After Stroke

Post Stroke Communication and Swallowing Rehabilitation 

Stroke can significantly impact an individual's communication and swallowing abilities, with the nature and extent of these challenges varying widely based on the severity, location, and number of strokes, as well as any comorbidities. Our approach to post-stroke rehabilitation is highly individualised, recognising that each patient's journey to recovery is unique. 

Upon initial assessment, we conduct comprehensive formal testing to determine the specific areas of difficulty and to establish a baseline for measuring progress. These assessments may include standardised tests of language, speech, cognitive-communication, and swallowing 

function. The results guide us in developing a tailored treatment plan that addresses the patient's most pressing needs and aligns with their personal goals. 

Post-stroke communication difficulties can manifest in various forms, including: 

1. Aphasia: Language impairments affecting speaking, understanding, reading, or writing. 

2. Dysarthria: Motor speech disorders affecting the clarity and intelligibility of speech. 

3. Cognitive-communication disorders: Difficulties with attention, memory, problem-solving, or executive functions that impact communication. 

Additionally, many stroke survivors experience dysphagia, or swallowing difficulties, which can significantly impact nutrition, hydration, and quality of life. 

Our therapy programs are designed to target these specific areas of difficulty, using evidence-based techniques and technologies. We work closely with patients and their families, providing education, support, and practical strategies to enhance communication and swallowing in daily life. 

Recent research has highlighted the importance of intensive therapy in post-stroke recovery. A study by Breitenstein et al. (2017) found that intensive speech and language therapy led to significant improvements in verbal communication for individuals with chronic aphasia, even years after their stroke[1]. 

At our practice, we strive to incorporate the latest research findings into our treatment approaches, ensuring that our patients receive the most effective care possible. We understand that recovery from a stroke is a journey, and we are committed to supporting our patients every step of the way. 

Useful tip: For family members and caregivers of stroke survivors, patience and consistency are key. Create a supportive communication environment by minimising distractions, speaking clearly and at a normal pace, and using gestures or written words to supplement speech when needed. Encourage your loved one to participate in daily conversations and activities, even if their communication isn't perfect. Remember, every small effort contributes to recovery and maintaining social connections is crucial for overall well-being. 

[1] Breitenstein, C., Grewe, T., Flöel, A., Ziegler, W., Springer, L., Martus, P., ... & Ringelstein, E. B. (2017). Intensive speech and language therapy in patients with chronic aphasia after stroke: a randomised, open-label, blinded-endpoint, controlled trial in a health-care setting. The Lancet, 389(10078), 1528-1538.