)(29)33,35,40,41,43,44) and semantic stimuli (13,15,25,30,31,36,38,39,42) , and some studies used verbs (19,21,24,32,37) . Another study also reported picture naming as the main task used during word retrieval treatment.…”

“…Kiran et al (2011) (30) 6 aphasics: 4 with anomic aphasia and 2 with conduction aphasia. (31) 1 individual with non-fluent aphasia (unspecified).…”

Adesão ao tratamento fonoaudiológico por pessoas com afasia encaminhadas após alta hospitalar: estudo de dois casos

“…The aim of speech-language therapy in aphasia cases is to recuperate the patient's communication abilities, taking into account their limitations, and both mental and physical status (4) . Given the perceived impact of aphasia on communication and quality of life, the importance of adherence to speech therapy treatment is clear.…”