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Backgroud: There is a high prevalence of vascular diseases of the brain in adult population. One of the most severe complications of the cerebral vascular diseases is an aphasia leading to patient’s disability. An extremely severe and unreversible condition for further rehabilitation is noted in a group of patients which develops an impressive speech impairment as a dominant disturbance associated with aphasia. Aim: To identify the most effective rehabilitation method for patients with complications of cerebral circulation disturbances manifesting as speech impairment in a form of aphasia. Materials and methods: Theoretical aspect of rehabilitation in post-stroke aphasia patients with a dominant impressive speech impairment was studied. All patients underwent neurologic examination, dynamic logopedic observation, and magnetic resonance imaging. The patients of the chosen group underwent rehabilitation with a modified modality of speech restoration. Results: Introduction of the modified rehabilitation methods into the logopedics practice proved their high efficiency. Significant improvement was seen in 64% of patients with acoustic-amnestic aphasia, in 57% of patients with acoustic-gnostic aphasia, and in 60% of those with semantic aphasia. Conclusion: A key moment for achievement of the high rehabilitation outcome is a complex approach needed for rehabilitation of patients with the consequences of the acute impairments of cerebral circulation.

About the authors

M. M. Shcherbakova

Moscow Regional Research and Clinical Institute (MONIKI)

Author for correspondence.
first category logopedist, MONIKI Russian Federation

S. V. Kotov

Moscow Regional Research and Clinical Institute (MONIKI)

MD, PhD, Professor, Head of the Department of Neurology, MONIKI Russian Federation


  1. Sarno M.T., Postman W.A., Cho Y.S., Norman R.G. Evolution of phonemic word fluency performance in post-stroke aphasia. J Commun Disord 2005;38(2):83-107.
  2. Цветкова Л.С. Афазия и восстановительное обучение. М.: Издательство МГУ; 2001. [Tsvetkova L.S. Aphasia and restorative teaching. Moscow: Izdatel’stvo MGU; 2001 (in Russian)].
  3. Бурлакова (Шохор-Троцкая) М.К. Речь и афазия. М.: Эксмо-Пресс, В. Секачев; 2001. [Burlakova (Shokhor-Trotskaya) M.K. Speech and aphasia. Moscow: Eksmo-Press, V. Sekachev; 2001 (in Russian)].
  4. Дамулин И.В., Кононенко Е.В. Постинсультные нарушения и процессы нейропластичности. М.: Издательство Первого МГМУ им. И.М. Сеченова; 2009. [Damulin I.V., Kononenko E.V. Post-stroke disturbances and neuroplasticity processes. Moscow: Izdatel’stvo Pervogo MGMU im. I.M. Sechenova; 2009 (in Russian)].
  5. Aben L., Busschbach J.J., Ponds R.W., Ribbers G.M. Memory self-efficacy and psychosocial factors in stroke. J Rehabil Med 2008;40(8):681-3.
  6. Можейко Е.Ю. Диагностика нейродинамических нарушений речи у постинсультных больных. Неврологический вестник 2008;(2):42-6. [Mozheyko E.Yu. Diagnosis of neurodynamic speech impairments in post-stroke patients. Nevrologicheskiy vestnik 2008;(2):42-6 (in Russian)].
  7. Mihăilescu L. Communicative disorders in Wernicke’s aphasics. Rom J Neurol Psychiatry 1993;31(2):85-96.
  8. Pulvermüller F., Berthier M.L. Aphasia therapy on a neuroscience basis. Aphasiology 2008;22(6):563-99.
  9. Seniów J., Litwin M., Leśniak M. The relationship between nonlinguistic cognitive deficits and language recovery in patients with aphasia. J Neurol Sci 2009;283(1-2):91-4.
  10. Friederici A.D., Rüschemeyer S.A., Hahne A., Fiebach C.J. The role of left inferior frontal and superior temporal cortex in sentence comprehension: localizing syntactic and semantic processes. Cereb Cortex 2003;13(2):170-7.
  11. Nair K.P., Taly A.B. Stroke rehabilitation: traditional and modern approaches. Neurol India 2002;50 Suppl:S85-93.

Copyright (c) 2016 Shcherbakova M.M., Kotov S.V.

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